Claims Analyst III Integrated Resources, IncClaims Analyst IIIDoral, FloridaContractorWill be utilizing Microsoft Excel heavily.*A minimum of 1-2 years' experience in claims processing with professionals or hospitals *Top 3 skills:Computer skills - Microsoft Excel (intermediate to advanced skills, i.e. pivot tables, v-look ups)Attention to detailStrong written communication skillsMust Haves:Claims backgroundKnowledge of billing guidelinesKnowledge of contract interpretationKnowledge of billing/coding - CPT & ICD-10Kind Regards,Arnab GhatakTechnical RecruiterIntegrated Resources, Inc. IT Life Sciences Allied Healthcare CROCertified MBE | GSA - Schedule 66 I GSA - Schedule 621IGold Seal JCAHO Certified for Health Care Staffing"INC 5 0 0 0 's FASTEST GROWING, PRIVATELY HELD COMPANIES" (8th Year in a Row)
Bilingual Claims Administrator - R2710 Fort Myer Construction CorpBilingual Claims Administrator - R2710Washington, DCIf you do not mind hard work, desire job security associated with essential infrastructure projects, and want to make a difference in our communities, then please consider joining the Fort Myer Family. Summary:The Bilingual Claims Administrator manages the intake, processing, and resolution of workers compensation claims from the initial report of injury through claim closure.
HP Reimbursement Analyst, Sr. Cook Children's Health Care SystemHP Reimbursement Analyst, Sr.Fort Worth, TexasThe person in this position possess expert analytical skills in Excel, Access and SQL necessary to extract and evaluate claims report by identifying variances in claim payment, claim trends and claim accuracy. supports the delegation process by performing audits of the delegated entities as well as internally for CCHP claims system to ensure that claims process in accordance with policies and procedures and that, the Texas Health and Human Service Commission (HHSC) guidelines are met.
State Medicaid Technical Business Analyst Siritech Solutions CorpState Medicaid Technical Business AnalystAustin, TXContractorThe ideal candidate will work closely with business and technical stakeholders to gather requirements, analyze business processes, document system enhancements, support testing activities, and ensure successful delivery of Medicaid-related projects. Job Description: The client is seeking an experienced Technical Business Analyst with strong Medicaid domain expertise to support large-scale state healthcare initiatives.
Customer Service Associate - Claims MetLife IncCustomer Service Associate - ClaimsOriskany, NY$41,600–$48,900 / yearRecognizednon Fortune magazine''s list of the "World''s Most Admired Companies",nFortune Worlds 25 Best Workplaces, as well as the Fortune 100 Best Companiesnto Work For, MetLife, through its subsidiaries and affiliates, is one of thenworlds leading financial services companies; providing insurance, annuities,nemployee benefits and asset management to individual and institutionalncustomers. This role is essential to ensuring timely and effective resolution of customer needs, which directly contributes to MetLifes commitment to providing exceptional customer experience and financial protection.xa0The position supports customers and internal stakeholders across the United States.
Claims Specialist II, Workers Compensation Nationwide Mutual Insurance CoClaims Specialist II, Workers CompensationColumbus, OHRemote$69,500–$129,000 / 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. As a Claims Specialist, you'll investigate and handle medical and/or loss-of-time workers compensation claims from multiple states to determine compensability, entitled benefits, average weekly wage and benefit rate according to applicable state workers' compensation statute.
Senior Claims Specialist - Healthcare Professional Liability - Long Term Care GallagherSenior Claims Specialist - Healthcare Professional Liability - Long Term CareHouston, TexasRemoteFull timeAbility to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence.
Senior Claims Specialist - Cyber Liability GallagherSenior Claims Specialist - Cyber LiabilityHouston, TexasRemoteFull timeAbility to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence.
Senior Claims Specialist - Complex Liability (Product, Construction, Environmental) GallagherSenior Claims Specialist - Complex Liability (Product, Construction, Environmental)Houston, TexasRemoteFull timeAbility to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence.
Senior Workers Compensation Claims Adjuster GallagherSenior Workers Compensation Claims AdjusterMechanicsburg, PennsylvaniaRemoteFull 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 : Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims.
Claims Business Analyst CentivoClaims Business AnalystBuffalo, New YorkHeadquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co. Proactively identify opportunities and recommend system solutions that increase automation, resolve system deficiencies, and enhance claims processing and reporting to meet and exceed business requirements.
Facets QA Lead Tata Consultancy Services LtdFacets QA LeadKansas City, MO$80,000–$100,000 / yearExperience in Member Enrollment workflows (Medicaid, Medicare, ACA). Perform EDI validation (837, 835, 834) including mock data creation.
Insurance Senior Sales Agent Aaron Kretzer Farmers InsuranceInsurance Senior Sales AgentPARKER, CO$75,000–$95,000 / yearThe Aaron Kretzer Agency of Farmers Insurance in Parker, CO is hiring an experienced Insurance Sales Agent to serve clients across personal lines and life products while contributing to consistent agency growth. You'll join an established agency with a strong performance record, structured training, and a supportive leadership team that has been building this business for over two decades.
Claims Adjuster Epitec StaffingClaims AdjusterPortland, OR$47–$52 / hourStrong communication and interpersonal skills to effectively interact with claimants, customers, insureds, brokers, attorneys, etc., in a positive manner regarding losses. Contacts, interviews and obtains statements from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.
NewPayroll and Total Rewards Manager COLECTIVO COFFEE ROASTERSPayroll and Total Rewards ManagerShorewood, WISPECIFIC RESPONSIBILITIES Design, implement and manage payroll, compensation, benefits, and recognition programs that attract, retain and engage co-workers throughout the organization Process and verify bi-weekly payroll, including: review of reports of time and labor, verify all leave taken (in accordance with CCR Policy, federal, state, and local law), calculate and allot tips, Process and verify salary or wage adjustments, pay-line adjustments, ACH returns or reversals, collection and reimbursement garnishments, tax liens, and child support. Title: Payroll and Total Rewards Manager Department: People Team Reports to: President/CEO Schedule: Full-Time Status: Exempt POSITION SUMMARY The Payroll and Total Rewards Manager will oversee the company's payroll and benefits programs to create an approachable experience and beneficial offerings to Colectivo’s co-worker population.
Claims Specialist - Claims Processing Providence Health & ServicesClaims Specialist - Claims ProcessingAnaheim, CA$24–$33.73 / hourRequsition ID: 429445 Company: Providence Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 7520 CLAIMS PROCESSING CA HERITAGE SERVICES Address: CA Anaheim 200 W Center St Promenade Work Location: St Joseph Home Health-Anaheim Workplace Type: On-site Pay Range: $24.00 - $33.73 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 Data Engineer - EDI Claims Processing NationsBenefits LLCSenior Data Engineer - EDI Claims ProcessingPlantation, FLThis role is responsible for designing, developing, and maintaining enterprise-scale healthcare data integration solutions focused on HIPAA X12 EDI transactions, Medicaid encounters, and CMS compliance. Through our comprehensive suite of innovative supplemental benefits, fintech payment platforms, and member engagement solutions, we help health plans deliver high-quality benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction.
Auto PD - Adjuster Service Claims The Hanover Insurance Group IncAuto PD - Adjuster Service ClaimsItasca, ILCustomer Centricity: Makes customers/clients and their needs a primary focus of one's actions; shows interest in and understanding of the needs and expectations of internal and external customers; gains customer trust and respect; meets or exceeds customer expectations. Digital Fluency: Effectively uses digital tools and technology appropriately to find, evaluate, create, and communicate information understands how to navigate digital platforms, use software applications, and leverage technology for productivity and communication purposes.
Senior Claims Consultant, National Accounts Relation InsuranceSenior Claims Consultant, National AccountsThe wage range for this role 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. The Senior Claims Consultant, National Accounts serves as an advisor and primary claims resource for large, complex accounts through a range of internal and external resources.
Claims Research Specialist - SHP Finance - Remote / Hybrid - Day Shift - Full Time Sharp HealthCareClaims Research Specialist - SHP Finance - Remote / Hybrid - Day Shift - Full TimeRemoteThe actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. Develops solid professional working relationships with various internal departments and units and, as required, vendors, providers, employers, brokers and/or other customers.