NewMailroom Document Processor Conduent Commercial Solutions, LLCMailroom Document ProcessorSpringfield, MA$18Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. Perform repetitive duties in a high-speed environment such as removing staples, rubber bands, repairing torn documents or copying document types and inserting the appropriate patch sheets to separate the claims.
Claims Supervisor Health Source MSOClaims SupervisorAlhambra, CAFull timeProviding expertise or general claims support to teams in reviewing, researching, investigating, negotiating, process, and adjusting claims. Responsibilities include, but not limited to: • Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including: Contractual agreement rates.
Claims Specialist Medical Malpractice Diedre Moire Corp.Claims Specialist Medical MalpracticeUnion, NJ$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Manage total claim costs for highly complex or severe injury medical malpractice claims while negotiating to resolution and providing high levels of customer service.
Claims Auditor Health Source MSOClaims AuditorAlhambra, CAFull timeResponsibilities include, but not limited to: Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including: Contractual agreement rates. Job Description : Claims Auditor will be responsible for auditing claims processed by Claims Examiners.
NewManager, Claims Operations (Subrogation) USAAManager, Claims Operations (Subrogation)Chesapeake, VA$103,450–$197,730 / yearThis role leads Auto, Property or other Claims subrogation employees who are responsible for serving our members, and providing appropriate solutions as they investigate, evaluate and negotiate the claim. 6 years of progressive customer service, operational, military or leadership experience to include a minimum of 2 years of claims handling experience required with demonstrated proficiency.
NewSr. Injury Claims Adjuster USAASr. Injury Claims AdjusterChesapeake, VA$63,590–$121,530 / yearInjury Adjuster, you will work within defined guidelines and framework, responsible to adjust attorney involved moderately complex bodily injury claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Accountable for delivering a concierge level of best in class member service through setting appropriate expectations, proactive communications, advice, and compassion.
NewClaims Auto Adjuster - Non Injury USAAClaims Auto Adjuster - Non InjuryPhoenix, AZSupports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through exceptional service. Within defined guidelines and framework, responsible to adjust moderately complex auto insurance claims presented by or against our members to include the end-to-end claims process and settling claims in compliance with state laws and regulations.
NewInjury Claims Adjuster USAAInjury Claims AdjusterChesapeake, VA$57,970–$103,870 / yearAs a dedicated Injury Adjuster, you will work within defined guidelines and framework, responsible to adjust non-attorney involved soft tissue bodily injury to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. 1 year of injury adjusting or auto liability adjusting experience to include highly complex vehicle physical damage, such as multi-vehicle, non-owned vehicles, or total loss claims.
NewSenior Claims Auto Adjuster - Non-Injury (Sign-On Bonus) USAASenior Claims Auto Adjuster - Non-Injury (Sign-On Bonus)Phoenix, AZDispute resolution experience: Liability Investigation/Comparative Negligence, Unrelated Prior Vehicle Damages, Total Loss Valuation/Negotiation, Non-Owned Vehicles/Rideshare/Permissive Driver, Exceeding Coverage Limits. Supports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through exceptional service.
Workers Compensation Claims Adjuster Epitec StaffingWorkers Compensation Claims AdjusterLos Angeles, CA$24–$26 / hourProficient computer skills and extensive knowledge of the Microsoft suite of Office products, including Outlook (use templates that are provided), Word (utilizing templates), Excel (data entry), and PowerPoint (basic creation of slide deck); knowledge of state EDI systems and/or familiarity with CA Workers Compensation terminology are a plus. Effective time management skills demonstrate the ability to multi-task and prioritize by accomplishing tasks and assignments.
NewMedical Record Unit Examiner I/II/III (Claims) Capital District Physicians Health Plan IncMedical Record Unit Examiner I/II/III (Claims)Albany, NYMinimum Qualifications: NOTE:We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. Participate as subject matter expert in project and process improvement related work for MRU.* Responsible for maintenance of the Medical Record Database.* Monitoring inventory fluctuations within workstreams to coordinate, delegate and execute inventory control/assignment plan.*
NewClaims Examiner Senior \ Direct Placement60 - Contract TalentBurst, Inc.Claims Examiner Senior \ Direct Placement60 - ContractIrving, TX$23–$24 / hourThis role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing. Work claim projects resulting from overpayments or underpayments related to manual processing errors, benefit updates, and/or contract, fee schedule changes.
NewClaims Specialist LSI StaffingClaims SpecialistPapillion, NEWe are currently looking for a full-time Claims Specialist to join our team in the Papillion area . If you're interested in joining our team, we'd love to hear from you!
Healthcare Claims Specialist System OneHealthcare Claims SpecialistTulsa, OK$18–$20 / hourSystem One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. If you have healthcare claims or medical insurance experience and enjoy problem-solving in a fast-paced environment, we'd love to hear from you!
NewVP, Claims Operations USAAVP, Claims OperationsSan Antonio, TX$257,250–$463,050 / year10 years of progressive financial services experience to include P&C industry work experience in Claims developing strategies, managing major P&C initiatives and delivering results within a complex matrix environment. Demonstrated experience leading large-scale claims or contact center operations, including oversight of sizable, geographically dispersed teams and complex service delivery environments.
Claims Adjuster - Workers Compensation SchneiderClaims Adjuster - Workers CompensationGreen Bay, WIThis diversity and openness ensures all associates have equal access to opportunities and resources to contribute fully to the organization's success, and it fuels innovation, improves strategic thinking and cultivates leadership. Schneider is seeking a Claims Adjuster in Green Bay, WI to investigate, analyze and resolve claims and incidents.
NewClaims Representative II (Workers Compensation) Society Insurance CompanyClaims Representative II (Workers Compensation)Fond du Lac, WIRemoteThis role will investigate, evaluate, and resolve moderate-to-severe complex Workers’ Compensation claims by determining coverage and liability, coordinating with injured workers, employers, and medical providers, and negotiating appropriate claim resolutions in accordance with company guidelines, policy provisions, and state regulations. Determines insurance coverage by examining claim forms, policies, and other records; interviewing claimants/injured workers, insureds, and witnesses; reviewing police and hospital records; and consulting with experts when appropriate.
NewClaims Representative I (Workers' Compensation) Society Insurance CompanyClaims Representative I (Workers' Compensation)Fond du Lac, WIRemoteThis role will investigate, evaluate, and resolve mildly complex Workers’ Compensation claims by determining coverage and liability, coordinating with injured workers, employers, and medical providers, and negotiating appropriate claim resolutions in accordance with company guidelines, policy provisions, and state regulations. Determines insurance coverage by examining claim forms, policies, and other records; interviewing claimants/injured workers, insureds, and witnesses; reviewing police and hospital records; and consulting with experts when appropriate.
NewManager, Claims Operations (Auto Non Injury Complex) USAAManager, Claims Operations (Auto Non Injury Complex)Colorado Springs, CO$103,450–$197,730 / yearAs a dedicated Manager, Claims Operations, you will lead and be accountable for auto, property, and other claims operations member service employees who are responsible for serving our members, and providing appropriate solutions as they investigate, evaluate and negotiate the claim. 6 years of progressive customer service, operational, military or leadership experience to include a minimum of 2 years of claims handling experience required with demonstrated proficiency.
NewManager, Claims Operations- (DCT Property) USAAManager, Claims Operations- (DCT Property)Colorado Springs, CO$103,450–$191,970 / yearAs a dedicated Manager, Claims Operations , you will manage and be accountable for property and other claims operations member service employees who are responsible for serving our members, and providing appropriate solutions as they investigate, evaluate and negotiate the claim. 6 years of progressive customer service, operational, military or leadership experience to include a minimum of 2 years of claims handling experience required with demonstrated proficiency.
NewTechnical Business Analyst - Claims Module 2 The Computer Merchant, LtdTechnical Business Analyst - Claims Module 2Remote$60–$62.50 / hourContractorWhile an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations. Drive the claims module and process, domain knowledge, performs analysis of business requirements, designs and develops documentation, ensures quality process, coordinates with customers.
NewManager, Claims Operations - Auto USAAManager, Claims Operations - AutoChesapeake, VA$103,450–$197,730 / yearAs a dedicated Auto Claims Operations Manager, you will manage and be accountable for auto, property, and other claims operations member service employees who are responsible for serving our members, and providing appropriate solutions as they investigate, evaluate and negotiate the claim. 6 years of progressive customer service, operational, military or leadership experience to include a minimum of 2 years of claims handling experience required with demonstrated proficiency.
NewProperty Claims Technical Specialist Michigan Farm BureauProperty Claims Technical SpecialistLansing, MIResearch, develop, implement, and monitor estimate training programs that will result in the improvement and consistent application of Xactimate (computerized estimating software) to reduce errors and improve leakage. Train in and share knowledge of XactAnalysis usage with management through unit meetings, classroom training, re-inspections, ride-a-longs, and virtual estimating teaching and assistance.
NewPharmacy Technician - Infusion Providence Non-RN - OregonPharmacy Technician - InfusionPortland, OR$23.81–$36.44 / hourOur service lines include assisted living/skilled nursing/rehabilitation, home health, home infusion/pharmacy services, home medical equipment, hospice and palliative care, Program of All-Inclusive Care for the Elderly (PACE), personal home services/private duty care and supportive housing. This work includes obtaining the order and other required documentation, conferencing with the referral source, the Pharmacist, Infusion Nurse Coordinator and other key stakeholders; and verifying insurance eligibility and benefits; cost of medication, obtaining pre-authorizations and re-authorizations and assisting patients with copay and financial assistance.
Independent Medical Evaluators - Occupational Medicine, PM&R and Orthopedists MRG ExamsIndependent Medical Evaluators - Occupational Medicine, PM&R and OrthopedistsLatonia, KYCompany Overview: MRG Exams is a leading provider of Independent Medical Evaluations (IME) and Permanent Partial Impairment Ratings (PPIR) services for the Ohio Bureau of Workers' Compensation (BWC), third-party administrators, Managed Care Organizations (MCOs), and employers. Joining our team as an independent medical provider presents an excellent opportunity for both experienced providers seeking a new challenge and newly starting physicians looking to establish themselves in a unique field outside of patient care.
NewFull-Stack Developer (React) Vaco LLCFull-Stack Developer (React)Concord, CARemote$60–$70 / hourDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Sr. Medical Claims Processor Ultimate Staffing ServicesSr. Medical Claims ProcessorPasadena, California$24–$29 / hourEnsure accuracy of claim details, including patient information, coding (ICD-10, CPT, HCPCS), and billing data prior to submission. Investigate and resolve denied, rejected, or pending claims by working with providers, payers, and internal departments.
Director of Quality & Technical Service Michael Page USADirector of Quality & Technical ServiceHammond, IN$140,000–$175,000 / yearFull timeOperating out of its Northwest Indiana facility, the company processes large steel coils through services including slitting, cut-to-length processing, pickling, oiling, and inventory management, helping customers transform raw steel into production-ready material. Our client is a leading steel service and processing company that supplies manufacturers in various sectors - primarily automotive but also construction, agriculture, and large scale appliances.
Medical Claims Processor GlobalchannelmanagementMedical Claims ProcessorParamus, New JerseyPartner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system. Medical Claims Processor duties: Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house.
Third-Party Medical Claims Processor Hire Up Staffing ServicesThird-Party Medical Claims ProcessorFresno, CAIdeal Candidate: The perfect fit for this role has at least 3 years of experience in medical billing or claims processing especially if that experience includes working with a third-party administrator (TPA) within an insurance company . Prior TPA exposure is highly preferred due to the nature of this employers group benefit processing.
Medical Claims Processor Datamark, Inc.Medical Claims ProcessorEl Paso, TXIn this role, you will be responsible for verifying insurance coverage, conducting research, and resolving coverage-related issues to ensure timely and accurate prescription processing. As a Medical Claims Processor at DATAMARK, you'll play a vital role in the success of our operations by ensuring accurate and efficient back-office support.
Remote Medical Claims Processor I (Temporary role) Broadway VenturesRemote Medical Claims Processor I (Temporary role)Remote$20–$23 / hourAs an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Actual pay offered depends on job-related factors, which may include skills, experience, education, certifications and licensure, geographic work location, contract funding and budget.
Medical Claims Processor I Moda HealthMedical Claims Processor IMilwaukie, OR$17.34–$19.41 / hourResponsible for utilizing resources efficiently for the accurate and timely entry, review, and resolution of simple to moderately complex medical claims in accordance with policies, procedures, and guidelines as outlined by the company. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our humanresources@modahealth.com email.
NewQNXT Medical Claims Processor (Healthcare BPO) ICONMA, LLCQNXT Medical Claims Processor (Healthcare BPO)Phoenix, AZ$28.57–$42.85 / hourDemonstrate proficiency in using office productivity tools and workflow applications to manage queues update records and communicate with stakeholders in a structured manner Communicate clearly in spoken and written form to document claim actions escalate issues and collaborate with team members and supervisors in a professional setting. Verify coding consistency for diagnoses procedures and modifiers using provided references to minimize claim errors denials and rework -Identify discrepancies or missing information in claim submissions and coordinate with internal teams to obtain clarifications and ensure timely resolution.
Medical Claims Processor - Remote NTT DATAMedical Claims Processor - Remoteremote, TXRemoteThe quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the competition. 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools .
Medical Claims Processor, Remote NTT DATAMedical Claims Processor, Remoteremote, TXRemoteThe quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the competition. 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools .
Medical Claims COB Processor I Moda HealthMedical Claims COB Processor IMilwaukie, OR$18.39–$20.58 / hourAssists in customer service inquiries regarding contractual and administrative policies and applies excellent customer service when a phone call is needed to complete a COB claim. Minimum of 6 months medical claim processing or customer service dealing with all types of plans/claims and consistently exceeding performance levels.
Claims Processor (52219) GlobalHealth, Inc.Claims Processor (52219)Oklahoma City, OKWHO YOU ARE: The Claims Processor is primarily responsible for processing all types of contracted and non-contracted claims accurately and timely for Medicare, Medicaid and Commercial Insurance products. We are looking for future employees who exude our core values of taking accountability through ownership, being driven, innovative and who have a passion for continuous learning.
Healthcare Claims Processor Bakinaw Saginaw Chippewa Indian TribeHealthcare Claims Processor BakinawMt Pleasant, MichiganTrend Monitoring: Analyze and report on trends in claim issues or irregularities to management, contributing to process improvement initiatives; Assists Team Leads with reporting. *Minimum of 5 years’ experience in medical claims processing, including professional and facility claims as well as complex and high-dollar claims* Candidates must be located in one of the following states: FL, GA MD, MI, TX .
Claims Processor Self-Funded Marpai AdministratorsClaims Processor Self-FundedRemoteMarpai Administrators (“Marpai”) is an AI-powered national TPA (third party administrator) using deep learning and machine learning to maximize population health outcomes with the greatest cost efficiency for any health plan budget. Ability to handle large volumes of work, solve problems and manage multiple assignments while meeting critical deadlines.
Claims Processor AND Customer Service Representative Addison GroupClaims Processor AND Customer Service RepresentativeTulsa, Oklahoma$20–$22 / hourAbout Our Client: Addison Group is partnering with our client, a well-established organization in the employee benefits and healthcare administration space, to hire a Claims Processor/Customer Service Representative. This role involves reviewing and processing healthcare claims, verifying eligibility, explaining benefit coverage, and resolving claim-related inquiries with accuracy and professionalism.
Claims Processor I Medical University of South CarolinaClaims Processor ICharleston, SCAccount maintenance: Updating registration, authorization issues, identifying charge correction,, processing adjustments as needed and denial follow up according to payer rules and departmental policies. Uses payer websites to stay current on payer rules and changes to include reading newsletters and communicating payer/claim issues and trends.
Claims Processor I MUSCClaims Processor ISouth CarolinaAccount maintenance: Updating registration, authorization issues, identifying charge correction,, processing adjustments as needed and denial follow up according to payer rules and departmental policies. Uses payer websites to stay current on payer rules and changes to include reading newsletters and communicating payer/claim issues and trends.
Dental Claims Processor DY MANAGEMENT CONSULTANTS LLCDental Claims ProcessorSan Antonio, TXFull timeAs a Dental Claims Processor, you'll work alongside experienced professionals while learning every aspect of dental insurance billing, including: Process and follow up on dental insurance claims. We provide comprehensive, hands-on training that gives you the skills needed to become an expert in dental insurance claims and revenue cycle management.
Cash Claims Processor Global Channel ManagementCash Claims ProcessorCincinnati, OhioResearch insurance claim payments in the AS/400 to identify correct claim based on customer information, date of service and service/material procedure codes and related charges. High school degree required, Cash Claims Processor duties: Research and apply insurance payments from clients to the appropriate system invoice.
Claims Processor II Medical University of South CarolinaClaims Processor IICharleston, SCAccount maintenance: Updating registration, authorization issues, identifying charge correction,, processing adjustments as needed and denial follow up according to payer rules and departmental policies. Uses payer websites to stay current on payer rules and changes to include reading newsletters and communicating payer/claim issues and trends.
Claims Processor II MUSCClaims Processor IISouth CarolinaAccount maintenance: Updating registration, authorization issues, identifying charge correction,, processing adjustments as needed and denial follow up according to payer rules and departmental policies. Uses payer websites to stay current on payer rules and changes to include reading newsletters and communicating payer/claim issues and trends.
Claims Processor - Johnstown Senior LIFEClaims Processor - JohnstownJohnstown, PennsylvaniaFull timeSenior LIFE is an innovative home and community based Medicare and Medicaid funded program which provides all-inclusive healthcare services and support to seniors living in the community. Our team is committed to partnering with our seniors to remain at home through promoting open communication and shared decision making while providing excellent care and services.
Claims Processor ArsenaultClaims ProcessorLos Angeles, CaliforniaThrough our dedicated associates, Arsenault delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments creating exceptional outcomes for our clients and the millions of people who count on them. It is essential to have a good understanding of EOBs, FSAs, how to read receipts, doctor bills, and basic medical paperwork.
Claims Processor Conduent IncClaims ProcessorNYRemoteThrough our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form.