- Harbor Group Management (Dallas, TX)
- …service and providing exquisite living experience for our residents. Job Title: Claim Administrator Location: Onsite, Dallas, Texas JOB PURPOSE : The position works ... the administration and maintenance of the company's property and casualty insurance claims . ESSENTIAL DUTIES AND RESPONSIBILITIES: Includes the following but are not… more
- CHS (Clearwater, FL)
- … claims administration, is where submissions for payment/reimbursement/sharing from medical providers and covered individuals are reviewed, subject to cost ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party… more
- TEKsystems (Erie, PA)
- …customer service as a priority. Enters new loss report information and updates claims documentation. Skills Claim , Customer service, Support, claims support, ... Description Under moderate supervision, performs basic claims /zone support activities. Duties and Responsibilities: Performs support and administrative functions,… more
- State of Montana (Helena, MT)
- …the phone in the claim process, utilizing the external customer oriented online claims system to file the claim . * Explain the rights and responsibilities of ... more. * Free telehealth and access to free employee medical clinics through our medical plan -...Voluntary Employee Beneficiary Association (VEBA) *JOB DUTIES:* As a Claims Examiner 2 in the call center you will:… more
- UCLA Health (Los Angeles, CA)
- …* Bachelor's degree and/or equivalent experience * Five or more years of medical claims payment experience in Medicare Advantage or combination of equivalent ... responsible for monthly random and focus audits of all claim processing activities to identify inaccurate claims ...Reasons and Remittance Advice Remark codes * Knowledge of medical terminology * Ability to accurately key between 6,000… more
- State of Massachusetts (Boston, MA)
- … Claims Examiner/Job Service Representative II| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service Representative II ... is responsible for supporting processes within the Department of Family Medical Leave (DFML). The Lead Claims Examiner/Job Service Representative II will review,… more
- Blue KC (Workman, MN)
- …of our offerings include:** **Highly competitive total rewards package, including comprehensive medical , dental and vision benefits as well as a 401(k) plan that ... and external customer resource for interpretation of transplant benefits and transplant-related claim adjudication. Serves as a company expert on current and future… more
- Kemper (Chatsworth, CA)
- …complex to claims to conclusion. This role will have advanced claim handling skills and demonstrate high quality results. This position necessitates strong ... a cohesive team. **Position Responsibilities** : + Primarily handles claims with a high complexity and large injury severity....high complexity and large injury severity. + Review each claim to ensure that all coverage and exposures issues… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …for coverage; working with the insured, outside adjusters, agents and attorneys on the claim and coordinating the payment of claims . In addition, prepare reports ... then hire attorney for coverage counsel for coverage analysis. 2. Settle claims within settlement authority, where applicable. 3. Work with adjusters, insureds,… more
- Ascension Health (Austin, TX)
- …Responsible for reviewing, investigating and resolving health-care claim payment appeals and communicating resolution/determination in accordance ... by Health and Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to state Medicaid guidelines. +… more