- Elevance Health (Norfolk, VA)
- … Claims Train data, CAST Train data; CAST Lights On mgmt., E2E claim lifecycle Vetting; FICR; MGCT# Post adjudication; CPEC- Claims Payment Extract and ... **Business Architect Sr. - Claims Systems** **Location:** This role requires associates to...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- UMB Bank (Kansas City, MO)
- …This position will report directly to the Manager, Enterprise Fraud Claims , supporting UMB's protection against multi-channel payment fraud loss. These payment ... Wire, ACH & P2P. Responsible for managing multi-channel fraud claims . Responsible for mastering the associated systems and tools..._MINIMUM:_ + High School education + 2+ years fraud claim processing experience in card, check, ACH or wire… more
- CDPHP (Latham, NY)
- …these values and invites you to be a part of that experience. The Claims Representative shall assume full responsibility and ownership for all aspects regarding ... claims adjudication and adjustments. In addition, the incumbent will...The specialist will address and resolve service-related issues including claim adjustment requests, appeals and complaints, eligibility determination and… more
- Axis (Short Hills, NJ)
- …process. About the Team AXIS is hiring a Claims Specialist, Health Care Claims , for its North America Claim Team. This role involves managing primary and ... excess healthcare liability claims for AXIS US policies. How does this role...for a comprehensive and competitive benefits package which includes medical plans for you and your family, health and… more
- USAA (Tampa, FL)
- …operational areas. Sets operational goals and measures to achieve overall claims targets. Designs and implements claim 's strategies supporting enterprise ... special and impactful. **The Opportunity** Accountable for auto, property and/or other claims teams to deliver operational business results at scale. Responsible for… more
- JB Hunt Transport (Lowell, AR)
- **Job Title:** Vice President Insurance, Risk Management, and Claims **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas ... is responsible for the management of the company's risk mitigation programs, including claims processing, as well as the structure, design, and procurement of the… more
- NTT DATA North America (Decatur, IL)
- …claims . + Contact providers and case management company for information regarding problem claims . + Print/mail EOBs and claim forms requested by providers and ... the people who work here. NTT DATA seeks a ** Claims Examiner** on a **project** basis to work **remote,...nature of the role offered. Company benefits may include medical , dental, and vision insurance, flexible spending or health… more
- AIG (Atlanta, GA)
- …enquiries and reporting on findings. The investigator will provide assistance to the claims adjuster in progressing the claim and will leverage knowledge and ... covering all lines of business involving claimants, brokers, lawyers, medical providers, etc., to support the Claims ...lawyers, medical providers, etc., to support the Claims organization. + Obtain and preserve physical and documentary… more
- Sedgwick (Naperville, IL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Claims Adjuster (Entry Level) This is an in-office role in Naperville, IL with ... tech client. **Position Overview:** We're seeking a motivated and detail-oriented **Auto Claims Adjuster** to join our team. This is an excellent opportunity for… more
- US Tech Solutions (Myrtle Beach, SC)
- … and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non- medical appeals. Determines whether to return, deny or ... according to department guidelines. **Responsibilities:** + Examines and processes claims and/or non- medical appeals according to business/contract regulations,… more