E&S Claim Adjuster FCCI Insurance GroupE&S Claim AdjusterCarmel, IN$91,389–$140,737 / yearWe are currently seeking an E&S Claim Adjuster to investigate and adjust assigned Excess and Surplus Lines claims that require expertise in areas such as coverage, analysis, jurisdictional and diversity issues, litigation management, and expense exposures. What you will do: Investigate assigned E&S lines claims, including initial investigation, coverage evaluation, settlement negotiation, and reserve setting within authority limits and company best practices.
Claim Specialist FCCI Insurance GroupClaim SpecialistIndianapolis, IN$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.
Workers'''' Compensation Claim Specialist Amerisure Mutual Insurance CompanyWorkers'''' Compensation Claim SpecialistIndianapolis, INRanked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus. As a property and casualty insurance company, Amerisure's promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee.
Senior EDI Developer InterSources Inc.Senior EDI DeveloperIndianapolis, INSkills: Bachelor's Degree in Computer Science or related fields with IT experience Required Required Database knowledge Required 5 years Required 5 Years Understanding EDI file formats (835, 837, 210) Required 5 Years Required 5 Years Knowledge of HIPAA regulations Required Required Ability to solve complex troubleshooting issues Required Required Excellent verbal and written communication skills Required Required Health Industry experience Highly Desired Highly desired Knowledge of IBM Websphere (WTX) Highly Desired Highly desired Database/SQL experience Highly Desired Highly desired . InterSources Inc , is a Small, Woman, and Minority-Owned Business Enterprise, ISO/IEC 27001, SOC 2 Type 2 certified company with massive 18+ years of diversified experience in providing IT Consulting Services, Artificial Intelligence, Data Analysis, Application Development, Cloud Services, Cybersecurity, Digital Marketing, ERP Management, Custom Software Development, Web Development, UI/ UX Design, System Integration, QA Support etc.
Medicare Pricing Analyst Wisconsin Physicians Service Insurance CorpMedicare Pricing AnalystINRemoteThe Medicare Pricing Procedures Analyst also researches and responds to interdepartmental requests, reviews Medicare pricing guidance, supports system testing and validation, maintains internal documentation, and assists the Technical Claims team with projects that improve the accuracy and efficiency of Medicare pricing operations. This role supports the implementation and validation of CMS pricing updates, maintains pricing information within Medicare systems, and collaborates with CMS, Shared System Maintainers, and other Medicare Administrative Contractors (MACs) to ensure accurate and timely claims payment.
EDI Developer American Technology ConsultingEDI DeveloperMarion County, Indianao Provide support to healthcare providers who interact with IDOH’s CSHCS system o Assist in onboarding new providers o Assist in onboarding new clearinghouses • Ability to work independently with less guidance and work with ISDH externals partners as needed. Essential Duties / Responsibilities: • Review update all documentation related to claims processing and EDI transactions • Identify incompletely documented claims processing and EDI processes, and document them • Work with development team as a SME as IDOH’s ACAPS system is rewritten in.
EDI Expert American Technology ConsultingEDI ExpertMarion County, Indianao Provide support to healthcare providers who interact with IDOH’s CSHCS system o Assist in onboarding new providers o Assist in onboarding new clearinghouses • Ability to work independently with less guidance and work with ISDH externals partners as needed. Essential Duties / Responsibilities: • Review update all documentation related to claims processing and EDI transactions • Identify incompletely documented claims processing and EDI processes, and document them • Work with development team as a SME as IDOH’s ACAPS system is rewritten in.
Warranty Administrator Model1 Commercial Vehicles, Inc.Warranty AdministratorIndianapolis, IndianaFull timeSince we got our start in 1980, Model 1 Commercial Vehicles has grown to become the nation’s largest dealership, representing more than 20 top manufacturers across the U.S. And we did it all by listening to and investing in customers like you. The Warranty Administrator is an intermediary between the service departments, Fleet Warranty Administrators, and the manufacturer assuring the warranty process is fluent and the warranty payments are received from the manufacturer timely.
REMOTE Certified Pharmacy Technician Actalent IncREMOTE Certified Pharmacy TechnicianIndianapolis, INRemote$20–$24 / hourJoin a dynamic pharmacy operations team supporting pharmacy benefits, prior authorizations, formulary management, Medicare programs, appeals, and member services. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service.
NewPerformance Quality Analyst II Elevance HealthPerformance Quality Analyst IIIndianapolis, IndianaRequires a BS/BA; a minimum of 3 years related experience in an enrollment and billing, claims and/or customer contact automated environment (preferably in healthcare or insurance sector), including a minimum of 1 year related experience in a quality audit capacity; or any combination of education and experience, which would provide an equivalent background. Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment & billing transactions and the corrective action plan process.
Full Time Inbound Sales Representative (Urgently Hiring) MCI LCFull Time Inbound Sales Representative (Urgently Hiring)Indianapolis, INRemoteMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Full Time Customer Service Representative (Urgently Hiring) MCI LCFull Time Customer Service Representative (Urgently Hiring)Indianapolis, INRemoteMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Full-Time Customer Service Representative (Urgently Hiring) MCIFull-Time Customer Service Representative (Urgently Hiring)UNAVAILABLE, INRemoteMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Full-Time Inbound Sales Representative (Urgently Hiring) MCIFull-Time Inbound Sales Representative (Urgently Hiring)UNAVAILABLE, INRemoteMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
NewPerformance Quality Analyst II Elevance Health IncPerformance Quality Analyst IIIndianapolis, INMinimum Requirements: Requires a BS/BA; a minimum of 3 years related experience in an enrollment and billing, claims and/or customer contact automated environment (preferably in healthcare or insurance sector), including a minimum of 1 year related experience in a quality audit capacity; or any combination of education and experience, which would provide an equivalent background. Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment & billing transactions and the corrective action plan process.
Sales Closer for Return Assets Lauth Investigations International IncSales Closer for Return AssetsIndianapolis, INRemote2+ years of high-volume phone sales (inside sales, merchant services, debt settlement, or surplus funds. Key Responsibilities: Conduct structured cold and warm outreach to designated asset owners and authorized family members.
Remote Psychiatric Mental Health Nurse Practitioner (PMHNP) Seasoned RecruitmentRemote Psychiatric Mental Health Nurse Practitioner (PMHNP)Indianapolis, INRemote$75,000–$220,000 / yearBenefit from total schedule control, guaranteed patient volume, and dedicated back-office support so you can focus on quality patient outcomes. Role Overview Seeking Board-Certified PMHNPs to deliver virtual psychiatric evaluations and medication management.
Vendor Integration Coordinator - Benefits Plan Setup Specialist Unified Group Services IncVendor Integration Coordinator - Benefits Plan Setup SpecialistAnderson, INFull timeWHAT WE'RE LOOKING FOR IN A VENDOR INTEGRATION COORDINATOR - BENEFITS PLAN SETUP SPECIALISTPrior experience with plan building and a health plan claims system (required for remote work)Ability to troubleshoot claim processing issuesExperience in auditing plan designs and reporting system errorsStrong writing skills with proper grammar and structureKnowledge of ACA and ability to stay current on regulatory updatesAbility to collaborate with multiple internal departmentsExperience with plan building and claims adjudication systems, proficiency in Microsoft Office, familiarity with ACA, strong math, organizational skills, and attention to detail are preferred. In this role, you'll configure new benefit plans, build group structures, coordinate vendor setups, and ensure seamless integration with PPO networks and PBMs within the WLT adjudication system.
RCM Training and Quality Analyst Deloitte Touche Tohmatsu LtdRCM Training and Quality AnalystIndianapolis, IN$57,300–$76,400 / yearAs an RCM Training and Quality Analyst you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Pharmacy Vendor Coordinator Wisconsin Physicians Service Insurance CorpPharmacy Vendor CoordinatorINRemoteIf you enjoy the following: Serve as the primary subject‑matter expert for internal teams on pharmacy benefits and system capabilities, exercising independent judgment to guide internal teams and resolve highly complex or escalated customer issues. We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin.