• Claims Operations Lead

    HCA Healthcare (Nashville, TN)
    …reports, assigns work, maintains weekly on hand reports Monitors performance and claims processing times to ensure compliance with performance standards. Perform ... We care like family! Jump-start your career as a Claims Operations Lead today with Work from Home...processors and claims examiners. Technical competence with claims processing software. Supervisory skills in … more
    HCA Healthcare (01/11/26)
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  • Claims Examiner

    Fallon Health (Worcester, MA)
    …**Brief Summary of purpose:** The Claims Examiner should have thorough claim processing knowledge at a complex level.. Thorough understanding of ... claims . + Ensures accuracy and timeliness of claims processing to minimize late payment interest...in a quality manner. + Solid working knowledge of claim processing from all perspectives (submissions, … more
    Fallon Health (01/15/26)
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  • Claims Services Representative 1/Trainee…

    New York State Civil Service (Liverpool, NY)
    …Representative 2, the incumbent will oversee all aspects of workers compensation claims processing from inception to closing; initially determine the ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/2 - NYHELPS Occupational...status; respond to requests for home modifications, home health care personnel, medication, and medical more
    New York State Civil Service (01/14/26)
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  • Claim Technician

    Health Care Service Corporation (Abilene, TX)
    …experience. * Clear and concise written and verbal communication skills. * Experience processing medical claims . **Preferred Job Qualifications:** * Referral ... * Must have trained on the six-eight-week Blue Chip claims processing system or have the ability...the six-eight-week Blue Chip Training class. * Knowledge of medical terminology and CPT, HCPCS, and ICD9 coding. *… more
    Health Care Service Corporation (01/21/26)
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  • PE- Claims HC

    Cognizant (Winston Salem, NC)
    ** Claims Processing - Hybrid** *HYBRID- Training in office- Winston-Salem, NC- REQUIRED* **Job Summary** Join our team as a Claims Processing Executive ... This remote position offers the flexibility of working from home during day shifts allowing you to balance work...will directly impact the accuracy and efficiency of our claims processing enhancing customer satisfaction and operational… more
    Cognizant (01/17/26)
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  • Claims Specialist - USFHP

    Pacific Medical Centers (Renton, WA)
    …large group practice setting. + Experience with areas of specialty claim processing (COB, Adjustments, Point of Service, Home Health and Encounters). + ... years in Managed Care operations. + 1 year of Claims processing experience, in a TPA, MSO,...to submit your concern. **Requsition ID:** 404135 **Company:** Pacific Medical Jobs **Job Category:** Claims **Job Function:**… more
    Pacific Medical Centers (12/24/25)
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  • Medical Claims Processor

    NTT DATA North America (MO)
    …methodology/ fee schedule/ **Required Skills for this role include:** + 2+ year(s) of Medical Claims experience + 2+ year(s) using a computer with Windows ... **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** :...this Role the candidate will be responsible for:** + Processing of Professional and Hospital claim forms… more
    NTT DATA North America (11/07/25)
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  • Commercial Casualty Claims Adjuster…

    GuideOne Insurance (Atlanta, GA)
    Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume their life's work without ... and cause of loss on routine to more complicated claims , which includes but is not limited to policy...coverage and reservation of rights letters. + Maintains effective claim file documentation and diary system. Monitor diary to… more
    GuideOne Insurance (01/09/26)
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  • Liability Claims Representative | Dedicated…

    Sedgwick (Marlton, NJ)
    …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... LOCATION** **Marlton, NJ - Hybrid (3 days work from home )** **May be open to remote if outside of...NJ office** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to… more
    Sedgwick (01/16/26)
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  • Claims Examiner - Liability | Litigation,…

    Sedgwick (Columbia, SC)
    …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... LOCATION** **Marlton, NJ - Hybrid (3 days work from home )** **Open to remote for candidates outside of commutable...to office** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to… more
    Sedgwick (12/12/25)
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