- Adecco US, Inc. (Ontario, CA)
- …* Forward claims to appropriate health plans. * Mail out unprocessable claims with appropriate documentation. * Batch and audit trailers created by various ... currently assisting a local Customer in their search for Claims Assistant in Ontario, CA. This is a great...prepare for mailing. * Reconcile processed batches in the audit database. * Create and mail denial letters and… more
- Elevance Health (Mendota Heights, MN)
- **Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering collaboration ... within a commutable distance from an office._ The **Director II, Digital Claims Operations** oversees a combined digital and operations unit(s); executes strategies… more
- CVS Health (Hartford, CT)
- …day. **Position Summary** Serves as a key member of the Network Audit team, leveraging deep expertise in healthcare provider contracts, provider data management, ... execution of results-driven programs and innovative initiatives within the network audit area, operating under general supervision. + Coordinates and supports the… more
- Marriott (Bethesda, MD)
- …Range:** $19.95 - $33.12 per hour This is a temporary position. The Claims Support Specialist will provide administrative support for Claims Operations, ... of international claims , document handling, mail routing and check processing. The Claims Support Specialist reports to the Sr. Director, Global Claims and… more
- Owens & Minor (Downers Grove, IL)
- …and results + Ability to evaluate and secure the needed Rx's, PA's and medical justification to facilitate payment of claims for initial and review/appeals ... success starts with our teammates. Owens & Minor teammate benefits include: + Medical , dental, and vision insurance, available on first working day + 401(k),… more
- UCLA Health (Los Angeles, CA)
- …with: + High school diploma, GED or equivalent + Four or more years of medical claims payment experience in an HMO environment + Experience with CPT-4, ICD-9CM, ... Quality Auditor will be responsible for the daily audit of all examiners assigned to the auditor. You...medical terminology + Experience in benefit determination and claims adjudication + Ability to accurately key 6,000-8,000 keystrokes… more
- Jacobs (Buffalo, NY)
- …the Contract, determine validity * Day-to-day tracking, review, and management of delay claims assigned to the successful candidate * Audit contractor's claim ... firm, then Jacobs is where you belong. This candidate will work in the claims department, analyzing delay claims brought against the State within a geographic… more
- CVS Health (Blue Bell, PA)
- …to hybrid architectures. + Ensure compliance with regulatory requirements and internal audit standards across claims workflows. + Promote engineering excellence ... modernization of legacy systems-primarily IBM Mainframe platforms-used for commercial claims routing, adjudication, and operational reporting. This role ensures the… more
- PennyMac (Fort Worth, TX)
- …to inquiries by internal and external clients and property preservation service providers + Audit all resolved claims to ensure the claim was settled fairly and ... complete mortgage journey. A Typical Day The Hazard Insurance Claims Specialist will be responsible for filing insurance ...have you covered. Some key benefits include: + Comprehensive Medical , Dental, and Vision + Paid Time Off Programs… more
- Amazon (Bellevue, WA)
- …Amazon shipping is seeking a strategic and results driven leader to join as a Sr. Claims Risk Manager to lead the Claims charter for our org. We are looking ... ambiguous environment, manage multiple stakeholders; and lead initiatives to improve Claims Experience and reduce abusive behaviors. You will have a… more