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LOCATION: Remote
GENERAL STATEMENT OF JOB
Responsible for all accounting functions related to a designated area of physical and behavioral health medical claims processing to ensure that providers receive timely and accurate payment. This position is responsible for claims adjudication through continuous monitoring and quality control measures. Responsibilities include finalizing c...

Complex Claims Analyst - Direct Claims
Department: Claims
Employment Type: Full Time
Location: USA (New Hampshire / Remote)
Description
Complex Claims Analyst - Personal Lines [Direct Claims]
North America - Remote/Hybrid, provided you can commute to the New Hampshire office.
East Coast Preferred
Full-Time
We are a fast-growing global reinsurance speciality company servicing the insurance marke...

Overview
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience!
The Claims Specialist II - Provider Claims is responsible for fulfilling the technical support needs of appeals and support staff, while ensuring that appeals and call center tasks are conduct...

Overview
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience!
Under the direction of the Provider Claims Resolution & Recovery Supervisor, the Claims Specialist I - Provider Claims is responsible for evaluating professional, high dollar and outpatient/in...

SUMMARY OF JOB PURPOSE AND FUNCTION:
The Claims Specialist, Senior Claims Specialist, and Worker’s Compensation Claims Specialists manage a book of workers’ compensation claims until closure, as assigned by Lead Workers’ Compensation Specialist. Investigates claims to make sure they are work related. Maintains lost time injury and critical claim report database. Acts as a liaison between VCA, ...

Job Description
The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and initiative. WE ARE THE KIND OF EMPLOYER YOU DESERVE. LTCG is a leading provider of business process outsourcing for the insurance industry, managing over 1.3 million ...

LOCATION: Remote
GENERAL STATEMENT OF JOB
The Claims Supervisor administers all accounting functions related to a designated area of physical and behavioral health medical claims processing to ensure providers receive timely and accurate payment. Supervision of claims adjudication through continuous monitoring and quality control measures. Finalize claims processed electronically ...

LOCATION: Remote
GENERAL STATEMENT OF JOB
The Claims Trainer will be responsible for designing, developing and conducting high quality remote training for the Claims Administration Department staff. This position will also document and provide updated and accurate documentation of claims desk level procedures, policies and job aids in accordance with Vaya approved policy and procedures...

Company :
Highmark Inc.
Job Description :
JOB SUMMARY
This job is responsible for screening, reviewing, evaluating online entry, correcting errors and/or performing quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Reviews processed claims and inquiries to determine ...

Together we fight for everyone’s opportunity for a better financial future.
We will do this together — with customers, partners and colleagues. We will fight for others, not against: We will stand up for and champion everyone’s access to opportunities. The status quo is not good enough … we believe every individual and every community deserves access to financial opportunities. We are determi...

Claims Support
Virtual Req #26997 Monday, August 26, 2024
Company Overview and Culture
EXL (NASDAQ: EXLS) is a global analytics and digital solutions company that partners with clients to improve business outcomes and unlock growth. Bringing together deep domain expertise with robust data, powerful analytics, cloud, and AI, we create agile, scalable solutions and execute complex o...

As Claims Counsel, you will be a technical resource within the Hagerty Claims Organization. You will conduct legal research and assist with providing consistent interpretation and application of policy coverage among all jurisdictions. You will review and assist with responses to coverage rebuttals, coordinate with Corporate Legal on specified matters of regulatory compliance and assist with tr...

Pumpkin promises uncompromising care to the cats & dogs we love unconditionally. By helping prevent future health risks and ensuring access to gold-standard veterinary medicine and individualized support when it matters most–we aim to enable $1/2B in life-extending and life-saving treatment over the next five years.
How we’re making this happen:
Premium Insurance: Best-in-class coverage to e...

TheGuarantors is a cutting edge fintech company setting the standard in rent coverage with unrivaled insurance products. With a deep understanding of owner, operator, and renter needs, we believe renters deserve better access to the home of their dreams and operators deserve greater protection and growth opportunities. That's why we're leveraging our expertise in real estate and using AI-based ...

Our Company
PharMerica
Overview
Step Into a Rewarding Role as a Claims Specialist with PharMerica!
Are you ready to make a real impact in a growing organization? Join our PharMerica team as a Claims Specialist, where you'll play a key role in ensuring our long-term care and senior living clients receive the pharmaceutical support they need. We offer a non-retail, closed-door pharmacy environmen...

Job Details
Level: Experienced Job Location: Des Moines - West Des Moines, IA Position Type: Full Time Education Level: High School Diploma or GED Salary Range: $25.00 - $25.00 Hourly Travel Percentage: None Job Shift: Day Job Category: Finance
Claims Analyst
JOB LOCATION: Clive, Iowa, (office-based), Hybrid, or Remote
This position will be office-based dur...

About Firstsource
Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes.
We are trusted brand custodians and long-term partners t...

Job Details
Job Location: Remote with travel to Seattle - Seattle, WA Salary Range: Undisclosed
Claims Consultant
Take the Lead in Making a Real Impact. Join Archbright as a Workers’ Compensation Claims Consultant
Are you an experienced workers’ compensation professional with a passion for proactive case management and meaningful employer engagement? Archbright, a trusted name in w...

Company
Navitus
About Us
Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encour...

Benchmark Solutions is seeking a skilled and experienced Claims Specialist to join our RCM team. You will work within the core product team to develop customer relations by facilitating support for billing clients ranging from software/technical services to Accounts Receivable management to ensure the high-quality customer service that Benchmark Solutions is recognized for.
This position will...