- Elevance Health (Waukesha, WI)
- **Clinical Documentation and Claims Integrity Director** **Location:** **Virtual:** This role enables associates to work virtually full-time, with the exception of ... considered for employment, unless an accommodation is granted as required by law. CareBridge Health is a proud member of the Elevance Health family of companies,… more
- CVS Health (Hartford, CT)
- …leading resolution efforts for critical business functionalities like enrollment, billing, and claims + Insurance Domain Expertise: In-depth understanding of the ... At CVS Health , we're building a world of health...involves addressing significant challenges related to enrollment, billing, and claims processing on the Majesco LA&H Core Suite. The… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …(United States of America) **Please review the following job description:** Process claims , which includes evaluating policy for coverage; working with the insured, ... adjusters, agents and attorneys on the claim and coordinating the payment of claims . In addition, prepare reports such as loss runs and monthly bordereau.… more
- Northwell Health (New York, NY)
- **Req Number** 166205 Flexstaff is hiring a CLAIMS SPECIALIST on a fulltime Temporary basis. (Coding/ Claims experience needed, Data Analysis a plus) The ... Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor. Attends JOC meetings with providers as...(a plus) Experience: + Eight or more years of insurance experience within a healthcare or managed care setting… more
- Providence (CA)
- …who will:** **Investigate, evaluate, and manage professional, general, and other liability claims under the PSJH Insurance Program:** + Communicate with ... safety projects, through the Risk & Integrity Services division and Risk, Claims , & Insurance department **Required qualifications for this position include:**… more
- NJM Insurance (Trenton, NJ)
- NJM Insurance Group's Claims & Medical Services Analytics group is seeking a Claims Insights Analyst. The Claims Insights Analyst applies a strong ... a 401(k) with employer match up to 8% and additional service-based contributions, Health , Dental, and Vision insurance , Life and Disability coverage, generous… more
- Elevance Health (Woodbridge, NJ)
- …(word processing, spreadsheets, etc.) strongly preferred. + Previous experience working in health claims is strongly preferred. For candidates working in person ... ** Claims Representative I** **Location:** This role enables associates...Jersey, New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Ascension Health (Austin, TX)
- …year) Must reside in Austin, Texas **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer ... Preferences** Additional Preference: + Three (3) years of experience in health -care claims adjudication required. + Expertise in the Facets platform preferred. +… more
- HCA Healthcare (Nashville, TN)
- …Risk & Insurance department reporting directly to the Managing Director of Property Claims . You will support the Insurance programs segment of the Risk & ... Healthcare offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...process. + Assist the VP Insurance , AVP Insurance and Manager/Director of Property Claims with… more
- NJM Insurance (Trenton, NJ)
- …a 401(k) with employer match up to 8% and additional service-based contributions, Health , Dental, and Vision insurance , Life and Disability coverage, generous ... Join NJM Insurance Group's Medical Claim Services (MCS) team as...in Personal Injury Protection (PIP), Workers' Compensation, and/or General Claims . The ideal candidate will have a strong understanding… more