- NTT DATA North America (Ontario, CA)
- NTT DATA is currently seeking ** Senior Medical Claims Examiners (3+ years of Xcelys required)** to join our US based team. This is a 100% remote role. ... **Purpose** To serve as a senior -level adjudicator and SME for medical claims within the Xcelys environment. Provide subject-matter expertise on claims … more
- NTT DATA North America (Ontario, CA)
- …for a 3 month contract role. Start Date: ASAP 100% Remote **Team Lead** -for Senior Claims Examiners on Xcelys System **Job Summary** The Xcelys Team ... overall sourcing strategy. NTT DATA Services currently seeks Xcelys Medical Claims Team Lead to join our...examiners , ensuring the accurate and timely processing of medical claims using the Xcelys system. The… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner ** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical ... Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines....appropriateness, eligibility and coordination of benefits + Documents fully claims referred to senior staff for review… more
- NTT DATA North America (Ontario, CA)
- ** Senior Claims Examiner (Xcelys...as a senior -level adjudicator and SME for medical claims within the Xcelys environment. Provide ... System)** **NTT DATA Services currently seeks a Senior Claims Examiner to join...**Key Duties & Responsibilities** -Adjudication & Review -Process comprehensive medical claims using Xcelys and associated subsystems… more
- US Tech Solutions (Whittier, CA)
- **Duration: 3+ months contract** **Responsibilities:** + Review, adjudicate, and process medical claims for HMO patients + Work closely with affiliated ... medical groups and hospitals + Evaluate provider reimbursement terms...forms + Understanding of provider contracts, Medi-Cal, commercial, and senior plan claims + Strong knowledge of… more
- State of Massachusetts (Boston, MA)
- …I| Department of Family & Medical Leave* The Program Integrity Claims Examiner /Job Service Representative I is responsible for supporting processes within ... the Department of Family Medical Leave (DFML). The Claims Examiner...Examiner /Job Service Representative I, who reports to the Senior Manager of Benefit Operations & Program Integrity is… more
- State of Massachusetts (Boston, MA)
- …II| Department of Family & Medical Leave* The Program Integrity Claims Examiner /Job Service Representative II is responsible for supporting processes within ... of Family Medical Leave (DFML). The Lead Claims Examiner /Job Service Representative II will review,...Examiner /Job Service Representative II, who reports to the Senior Manager of Benefit Operations & Program Integrity is… more
- JB Hunt Transport (Lowell, AR)
- **Job Title:** Sr Claims Examiner **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:** Lowell **Full/Part ... as may be in effect from time to time: medical benefit, dental benefit, vision benefit, 401(k) retirement plan,...School (Required) **Work Experience:** Legal **Job Opening ID:** 00596387 Sr Claims Examiner (Open) **_"This… more
- Philadelphia Insurance Companies (Melville, NY)
- …as a member of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr . Claims Examiner - PIP to join our team! Summary: Analyze insurance claims ... or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Communicates with all relevant parties and… more
- Raphael and Associates (Rutherford, NJ)
- Senior Property Desk Examiner (remote) Company...currently growing and are looking for a TPA Property Claims Examiner with a minimum of five ... Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company...opportunities! Job Summary: The work of our inside desk examiners directly contributes to the success of our organization.… more