- Cognizant (Lansing, MI)
- ** Claims Quality Review ** ( remote ) This is a remote position open to any qualified applicant that lives in the United States. **Summary:** Our ... quality standards, processes and procedures and policies + Ensures the claims processing reps adhere to predetermined quality assurance standards and the… more
- Providence (CA)
- **Description** **Senior Professional Liability Medical Claims Manager This position works R** **_emote._** **Many states eligible.** **Providence caregivers are not ... empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, general,… more
- Sedgwick (Troy, MI)
- …+ Compiles reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, ... Des Moines, IA or Troy, MI - Hybrid or Remote MI Are you looking for an opportunity to...authority of the individual examiner. + Monitors third party claims ; maintains periodical review of litigated … more
- NTT DATA North America (Ontario, CA)
- …**NTT DATA Services currently seeks a Senior Claims Examiner to join our team working 100% Remote and work on the PST hours of 8 am - 5 pm. This is a temporary ... audits, and process optimizations. **Key Duties & Responsibilities** -Adjudication & Review -Process comprehensive medical claims using Xcelys and associated… more
- NTT DATA North America (Plano, TX)
- …DATA and for the people who work here. NTT DATA is seeking to hire a ** Remote Claims Processing Associate** to work for our end client and their team. **NOTE** ... the right people on board, anything is possible. The quality , integrity, and commitment of our employees are key...training of NTT Data/Client + Work independently to research, review and act on the claims +… more
- Sedgwick (Tampa, FL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation ( Remote - Southeast State exp needed) ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- NTT DATA North America (Plano, TX)
- …executed as part of an overall sourcing strategy. NTT DATA is seeking to hire a ** Remote Claims Processing Associate** to work for our end client and their team. ... the right people on board, anything is possible. The quality , integrity, and commitment of our employees have been...training of NTT Data/Client + Work independently to research, review and act on the claims +… more
- NTT DATA North America (Plano, TX)
- NTT DATA is currently seeking 20 Remote Claims Examiners to join our team. (Amisys or Xcelys experience is a plus) Must be able to work Monday to Friday 7 AM to ... training of NTT Data/Client + Work independently to research, review and act on the claims +...defined workflows, guidelines + Sustaining and meeting the client productivity/ quality targets to avoid penalties + Maintaining and sustaining… more
- Cognizant (Juneau, AK)
- ** Claims Process Executive ( remote )** **JOB PURPOSE:** Claim Processors will review claim submissions, verify information, adjudicate the claim as per claim ... the business requirements. **ESSENTIAL FUNCTIONS** : + Examining and entering basic claims for appropriateness of care and completeness of information in accordance… more
- TEKsystems (Harrisburg, PA)
- TekSystems is currently hiring for a FULLY REMOTE Claims examiner contract position! THIS POSITION CAN START ASAP! MUST HAVE: 1-3 years of recent medical ... complex or high-risk cases for further investigation or legal review . Skills customer service, healthcare industry, claims ...on business needs. - Must be able to meet quality , productivity, and behavior expectations. - Must possess basic… more
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