Medical Claims Processor Northwest Administrators IncMedical Claims ProcessorMountlake Terrace, WAA successful claim processor at NWA understands the nuances involved with medical claims and the importance of claims being processed timely and accurately. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Claims Specialist - USFHP Providence St. Joseph HealthClaims Specialist - USFHPSeattle, WAFull timeOur strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services. Pacific Medical Centers (PacMed) is a private, not-for-profit, primary and integrated multi-specialty health care network with outpatient clinics and primary and specialty care providers in King, Snohomish and Pierce counties.
Manager Claims - USFHP Providence St. Joseph HealthManager Claims - USFHPRenton, WAFull timeThis position is responsible for supporting timely, accurate claim processing for the Claims Department, for achieving and maintaining provider coding accuracy and completeness at the levels required by the Corporate Compliance Work Plan,and is responsible for the USFHP Records Management Program. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Claims Adjuster Puget Sound Energy, IncClaims AdjusterBremerton, WAFull timeTo learn more about why PSE is a great place to work, see our Employee Value Proposition, which highlights our commitment to employee growth, work-life balance, and meaningful career opportunities in the energy sector. There are additional voluntary options of supplemental life insurance, accidental death and dismemberment insurance, flexible spending accounts for health care and dependent daycare, and an Employee assistance program (EAP).
Senior Claims Manager - Medical Negligence and Multi-Line - Hybrid, FullTime, Da Providence St. Joseph HealthSenior Claims Manager - Medical Negligence and Multi-Line - Hybrid, FullTime, DaRenton, WAFull timeProvidence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Senior Claims Counsel - Title Insurance (Remote) First American Title Insurance CompanySenior Claims Counsel - Title Insurance (Remote)Seattle, WARemote$129,300–$172,300 / yearFull timeThe Senior Claims Counsel position with First American Title Insurance Company provides an excellent opportunity for counsel to engage in complex legal analysis, craft creative solutions to difficult problems, manage their own caseload, oversee outside litigation counsel, and engage in high-level problem solving, negotiation and legal analysis in a stimulating and collegial environment with an opportunity for long-term growth and advancement. First American reasonably believes that a criminal history may have a direct, adverse and negative relationship with the following material job duties for this position potentially resulting in the withdrawal of the conditional offer of employment: handling of confidential, proprietary or trade secret information belonging to First American or its customers, administrating or facilitating financial transactions, and the ability to meet customer-imposed criminal history requirements.
Medical Claims Auditor Hybrid Northwest Administrators IncMedical Claims Auditor HybridFederal Way, WA$30.70–$41.54 / hourAs a Health and Welfare Claims Auditor, the main focus will be to review the work completed by the Health and Welfare Medical, Dental, Vision, Time Loss and Life Claims Processors. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Senior Claims Manager EPL - Hybrid Providence St. Joseph HealthSenior Claims Manager EPL - HybridSeattle, WAFull timeProvidence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Senior Claims Manager EPL - Hybrid, FullTime, Day Providence St. Joseph HealthSenior Claims Manager EPL - Hybrid, FullTime, DayRenton, WAFull timeProvidence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
AI Model Engineer - Remote/Nationwide Signature Performance, Inc.AI Model Engineer - Remote/NationwideSeattle, WARemote$100,000–$140,000 / yearFull timeIn the role of AI Model Engineer, you will design, fine-tune, evaluate, and deploy large language models (LLMs), multimodal models, retrieval systems, and agentic frameworks that support high-volume medical coding, billing, claims processing, health insurance discovery, eligibility verification, customer service support, EDI ingestion, and enterprise automation. We need someone who is responsible for architecting, optimizing, and operationalizing advanced AI systems that power Signature Performance's WorkflowXM platform, agentic workflow automation tools, and AI-enabled healthcare administrative solutions.
Research Analyst - Medical Management, Remote Providence St. Joseph HealthResearch Analyst - Medical Management, RemoteRenton, WARemoteFull timeProvidence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. This role focuses on preventing and reducing unnecessary spending by scoping PI initiatives, analyzing claims data, developing a thorough implementation assessment plan, and collaborating with internal and external stakeholders to optimize the payment processes.
Revenue Cycle Support Specialist ResCare Premier Inc.Revenue Cycle Support SpecialistVancouver, WA$19–$21 / hourFull timeThe Revenue Cycle Support Specialist (aka Prior Authorization Coordinator) is responsible for striving to complete either approval for pharmacy claims requiring prior authorization or by coordinating with prescribers and or facility contact to have therapy changed to a preferred alternative due to insurance not covering the treatment in question. The Prior Authorization Coordinator is responsible for striving to complete either approval for pharmacy claims requiring prior authorization or by coordinating with prescribers and or facility contact to have therapy changed to a preferred alternative due to insurance not covering the treatment in question.
Revenue Cycle Specialist Volt Management Corp.Revenue Cycle SpecialistSpokane, WAFull timeThis role supports our customers with claims processing, including gathering required documentation and coding information, updating patient accounts with payments, vouchers and claims/payment status, and communicating with patients and 3rd party insurers about claims and payments. * Processing rejections by either making accounts private and generating a letter of rejection to patient or correcting any billing error and resubmitting claims to third-party insurance carriers.
Warranty Processor Pacific, WA Gordon Truck Centers, Inc.Warranty Processor Pacific, WAWA$23–$27 / hourHelping customers satisfy their transportation needs since 1986, GTC is an expanded network of 18 dealerships doing business as Gordon Truck Centers, Freightliner Northwest, Western Star Northwest, TrailerCraft and Freightliner of Hawaii. Gordon Truck Centers, Inc. uses the E-Verify program, which confirms employment authorization of all newly hired employees and most existing employees through an electronic database maintained by the Social Security Administration and Department of Homeland Security.
Senior Pharmacy Technician - Health Information Management Providence St. Joseph HealthSenior Pharmacy Technician - Health Information ManagementTukwila, WAFull timeTogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Account Manager - Employee Benefits ALLIANT INSURANCE SERVICES INCAccount Manager - Employee BenefitsSeattle, WA$97,000–$110,000 / yearFull timeAs top tier professionals dedicated to solving our clients' health and welfare insurance challenges, Alliant team members deliver an unrivaled depth of service, and our unique approach enables us to help clients stay resilient and turn change into opportunity. Responsible for providing customer service and overall service of assigned customers and/or policies, soliciting of new business on existing accounts and support of Producer-led new business efforts.
Commercial Account Manager-Real Estate ALLIANT INSURANCE SERVICES INCCommercial Account Manager-Real EstateSeattle, WAFull timeResponsible for providing customer service and overall service of assigned customers and/or policies, soliciting of new business on existing accounts and support of Producer-led new business efforts. We operate through a network of specialized national platforms and local offices to offer our clients a comprehensive portfolio of solutions built on innovative thinking and personal service.
Insurance Specialist - Billing/ Follow Up Compass OncologyInsurance Specialist - Billing/ Follow UpVancouver, WAFull timeAs a member of The US Oncology Network, one of the nation's largest community-based cancer treatment and research networks, Compass Oncology participates in leading-edge clinical trials through US Oncology research, which has helped develop 89 FDA approved cancer therapies. If you are a dedicated, team-oriented, patient-centered individual looking for an opportunity where you are proud of what you do, work hard, have fun, want to learn and go home at the end of the day knowing you made a difference in the lives of our patients; Compass Oncology is the place for you!
Vice President Payment Integrity Cambia Health SolutionsVice President Payment IntegritySpokane, WAFull timeMinimum of 8-10 years of experience in business process design, improvement, and transformation within healthcare payment environments and a minimum of 12-15 years of progressive leadership experience in Healthcare Payment Integrity, Health Plan Claims, Health Plan Operations or related Healthcare management or an equivalent combination of education and experience. This position drives enterprise-wide strategic vision and execution across post-pay and pre-pay audit functions, provider-facing operations and advance analytics capabilities - all in service of creating an economically sustainable health care system.
Director II, Claims Process Liberty Mutual Holding Company IncDirector II, Claims ProcessSeattle, WALead and support the RAIC intake process, working closely with C&S Insights & Solutions leadership and other stakeholders to clarify expectations, improve alignment, and ensure effective workflow management. Serve as process owner and leadership lead for Business Continuity Planning, including activation readiness, process coordination, and communication with senior leadership during disruptions.
Business Systems Analyst Support Services Lead Cambia Health SolutionsBusiness Systems Analyst Support Services LeadRenton, WAFull timeAs a member of the Customer Experience and Operations team, our Business Systems Analyst Support Services Lead participates in the daily support, maintenance, and enhancement of existing systems, as well as the development, configuration, and delivery of new systems to directly support Cambia Core Strategies and Key Initiatives - all in service of economically sustainable health care system. * Demonstrated ability to develop project plans and schedules to ensure all tasks are identified and completed, and assigns tasks and workflow as necessary for completion, including the ability to support and answer questions from Level I team members.
Spv Business Support Services Cambia Health SolutionsSpv Business Support ServicesRenton, WAFull timeThis includes support of global configuration, incident resolution, conversion activities, enhancement design, developing general and detailed functional and business requirements, testing, project work, and support in the production environments. This includes scoping and resources planning for any projects related to configuration and support of any Facets system, any associated extension or interface that interacts with Facets, along with all legacy membership systems.
Pharmacy Program Manager Cambia Health SolutionsPharmacy Program ManagerSpokane, WAFull timeDeep knowledge of pharmacy benefit management, benefit design, pharmacy products and services, competitive offerings, and client needs, including advanced understanding of healthcare operations, cost containment strategies, provider contracting methodologies, and benefit design alternatives. As a member of the Pharmacy Services team, our Pharmacy Program Managers are responsible for partnering with clinical stakeholders to develop, execute, evaluate and maintain clinical programs and strategies to support cost containment and clinical quality improvements related to pharmacy.
Stop Loss Underwriting Specialist Cambia Health SolutionsStop Loss Underwriting SpecialistBurlington, WAFull timeAdditionally, they complete travel and expenses for stop loss director and team when applicable, and provide other administrative support as directed - all in service of creating an economically sustainable health care system. Stop Loss UW Specialist would have a High School diploma or GED and 4 years office, data entry or equivalent combination of education and experience, preferably in a health care environment.
Warranty Processor - Pacific, WA Freightliner NorthwestWarranty Processor - Pacific, WAPacific, Washington$23–$27 / hourFull timeHelping customers satisfy their transportation needs since 1986, GTC is an expanded network of 18 dealerships doing business as Gordon Truck Centers, Freightliner Northwest, Western Star Northwest, TrailerCraft and Freightliner of Hawaii. Gordon Truck Centers, Inc. uses the E-Verify program, which confirms employment authorization of all newly hired employees and most existing employees through an electronic database maintained by the Social Security Administration and Department of Homeland Security.
Policy & Implementation Analyst or Sr. DOE Cambia Health SolutionsPolicy & Implementation Analyst or Sr. DOENewcastle, WAFull timeServes as primary support for CPT/HCPCS procedure and ICD-9/ICD-10 diagnosis coding questions across Cambia, ensuring decision-making related to coding is consistent, clinically appropriate and thoroughly documented. * Facilitates development, understanding and documentation of business requirements related to policy implementation, clinical editing, and reimbursement policy development including issue identification, research, approval, implementation, documentation and education.
Default FHA Claims QA Analyst II CarringtonDefault FHA Claims QA Analyst IIOlympia, WARemote$24.50–$26 / hourOur Company:** Carrington Mortgage Services is part of The Carrington Companies, which provide integrated, full-lifecycle mortgage loan servicing assistance to borrowers and investors, delivering exceptional customer care and programs that support borrowers and their homeownership experience. The Default FHA Claims QA Analyst II will work under moderate supervision, responsible for reviewing FHA mortgage insurance claims for accuracy and submitting the claim form for filing.
Claims Examiner Point CClaims ExaminerBellingham, WashingtonPoint C is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role.
Senior Claims Advocate Alera GroupSenior Claims AdvocateTacoma, WashingtonSuccess in this role looks like effectively resolving complex claims issues, delivering clear and confident client communication, and enhancing the overall client experience through proactive advocacy and expertise. This role is responsible for managing claims activity, identifying coverage opportunities, and ensuring clients receive clear guidance and strong representation throughout the lifecycle of a claim.
Senior Claims Specialist - USFHP Pacific Medical Center IncSenior Claims Specialist - USFHPRenton, WA$25.61–$39.88 / hourRequsition ID: 442924 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: On-site Pay Range: $25.61 - $39.88 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Field Property Claims Adjuster Liberty Mutual Holding Company IncField Property Claims AdjusterRedmond, WAThis is a role where people who love every day to be new, different and exciting, can thrive - you'll be traveling on the road to meet customers in person, providing hands-on assessment of damage and empathetic support. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role.
DSHS ESA Claims Officer 1 - 2 (Attorney) State of WashingtonDSHS ESA Claims Officer 1 - 2 (Attorney)WA$6,384–$8,583Appear as the department's pro-se representative or witness before an Administrative Law Judge; testify regarding agency records, make opening statements, examine witnesses, raise objections, present closing arguments, and seek correction or reconsideration of decisions as needed. Represent the department's interests in adjudicative proceedings under the Administrative Procedures Act and RCW 74.20A.057 regarding the establishment and collection of child support, financial and medical obligations, day care and special child-rearing expenses, and compliance with collection and enforcement orders.
Field Property Claims Adjuster: Seattle, WA Farmers Group, Inc.Field Property Claims Adjuster: Seattle, WASeattle, WARemote$23.22–$55.59 / hourExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. Candidates Must be Willing and Able to: Climb Ladders to inspect roofs, and be comfortable working on rooftops, multiple times per day, Work in small, confined spaces that have been damaged; such as attics and crawlspaces.
Stop Loss Claims Analyst CVS Health CorpStop Loss Claims AnalystWA$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.
Claims Adjuster - Attorney Represented Injury The Progressive CorpClaims Adjuster - Attorney Represented InjuryFederal Way, WA$30.29–$39.23 / hourAn ideal candidate will have experience managing an inventory independently, experience assessing and evaluating liability, coverage, and damages, as well as working independently and directly with attorneys to negotiate and settle claims. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/.
Claims Adjuster Trainee The Progressive CorpClaims Adjuster TraineeSpokane Valley, WA$25.96–$27.64 / hourFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months.
NewSenior Property Claims Adjuster Macpower Digital Assets Edge Private LimitedSenior Property Claims AdjusterSeattle, WARemote$80,000–$90,000 / yearHow does a Senior Property Claims Representative make an impact: Investigates claims by determining applicable policy coverage, evaluates, negotiates, and settles assigned claims. Completes physical and/or virtual inspections of damaged property (when necessary), evaluates damages, and prepares written estimates according to policy provisions and liability.
Financial Services Claims Adjuster Assurant IncFinancial Services Claims AdjusterWA$19.08–$30.53 / hourA Fortune 500 company with a presence in 21 countries, Assurant supports the advancement of the connected world by partnering with the world's leading brands to develop innovative solutions and deliver an enhanced customer experience through mobile device solutions, extended service contracts, vehicle protection services, renters insurance, lender-placed insurance products, and other specialty products. Named a Best/Great Place to Work in 14 countries and awarded the Fortune America's Most Innovative Companies recognition, we bring together top talent around the world.
Auto Claims Desk Adjuster Hybrid Liberty Mutual Holding Company IncAuto Claims Desk Adjuster HybridWAYou'd be a great fit if you are: An Empathetic Service Professional: When a claim is received, you skillfully pick up the phone and use your customer centricity and problem-solving skills to confidently assure our customers that you are there to guide them through the process. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
NewHealth Claims & Risk Coordinator Safeguard Quality Hispanic Alliance for Career EnhancementHealth Claims & Risk Coordinator Safeguard QualitySeattle, WA$17–$34.15 / hourThe Hispanic Alliance for Career Enhancement in United States, Washington, is seeking a Risk Coordinator to support the general liability claims process. The position offers a competitive salary range of $17.00 - $34.15 per hour, along with comprehensive benefits including medical, dental, and vision coverage.#J-18808-Ljbffr.
Senior Financial Analyst, Amazon Transportation Claims and Insurance, DSP Finance Amazon.com IncSenior Financial Analyst, Amazon Transportation Claims and Insurance, DSP FinanceBellevue, WAThe role requires consolidating financial data for planning cycles and leading strategic initiatives, including developing claim analytics to improve forecasting accuracy, contributing to leadership Business Review documents, and driving focus on underlying root cause of claims and safety incident reduction initiatives. Our finance team closely partners to support this rapidly expanding business while building a portfolio of delivery stations, vans, and technology to deliver customers" packages on time - often next day, sometimes faster.
Supervisor Workers Comp Claims - PNW CopperPoint Insurance CoSupervisor Workers Comp Claims - PNWSeattle, WARemote$105,000–$135,000 / yearThe majority of the supervision for this team is currently Alaska and Idaho workers' compensation claims- experience is a must for AK, and candidate must be willing and able to quickly learn ID jurisdiction and obtain licensure if no prior experience with ID claims. Develops and maintains partnerships and service level agreements with leaders within other divisions to ensure processes and workflows are effective, and customer service goals are being met.
Sr. Claims Advocate Alera GroupSr. Claims AdvocateTacoma, WashingtonRemoteThe Senior Claims Advocate works with all Sales Executives, internal Propel staff in Commercial Lines Departments and externally with our Clients, Carriers and Vendors. Duties also include providing claims service for all Propel clients via our round robin assignment process providing technical expertise and servicing as an advocate on client claim issues.
Amwins A&H- Claims Manager, Stop Loss Amwins Global Risks UK LtdAmwins A&H- Claims Manager, Stop LossSeattle, WA$140,000–$155,000 / yearThe Manager, Stop Loss Claims, will play a critical role in supporting the A&H claims organization by performing claims adjudication functions, managing complex, high-dollar and high-ambiguity stop loss claims, employing cost containment solutions, serving as a senior escalation point, and applying expert judgment to drive consistent, high-quality outcomes. Amwins has expertise across a diversified mix of property, casualty, and group benefits products, and offers value-added services to support some of these products, including product development, underwriting, premium and claims administration and actuarial services.
Liability Claims Assistant Team Lead SedgwickLiability Claims Assistant Team LeadOlympia, WA$54,211–$90,000 / yearNewsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Liability Claims Assistant Team Lead **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure liability claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; to identify subrogation of claims and negotiate settlements; and to provide backup for team lead when out of the office. + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Excellent negotiation skills + Good interpersonal skills + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations.
Claims - Specialist OAK HARBOR FREIGHT LINES, INC.Claims - SpecialistAuburn, WAThe claims analyst will mitigate and manage claims expenses to Oak Harbor and work to ensure customers satisfaction when customer shipments are damaged or lost. Join the Oak Harbor Freight Lines family, where success and tradition meet in a regional trucking story spanning over a century.
Senior Claims Specialist - USFHP Providence Health & ServicesSenior Claims Specialist - USFHPRenton, WA$25.61–$39.88 / hourRequsition ID: 442924 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: On-site Pay Range: $25.61 - $39.88 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Senior Claims Specialist - USFHP Providence St. Joseph HealthSenior Claims Specialist - USFHPRenton, WATogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. 4 years of Managed Care operations, including a minimum of 3 years claims processing experience, in a TPA, MSO, HMO, PHO or large group practice setting.
Claims Reviewer TriWest Healthcare AllianceClaims ReviewerSeattle, WARemoteFull 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.
Claims Supervisor II - Property Philadelphia Insurance CompaniesClaims Supervisor II - PropertySeattle, PennsylvaniaSummary : Supervises claims adjusters and technical support staff to manage the day-to-day handling and settlement of claims, the processing and tracking of documents, making payments, tracking trends and communicating with underwriting. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.