• Medical Claims Examiner

    CHS (Clearwater, FL)
    …terminology **Qualifications** **Qualifications:** + Minimum two (2) years of medical claims processing experience- Payor/Carrier/TPA side + Must have reliable ... **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule...members and providers as needed + Initiates and completes claim investigations when indicated including pre-existing conditions, accidents, medical… more
    CHS (11/06/25)
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  • Claims Assistant

    Philadelphia Insurance Companies (Plano, TX)
    …Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an ... Description Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine...A++ by AM Best. We are looking for a Claims Assistant to join our team in Plano, TX!… more
    Philadelphia Insurance Companies (01/14/26)
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  • Claims Resolution Specialist

    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 ... (2+ years for remote candidates) within a medical billing, medical collecting or claims processing role. **Preferred:** + Computer Skills + Microsoft Office: +… more
    Select Medical (12/15/25)
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  • Manager of Claims Data Management

    HCA Healthcare (Nashville, TN)
    …the Data management team. The Data Management team is responsible for ensuring that claims processing platform is optimally and accurately configured to meet the ... of technical professionals. **Duties include, but not limited to:** + Ensure claims processing platform is optimally and accurately configured and maintained… more
    HCA Healthcare (12/28/25)
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  • Claims Auditor

    Centers Plan for Healthy Living (Staten Island, NY)
    …equivalent healthcare experience Preferred: Type of Experience Required: 2+ years of claim processing experience with a Medicaid/Medicare Health Plan. Preferred: ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
    Centers Plan for Healthy Living (01/12/26)
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  • Remote - Claims Adjuster - Automotive

    Reynolds & Reynolds (Wichita, KS)
    …will include, but are not limited to:-\tAnswering inbound calls-\tProvide information about claim processing and explain the different levels of contract ... coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the AGWS\u2019 systemA home office package… more
    Reynolds & Reynolds (01/06/26)
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  • Claims Adjuster - Automotive

    Reynolds & Reynolds (Warrenville, IL)
    …will include, but are not limited to:-\tAnswering inbound calls-\tProvide information about claim processing and explain the different levels of contract ... coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the AGWS\u2019 system Training On the job… more
    Reynolds & Reynolds (12/27/25)
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  • AR Account Follow-Up Specialist - Alabama Oncology

    Alabama Oncology (Birmingham, AL)
    …including monitoring for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take the appropriate action, including completion ... problems, issues, or payor trends to supervisor. + Resubmits insurance claims within 72 hours of receipt....plus years of experience + Experience in medical billing / insurance processing and balancing accounts Company Benefits… more
    Alabama Oncology (11/06/25)
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  • Director Of Claims

    TEKsystems (Martinez, CA)
    …(4) years of qualifying experience can be substituted for the required education. Skills claims processing , claims mangement Top Skills Details claims ... a large public health plan, has a need for a contract to hire Director of Claims . The group includes 20 direct reports including 2 managers, Claims supervisor, … more
    TEKsystems (01/10/26)
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  • Analyst, Claims

    East Boston Neighborhood Health Center (Revere, MA)
    …Serves as a liaison with IT, specifically regarding Tapestry (fee schedule development, claims processing , referrals) and reports and workflows related to ESP ... of PACE Claims , is responsible for the overall claims adjudication and insurance validation process. This includes: Claims Department: * Maintaining… more
    East Boston Neighborhood Health Center (01/01/26)
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