- Providence (Mission Hills, CA)
- …Human Resources **Job Schedule:** Full time **Job Shift:** Day **Career Track:** Business Professional **Department:** 7520 CLAIMS PROCESSING CA HERITAGE ... functional area ie, claims operations, + HMO products, industry claims processing procedures, contracts, billing and overall managed care processes, etc. +… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Administration Specialist performs timely and accurate data-entry and transactional processing in the claims administration system. The incumbent processes ... addition to Level I Accountabilities) * Resolves moderately complex claims processing and claims history...One (1) year of experience in a Level I Claims Specialist role. * Adept at multi-tasking… more
- Dignity Health (Bakersfield, CA)
- … discrepancies for all claim types - Perform an analysis of the claims processing by reviewing contract, system configuration, benefits, financial risk (DOFRs), ... **Job Summary and Responsibilities** The Claims Research Specialist will oversee and...for audit purposes. - Collaborate with internal departments, including claims processing , UM, compliance, and provider relations,… more
- Dignity Health (Bakersfield, CA)
- …Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed care service organization. This role involves ... improve overall claims accuracy and efficiency. The Claims Quality Specialist will work closely with...Qualifications:** + Minimum of 5 years of experience in claims processing , quality assurance, or a related… more
- NJM Insurance (Parsippany, NJ)
- …basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Ability to manage return to work expectations ... The Workers Compensation department is searching for a Claims Account Specialist (I). The ...goals and objectives of the WCC department and company business goals, guidelines, and programs + Recommend process improvements… more
- Pike Corporation (Mount Airy, NC)
- …and maintenance of internal knowledge base. + Handles multiple functions related to business operations, claims processing , and office workflows. + ... Position Overview: The primary purposed of Claims Specialist is to manage various...forms, video evidence, witness statements, and vendor contracts from business clients for use in the claims -handling… more
- Sedgwick (Los Angeles, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice | Professional Liability | California **PRIMARY ... preferred. Licenses as required. Professional certification as applicable to line of business preferred. **Experience** Six (6) years of claims management… more
- Sedgwick (Tallahassee, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist | Medical Malpractice (PL) | Remote, Florida **PRIMARY PURPOSE** ... preferred. Licenses as required. Professional certification as applicable to line of business preferred. **Experience** Six (6) years of claims management… more
- Sedgwick (Houston, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , E&O, D&O | Professional Liabilty **ESSENTIAL FUNCTIONS and ... RESPONSIBILITIES** + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on… more
- Cedars-Sinai (Los Angeles, CA)
- …environment that fuels innovation. **Req ID** : 13216 **Working Title** : Revenue Cycle Specialist III (PB Claims ) **Department** : CSRC PB - Group 3 CSMCF ... Hospitals! **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and… more
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