- CVS Health (Franklin, TN)
- …day. **Position Summary** The Team Lead for the Medicare Supplement Claims Processing team is responsible for overseeing day-to-day operations to ensure ... claims . * Step in to assist with claims processing during peak volumes or staffing...claims processing , preferably with Medicare Supplement claims . * Proven ability to lead or… more
- Axis (Alpharetta, GA)
- …, XSLT transforms, and SQL database queries to create solutions that enhance claims processing . + Develop and maintain system configurations, working with both ... available upon request for candidates taking part in the selection process. ** Lead Duck Creek Claims Configurator/Developer** **Job Family Grouping: IT Group**… more
- Providence (Renton, WA)
- …an accomplished senior level claims adjudicator with at least 3 years prior claims processing experience and a proven track record of working with IDX ... Managed Care operations, including a minimum of 3 years claims processing experience, in a TPA, MSO,...Pacific Medical Centers, or equivalent external experience in a lead capacity. + Experience with information systems supporting the… more
- Guardian Life (Bethlehem, PA)
- … Claims , you will play a key role in supporting the Life Insurance claims processing , product and system configuration on Claims management platform and ... will offer a depth and breadth of knowledge of claims processing systems including integration points, data...issues. + Evolve as a subject matter expert to lead specific projects or initiatives. + Effectively and proactively… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- …work with a team that reviews claims and claims data from the MaineCare claims processing system and the accuracy of the work of the Claims Division ... oversight necessary to ensure accountability and efficient and effective administration. The Claims Adjustment Division oversees the re- processing of claims … more
- State of Minnesota (St. Paul, MN)
- …minimum qualifications will be considered for this position.** Two (2) years* experience processing claims and/or appeals with one (1) of those years involving ... support work for the Paid Leave division. The Senior Claims Adjudicator involves lead work and handles...Training and mentoring of other staff to enhance their claims processing abilities. + Knowledge of techniques… more
- AON (LA)
- …other issues that may negatively impact projectperformance.* Is responsible for oversight and processing of workers' compensation claims : What the day will look ... by Bechtel Risk Management. Skills and experience that will lead to success * Requires a Bachelor's Degree or...may negatively impact projectperformance.* Is responsible for oversight and processing of workers' compensation claims : What the… more
- Sedgwick (Eden Prairie, MN)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Associate Claims Representative Claims Adjuster Claims Examiner Litigation Consultant Team Lead Client... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Master's Degree Experience Required: A minimum of 5 years of experience performing claims audits or claims processing related to Medi-Cal, Cal ... Care. This role works closely with the Supervisor and/or Lead Auditor on identification and resolution of issues in...capitated hospitals and the Plan Partners. This includes all claims processing sub-contracting functions of the delegates.… more
- CHS (Clearwater, FL)
- … claims prior to payment. * Oversight for the ongoing management of claims processing technology, including plan building and identification of new and ... the client's stated coverage. Join Premier Administrative Solutions as a Claims Manager and lead our Claims Department in delivering exceptional service to… more