- MGE Underground, Inc. (Paso Robles, CA)
- …| Performance | Trust | Fun How You Can Make an Impact The Safety, Health & Claims (SH&C) Coordinator is responsible for managing self-insurance and Workers' ... and effective communication with internal teams and external stakeholders regarding safety, health , and claims -related matters. + Track and ensure timely… more
- LA Care Health Plan (Los Angeles, CA)
- Specialty Health Plans Claims Auditor III Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: ... planning audits and audit work programs that address appropriate claims and financial compliance criteria for specialty health... claims and financial compliance criteria for specialty health plans. These audits are intended to ensure that… more
- Elevance Health (Miami, FL)
- …The ** Claims Representative III** is responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures. ... **Job Title:** Claims Representative III **Schedule:** Monday-Friday 7am-3:30pm EST **Virtual**...50,000 members, HealthSun is one of the fastest growing health plans in South Florida. As a local plan,… 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
- AIG (Lenexa, KS)
- …skills and experience as a valued member of the team. Make your mark in Accident and Health Claims Our Claims teams are the proven problem solvers of choice ... providing world class service to external and internal customers. + Handle Accident & Health claims as part of the A&H team, handling claims such as A&D,… more
- Mount Sinai Health System (New York, NY)
- …+ HS/GED; Associates Degree is preferred + **1-2 years of experience in medical billing or health claims , with experience in billing systems in a health care ... accounts via online work file and/or hard-copy reports; checks claims status, re-submits claims , and writes appeal...Us** **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where… more
- DXC Technology (Springfield, IL)
- …to work in a team environment** **Other Qualifications:** **Fellowship of Life Health Claims (FLHC) Certification is preferred** **PowerBi knowledge is desired** ... client requests for information** **Evaluates available information to validate claims ** **Verifies contract information, effective dates, status and verification 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
- Elevance Health (Latham, NY)
- **Title: Claims Representative I ( Health & Dental) - FEP** **Latham, NY** **Location:** This role enables associates to work virtually full-time, with the ... AM - 4:30 PM EST, Monday - Friday.** The ** Claims Representative I** will be responsible for successfully completing...Locations: New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Highmark Health (Frankfort, KY)
- …activities; disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS ( Health Now ... degree **EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing 1st dollar … more
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