Description: Sr Claim Examiner- WC REMOTE 2 months to ... if coverages apply to claims submitted. Manages all aspects ... of investigative activity on complex claims. Directs the discovery and ... with legal counsel. Analyzes claims activity and prepares reports for ...
9 days ago
Description: QNXT claims processing is a MUST. Familiarity with ... . Description 1.1 Review and process healthcare claims in accordance with company policies ... regulatory guidelines. 1.2 Validate information on claim forms, including patient details, provider ...
23 days ago
Description: Need experienced examiner. Sedgwick experience a plus SIP certificate a ... preferred. Experience Four (4) years of claims management experience or equivalent combination ...
2 days ago
... seeking a highly motivated an experienced Claims Resolution Specialist (Customer Service) ... to join our team. The Claims Resolution Specialist will be the ... of claims and resolution of claims payment issues. Position Information: Department: Claims ...
13 days ago
... Description: Job Title: Workers' Compensation Claims Adjuster Location: San Bernardino, CA ... Responsibilities : Reviews property and liability claims; determines the extent of client ... or denial of claims; adjusts and settles claims within assigned monetary ...
29 days ago
Description: Supervisor Claims (Operational Support- ... motivated an experienced Supervisor Claims to join our team. ... The Supervisor Claims (Operational Support-Analytics) ... for managing projects for Claims Administration, User Acceptance Testing ...
15 days ago
... a highly motivated an experienced Auditor (Claims) to join our team. The ... Auditor (Claims) will be responsible for conducting ... . The incumbent will ensure the Claims department is adhering to regulatory ...
23 days ago
... , Inc., (SGA), is searching for a Claims Review Specialist for a Contract assignment ... . Required Skills: Experience with Epic Claims At least one of these ...
15 days ago
Description: Failure Analysis Tech (Safety Claims) Required: Check-in, sanitize, organize ...
20 days ago
... are looking for Guidewire Policy/Claim Center Developer for our client ... , ON Job Title: Guidewire Policy/Claim Center Developer Job Location: Mississauga ... configuration and Guidewire Implementations in Claims Center and Integration experience.5+ years ...
21 days ago
... , with a strong focus on claims processing. Experience in P&C insurance or ... technical teams. Strong understanding of claims transformation projects and financial aspects ... portfolio driven initiatives involving data, claims, and finance. Exposure to reinsurance ...
8 days ago
... /Video Job Description: Key Responsibilities: Claims & Encounters Analysis (Inbound/Outbound 837 ... Inquiry EDI Transaction - 276/277 Claims Status Inquiry and Response Paper ... Claim Processing (FIS Vendor) Member and ...
12 days ago
... in the role Processing insurance claims Reviewing EOB'S Submitting appeals Following ... completed. Will be working denied claims under 120 aging to collect ...
5 days ago
... , managing large-scale insurance and claims programs. Proven track record of ... in healthcare policy administration and claims processing. Experience working with government ...
8 days ago
... architecture that supports actuarial modeling, claims processing, policy management, and pension ... frameworks for handling complex policyholder, claims, and contribution data across multiple ...
29 days ago
... , parsing, and validation.Experience in Claims systems development, with knowledge of ... processing workflows, claim adjudication, and reporting.Familiarity with ...
23 days ago
... defending against significant, high-priority claims, lawsuits, and allegations related to ...
5 days ago
... us against significant, high priority claims, lawsuits, and allegations that bear ...
6 days ago
... Tester with experience in Healthcare Claims or Healthcare Provider environments. Candidates ...
7 days ago
... , ensuring accuracy and efficiency in claims, membership, authorization, and provider configurations ...
15 days ago
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