- CVS Health (Hartford, CT)
- …leading modernization efforts. Strong understanding of regulatory compliance in claims processing . Preferred Experience Excellent communication and stakeholder ... At CVS Health , we're building a world of health...modernization of legacy systems-primarily IBM Mainframe platforms-used for commercial claims routing, adjudication , and operational reporting. This… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …be crucial in maintaining our high standards of accuracy and efficiency in claims processing . Compensation Highlights: Base Pay: $18.00 per hour Pay Frequency ... Examiner's primary function is to ensure the accurate adjudication of all complex claims for SCCIPA...under demanding production and quality standards Technical proficiency with claims processing software In-depth understanding of complex… more
- Molina Healthcare (Yonkers, NY)
- …coding, abuse and fraudulent billing practices, waste, overpayments, and claims processing errors. Essential Job Duties Audits the adjudication of claims ... to leadership for improvements based on audit results. Reviews timeliness of claims processing to ensure compliance with contractual and state/federal… more
- Sedgwick (Salem, OR)
- …specific client service requirements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Analyzing and processing claims through well-developed action plans to an appropriate ... behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and… more
- Sedgwick (Brea, CA)
- … and negotiate settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzing and processing claims through well-developed action plans to an appropriate ... exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and… more
- Sedgwick (Roseville, CA)
- …specific client service requirements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Analyzing and processing claims through well-developed action plans to an appropriate ... behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and… more
- Sedgwick (Irving, TX)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... health savings account, and other additional voluntary benefits. # Claims #ClaimsExaminer #Hybrid #LI-Hybrid #LI-Remote #LI-AM1 Qualified applicants with arrest… more
- Sedgwick (Oklahoma City, OK)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims … more
- Health Care Service Corporation (Chicago, IL)
- … CLAIMS ANALYST The Claims Analyst is responsible for the accurate adjudication and processing of medical, dental, vision, or other related claims , ... At Luminare Health , our employees are the cornerstone of...related correspondence and/or electronic inquiries for assigned groups. All claims and inquiries are handled according to the established… more
- Motion Recruitment Partners (Denver, CO)
- …CO area. Contract Duration: 2-Months Required Skills & Experience 3 years Medical Claims processing / adjudication experience. High School grad What You Will ... Medical Claims Processor / Contract / Remote Denver, CO...and your family Dental & Orthodontia Benefits Vision Benefits Health Savings Account (HSA) Health and Dependent… more
