UNKNOWN

ADAPTED_NOW

Handles carrier’s/ZIM’s response to cargo liability claims, including subrogated claims, from place of receipt to place of delivery; assists Legal Department to timely resolve claims to avoid litigation; Third Party recoveries; assists ZIM attorneys and other claims personnel worldwide, as directed. Investigation, analysis, and evaluation of case files; consultation with experts (if necessary), and makes critical determinations regarding claimed loss, exercising limited discretion in application of rules and procedures for claims handling and determination.

Maritime Claims Adjuster

Comeet

FEED

Other Benefits : Life insurance, short term disability, long term disability, employee assistance program (EAP), flexible spending account (FSA), health savings account (HSA), Identity theft protection, critical illness, accident, cancer, hospital protection, legal and pet insurance. Vensure Employer Solutions is the largest privately held organization in the HR technology and service sector, providing a comprehensive portfolio of solutions, including HR/HCM technology, managed services, and global business process outsourcing (BPO).

Vensure Employer Services

Unemployment Claims Assistant - AZ - On Site

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The Claims Advocate will be responsible for providing property and energy claims advocacy, program analysis and risk services to clients working in conjunction with the Senior Managing Director of Property & Energy Claims and the Placement Team. Support and strengthen the Practice through individual contributions and suggestions, mentoring and coaching of junior team members inside and outside the Practice, communicating of success stories to our internal team and to clients as appropriate.

Brown & Brown Inc

Property & Energy Claims Advocate

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Experience Five (5) years of commercial auto claims management experience or equivalent combination of education and experience required to include in-depth knowledge of commercial line auto policies, coverage's, principles, and laws. Processes commercial auto bodily injury claims and ensures claim files are properly documented and coded correctly.

Iconma LLC

Claims Examiner - Auto

Essential Responsibilities: Under limited supervision, provide complex clerical support utilizing in-depth procedures on assignments of higher-level complexity to a nationwide team of claims adjusters and aide in facilitating timely and accurate management of claims by entering stop/cancel/release of checks, processing cash receipts, work check exceptions, and completion of complex state forms. This role is responsible for providing robust clerical support to our team of Claims Adjusters working across a wide variety of specialties and providing exceptional customer service to our brokers, claimants, and insureds.

YEAR

Argo Group International Holdings Inc

Senior Claims Assistant

HOUR

Deep understanding of Healthcare Payer operations, including Claims Processing, Membership, Enrollment, Provider Management, Billing, and Premium Management. Experience delivering Application Development Projects, System Upgrades & Modernization Programs, Application Support & Maintenance Initiatives, and Production Support Engagements.

Axelon

Project Manager

Reporting to the PFS Manager, and employing a contracts management system, the Managed Care Contracts Coordinator is directly responsible for developing and implementing contract reimbursement models according to executed managed care contract terms, identifying and analyzing discrepancies in system and managed care reimbursement term calculations and reconciliation of payment variances. Acts as intermediary with Managed Care, Revenue Cycle and PFS management to accurately administer contract terms, identify, recommend and implement issue/problem resolution necessary to affect timely and accurate reimbursement.

University Medical Center of El Paso

Coord. PFS Contracts-Patient Accounting

pointer-events-auto R6Vx5W_threadScrollVars scroll-mb-[calc(var(--scroll-root-safe-area-inset-bottom,0px)+var(--thread-response-height))] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]"> Position Overview: As a Claims Processor at Total Recon, a Tesla-approved body shop, you will be the primary liaison with insurance companies. You will ensure that all claims progress smoothly and are properly compensated, while keeping the Production staff and Customer Service Representatives (CSRs) informed on all claim-related matters.

Total Recon Auto Center

Claims Processor

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FULL_TIME

In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities.

American Health Plans

Claims Auditor

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The Claims Corrections Analyst is responsible for processing all claims corrections in the system, including voids, history corrections, stop payment and refunds. When you join Luminare Health, you join a purpose-driven team focused on making healthcare simpler, better, and more affordable.

HCSC

Claims Correction Analyst - LHB

Our steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes.

National Interstate Corporation

Claims Processing Tech II - Hybrid

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The Supervisor will be responsible for coaching and developing Medical Claims Processors, monitoring productivity and quality, reviewing work, resolving escalated cases, and ensuring the team consistently follows client requirements, documented procedures, and business rules. We are seeking an experienced Medical Claims Processing Supervisor to lead a team responsible for insurance verification and benefits research supporting patients prescribed complex and high-cost drug therapies.

Datamark, Inc.

Medical Claims Supervisor

Workable

Customer Service Hubs are located in HCSC’s six (6) state Headquarters (Illinois, Montana, New Mexico, Oklahoma, Tennessee and Texas) and in the following locations: Morgan Park, Pilsen, Springfield and Houston. Conduct research and investigation into missing information, make phone calls to providers (as necessary), access resource materials and support files in order to process and adjudicate claims timely and accurately.

Claims Technician ALBUQUERQUE

As a Lead Claims Specialist supporting the US Family Health Plan (USFHP) at Pacific Medical Centers, you'll be the go-to authority for adjudicating purchased services claims for our enrolled capitated population - resolving complex claim situations, managing advanced processing needs, responding to customer service requests with accuracy and efficiency, and applying your expertise in TRICARE reimbursement to ensure compliant, timely claims resolution for our military beneficiary population. Requsition ID: 460401 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: Hybrid Pay Range: $26.90 - $41.89

Pacific Medical Center Inc

Lead Claims Specialist - USFHP

In addition to these tasks, the Senior Claims Analyst is responsible for all of the same tasks as a Claim Analyst including the accurate adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups. Minimum Requirements: Minimum three-years life and/or disability claim administration experience: solid investigation, analytical and organizational skills along with attention to detail; or the equivalent combination of relevant experience.

Sr Claims Analyst - LHB

Requsition ID: 447122 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: Hybrid Pay Range: $21.55 - $33.53 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.

Claims Specialist - USFHP

The Analyst uses established Power BI reports to analyze payor adherence to contracted fee schedules, recognizes patterns of incorrect payment, and leads project-level remediation efforts covering underpayments, incorrect claims adjudication, credentialing-related issues, and payor policy misapplication. The Analyst prepares the reporting and data files that drive payor remediation projects and works closely with Revenue Cycle leadership, FP&A, Accounts Receivable management, billing, and credentialing to recover underpayments, resolve payor issues, and implement forward-looking process improvements.

Optima Dermatology

Payor Reimbursement & Claims Remediation Specialist

Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.

Sun Life Financial Inc

Senior Manager, Stop Loss & Health Claims

Review and respond to member eligibility inquiries within established timeframes from both internal and external stakeholders; thereby, ensuring that the TCHP Business Operations Department meets its service level agreements (SLAs). Guided by our HEART values-Humility, Excellence, Accountability, Respect, and Trust-we strive to create a workplace where teammates feel valued, supported, and empowered to do their best work every day.

Texas Children's Hospital

Eligibility Specialist

Experience Details: Strong familiarity with ICD-9/10, DRG, CPT/HCPCS coding, or experience with and knowledge of multiple provider reimbursement and pricing methodologies (DRG, SPC, OFS, POC, Global Pricing, Per Diem etc.), or demonstrated proficient working knowledge of at least three of the following: medical terminology, claim audit procedures, provider contracts, claims processing procedures and guidelines, provider authorizations, provider billing, medical coding, concurrent review. This is a senior-level technical position in the post-payment provider audit function intended to analyze assigned provider claims for risk of over and under payments to perform onsite and desk reviews in support of the business unit's objective to ensure all incorrectly billed and paid claims are adjusted accordingly to help control medical cost spend.

Claims Processor Jobs in the United States

Maritime Claims Adjuster ZIM

Unemployment Claims Assistant - AZ - On Site Vensure Employer Services

Property & Energy Claims Advocate Brown & Brown Inc

Claims Examiner - Auto Iconma LLC

Senior Claims Assistant Argo Group International Holdings Inc

Project Manager Axelon

Coord. PFS Contracts-Patient Accounting University Medical Center of El Paso

Claims Processor Total Recon Auto Center

Claims Auditor American Health Plans

Claims Correction Analyst - LHB HCSC

Claims Processing Tech II - Hybrid National Interstate Corporation

Medical Claims Supervisor Datamark, Inc.

Claims Technician ALBUQUERQUE HCSC

Lead Claims Specialist - USFHP Pacific Medical Center Inc

Sr Claims Analyst - LHB HCSC

Claims Specialist - USFHP Pacific Medical Center Inc

Payor Reimbursement & Claims Remediation Specialist Optima Dermatology

Senior Manager, Stop Loss & Health Claims Sun Life Financial Inc

Eligibility Specialist Texas Children's Hospital

Specialist Iv-Post-Payment Provider Audit Clinical Guide Well

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