- Elevance Health (Manchester, NH)
- …analyzing and processing member complaints in accordance with policies and claims events to determine the extent of the company's liability and entitlement. ... providers and/or others for resolution or affirmation of previously processed claims . + Ensures appropriate resolution to inquiries, grievances and appeals within… more
- CGI Technologies and Solutions, Inc. (Knoxville, TN)
- …Design, build, and maintain scalable ETL/ELT pipelines to ingest healthcare data ( Claims , EMR/EHR, Pharmacy, and Lab results). Model Development: Develop and deploy ... in a data-centric role, specifically within the healthcare or health insurance industry. Technical Stack: * Languages: Proficiency in Python (Pandas, Scikit-learn,… more
- Humana (Tallahassee, FL)
- …support, client services, client administration, customer service, enrollment and eligibility, claims processing , and call center operations. This individual ... investigates and settles claims and customer service issues. Decisions typically focus on...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About Us** Humana Inc.… more
- Sedgwick (Annapolis, MD)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance CAT Repair Solution Site Auto Appraiser **PRIMARY PURPOSE** **:** To inspect, ... directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate. **ADDITIONAL FUNCTIONS and… more
- Fallon Health (Worcester, MA)
- …we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for ... Work in conjunction with other Fallon Health departments to assist in processing authorization information in order to facilitate the member's medical services or… more
- Centene Corporation (Honolulu, HI)
- …analysis, and customer service experience preferably with healthcare operations (ie claims processing , billing, provider relations or contracting) experience in ... and maintenance to ensure accurate and timely setup for claims payment, member assignment and directory display + Investigate...a managed care, insurance , or medical office environment. Experience performing and leading… more
- DriveTime (Tempe, AZ)
- …which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative ... over 1 million service contracts, products, and warranties, and over $300 million in claims . **That's Nice, But What's the Job?** **_This is not a position for which… more
- Ansible Government Solutions (San Francisco, CA)
- …the Release of Information (ROI) offices at various medical centers. + Scan insurance cards, protect secure information, and complete all insurance buffer (ICB) ... phone calls. + Review requests for reimbursement of travel costs and reconcile claims /vouchers for payments using electronic systems. + Review ambulance claims … more
- Ansible Government Solutions (Philadelphia, PA)
- …the Release of Information (ROI) offices at various medical centers. + Scan insurance cards, protect secure information, and complete all insurance buffer (ICB) ... phone calls. + Review requests for reimbursement of travel costs and reconcile claims /vouchers for payments using electronic systems. + Review ambulance claims … more
- UIC Government Services and the Bowhead Family of Companies (Moody AFB, GA)
- …knowledge of computer systems including USAF databases, computer graphics, and word processing applications, in order to perform assigned duties. + High school ... License required; must be able to be insured through company's vehicle insurance policy while driving work/government/rental vehicles during working hours, and for… more