- AssistRx (Phoenix, AZ)
- The Copay Support/ Claims Processing Specialist is a critical role within the organization and is responsible for servicing inbound calls, EOB faxes, and mail ... Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication,...vesting + Medical, dental, vision, life, & short-term disability insurance Why Choose AssistRx: + Preloaded PTO: 100 hours… more
- Providence (Mission Hills, CA)
- …of functional area ie, claims operations, + HMO products, industry claims processing procedures, contracts, billing and overall managed care processes, etc. ... Full time **Job Shift:** Day **Career Track:** Business Professional **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
- Dignity Health (Bakersfield, CA)
- … discrepancies for all claim types - Perform an analysis of the claims processing by reviewing contract, system configuration, benefits, financial risk (DOFRs), ... **Job Summary and Responsibilities** The Claims Research Specialist will oversee and...for audit purposes. - Collaborate with internal departments, including claims processing , UM, compliance, and provider relations,… more
- NJM Insurance (Trenton, NJ)
- NJM's WC Claims Department is seeking an experienced Claims Specialist , Sr. who lives in Western or Central PA to provide on-site service to our ... This is a 100% remote position which includes virtual claims handling for customers in any area of PA...decision-making capabilities + Working knowledge utilizing an automated claim processing system and Microsoft Office tools including Word and… more
- Dignity Health (Bakersfield, CA)
- …Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed care service organization. This role involves ... improve overall claims accuracy and efficiency. The Claims Quality Specialist will work closely with...Qualifications:** + Minimum of 5 years of experience in claims processing , quality assurance, or a related… more
- Axis (Short Hills, NJ)
- …for candidates taking part in the selection process. About the Team AXIS is hiring a Claims Specialist , Health Care Claims , for its North America Claim Team. ... Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding...or contentious claims . Leading initiatives to enhance claims processing efficiency and accuracy within the… more
- Sedgwick (Houston, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , E&O, D&O | Professional Liabilty **ESSENTIAL ... and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management… more
- Sedgwick (Los Angeles, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice | Professional Liability | ... **PRIMARY PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury … more
- CVS Health (Franklin, TN)
- …with funeral homes, beneficiaries and family members, and ensures accurate and timely claims processing . Contributes to the efficient and accurate handling of ... of benefits for each claim based on the patient's insurance plan and policy guidelines and scope. + Documents...stakeholders to resolve any discrepancies or issues related to claims . + Determines if claims processing… more
- Raphael and Associates (Rutherford, NJ)
- …are looking for a detail-oriented and organized individual to join our team as a Claims Setup Specialist . This entry-level role is focused on the initial setup ... system. You will play a key role in preparing claims for further processing by entering data,... management systems (or willingness to learn). + Basic insurance knowledge is a plus but not required. +… more