- AmeriHealth Caritas (Philadelphia, PA)
- …must possess a comprehensive knowledge of technical and workflow process components of claims processing .All auditors must attend ongoing training as needed and ... will be expected to build/run complex queries to identify claims affected by the configuration change and analyze all...of 3 years of system configuration experience + Facets claim processing knowledge required + Microsoft Access… more
- Sanford Health (Fargo, ND)
- …schedule is flexible and can be discussed. **Job Summary** The Associate Insurance Representative processes and monitors unpaid third party insurance , Medicare, ... reimbursement; primarily but not limited to prebilled accounts. Prepares and submits claims to payers either electronically or by paper. Secures necessary medical… more
- Cognizant (Augusta, ME)
- …will make an impact by configuring and maintaining QNXT systems to ensure accurate claims processing and compliance with client requirements. You will be a ... + Perform **back-end queries** and validate configuration setups to ensure accurate claim processing . + Advise clients on **configuration decisions** in… more
- Mass Markets (VA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... satisfaction and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance -related questions. + Maintain accurate and… more
- Kemper (Greenwood, MS)
- …to our stakeholders that delivers on our promises._ **Role: Life Insurance Sales Agent** **Employment Type:** Full-Time with Benefits **Work Arrangement:** Field ... Role **Career and Opportunity** _Kemper is a diversified insurance holding company that has been in business for..._Responding promptly to service requests such as beneficiary changes, claims , and loans_ + _Record keeping, accounting for money… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …priorities. + Enthusiastic, self-motivated, effective under pressure. + Setting up and processing claims . **Ability to** + Attend to detail while maintaining ... **Knowledge of** + Standard Office skills. . Fundamental concepts of insurance policy renewals and claims handling. + Insurance industry and terminology. .… more
- ReSource Pro (Atlanta, GA)
- …in technology solutions. + Familiarity with common APIs, middleware tools, and batch processing techniques in insurance IT ecosystems. + Deep understanding of ... property & casualty insurance lines and operations (policy, billing, claims ). + Demonstrated indepth understanding of Agile, Scrum, and traditional SDLC delivery… more
- Insight Global (King Of Prussia, PA)
- …- Prior experience working for Healthcare Insurance companies - Healthcare Claims experience ( claims processing , payment and adjudication) - Prior ... customers, as part of the Services Delivery Team, to understand the customers' claim system(s), payment policies, and integration data elements managed using CXT for… more
- Toyota (San Juan, PR)
- …manages the day-to-day operation of the loss recovery, remarketing, and insurance functions. Also, it will develop processes automation and implement efficiencies ... Supervisor will lead direct reports from the Remarketing, loss recovery and Insurance areas and is responsible for handling all performance management tasks,… more
- System One (Baltimore, MD)
- …record abstraction to determine benefit eligibility and support claims processing /adjudication. It includes pre- and post- claim medical review for ... ensuring compliance with corporate and medical policies. Essential Functions + Claims Review & Analysis (35%) Review and analyze professional and institutional… more
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