- Elevance Health (Latham, NY)
- **Title: Claims Representative I (Health & Dental) - FEP** **Latham, NY** **Location:** This role enables associates to work virtually full-time, with the exception ... 9/8/2025** **Hours:** **8 AM - 4:30 PM EST, Monday - Friday.** The ** Claims Representative I** will be responsible for successfully completing the required basic… more
- USAA (Phoenix, AZ)
- …and implementation of multiple Data and Analytics sub-functions for Claims that may include: Information Strategy and Architecture, Information Management, ... Governance, Information Delivery Analytics & Insights Delivery, and Support. Lead the short-term and long-term strategy and vision of...and vision of the assigned sub-functions for the CoSA Claims working with peers to set objectives across the… more
- Nestle (Bridgewater, NJ)
- …and nutrition for patients and consumers. **POSITION OVERVIEW:** The Customer Solutions and Claims Specialist serves as the primary point of contact for the customer ... order touches. + Identify and resolve demand capture failures to ensure timely processing . + Monitor and address account specific issues upon receipt of order;… more
- Molina Healthcare (Owensboro, KY)
- …test assumptions through data, but lead with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... execute effective Payment Integrity strategies through both pre-payment and post payment claims reviews, aligning with industry and corporate standards as well as… more
- Molina Healthcare (Kearney, NE)
- …test assumptions through data, but lead with contextual knowledge of claims processing , provider contracts, and operational realities. + Create succinct ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- Molina Healthcare (Rock Hill, SC)
- …test assumptions through data, but lead with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more
- Truist (Greensboro, NC)
- …guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to ... resolution. Claims /inquiries related to Regulation E are met in accordance...rules, and regulations of payments channel in order to lead /support periodic reviews of operational procedures for changes, streamline… more
- Sedgwick (Meridian, ID)
- …team meetings and assigns accountability for follow-up items. + Gathers important compliance/ claims processing information to be presented at team meetings. + ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Assistant Team Lead - Workers Compensation - Meridian, ID **ARE YOU AN IDEAL CANDIDATE?** We… more
- Molina Healthcare (Provo, UT)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims ... accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing . This role will focus on identifying, reviewing, and validating Medicaid… more
- Tucson Electric Power (Tucson, AZ)
- **Benefits Analyst - I, II, Senior or Lead ** Company **Tucson Electric Power** Location **Tucson, AZ** Requisition ID **6015** **About Us** UNS Energy Corporation ... . **Job Description - Benefits Analyst - I, II, Senior or Lead ** **Position Overview** The Benefits Analyst is responsible for the design, analysis,… more