• Senior Stop Loss Claims Analyst/HNAS

    Highmark Health (Olympia, WA)
    …+ Bachelor's degree **EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience ... processing 1st dollar health insurance claims + 3 years of experience with medical terminology **Preferred:** + 3 years of experience in a Stop Loss … more
    Highmark Health (09/20/25)
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  • Medical Claims Account Manager

    Kelly Services (Glastonbury, CT)
    …+ Ability to prioritize tasks and escalate concerns appropriately + Experience with health insurance claims , premiums, and regulatory compliance + Financial ... **Job Title:** **Medical Claims Account Manager** **Reports To:** CFO **FLSA Status:**...organizations. This role involves managing administrative processes related to health premiums and medical out-of-pocket expenses, handling client inquiries,… more
    Kelly Services (08/29/25)
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  • Medical Claims Examiner

    CHS (Clearwater, FL)
    **Overview** ** Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical ... Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines. **Essential Duties and Responsibilities:** + Reviews… more
    CHS (08/08/25)
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  • Health Insurance Instructional…

    System One (Reston, VA)
    …developing simulations, video tutorials, and blended learning solutions. + Familiarity with health insurance claims , enrollment systems, and benefits ... facilitating training on claims , enrollment, benefits, and related health insurance processes. + Strong background in virtual instructor-led training and… more
    System One (08/21/25)
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  • Part Time Healthcare Technical Writer

    System One (Washington, DC)
    …and end users. Key Responsibilities + Create and maintain comprehensive documentation for health insurance claims processes, policies, systems, and SOPs, ... 3+ years of experience as a technical writer, with a focus on health insurance claims documentation. + Proven experience developing SOPs and process… more
    System One (08/16/25)
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  • Insurance Coordinator

    Stanford University (Stanford, CA)
    …Interface with NCAA and/or outside secondary insurance for any student-athlete related health insurance claims . + Work collaboratively with the sports ... Insurance Coordinator **Department of Athletics, Physical Education, and...able to facilitate and maintain relationships with DAPER, Vaden/Student Health and Stanford Hospital and Clinics (SHC) staff. High… more
    Stanford University (09/06/25)
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  • Claims Manager

    CHS (Clearwater, FL)
    **Overview** ** Claims Manager** **Servicing** ** Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... Actual results will be compared to goals in each period. ** Claims Manager** ** Health Insurance Policies or Benefits** **Qualifications** **Qualifications and… more
    CHS (08/08/25)
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  • Research Programmer/Analyst

    Elevance Health (Wilmington, DE)
    …mining analyses. + Prepare, verify, and manage research data sets from administrative health insurance claims databases as per provided specifications. + ... multiple tasks simultaneously and in multidisciplinary teams. + Experience with administrative health insurance claims data is a plus. Please be advised that… more
    Elevance Health (09/19/25)
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  • Investigator Senior - Pharmacy

    Elevance Health (Norfolk, VA)
    … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. + Develops ... to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim...research findings. + Health insurance more
    Elevance Health (09/20/25)
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  • Investigator Senior

    Elevance Health (Middletown, NY)
    … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. **How will ... Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity,... claims . Health insurance more
    Elevance Health (09/06/25)
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