- AssistRx (Phoenix, AZ)
- …Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim rejections, claim ... duplicates) + Partners with claim adjudication vendors ensure proper claims processing and data integrity. + Monitor and remediate medical and pharmacy… more
- Ford Motor Company (Dearborn, MI)
- …to workplace injuries, claims , and costs. Maintains important records related to claim processing such as medical bills, treatment plans, etc. Provides input ... claim adjusters. + Determines the need to report claims and maintains regular communication/review with claim ...report claims and maintains regular communication/review with claim adjusters to ensure excellent management of claims… more
- AIG (Lenexa, KS)
- …party contractors or by internal claim handling teams associated with the processing of commercial or personal line claims . + Generate monthly reports that ... need to succeed + Proven claim adjudication or claim operations experience for multi-line commercial claims . Claim Audit or file review experience is… more
- Sedgwick (Harrisburg, PA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- CVS Health (Franklin, TN)
- …communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing . Contributes to the efficient and accurate handling ... with heart, each and every day. **Position Summary** Performs claim documentation review, verifies policy coverage, assesses claim...stakeholders to resolve any discrepancies or issues related to claims . + Determines if claims processing… more
- Travelers Insurance Company (Missoula, MT)
- …internal and/or external resources for specific activities required to effectively resolve claims . + Maintain and document claim file activities in accordance ... Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is… more
- IQVIA (Phoenix, AZ)
- **Patient Support Medical Claims Processing Representative** _Remote Role - Location (Open to Remote US)_ As the only global provider of commercial solutions, ... 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team....+ High School Diploma or equivalent + Experience in claim processing required + Medical Billing Certification… more
- Molina Healthcare (NE)
- …updates/changes to member enrollment, provider contract, provider demographic information, and/or claim processing guidelines. Evaluates the accuracy of these ... communicate written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims … more
- Sedgwick (Columbia, SC)
- …expertise preferred. **Skills & Knowledge** + Subject matter expertise in worker's compensation claims and/or liability claims processing + Ability to obtain ... FUNCTIONS and RESPONSIBILITIES** + Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional… more
- Travelers Insurance Company (St. Paul, MN)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site...mail. Orders, receives and distributes supplies and/or equipment. + CLAIM PAYMENTS AND EXPENSE PROCESSING : Ensures the… more
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