- NTT DATA North America (Ontario, CA)
- …**Job Description** To serve as a senior-level adjudicator and SME for medical claims within the Xcelys environment. Provide subject-matter expertise on ... optimizations. **Key Duties & Responsibilities** -Adjudication & Review -Process comprehensive medical claims using Xcelys and associated subsystems -Resolve… more
- Texas Veterans Commission (San Antonio, TX)
- …assisting veterans and eligible persons with the Department of Veterans Affairs claims process. Work involves collaboration with external partners to include the ... rulings, and state law in the adjudication process. . Prepares and files claims and appeals with supporting evidence for successful adjudication. . Advises and… more
- Aflac (Columbia, SC)
- Claims Compliance Coord I The Company: Aflac Columbus The Location: Columbia, SC, US, 29217 The Division: Group Voluntary Benefits Job Id: 8382 Opportunity: ... Claims Compliance Coord I Job Posting End Date: 10/17/2025...an array of benefits to meet your needs including medical , dental, and vision coverage, prescription drug coverage, health… more
- Sedgwick (West Des Moines, IA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Associate - Recovery **Our teams connect! We collaborate in the office.** ... financial and professional needs. **PRIMARY PURPOSE:** Processes and reviews subrogation claims across all lines of business and all jurisdictions within an… more
- Amazon (Seattle, WA)
- Description Amazon's Global Risk Management Claims team is seeking a talented risk professional to support our rapidly growing and evolving corporate auto program. ... Key job responsibilities *Oversight of complex, high value claims . *Develop strategy and action plans for claims...compensation package, in addition to a full range of medical , financial, and/or other benefits. For more information, please… more
- Philadelphia Insurance Companies (Plano, TX)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Supervisor II - General Liability to join our team! Summary: Supervises claims adjusters ... technical support staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents, making payments, tracking trends and… more
- Philadelphia Insurance Companies (West Linn, OR)
- …member of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Supervisor II - Commercial Auto - BI to join our team. Summary: + Supervises claims ... technical support staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents, making payments, tracking trends and… more
- CHS (Clearwater, FL)
- … and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and customer ... Duties and Responsibilities:** + In accordance with company guidelines, performs random medical audits, target audits, re-audits, etc and audits for claims … more
- Modernizing Medicine (Tampa, FL)
- …previous healthcare administration or related experience required + Basic understanding of medical billing claims submission process and working with insurance ... is a world where the software we build increases medical practice success and improves patient outcomes. Founded in...and Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in… more
- The Cigna Group (Bloomington, MN)
- **Description of Position:** The Product Management Senior Advisor is responsible for supporting Claim and Adjustment data that is provided to our clients. To help ... support internal stakeholders and account teams as a subject matter expert on claim and adjustment data. This position will ensure responsibility in establishing a… more