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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...

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...

Job Summary:
The Claims Specialist III is responsible for capturing, resolving/facilitating resolution, and reporting on claim adjustment requests.
Essential Functions:
* Resolve complex COB issues through member information updates and adjustment of claims
* Maintain accountability for daily tasks and goals to ensure completion of requests within requested SLA and department standards
...

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 ...

UFG is looking for a Claims Supervisor to join our team. In this role you will lead a team of claims representatives to deliver outstanding results consistent with the company’s Gold Standard of Claims best practices.
Responsibilities:
As a member of the claims supervisor team, you will:
Operations management:
* Review and analyze management reports to identify trends requiring act...

Specialist Claims - CH07DE
We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.
As a Claims Specialist, you will be responsible for handling a caseload of co...

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...

Aon Reinsurance is looking for a Claims Specialist
This is a hybrid position, 3 days per week in the office, on site in Chicago.
Position Summary
Assists the Claims Manager in the implementation of the corporation’s property and casualty claims management programs. Responsible for day-to-day activities of claims unit, communication of programs to business units, and departmental accounting....

Why is Health Advocate a great place to work? For starters, Health Advocate employees enjoy helping people every single day. Employees are given the training they need to do their jobs well, and they work with supervisors and staff who are supportive and friendly. Employees have room to grow, and many of Health Advocate's supervisors are promoted from within the company. Join our award winning ...

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...

Consultant Claims - CH08CE
We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.
This is a visible and important role within the Hartford Global Specialty (HG...

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 ...

Who We Are
Solera is a global leader in data and software services that strives to transform every touchpoint of the vehicle lifecycle into a connected digital experience. In addition, we provide products and services to protect life’s other most important assets: our homes and digital identities. Today, Solera processes over 300 million digital transactions annually for approximately 235,000 p...

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...

About HUB
In a rapidly changing world, HUB advises businesses and individuals on how to prepare for the unexpected. As one of the world’s largest insurance brokers, our focus is dedicated to providing our customers with the peace of mind that what matters most will be protected — through unrelenting advocacy and tailored insurance solutions that put our clients in control. Our growi...