- Sedgwick (West Des Moines, IA)
- …and files necessary documentation with state agency. + Communicates claim action/ processing with claimant, client and appropriate medical contact. + Ensures ... claim files are properly documented and claims coding is correct. + May process routine payments...routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical… more
- NTT DATA North America (Decatur, IL)
- …and insured members. + Assist with audits for assigned group. + Assist with claims processing and over specific for new or backlogged groups. **KNOWLEDGE, SKILLS ... providers and case management company for information regarding problem claims . + Print/mail EOBs and claim forms...High School Education required. + Minimum 3 Years of Claims Processing experience + TPA Experience **Preferred:**… more
- APTIM (Santa Fe, NM)
- … management software, databases, and other technology tools that facilitate claim processing , documentation, and communication. **Basic Qualifications:** + High ... claims management systems, databases, and other technology tools that facilitate claim processing , documentation, and communication **ABOUT APTIM** APTIM is… more
- APTIM (Santa Fe, NM)
- … management software, databases, and other technology tools that facilitate claim processing , documentation, and communication. **Basic Qualifications:** + High ... Claims Reviewer is responsible for independently reviewing, analyzing, and processing complex claims related to disaster losses in accordance with… more
- Humana (Augusta, ME)
- …based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery ... part of our caring community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages claims operations that involve… more
- Reynolds & Reynolds (Omaha, NE)
- …will include, but are not limited to:-\tAnswering inbound calls-\tProvide information about claim processing and explain the different levels of contract ... coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the...claim and contract information into the AGWS\u2019 systemA home office package will be provided for this position.… more
- APTIM (Santa Fe, NM)
- … management software, databases, and other technology tools that facilitate claim processing , documentation, and communication. + Proficient in assessing ... Expert (SME) provides specialized technical expertise in support of claims review, evaluation, and documentation for disaster-related compensation. This...to live a full life at work and at home + Dogged determination to deliver for our clients… more
- Aston Carter (Deerfield Beach, FL)
- …The Claims Payment Analyst is responsible for reviewing, analyzing, and processing claims payment requests for automotive repairs. This individual determines ... to internal policies and procedures. Responsibilities + Review and process claims payment requests for automotive repairs. + Determine appropriate payment amounts… more
- Elevance Health (Columbus, GA)
- **Title: Claims Representative I (Health & Dental) - FEP** **Columbus, GA** **Location:** This role enables associates to work virtually full-time, with the ... 1/12/2026** **Hours:** **8 AM - 4:30 PM EST, Monday - Friday.** The ** Claims Representative I** will be responsible for successfully completing the required basic… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …timely and compliant payment for services. + Review, document and communicate any claim processing or related changes initiated by payor organizations. + Work ... **BAYADA Home Health Care** is seeking a **Reimbursement Collections...external business or clients ensuring timely payment. + Complete claim denial management functions to ensure timely follow-up with… more