- TEKsystems (Phoenix, AZ)
- …of 2 years of experience in a call center environment, within the health insurance/medical claims industry. + Knowledge: Strong understanding of health ... service, document the claim system, work with the Supplemental Health and Limited Medical Benefit products, and perform well...and enter the information needed to enter and process claims accurately and in a timely manner. + Record… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities This position requires relocating to Ontario, California. TheVice President of Health Plan Operations and Claims is responsible for the ... to improve the quality and minimize process cost of Claims for all Prime Healthcare's self-insured Employee Health... Claims for all Prime Healthcare's self-insured Employee Health Plans. Through in-depth audit and review of … more
- Guardian Life (Pierre, SD)
- As the **Behavioral Health Clinical Consultant** resource in disability claims , you will be responsible for reviewing and analyzing a wide range of medical ... Health background preferred. Will consider LCSW or other licensed Behavioral Health professional with disability claims experience. + Excellent verbal and… more
- Axis (Red Bank, NJ)
- …for candidates taking part in the selection process. Job Title: Accident and Health Claims Specialist Level: "I" Division: A&H Position Summary: This position ... provides claims handling expertise for all of the accident and health claims , both claims adjudicated in-house and by third party administrators (TPAs).… more
- CVS Health (Phoenix, AZ)
- … Analyst is responsible for reviewing pharmacy claims submitted through the CVS Health claims processing systems. The Claims Analyst will identify and ... At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming … more
- WTW (Chicago, IL)
- …the posted locations. **Qualifications** **Qualifications** + 5+ years' experience in health claims adjudication gained preferably in a consulting environment ... and/or in a major insurance claims administrator or health plan environment + Solid understanding of health and welfare plan design and all areas of … more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …or GED + Excellent oral and written communication skills + 1 - 3 years of Health claims processing experience + Working knowledge of COB and MSP preferably + ... Position Purpose: The Claims Examiner is responsible for providing expertise and/or...Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting… more
- Highmark Health (Olympia, WA)
- …Bachelor's degree **EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing ... 1st dollar health insurance claims + 3 years of experience with medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst… more
- UCLA Health (Los Angeles, CA)
- …Take your career to the next level. You can do all this and more at UCLA Health . The Claims Quality Auditor will be responsible for the daily audit of all ... + Knowledge of claims adjudication systems + Flexibility and adaptability UCLA Health is a world-renowned health system with four award-winning hospitals and… more
- Ascension Health (Austin, TX)
- …**Additional Preferences** Additional Preference: + Three (3) years of experience in health -care claims adjudication required. + Expertise in the Facets platform ... (per year) Must reside in Texas **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans… more
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