NewClaims Specialist - Bilingual Propak Logistics, Inc.Claims Specialist - BilingualFort Smith, ARFounded in 1989 and headquartered in Dallas, Texas, PLA is a national supply chain solutions provider offering Pallet Management Services, 3PL Services, Reverse Logistics Services, and Freight Brokerage & Transportation Management Services. This role works closely with employees at remote sites across the country, as well as insurance providers, medical professionals, and legal representatives, to ensure claims are processed efficiently and in compliance with regulatory requirements.
Casualty Claims Intake Representative I J.B. Hunt Transport Services IncCasualty Claims Intake Representative IAREnsure accurate, timely, and complete documentation of safety events with attention to the direct effects on business units' financial performance, the company's overall DOT safety rating, driver coaching, establishment of training programs, analysis of trends, and resolution or defense of litigated matters Leverage strong verbal and written communication skills to coordinate effectively with claimants, internal and external stakeholders, law enforcement and legal representatives. Utilize independent knowledge to assess all collected information, as well as identify missing, incorrect, or updated claim information, to determine appropriate course of action, support timely mitigation of financial exposure, and ensure compliance with company policy and local/state/federal laws; actions include, but are not limited to, providing information to the claimant, retaining independent field adjusters, determining the need for and coordinating drug test, and escalating complex issues to the appropriate internal parties.
Casualty Claims Intake Representative I J.B. HuntCasualty Claims Intake Representative ILowell, ArkansasEnsure accurate, timely, and complete documentation of safety events with attention to the direct effects on business units’ financial performance, the company’s overall DOT safety rating, driver coaching, establishment of training programs, analysis of trends, and resolution or defense of litigated matters Leverage strong verbal and written communication skills to coordinate effectively with claimants, internal and external stakeholders, law enforcement and legal representatives. Utilize independent knowledge to assess all collected information, as well as identify missing, incorrect, or updated claim information, to determine appropriate course of action, support timely mitigation of financial exposure, and ensure compliance with company policy and local/state/federal laws; actions include, but are not limited to, providing information to the claimant, retaining independent field adjusters, determining the need for and coordinating drug test, and escalating complex issues to the appropriate internal parties.
Workflow Specialist Claims Processing Tata Consultancy Services LtdWorkflow Specialist Claims ProcessingSherwood, AR$50,000–$54,000 / yearResponsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments. Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Stop Loss Claims Analyst CVS Health CorpStop Loss Claims AnalystAR$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.
Sr Casualty Claims Intake Representative J.B. HuntSr Casualty Claims Intake RepresentativeLowell, ArkansasEnsure accurate, timely, and complete documentation of safety events with attention to the direct effects on business units’ financial performance, the company’s overall DOT safety rating, driver coaching, establishment of training programs, analysis of trends, and resolution or defense of litigated matters Leverage strong verbal and written communication skills to coordinate effectively with claimants, internal and external stakeholders, law enforcement and legal representatives. Utilize independent knowledge to assess all collected information, as well as identify missing, incorrect, or updated claim information, to determine appropriate course of action, support timely mitigation of financial exposure, and ensure compliance with company policy and local/state/federal laws; actions include, but are not limited to, providing information to the claimant, retaining independent field adjusters, determining the need for and coordinating drug test, and serving as an initial escalation point to junior team members before incorporating the appropriate internal parties.
Sr Casualty Claims Intake Representative J.B. Hunt Transport Services IncSr Casualty Claims Intake RepresentativeAREnsure accurate, timely, and complete documentation of safety events with attention to the direct effects on business units' financial performance, the company's overall DOT safety rating, driver coaching, establishment of training programs, analysis of trends, and resolution or defense of litigated matters Leverage strong verbal and written communication skills to coordinate effectively with claimants, internal and external stakeholders, law enforcement and legal representatives. Utilize independent knowledge to assess all collected information, as well as identify missing, incorrect, or updated claim information, to determine appropriate course of action, support timely mitigation of financial exposure, and ensure compliance with company policy and local/state/federal laws; actions include, but are not limited to, providing information to the claimant, retaining independent field adjusters, determining the need for and coordinating drug test, and serving as an initial escalation point to junior team members before incorporating the appropriate internal parties.
Bodily Injury Claims Specialist Auto-Owners Insurance GroupBodily Injury Claims SpecialistLittle Rock, ARThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
CLAIMS REVIEW SUPERVISOR/EXPERT State of ArkansasCLAIMS REVIEW SUPERVISOR/EXPERTAR$52,137–$77,163 / yearThis role requires advanced analytical capabilities to assess high-value or intricate claims, mentor junior team members, and drive strategic improvements in claims management processes. Promotion to the next classification level is at the discretion of the department and the Office of Personnel Management, taking into consideration the employee's demonstrated skills, competencies, performance, workload responsibilities, and organizational needs.
Auto Claims Representative Auto-Owners Insurance CompanyAuto Claims RepresentativeLittle Rock, ArkansasAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job includes training and development completion of the Company’s claims training program for the assigned line of insurance and requires the person to: Investigate, evaluate, and settle entry-level insurance claims.
Field Claims Representative Auto-Owners Insurance CompanyField Claims RepresentativeLittle Rock, ArkansasAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job requires mastery of claims-handling skills and requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability.
Claims Reviewer TriWest Healthcare AllianceClaims ReviewerLittle Rock, ARRemoteFull 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.
NewAuto Adjuster (MMR Claims) Allstate Insurance CompanyAuto Adjuster (MMR Claims)Little Rock, AR$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.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTELittle Rock, ARRemoteCompensation 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.
Auto Claims Adjuster Allstate Insurance CompanyAuto Claims AdjusterAR$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.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTELittle Rock, ARRemoteCompensation 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.
Senior Workers Compensation Claims Adjuster - AR, LA, MS GallagherSenior Workers Compensation Claims Adjuster - AR, LA, MSLittle Rock, ArkansasRemoteFull 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.
Claims Recoup & Collect Anlyst TriWest Healthcare AllianceClaims Recoup & Collect AnlystLittle Rock, ARRemoteFull 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.
Supervisor, Claims Admin TriWest Healthcare AllianceSupervisor, Claims AdminLittle Rock, ARRemoteFull 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 Status Representative Parmele Disability AdvocatesClaims Status RepresentativeBentonville, ARRemoteAs a Claim Status Representative, you’ll play a key role in keeping cases moving forward and making a real impact on people’s lives every day. In this role, you’ll act as a critical link between our team and the Social Security Administration (SSA), ensuring cases are accurate, up to date, and progressing efficiently.
NewClaims Examiner- Voluntary Benefits Accenture PlcClaims Examiner- Voluntary BenefitsBentonville, ARAble 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.
NewClaims Consultant Tata Consultancy Services LtdClaims ConsultantBenton, AR$48,000–$55,000 / yearResponsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments. Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
TEMP-Workers'''' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers'''' Compensation Claims AdjusterARRemote$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.
Sr Claims Reviewer TriWest Healthcare AllianceSr Claims ReviewerLittle Rock, ARRemoteFull timeProficient 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. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistARRemote$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.
TEMP-Senior Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Senior Workers' Compensation Claims AdjusterAR$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- Senior Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP- Senior Workers' Compensation Claims AdjusterAR$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 AdjusterAR$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.
Claims Representative, Auto | Property Damage Sedgwick Claims Management Services, Inc.Claims Representative, Auto | Property DamageAR$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.
OSD/Cargo Claims Intake Representative I J.B. Hunt Transport Services IncOSD/Cargo Claims Intake Representative IARJob Description: Key Responsibilities: Efficiently manage inbound and outbound communication through calls, emails, notifications, and customer portal interactions regarding cargo related incidents with the potential of financial exposure; apply independent judgment, detailed claims analysis, and procedural guidelines to ensure accurate and optimal mitigation of exposures related to cargo claims. Ensure timely and accurate data entry across internal and customer systems by streamlining workflows, effectively prioritizing tasks, maintaining clear communication, and consistently updating both internal teams and customers; monitor timelines and ensure timely follow-up on outstanding items.
NewOSD/Cargo Claims Intake Representative I J.B. HuntOSD/Cargo Claims Intake Representative ILowell, ArkansasEfficiently manage inbound and outbound communication through calls, emails, notifications, and customer portal interactions regarding cargo related incidents with the potential of financial exposure; apply independent judgment, detailed claims analysis, and procedural guidelines to ensure accurate and optimal mitigation of exposures related to cargo claims. Ensure timely and accurate data entry across internal and customer systems by streamlining workflows, effectively prioritizing tasks, maintaining clear communication, and consistently updating both internal teams and customers; monitor timelines and ensure timely follow-up on outstanding items.
Process Manager, Commercial Casualty Claims - Remote CSAA Insurance GroupProcess Manager, Commercial Casualty Claims - RemoteARRemote$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.
Claims Operations and Analytics Manager Maverick Transportation.Claims Operations and Analytics ManagerNorth Little Rock, ArkansasWhile performing the functions of this job, the employee is frequently required to stand, walk, sit, use hands to finger, handle, or feel, reach with hands and arms, talk or hear; and occasionally required to climb or balance, stoop, kneel, crouch, or crawl. Develop, maintain, and enhance reporting, including claims inventory and trend reporting, reserve development and financial exposure, litigation tracking and high-exposure claim reporting, risk committee, and executive-level KPI’s.
Workers Compensation Claims Supervisor - AR, LA, MS GallagherWorkers Compensation Claims Supervisor - AR, LA, MSLittle Rock, ArkansasRemote$1–$3 / hourFull 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. How you'll make an impact : Supervise: Lead and encourage a Workers Compensation claims team handling a variety of caseload sizes and complexities to deliver high-quality and efficient service.
Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerAR$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.
Liability Claims Examiner - Remote (anywhere in the US) Little Rock, AR ClaimsPro LPLiability Claims Examiner - Remote (anywhere in the US) Little Rock, ARLittle Rock, ArkansasRemoteIPG works in the contiguous 48 states, Hawaii, and Puerto Rico handling a variety of claims including, but not limited to auto physical damage, inland marine cargo, dealers' open lot, property damage (commercial and homeowners) and general liability. Reporting to a Claims Supervisor, the Claims Examiner is responsible for investigating and settling liability and first party claims and third-party claims, with an emphasis on strong communication and customer service, while utilizing state specific guidelines.
Claims Clerk - Seasonal Oaklawn Jockey ClubClaims Clerk - SeasonalArkansasThe employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds and must have the ability to stand, climb, push, pull, reach, bend, twist, stoop, stack, crouch, kneel and balance when performing job duties in varying work areas such as confined spaces. Process all claims with the following protocol: Check to verify the claim form has been properly filled out Contact the Horsemen’s Bookkeeper to verify sufficient money for claims plus tax.
Multi-Line Claims Adjuster - Arkansas Provencher & Company, LLCMulti-Line Claims Adjuster - ArkansasLittle Rock, ARWe excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims, business interruption and daily property claims, as well as handle complete liability investigations, task assignments including scene investigations and property damage appraisals, construction defect claims as well as first party automobile claims for personal and commercial insurance policyholders. Experience in industry specific areas a plus, but not necessary: fire departments, agricultural, lumber mills, high value or historic buildings or Construction Defects, Automobile Liability, Subrogation Recovery investigations.
Claims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance CoClaims Adjuster II, Field Property - National CatastropheLittle Rock, AR$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.
NewClaim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionFayetteville, AR$59,059.65–$90,000 / yearWith the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you! Additional Details: Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).
Claim Specialist FCCI Insurance GroupClaim SpecialistLittle Rock, AR$91,389–$140,737 / yearResponsibilities include maintaining an inventory of claims handled within departmental guidelines, following best practices policies and procedures and budgetary guidelines, field investigations, negotiating limited settlements, setting reserves, attending mediations, and documenting all file activity. At FCCI, it is the personal touch of our local presence and expertise, combined with the knowledge and relationships of our agency partners, that creates a winning combination which sets us apart.
Logistics Claim Manager J.B. Hunt Transport Services IncLogistics Claim ManagerARCalculate settlement amounts for approved claims by analyzing documentation and applying appropriate regulations and policies; minimize legal risks by engaging legal counsel and assessing potential impact on precedents before issuing payments. This role will serve as a team lead to junior team members, lead initiatives when claims should be escalated to additional professionals, and provide settlement authority within set limits to promote efficient resolutions.
Logistics Claim Manager J.B. HuntLogistics Claim ManagerLowell, ArkansasCalculate settlement amounts for approved claims by analyzing documentation and applying appropriate regulations and policies; minimize legal risks by engaging legal counsel and assessing potential impact on precedents before issuing payments. This role will serve as a team lead to junior team members, lead initiatives when claims should be escalated to additional professionals, and provide settlement authority within set limits to promote efficient resolutions.
Senior Analyst Claim Reporting and Special Services CVS Health CorpSenior Analyst Claim Reporting and Special ServicesAR$46,988–$112,200 / yearPosition Summary: We are looking for a highly motivated candidate who can effectively and accurately oversee and coordinate rework projects, work closely with other members of the Commercial Services Operations team providing project management, root cause analysis and precise resolution of affected claims. The candidate will serve as a Project Lead for rework projects/issues for a specific network or large-scale rework projects generated as a result of Plan Sponsor issues, release fallout and/or legal/regulatory/compliance concerns.
IT - Test Engineer IV StratAcuity Staffing Partners IncIT - Test Engineer IVAR$65–$70 / hourIn terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. This role is pivotal in ensuring accuracy, reliability, and seamless integration between legacy systems and modern platforms, contributing to the overall success of system transformation efforts at the Centers for Medicare & Medicaid Services (CMS).
Professional - Data Scientist IV StratAcuity Staffing Partners IncProfessional - Data Scientist IVAR$85–$90 / hourIn terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. The ideal candidate will serve as a technical leader in applying advanced data science, natural language processing, and statistical methodologies to extract, classify, and validate business rules embedded within legacy claims processing systems.
Coder Hospice and Palliative Care - Part Time Circle of LifeCoder Hospice and Palliative Care - Part TimeSpringdale, ARPart timeKnowledge, Skills, and Abilities: Experience with electronic medical records and/or electronic health records; Proficient in computer skills; Knowledge of Official Coding Guidelines; Knowledge of ICD-10-CM, HCPCS, and CPT codes; Demonstrates attention to detail; Ability to work independently and as part of a team; Represents Circle of Life to the community in a positive manner; Demonstrates flexibility, versatility, and a positive attitude in integrating additional duties; Demonstrates compassion, empathy, and patience when interacting with patients, families, co-workers, and members of the public. Job Overview: The Hospice Coding Specialist accurately codes and abstracts individual patient medical records for the application of the appropriate diagnostic and procedural code(s) to individual patient medical records for data retrieval, analysis and claims processing.
PROGRAM ELIGIBILITY SPECIALIST I State of ArkansasPROGRAM ELIGIBILITY SPECIALIST IHarrison, AR$47,397–$70,148 / yearTheir job duties include: providing support for claimants using the self-services computers for claim filing, accepting government-issued photo IDs and making sure they are attached to the Unemployment Insurance (UI) claim, accepting UI documents for processing, providing print outs to claimants needing proof of income for other assistance, assisting claimants with software access for their Reemployment Services and Eligibility Assessment appointment, processing documents for imaging, and other UI duties as assigned. Responds to inquiries and processes requests from other ADWS UI units including UI Claims Processing, UI Benefits Hotline, UI Correspondence, Automated Adjudication Systems (AAS), Benefit Accuracy Measurement (BAM), Contributions, and other units regarding individual claims or issues found.
TPL Senior Business Analyst NTT DATA Services, LLCTPL Senior Business AnalystLittle Rock, AR$91,260–$152,100 / yearWorking under the direction of the Operations Manager, the analyst will collaborate with state business staff, system and service vendors, and NTT DATA project managers and consultants to support planning, design, User Acceptance Testing (UAT), implementation, and evaluation of key system and processes changes. Minimum 8 years of experience with TPL to include a combination of the following: Coordination of Benefits, Medicare Crossover Part (A&B) Claims processing, Medicare Advantage (Part C), claims workflows, including complex claim scenarios and regulatory compliance.
TPL Senior Business Analyst NTT DATA Group CorpTPL Senior Business AnalystLittle Rock, AR$91,260–$152,100 / yearWorking under the direction of the Operations Manager, the analyst will collaborate with state business staff, system and service vendors, and NTT DATA project managers and consultants to support planning, design, User Acceptance Testing (UAT), implementation, and evaluation of key system and processes changes. Minimum 8 years of experience with TPL to include a combination of the following: Coordination of Benefits, Medicare Crossover Part (A&B) Claims processing, Medicare Advantage (Part C), claims workflows, including complex claim scenarios and regulatory compliance.