- Kemper (Chesterfield, MO)
- …us in Growing for LIFE. **POSITION SUMMARY** : Kemper is seeking a Senior Accident & Health Claims Adjuster to support our organization's Health Claims ... team. As a Senior Accident & Health Claims Adjuster, you will support our customers by processing... via letter, email, and telephone + Ensure appropriate resolution of claim + Other duties as assigned **MINIMUM… more
- Alight (IN)
- …healthy and financially secure workforce by unifying the benefits ecosystem across health , wealth, wellbeing, absence management and navigation . With a ... and provisions to resolve the participants' issues. We strive for first-call resolution while adhering to service level agreements, ensuring a positive participant… more
- St. Luke's University Health Network (Allentown, PA)
- …with optimal goal of receiving accurate payments and maximum reimbursement. + Statuses claims resolution , appeals and corrected claims via payer websites ... the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in...I is responsible for accurate and timely submission of claims to third-party payers, intermediaries and guarantors in accordance… more
- The County of Los Angeles (Los Angeles, CA)
- …obtain a fair outcome through our consumer protection programs, including Small Claims Advisor, dispute resolution and mediation programs, immigration legal ... of tasks on a variety of consumer matters, including real estate, small claims court, mediation, dispute resolution , and other programs. Incumbents learn to… more
- Festival Foods (WI)
- …injury/illness. The successful candidate will lead in the investigation of health and safety concerns and provide corrective and/or preventative measures; benchmark ... to meet department objectives. Provides direct leadership to the Senior Claims Specialist and Workplace Safety Specialist. Prepares and delivers direct reports'… more
- CVS Health (Columbus, OH)
- …to company policies regarding confidentiality. + May assist in the research and resolution of claims payment issues. Supports the administration of the hospital ... At CVS Health , we're building a world of health...attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members,… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …healthcare payer domain in Multi-employer Trust (Hours & Eligibility management), Health Plan Administration (Benefits & Claims Administration, Vendor ... Business Analyst in the healthcare payer domain with Multi-employer Trust or Health Plan administration of self-funded client who excels in client interactions, and… more
- CNO Financial Group (Carmel, IN)
- …navigation questions, eligibility, available benefits, locate in-network providers and resolve claims questions and/or issue resolution . + Consulting with the ... This role provides subject matter expertise in complex cases including claims , billing and appeals issues. Advocates primarily receive incoming requests from… more
- Henry Ford Health System (Troy, MI)
- …assist patients with their medical bills via phone. We pride ourselves on one call resolution and provide career growth to those who want to excel. The hours are as ... is 6 weeks with hours from 8am-430pm Monday-Friday The position also offers Health Insurance and paid time off. GENERAL SUMMARY: Responds to patient inquiries… more
- Southeast Health (Dothan, AL)
- …Summary Performs daily activities involved in the reimbursement process, ie claims filing/follow-up, entry of payments/adjustments, and follow-up on non-payment or ... payer portals, work traditional Medicare and Medicare Advantage/Replacement inventory to full resolution . Job Description Essential Functions + Works as part of a… more
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