- Mass Markets (Killeen, TX)
- …1-3 years of experience in one or more of the following: call center, claims adjudication , insurance adjusting, or technical customer service (preferably in a ... services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability… more
- CVS Health (Richardson, TX)
- …do it all with heart, each and every day. As part of the Rx Claim Adjudication team, you will be expected to be proficient in all critical functions of the ... and be willing to be hybrid, we may consider remote US for the right candidate. Within the application...fact finding. + Experience with RxClaim or other PBM Adjudication system is preferred. + Experience on Cloud Technologies… more
- NTT DATA North America (Ontario, CA)
- …**Key Duties & Responsibilities** - Adjudication & Review -Process comprehensive medical claims using Xcelys and associated subsystems -Resolve complex pends, ... To serve as a senior-level adjudicator and SME for medical claims within the Xcelys environment. Provide.../ operational improvements **Required Qualifications and skills:** -5+ years claims adjudication experience -1+ year experience in… more
- Sedgwick (Troy, MI)
- …individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication ; and to maintain a diary on claims ... Des Moines, IA or Troy, MI - Hybrid or Remote MI Are you looking for an opportunity to...office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes… more
- Sedgwick (Austin, TX)
- …Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims Examiner at Sedgwick, you'll have the opportunity to take ... daily work and your career path. This is a remote , work-at-home, telecommuter position. + Be a part of...claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry… more
- Sedgwick (Buffalo, NY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers' Compensation Claims Examiner | Remote Are you looking for an opportunity to ... behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and… more
- Sedgwick (Columbus, OH)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation REMOTE | California Experience Are you ... behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and… more
- Sedgwick (Charlotte, NC)
- …correct. * May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Associate - Liability ( REMOTE - NY... to determine benefits due; and to ensure ongoing adjudication of claims within company standards and… more
- Sedgwick (Greensboro, NC)
- …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster- Workers Compensation ( REMOTE - Southeast...claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and… more
- Sedgwick (Oklahoma City, OK)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE regions **PRIMARY ... exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and… more
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