Pharmacist [Full-time or Part-time] Neighborhood LTC Pharmacy IncPharmacist [Full-time or Part-time]OKLAHOMA CITY, OK$52–$60 / hourAs a closed-door pharmacy, we are known for our innovative med cup packaging systems partnered with our high level of customer service, offering dedicated staff to our customers. Collaboration : Working together for the best interest of the patient with an assigned pharmacy care team to communicate clearly and efficiently to achieve the best possible outcomes.
NewPharmacist - Sign-On Bonus Available WALGREENSPharmacist - Sign-On Bonus AvailableWest Fort Smith, OK$60.90–$82.30 / hourSee WALGREENS Terms & Conditions at https://www.walgreens.com/topic/help/generalhelp/termsofuse.jsp?foot=terms and Privacy Policy at https://www.walgreens.com/topic/help/generalhelp/privacyandsecurity.jsp and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Walgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
Insurance Defense Attorney JobotInsurance Defense AttorneyOklahoma City, OK$100,000–$160,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. We are seeking a skilled and driven Mid-Level Associate Attorney with 3–8 years of civil defense litigation experience, ideally with a strong background in insurance defense.
Auto Claims Adjuster Allstate Insurance CompanyAuto Claims AdjusterOK$50,000–$74,350 / yearAuto Insurance, Auto Insurance Claims, Case Management, Claims Administration, Claims Resolution, Claims Review, Coverage Analysis, De-Escalation, Insurance Administration, Insurance Claims, Insurance Coverage, Insurance Coverage Analysis, Insurance Policies, Insurance Policy Review, Policy Interpretation, Task Management, Time Management, Time Prioritization. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Sr. Adjuster-Workers Comp Claims CopperPoint Insurance CoSr. Adjuster-Workers Comp ClaimsOKRemote$68,000–$98,500 / yearThe Workers' Compensation Claims Adjuster Senior, Indemnity is responsible for analyzing time loss workers' compensation claims to determine compensability. We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee's annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan).
TEMP-Workers'''' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers'''' Compensation Claims AdjusterOKRemote$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Clearing the error involves researching to obtain the missing or misaligned information (sometimes requiring communication with the claimant or insured) and entering or correcting data in various fields in either our claims system or the state's reporting site.
NewAuto Adjuster (MMR Claims) Allstate Insurance CompanyAuto Adjuster (MMR Claims)Oklahoma City, OK$53,500–$86,400 / yearAnalytical Thinking, Auto Insurance Claims, Automobile Accidents, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Centricity, Customer Service, Data Representation, Desktop Management, Digital Literacy, Inclusive Leadership, Insurance Claims Investigations, Insurance Coverage, Insurance Coverage Analysis, Insurance Policies, Insurance Policy Review, Investigative Skills, Learning Agility, Negotiation, Organizing, Results-Oriented. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Workers Compensation Claims Adjuster | MO & Lost-Time Experience | FL Jurisdiction & FL Licensing | Dedicated Client Sedgwick Claims Management Services, Inc.Workers Compensation Claims Adjuster | MO & Lost-Time Experience | FL Jurisdiction & FL Licensing | Dedicated ClientOKRemoteMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
TEMP-Senior Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Senior Workers' Compensation Claims AdjusterOK$48.65–$57.59 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under limited technical direction and within broad limits and authority, adjudicate highly complex indemnity workers' compensation claims on assignments reflecting potentially with significant impact on departmental results.
TEMP- Claims Adjuster Argo Group International Holdings IncTEMP- Claims AdjusterOK$37.66–$44.33 / hourCalifornia outside of Los Angeles, San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, Washington State, and New York State (including Westchester County) Pay Ranges: $41.44 - $48.79 per hour. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
TEMP- Senior Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP- Senior Workers' Compensation Claims AdjusterOK$48.65–$57.59 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under limited technical direction and within broad limits and authority, adjudicate highly complex indemnity workers' compensation claims on assignments reflecting potentially with significant impact on departmental results.
TEMP- Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP- Workers' Compensation Claims AdjusterOK$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
NewSenior Workers Compensation Claims Adjuster - AR/OK GallagherSenior Workers Compensation Claims Adjuster - AR/OKOklahoma City, OklahomaRemoteFull timeThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives.
Unemployment Insurance Claims Specialist State of OklahomaUnemployment Insurance Claims SpecialistOklahoma City, OK$40,948–$45,423.79 / yearMinimum Qualifications Education and Experience Requirements at this level require 5 years of experience in employment services, career or vocational guidance and counseling, personnel, recruitment, training, customer services or social services related work; or an equivalent combination of education and experience substituting thirty semester hours from an accredited college or university for 3 years of the required work experience. Ability to - maintain professional telephone etiquette; work with difficult customers; work alone; work with others as a contributing team member; multi-task; understand the major policies and procedures governing assigned programs; maintain effective working relationships with others; to handle confidential work; to interpret and handle routine matters in accordance with agency policy; to follow oral and written instructions.
Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerOK$99,000–$232,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTEOklahoma City, OKRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
Property Claims Specialist Field II Mercury Insurance CompanyProperty Claims Specialist Field IIOklahoma City, OK$76,829–$142,213 / yearKnowledge and Skills: As a Property Claims Field Adjuster 2, you will: Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.
Property Claims Specialist Field II - Wind/Hail - OKC Mercury Insurance Services, LLCProperty Claims Specialist Field II - Wind/Hail - OKCOklahoma City, Oklahoma$76,829–$142,213 / yearAs a Property Claims Field Adjuster 2, you will: • Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. • Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.
Property Claims Specialist Field II Mercury Insurance Services, LLCProperty Claims Specialist Field IIOklahoma City, Oklahoma$76,829–$142,213 / yearAs a Property Claims Field Adjuster 2, you will: • Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. • Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.
Property Claims Specialist Field II Wind/Hail OKC Mercury Insurance CompanyProperty Claims Specialist Field II Wind/Hail OKCOklahoma City, OK$76,829–$142,213 / yearKnowledge and Skills: As a Property Claims Field Adjuster 2, you will: Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.
Claims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance CoClaims Adjuster II, Field Property - National CatastropheOklahoma City, OK$62,500–$115,500 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. In this role, you'll conduct on-site inspections, evaluate property damages, determine policy coverage, and make timely, accurate decisions using a variety of tools and resources, including vendor estimates, independent adjusters, and self-written assessments.
Claims Examiner, Auto | Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner, Auto | Bodily InjuryOKTo analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
Workers' Compensation Claims Specialist (REMOTE - TX, AR, LA, OK) HMA Group HoldingsWorkers' Compensation Claims Specialist (REMOTE - TX, AR, LA, OK)OklahomaRemoteWe do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Consistent merit increase and promotion opportunities — Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important — not only with your financial wellbeing, but also your career wellbeing.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTEOklahoma City, OKRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
Director of Claims and Litigation Banner HealthDirector of Claims and LitigationOK$57.38–$95.64 / hourParticipates and presents at introductory meetings with potential insureds; prepares materials, participates and presents at Banner Medical Group (BMG) meetings, committees and other organizational structures and at other physician program meetings as established and as appropriate; provides education relative to the program across BH. Responsible for obtaining, entering data into claim file and monitoring such data in order to comply with deadlines for meeting Medicare, Medicaid, Ship Extension Act (MMSEA) reporting requirements in relation to claimants and others releasing medicals.
NewSupport Claims Clerk Globe Life IncSupport Claims ClerkOklahoma City, OKThis role is responsible for supporting the claim operation by completing a wide variety of tasks designed to gather and organize claim information for processing by claim examiners and analysts. We take pride in fostering a caring and innovative culture that enables us to collectively grow and overcome challenges in a connected, collaborative, and mutually respectful environment that calls us to help Make Tomorrow Better.
Stop Loss Claims Analyst CVS Health CorpStop Loss Claims AnalystOK$18.50–$35.29 / hourThis role involves preparing, tracking, reconciling, and helping generate and marshal stop loss filings to completion while serving as a key liaison across internal business partners, external stakeholders, and stop loss carriers. The position offers exposure to many areas of healthcare claims administration, including stop loss and reinsurance policy, data analytics, underwriting, eligibility, finance, client management, and provider and broker relations.
Process Manager, Commercial Casualty Claims - Remote CSAA Insurance GroupProcess Manager, Commercial Casualty Claims - RemoteOKRemote$136,890–$152,100 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Project management experience and skills to accurately complete detailed data assignments and to understand and interpret broad operational concepts and their application to the business unit and CSAA.
Gross Production Claims and Refunds Specialist State of OklahomaGross Production Claims and Refunds SpecialistOklahoma City, OKnCurrent active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub.\n \nIf you are needing any extra assistance or have any questions relating to a job you have applied for, please click the link below and find the agency for which you applied for additional information: \n \nAgency Contact\n\n. Job Posting Title\n \nGross Production Claims and Refunds Specialist\n \nAgency\n \n695 OKLAHOMA TAX COMMISSION\n \nSupervisory Organization\n \nGross Production\n \nJob Posting End Date \n \nRefer to the date listed at the top of this posting, if available.
NewSenior Disability Claims Specialist - Remote with Travel The Guardian Life Insurance Company of AmericaSenior Disability Claims Specialist - Remote with TravelOklahoma City, OKRemote$80,610–$132,435 / yearIn this role, you will leverage your investigative skills and critical thinking to resolve complex claim matters while providing outstanding service to our clients. The Guardian Life Insurance Company of America is seeking a Senior Individual Disability Claims Specialist to join our team.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeOKEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Claims Representative, Auto | Property Damage Sedgwick Claims Management Services, Inc.Claims Representative, Auto | Property DamageOK$50,000–$55,000 / yearProcesses auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Workers' Compensation Claims Specialist (REMOTE - TX, AR, LA, OK) Holmes MurphyWorkers' Compensation Claims Specialist (REMOTE - TX, AR, LA, OK)OklahomaRemoteWe do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Consistent merit increase and promotion opportunities — Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important — not only with your financial wellbeing, but also your career wellbeing.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&OOK$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistOKRemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
NewClaims Team Lead Delta Dental of OklahomaClaims Team LeadOklahoma City, OKResponsibilities include monitoring the daily workflow of the department, assisting with mail operations, pre-edit/scanning processes, tracking staff performance audits, completing staff training, and processing Medicaid claims. Problem resolution skills in order to answer internal and external inquiries, and questions or problems raised by department personnel or external customers.
NewClaims Examiner- Voluntary Benefits Accenture PlcClaims Examiner- Voluntary BenefitsOklahoma City, OKAble to utilize strong organizational skills to manage multiple priorities while working under tight time constraints, possess the ability to work through ambiguity, and work effectively with various vendors with strong interpersonal skills. The Voluntary Benefits Claims Examiner will support a large Group Insurance Business contract is responsible for the calculation of Voluntary Benefits across limited products according to Plan Provisions.
Claims Auditor- Remote American Health Companies IncClaims Auditor- RemoteOklahoma City, OKRemoteIn 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.
Workers Compensation Claims Representative | Dedicated Client | Multiple Jurisdictions & Licensing Required | Remote - Central or Eastern Time Zone Sedgwick Claims Management Services, Inc.Workers Compensation Claims Representative | Dedicated Client | Multiple Jurisdictions & Licensing Required | Remote - Central or Eastern Time ZoneOKRemote$42,000–$55,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Liability Claims Representative | GL, BI, Auto & Premise Liability Experience | Nationwide jurisdictions | Home State Licensing | Remote Sedgwick Claims Management Services, Inc.Liability Claims Representative | GL, BI, Auto & Premise Liability Experience | Nationwide jurisdictions | Home State Licensing | RemoteOKRemote$60,000–$65,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE To analyze GL, BI, Auto, and Premise claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Supervisor, Claims Admin TriWest Healthcare AllianceSupervisor, Claims AdminOklahoma City, OKRemoteFull timeThe Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.
Claims Recoup & Collect Anlyst TriWest Healthcare AllianceClaims Recoup & Collect AnlystOklahoma City, OKRemoteFull timeUnder limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.
Claims Consultant - Oklahoma Physicians & Surgeons The Medical Protective CompanyClaims Consultant - Oklahoma Physicians & SurgeonsOklahoma City, OKService to insureds, assist where possible in sales and retention efforts of sales force. Confirm coverage and then manage claims and suits brought against policyholders in our P&S Division.
Claims Analyst Contractor Addison GroupClaims Analyst ContractorOklahoma City Metro Area, Oklahoma$19–$22 / hourThis position works closely with internal teams, pharmacies, and third-party vendors to research issues, resolve discrepancies, and maintain data integrity across operational systems. Job Description: The Claims Analyst Contractor will be responsible for reviewing pharmacy claims and vendor program data to ensure accuracy, completeness, and timely processing.
Claims Team Leader Oklahoma/Kansas/Louisiana GT Independence CareersClaims Team Leader Oklahoma/Kansas/LouisianaOklahomaThe Claims Team Leader manages the submission of claims data, payments and works with team members and agencies to resolve outstanding claim issues. · Communicate with Claims Manager including but not limited to: training issues, agency challenges, unbilled items and A/R issues.
Claims Escalation Rep TriWest Healthcare AllianceClaims Escalation RepOklahoma City, OKRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without direction and to find necessary resources. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; Detail-oriented.
Director of Complex Claims and Counsel Banner HealthDirector of Complex Claims and CounselOK$65.70–$109.50 / hourResponsible for obtaining, entering data into claim file and monitoring such data in order to comply with deadlines for meeting Medicare, Medicaid, Ship Extension Act (MMSEA) reporting requirements in relation to claimants and others releasing medical expense claims. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.
Director Complex Claims and Counsel Banner HealthDirector Complex Claims and CounselOK$65.70–$109.50 / hourResponsible for obtaining, entering data into claim file and monitoring such data in order to comply with deadlines for meeting Medicare, Medicaid, Ship Extension Act (MMSEA) reporting requirements in relation to claimants and others releasing medical expense claims. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.
Claims Reviewer TriWest Healthcare AllianceClaims ReviewerOklahoma City, OKRemoteFull timeProficient with claim and coding tools and resources, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor as needed.
Director , Product Management - AI Claims Platform CVS Health CorpDirector , Product Management - AI Claims PlatformOK$144,200–$288,400 / yearThis is a rare opportunity to own a flagship AI product in healthcare from strategy through delivery - partnering closely with Business executives, Operations teams, Enterprise technology, Data science and Engineering, with strong visibility to senior leadership. A&BC leverages advanced analytics, machine learning, modeling, and a hypothesis-driven approach to transform data into actionable, customer-centric insights to drive growth, improve health outcomes and access to health care across all our businesses in CVS Health.