• General & Product Liability Complex Claim Examiner…

    Sedgwick (Harrisburg, PA)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance General & Product Liability Complex Claim Examiner - Multi-State Preferred - ... learn from and to share your insights. + Take advantage of a variety of professional development opportunities that...Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier;… more
    Sedgwick (09/23/25)
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  • Director, Market Optimization

    Modivcare (HI)
    …teams to support RFPs, re-procurements, and growth opportunities with Medicaid and Medicare Advantage plans. + Provide Hawaii-specific content, data, and ... client expansions, or pilot programs. + Understanding of the Medicaid/ Medicare regulatory environment and the role of transportation in...to include the following: + Medical, Dental, and Vision insurance + Employer Paid Basic Life Insurance more
    Modivcare (09/19/25)
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  • Property and Liability Claims Examiner | Public…

    Sedgwick (Roseville, CA)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Property and Liability Claims Examiner | Public Entity | Field work required | ... learn from and to share your insights. + Take advantage of a variety of professional development opportunities that...Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier;… more
    Sedgwick (09/19/25)
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  • Authorization & Billing Specialists

    Ophthalmic Consultants of Boston (Plymouth, MA)
    …. Registers commercially insured patients with manufacturer copay support services . Registers Medicare and Medicare Advantage patients with foundation copay ... the event of adding on patients. . Effectively communicates with "challenging" insurance companies to ensure prior approval and coverage. . Consistently and… more
    Ophthalmic Consultants of Boston (09/04/25)
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  • Health Aide or CNA $20/hr (*Up to $24/hr)…

    Fallon Health (Lowell, MA)
    …accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org. ... **+ Great benefits!** + Full-time benefits offering! + Health Insurance offerings! + Paid Time Off! + 12 Holidays!...insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care… more
    Fallon Health (08/02/25)
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  • Accountant C (Office of Clinical Research)

    University of Pennsylvania (Philadelphia, PA)
    …the Unit Manager to conduct monitoring of research finance compliance with the Medicare Clinical Trial Policy, including review of key elements, such as study ... Penn offers comprehensive medical, prescription, behavioral health, dental, vision, and life insurance benefits to protect you and your family's health and welfare.… more
    University of Pennsylvania (09/17/25)
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  • Healthcare Representative

    TEKsystems (San Diego, CA)
    …Health Plan members. You'll assist patients with benefit inquiries, eligibility, insurance coverage, and Medicare /Medi-Cal redetermination. This is a ... patients through eligibility and plan details. + Ensure compliance with HIPAA, Medicare , and Medi-Cal regulations. + Provide exceptional service aligned with "The… more
    TEKsystems (09/17/25)
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  • IMM Patient Care Coordinator

    TEKsystems (Morrisville, NC)
    …Understand and navigate major payer types, including private/commercial and government ( Medicare , Medicaid, VA, DOD). + Maintain accurate records in compliance with ... customer service, call center operations, and patient access. + Familiarity with insurance verification, prior authorizations, and medical claims. + Knowledge of … more
    TEKsystems (09/16/25)
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  • Call Center Service Reps - Hybrid/Remote!…

    Fallon Health (Worcester, MA)
    …Accreditation by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit ... career path advancement, great benefits, paid time off, heath insurance and more..** The REMOTE work model can commence...insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care… more
    Fallon Health (09/16/25)
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  • Bilingual Consumer Service Operations…

    Humana (Louisville, KY)
    …with members over the phone to assess eligibility for programs like the Medicare Savings Program. + Collect and input personal and financial information into ... food assistance or medication cost savings. + Educate and empower members to take advantage of benefits that improve their quality of life. + Collaborate with a… more
    Humana (09/13/25)
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