UNKNOWN

FEED

Enter data into appropriate processing systems, including correspondence with internal and external customers. 2+ year of general work experience, 6 months or more claims experience preferred.

For over 100 years, we’ve been helping hard-working people tackle life’s challenges by providing the help you need when you need it. Our loan experts are from your community, understand your unique situation, and will treat you with honesty, dignity, and respect. Our goal is to deliver the best customer experience and empower you to take control of your finances.

OneMain Financial

Claims Examiner Intermediate

sourcestack_via_bold

ADAPTED_NOW

AIG Warranty delivers a full range of service solutions including warranty management administration, extended service programs, customer service support, service network management, claims processing services, and service contract underwriting. The Claims Operations Leads are the ones our clients turn to in times of need and will act with speed, composure, compassion and knowledge to solve problems and the work they do every day is the heart of AIG’s business.

<p><em>AIG and its member companies form one of the world’s leading insurance organizations. We provide insurance for businesses and individuals, helping individual customers plan for their futures by offering life insurance, travel insurance, product warranty, auto insurance and retirement products. Our commercial clients have come to rely upon our risk expertise and financial strength to help them address some of their most complex challenges – from huge construction projects to protecting themselves from the emerging threats to data security. We offer our people the chance to grow in a dynamic company that values teamwork, fresh perspectives, and a commitment to helping their clients.</em></p>

American International Group

Claims Operations Team Lead

American International Group Jobs

The Claims Admin Representative in handling FNOL entry and core claims processing, for designated business units within Howden Specialty LLC , supporting the Claims Operations team, resolving day-to-day account and transaction queries, and keeping claim records accurate and up to date. The role also serves as a key point of connection between offshore partners and on-shore vertical and operations leadership, helping ensure work is routed correctly, communicated clearly, and escalated when needed.

Howden

Claims Administration Representative

The duties of the Wolverine Claims Assistant I are to provide general assistance to the Adjusters, the Claims Coordinator and Claims Manager in accomplishing the task of opening, adjusting and closing claims. Must develop good conceptual knowledge of insurance claims processing at Wolverine and assist in efficiently carrying out and implement improvements to the same.

Cherokee Insurance Company

Claims Assistant

HOUR

Requirements: Experienced in creating test plans, designing test cases, executing manual testing, tracking defects and collaborating with developers, business analysts and stakeholders. Design and execute test plans, test cases, and test scripts for Pega applications supporting healthcare claims processing integrated with Facets.

<p><strong>ICONMA</strong>&nbsp;is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.</p>
<ul class="ic_list">
<li>Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.</li>
<li>Certified Woman-Owned Business Enterprise (WBE); certified by Women&rsquo;s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).</li>
<li>Founded in 2000</li>
<li>2000+ Employees</li>
</ul>
<p>The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.</p>

Iconma

Pega Tester – Healthcare Claims & Facets Integration

Iconma Staffing

Experienced in creating test plans, designing test cases, executing manual testing, tracking defects and collaborating with developers, business analysts and stakeholders. Responsibilities: Design and execute test plans, test cases, and test scripts for Pega applications supporting healthcare claims processing integrated with Facets.

Iconma LLC

Pega Tester - Healthcare Claims & Facets Integration

linkup_via_bold

Responsibilities include routine follow-up on accounts, working the Rejection Report for contracted insurances, analyzing aged trial balance report for assigned charge to's, working the Antrim, Rhodes reports and miscellaneous accounts receivable reports. ESSENTIAL FUNCTIONS: Collects outstanding accounts receivables on patient accounts from patient, commercial, non-government, contracted insurances or government payors via phone call to the patient or insurance company or by means of written appeal or reconsideration.

TriCore Reference Laboratories

Claims Specialist- Journal Center, (784)

Responsibilities: Support an AI/ML initiative focused on training document-understanding models using healthcare Explanation of Benefits (EOB) documents. Our client, an IT Services and Consulting company, is looking for a Healthcare Claims Data Analyst - AI/ML Annotation for their Tampa, FL location.

Healthcare Claims Data Analyst - AI/ML Annotation

Under the direct supervision of the Supervisor, Manager, and/or Director of Operations Quality Auditing, the Operations Quality Auditor is responsible for the timely and accurate review of various tasks performed by Operations (including, but not limited to, Claims). As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs.

<h2>Leaders in health care solutions for those most in need</h2>
<p>AmeriHealth Caritas is the nation's leader in providing comprehensive health care solutions for those in most need and the chronically ill. We impact the lives of more than&nbsp;5.7 million members nationwide. With more than 30 years of experience managing care for individuals and families in publicly-funded programs, we have become known for developing&nbsp;<a href="http://www.amerihealthcaritas.com/corporate/innovation.aspx" target="_self">innovative solutions</a> that help improve health outcomes while&nbsp;<a href="http://www.amerihealthcaritas.com/who-we-serve/government/cost-savings.aspx" target="_self">reducing costs</a>.</p>
<h3>Our mission, our goal</h3>
<p>Our mission is to help people get care, stay well and build healthy communities. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP - plus behavioral health, pharmacy benefits management and third-party management and administrative services.</p>

AmeriHealth Caritas

Claims, Operations Quality Auditor

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act ( SCA ) .

PGBA

Claims Customer Service Advocate II

BlueCross BlueShield of South Carolina

Education/Experience: Associate s degree, or high school diploma/equivalent and 1+ years of data entry, analysis or customer service experience, preferably with healthcare operations (i.e. claims processing, billing, provider relations or contracting), provider data management, or credentialing in a managed care, insurance, or medical office environment. Team members gain experience researching complex provider data, solving discrepancies, learning multiple systems and processes, and collaborating with business partners to ensure provider information is accurate and complete.

Mindlance

BusinessOperations - Provider Data Management Analyst 1 - 111458

jobdiva

FULL_TIME

Conduct regular and random unarmed patrols of assigned buildings, grounds, parking areas, and perimeter areas to help deter unauthorized activity and identify security-related concerns. You will conduct routine patrols, maintain a visible presence to help deter security-related incidents, respond to concerns, and provide professional customer service and clear communication.

Allied Universal provides unparalleled service, systems and solutions to the people and business of our communities, and is North America's leading security services provider. With over 140,000 employees, Allied Universal delivers high-quality, tailored solutions, which allows clients to focus on their core business. For more information: 866.825.5433 or <a href="http://www.aus.com/" target="_blank">www.AUS.com</a>


Allied Universal

Security Guard Jail Processor

[AW]-iCims

Overtime percentage, absenteeism, vacation scheduling, grid time, on time delivery, ISO 14001 environmental responsibilities, LPMH, process adherence/improvement, Accountability, customer satisfaction, accurate application of the Ford-UAW national and local contracts. Superintendent is expected to work closely with Plant Manager to ensure the following: Responsible for managing all operations: Inbound, outbound, claims processing, building maintenance.

YEAR

Ford Motor Co

Superintendent

Overtime percentage, absenteeism, vacation scheduling, grid time, on time delivery, ISO 14001 environmental responsibilities, LPMH, process adherence/improvement, Accountability, customer satisfaction, accurate application of the Ford-UAW national and local contracts. You will build and maintain strong, positive working relationships with your team and all partners, including suppliers and union representatives, through transparent communication and a willingness to listen, fostering a psychologically safe environment.

Warehouse Superintendent

The TPM II applies functional healthcare systems knowledge to ensure solutions meet business intent and regulatory requirements, leverages data to measure outcomes and validate hypotheses, and promotes disciplined product management practices within the domain. Collaborates with IT and business partners to ensure solutions within the domain comply with Health Insurance Portability and Accountability Act (HIPAA), Centers for Medicare and Medicaid Services (CMS), Department of Health Care Services (DHCS), and other relevant regulatory requirements.

L.A. Care Health Plan

Business Technology Strategy Lead - Claims, Finance, HR, Legal & Compliance

Technical and Logistical Requirements: Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously to streamline tasks. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

<p>CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all. </p>

CVS Health Corp

Clinical Claims Review Nurse

As a result, there is a growing demand for a range of patient-centric services, including personalized care that is tailored to each individual's unique needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced costs, and many other initiatives designed to improve the patient experience. Our suite of services is designed to cater to a broad range of needs of healthcare organizations, including healthcare IT innovation, electronic health record (EHR) implementation & optimizations, data conversion, regulatory and quality reporting, enterprise data analytics, FHIR interoperability strategy, payer-to-payer data exchange, and application programming interface (API) strategy.

ClinDCast

Epic HB Claims Analyst

The Billing Manager collaborates with internal departments, payors, and external stakeholders to optimize revenue cycle performance, resolve complex billing issues, maintain compliance with contractual and regulatory requirements, and drive operational excellence. This will include monitoring daily workflow metrics and phone metrics, as well as completing daily audits of the billing queues to ensure accurate and timely processing based on payor and internal shipping time requirements.

Claims Processor Jobs in the United States

Claims Examiner Intermediate OneMain Financial

Claims Operations Team Lead American International Group

Claims Administration Representative Howden

Claims Assistant Cherokee Insurance Company

Pega Tester – Healthcare Claims & Facets Integration Iconma

Pega Tester - Healthcare Claims & Facets Integration Iconma LLC

Claims Specialist- Journal Center, (784) TriCore Reference Laboratories

Healthcare Claims Data Analyst - AI/ML Annotation Iconma LLC

Claims, Operations Quality Auditor AmeriHealth Caritas

Claims Customer Service Advocate II PGBA

Claims Customer Service Advocate II BlueCross BlueShield of South Carolina

BusinessOperations - Provider Data Management Analyst 1 - 111458 Mindlance

Security Guard Jail Processor Allied Universal

Superintendent Ford Motor Co

Warehouse Superintendent Ford Motor Co

Business Technology Strategy Lead - Claims, Finance, HR, Legal & Compliance L.A. Care Health Plan

Clinical Claims Review Nurse CVS Health Corp

Epic HB Claims Analyst ClinDCast

Manager, Billing & Operations Reliance Rx

Manager, Billing & Medical Operations Reliance Rx

Similar Job Searches

See More Jobs

Stand out to leading employers.