- NTT DATA North America (Plano, TX)
- …part of an overall sourcing strategy. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **Note** : This ... NTT DATA only. **Role Responsibilities** + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- Raphael and Associates (Rutherford, NJ)
- …Examiner (remote) Company Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally ... our services to our client's specific needs. As a claims organization, what we do is complex. Our mission...to provide superior reports so that proper evaluations of claim values can be made. + Appropriately represent the… more
- Pacific Medical Centers (Seattle, WA)
- **Description** Adjudicates claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. Adjusts complex ... claims for advanced processing needs. Responds to Customer Service...needs. Responds to Customer Service Requests and resolves problem claim situations. Providence caregivers are not simply valued -… more
- Indiana Farm Bureau Insurance (Liberty, IN)
- **Description** **Primary Responsibilities:** + Handles property claims and interacts with customers that are filing these claims . + Researches and applies ... knowledge of policies, procedures, laws, statutes, and insurance regulations. + Completes all aspects from investigation through settlement of property claims . +… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims ... guidelines. **Essential Duties and Responsibilities:** + Reviews and adjudicates medical claims based on health policy provisions and established guidelines +… more
- Cognizant (Charlotte, NC)
- **_Program Test Manager : Insurance ( Claims and Underwriting)(Hybrid)_** Cognizant Technology Solutions is seeking a " **_Program Test Manager : Insurance ( ... Business Assurance in Gartner Magic Quadrant. **_Program Test Manager : Insurance ( Claims and Underwriting)(Hybrid)_** **_Onsite Location : Charlotte, NC_**… more
- Hartford Steam Boiler Inspection and Insurance Company (Hartford, CT)
- …and develop and implement financial processes and controls for new or enhanced insurance products. Manage Claims reporting and review and create monthly ... Ability to foster teamwork to include conflict resolution + Understanding of Claims and insurance industry At The Hartford Steam Boiler, a subsidiary of Munich… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *SUMMARY:* We are currently seeking a*RCM Representative Senior*to join our Third-Party Claims -HB&PB team. This full-time role will primarily work remotely (Days, M- ... information needed to provide services such as following up on complex claim issues, financial clearance, customer service, or admission. Works will be assigned… more
- Idaho Division of Human Resources (Boise, ID)
- …they are provided quality customer service. + Provide technical assistance on filing a claim or take staff assisted claims where requested. + Review claims ... WORKFORCE CONSULTANT ( Claims Specialist) Posting Begin Date: 2025/09/29 Posting End...and oversee tax and labor law compliance. The Unemployment Insurance (UI) division at the IDOL is currently recruiting… more
- Select Medical (Camp Hill, PA)
- …you within Select Medical! Our dynamic team has the responsibility of resolving outstanding insurance claims so that our patients are not impacted. We offer an ... **Overview** **Senior Claims Resolution Specialist** **Starting at $18.50.00/hr but flexible...and operational needs. + Make outgoing calls to patients, insurance companies and attorneys regarding claim status… more