- Conduent, Inc. (Los Angeles, CA)
- Job Description Pharmacy Claims Auditor CPhT Do you have a CPhT certification? Would you like to audit pharmacy claims for accuracy? About the Role Conduent ... behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a...claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be… more
- New York Life Insurance Co (New York, NY)
- …multi-dimensional business portfolio that goes beyond life insurance. As a Fortune 100 company and industry leader, we provide an environment where you can explore ... works closely with a variety of stakeholders in New York Life Insurance Company 's insurance lines of business (including our Mexican subsidiary Seguros Monterrey New… more
- Berkley (Manassas, VA)
- Company Details BerkleyNet is an innovative workers compensation insurance provider that does all our business online. Our goal? To make doing business "Ridiculously ... Be a highly effective user of all financial systems, policy and claims systems, and corporate platforms and tools. Identify and coordinate the resolution… more
- Conduent (Los Angeles, CA)
- …be part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like ... behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a...claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ... to bending, reaching, kneeling, stooping and lifting up to thirty (30) pounds. ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** PA123… more
- Conduent (Alexandria, VA)
- …where individuality is noticed and valued every day. **Pharmacist - Claims Auditor /Reviewer (Part-Time)** **Conduent Payment Integrity Solutions** **Are you ... audits on behalf of major healthcare payers. As a **Pharmacist - Claims Auditor /Reviewer** , you'll apply your clinical knowledge and regulatory expertise… more
- NTT DATA North America (Decatur, IL)
- …when executed as part of an overall sourcing strategy. NTT DATA currently seeks a Claims Auditor to join our team for a remote position. 100% Remote, Client ... of our employees have been key factors in our company 's growth and market presence. By hiring the best...of Direct Hire Pay Rate $21-$22/hr **Position Summary:** The Claims Auditor position reports to the Chief… more
- WTW (Chicago, IL)
- **Description** As a Lead Auditor you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader ... administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the final report. You will… more
- NTT DATA North America (Decatur, IL)
- …quality, integrity, and commitment of our employees have been key factors in our company 's growth and market presence. By hiring the best people and helping them ... The Utilization Management Coordinator reports to the Director of Claims . This position is responsible for coordinating the appeal...skills, and other qualifications. This position is eligible for company benefits that will depend on the nature of… more
- ManpowerGroup (New York, NY)
- …with company policies, industry standards, and regulatory requirements. The auditor will analyze the claims documentation and processes, identify ... Jefferson Wells is seeking an experienced **Insurance Auditor with Life Claims ** expertise to... Claims : Conduct thorough audits of life insurance claims , including verifying claim amounts, beneficiary information,… more
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