- AON (Fort Wayne, IN)
- Aon is looking for a Claims Manager I As part of an industry-leading team, you will help empower results for our clients by delivering innovative and effective ... solutions as a Claims Manager I in our Ft. Wayne, IN office....development. + Serve as a liaison with clients, brokers, healthcare providers, and internal teams regarding claim status and… more
- Amergis (Columbia, MD)
- Amergis, formerly known asMaxim Healthcare Staffing, has served our clients and communities by connectingpeople to the work that matters since 1988. We provide ... meaningful opportunitiesto our extensive network of healthcare and school-based professionals, ready towork in any hospital, government facility, or school. Through… more
- Centene Corporation (Indianapolis, IN)
- …or CPT.** **Position Purpose** Manage the prospective review of high risk claims to ensure payment integrity and provide immediate feedback on findings including ... high dollar claims , coaching for quality review claims and internal audits. Create ODS reports of known manual processing issues to increase quality and assist… more
- CDPHP (Latham, NY)
- …these values and invites you to be a part of that experience. The Claims Representative shall assume full responsibility and ownership for all aspects regarding ... claims adjudication and adjustments. In addition, the incumbent will...determinations and verifications based on State statutes relating to healthcare administration and corporate guidelines. + Demonstrated ability to… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …role will require coming into the Rochester, NY office. The LTC Claims Administration Specialist performs timely and accurate data-entry and transactional processing ... in the claims administration system. The incumbent processes and adjudicates Long-Term...demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate… more
- Molina Healthcare (Rio Rancho, NM)
- …and scripting tools such as Python, Ruby or Perl. * Experience in the healthcare industry To all current Molina employees: If you are interested in applying for ... this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an… more
- General Dynamics Information Technology (Fairfax, VA)
- …credentialing, and compliance processes. + Must have strong understanding of healthcare delivery systems, claims processes, and clinical operations. + ... **Public Trust/Other Required:** MBI (T2) **Job Family:** Administration **Skills:** Communication, Healthcare Operations,Provider Network Management,Provider Relations,Provider Services **Experience:** 5 +… more
- NTT DATA North America (Chicago, IL)
- …part of an overall sourcing strategy. NTT DATA Services currently seeks a ** Claims Processor** to join our team in **Chicago, IL** **Role Responsibilities** + ... Process and adjudicate health, dental, and vision insurance claims with precision and efficiency + Perform quality assurance...documentation + Interest in AI and its applications in healthcare and insurance Benefits About NTT DATA Services: NTT… more
- DoorDash (Tempe, AZ)
- …company's bottom line. The team is divided into three separate subgroups: Actuarial, Claims Operations, and Risk Management & Mitigation. We are looking for forward ... cross-functional partners at DoorDash. About the Role We are seeking an experienced claims specialist who will be a member of DoorDash's Corporate Risk & Insurance… more
- Banner Health (Phoenix, AZ)
- …join the department and assist with risk identification, mitigation, transfer, and claims management to protect one of the nation's largest non-profit healthcare ... systems. In this role you will be revieing new claims , such as property or auto, that may require...unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in… more