- CHS (Clearwater, FL)
- **Overview** ** Health Insurance Medical Claims Examiner** **(Initial Training On Site - 90 days - Remote position after training in FL)** **Must live ... **Summary:** The Medical Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines.… more
- University of Utah Health (Salt Lake City, UT)
- …**Required** + Three years of experience collecting, organizing and maintaining health insurance and processing medical claims . + Familiarity with ... **Overview** _As a patient-focused organization, University of Utah Health exists to enhance the health ...determine if adjustment is necessary. + Adjusts and documents medical claims or electronic records. + Researches… more
- Henry Ford Health System (Detroit, MI)
- …continuum of services - from primary and preventative care to complex and specialty care, health insurance , a full suite of home health offerings, virtual ... the guidance of Senior Claims Managers, Senior Claims Consultant, Director of Insurance , and Vice...medical centers and is leading the Future of Health : Detroit, a $3 billion investment anchored by a… more
- USAA (Tampa, FL)
- …Ability to conduct complex healthcare fraud investigation reviews. + Knowledge of health insurance claims operations, particularly Medicare Supplement ... relevant medical literature for application to appropriate health insurance underwriting policies and guidelines. +...medical expertise by serving as primary resource for Health Claims for the approach to … more
- CVS Health (Cumberland, RI)
- …with the Claims Team and CVS businesses to identify opportunities for property claims recovery when damage occurs to CVS Health property or property under ... At CVS Health , we're building a world of health...**Preferred Qualifications** + Experience handling property loss and subrogation claims for a large insurance carrier or… more
- International Medical Group (Indianapolis, IN)
- …and other insurance companies; initiating or conducting investigation of questionable claims . + Documents medical claims actions by completing forms, ... As one of the world's top International Medical Insurance companies, IMG helps individuals...values. QUALIFICATIONS + At least 1 year of prior medical claims processing experience OR willing to… more
- HCA Healthcare (Miami, FL)
- …**Introduction** Do you want to join an organization that invests in you as a Medical Insurance Claims Specialist? At Parallon, you come first. HCA ... Parallon, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...make a difference. We are looking for a dedicated Medical Insurance Claims Specialist like… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Manager, Medical Malpractice and General Liability Claims is responsible for overseeing professional and general liability claims , ... claims adjusters, ensuring compliance with organizational policies and insurance reporting requirements. Additionally, the Manager identifies and addresses trends… more
- Elevance Health (Miami, FL)
- …The ** Claims Representative III** is responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures. ... **Job Title:** Claims Representative III **Schedule:** Monday-Friday 7am-3:30pm EST **Virtual**...50,000 members, HealthSun is one of the fastest growing health plans in South Florida. As a local plan,… more
- Orlando Utilities Commission (Orlando, FL)
- …commercial insurance and policy renewals. + Oversee the budget development for insurance claims , premiums, and payroll impacts; + Review and approve all ... **_Reliable_** **One** **,** is presently seeking a **Manager of Insurance & Claims ** to join the Risk...medical , dental, and vision benefits and paid life insurance premiums with no probationary period. + OUC's Hybrid… more