- CVS Health (Franklin, TN)
- …it all with heart, each and every day. **A Brief Overview** Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates ... with healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical … more
- CVS Health (Springfield, IL)
- … claim processing. Advises team members in resolving complex or escalated claims issues by providing guidance on claim handling procedures, policy ... team by providing strategic leadership and overseeing the operations of the claims processing team(s). Directs workflow to ensure the efficient and accurate… more
- CVS Health (Franklin, TN)
- …claim processing. + Advises team members in resolving complex or escalated claims issues by providing guidance on claim handling procedures, policy ... of team by providing strategic leadership and overseeing the operations of the claims processing team(s). Directs work flow to ensure the efficient and accurate… more
- CRC Insurance Services, Inc. (ID)
- …and makes recommendation for additional activity as appropriate. 4. Determine where new loss claims should be reported. 5. Manage all claim documentation. 6. Use ... and/or correspondence to the Agent or Insurer to process claims appropriately. 7. Analyze claim coverage with...computer and office skills 12. Ability to work extended hours when necessary **Preferred Qualifications:** 1. New York adjuster… more
- CRC Insurance Services, Inc. (NC)
- …the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 5. Analyze claim coverage. 6. Anticipate and meets all ... of America) **Please review the following job description:** Analyzes and processes claims by gathering information, drawing conclusions. tracking and managing the … more
- CVS Health (Boston, MA)
- …II License.** + **Active PTCB certification (CPhT).** **Position Summary** As a Claim Reprocessing Coordinator, you will be responsible for the timely and accurate ... reprocessing of pharmacy claims that require corporate edits. In this role, you...team process improvements and keeping process documents updated. The Claim Reprocessing Coordinator will manage workflow within the team's… more
- NJM Insurance (Trenton, NJ)
- …the claim , and outlining and recommending an action plan to manage the claim . The WC Claims Specialist will work with and communicate to all internal ... guidance and collaborative engagement during the life of a claim . The WC Claims Department takes pride...other providing for a positive and nurturing work environment. Hours : Monday to Friday 8:00AM- 4:15PM ( Hours … more
- BJs Wholesale Club (Marlborough, MA)
- …severity and costs. Major Tasks, Responsibilities, and Key Accountabilities: + Performs claims oversight of a third-party claim administrator (TPA). This ... benefits, HR, LOA, defense counsel and TPA. + Identifies claim trends and provides recommendations to the Claims...Participates in department projects and other tasks. + After hours coverage, including weekends, as needed. Job Qualifications: +… more
- EquipmentShare (St. Louis, MO)
- …insurance claims from initiation to resolution. This includes verifying claim information, assessing damages, and determining claim validity. + Customer ... 5:00 PM, and offers overtime pay after working 40 hours . (On call during the weekend only in special...customers filing claims . Guide them through the claims process, keeping them informed of their claim… more
- Independent Health (Buffalo, NY)
- …a culture that fosters growth, innovation and collaboration. **Overview** The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or dental ... claims against established criteria, and in accordance with specific...to respond to client, member, and/or provider inquiries on claim status, benefit designs, and claim payments… more
Recent Searches
- led sales manager (United States)
- Blender Operator (Florida)
- deputy director division engineering (United States)
- Senior Mainframe IMS Database (Florida)
Recent Jobs
-
Respiratory Therapist - Per Diem Nightshift
- Select Medical (Battle Creek, MI)