- NTT DATA North America (Plano, TX)
- …Use multiple sources in researching the potential of dual coverage and determining which Insurance is primary. + Update Claims System according to Member ... school Diploma or equivalent. + 3+ years of medical claims or eligibility experience + 5+ years of experience...offered. Company benefits may include medical, dental, and vision insurance , flexible spending or health savings account,… more
- Aston Carter (Nashville, TN)
- …COMPANY IS HIRING MULTIPLE HR CALL CENTER REPS! THIS POSITION IS 100% REMOTE ! JOB DESCRIPTION: The MHLS professional is dedicated to servicing the HR/Time space, ... previous work in a leave of absence and/or disability claim management role, with experience using case management systems,...exceptional use of empathy skills. This position is 100% remote , requiring candidates to have a dedicated workspace at… more
- Community Health Systems (Fort Smith, AR)
- …is responsible for processing, auditing, and submitting primary and secondary insurance claims , ensuring accuracy, compliance, and timely reimbursement. This ... and more_ **_Essential Functions_** + _Processes and submits primary and secondary insurance claims accurately and in a timely manner, ensuring compliance… more
- Command Investigations (TN)
- …are compensatory to advanced, experienced, Investigators pay in the industry + 401(k) + Health Insurance : Medical, Dental, Vision + Paid time off + Paid Travel ... possible, setting the bar high for investigative excellence. Seeking experienced Insurance Fraud Investigators with commercial or personal lines experience, with… more
- Beth Israel Lahey Health (Charlestown, MA)
- …claims through the Epic Billing System.** **Works higher level of complexity specific claim edit work queue(s) daily and resubmit claims through the Epic ... people's lives.** **This position will operate in a fully remote capacity** Under oversight of the Department Manager &...billing system** **Works higher level of complexity External claim edits from Clearinghouse and resubmits claims … more
- Humana (Raleigh, NC)
- …or other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice ... management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + Experience with national guidelines such as… more
- Humana (Juneau, AK)
- …or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice ... management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + Experience with national guidelines such as… more
- NTT DATA North America (Oklahoma City, OK)
- …We are seeking a dedicated Claims Case Manager to provide comprehensive claim servicing to our insurance policyholders. This role involves managing the ... Insurance Operations Analyst to join our team. **Position: Claims Case Manager** Must live in the Continental United...insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance ,… more
- CRC Insurance Services, Inc. (Phoenix, AZ)
- …is remote ; however, it will require travel and in person meetings with health insurance brokers. Our teams are able to collaborate using video and screen ... and analyses to identify potential gaps in an employer's insurance coverage. Collaborate with cross-functional teams, including clinicians, underwriters, actuaries,… more
- Sedgwick (Sacramento, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance General Executive Adjuster ( Remote in California with travel) As an ... losses, including handling accounting-based losses (business interruption and stock). + Examines claim forms and other records to determine insurance coverage. +… more
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