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LOCATION: Remote
GENERAL STATEMENT OF JOB
Responsible for all accounting functions related to a designated area of physical and behavioral health medical claims processing to ensure that providers receive timely and accurate payment. This position is responsible for claims adjudication through continuous monitoring and quality control measures. Responsibilities include finalizing c...

The Claims Coordinator is the next progressive role in the Claims Coordinator job family, as a case owner they are responsible for guiding a claim through final claim or settlement decision. This role serves as the primary point of contact for claimants, beneficiaries, field, and interested third parties. The Claims Coordinator will act as an expert liaison between the organization, claimants, ...

Come grow with James River Insurance!
James River Insurance is an excess and surplus lines segment of James River Group Holdings, Ltd. and operates on an approved non-admitted basis in 50 states and Washington, DC. Since 2003, James River has provided thousands of commercial property and casualty customers with innovative and creative solutions for particular insurance needs.
At James River Ins...

At MultiPlan, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all of our stakeholders -- internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champ...

Consultant Claims - CH08CE
We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.
This is a visible and important role within our Complex Claims Unit (CCU) ...

SUMMARY OF JOB PURPOSE AND FUNCTION:
The Claims Specialist, Senior Claims Specialist, and Worker’s Compensation Claims Specialists manage a book of workers’ compensation claims until closure, as assigned by Lead Workers’ Compensation Specialist. Investigates claims to make sure they are work related. Maintains lost time injury and critical claim report database. Acts as a liaison between VCA, ...

Job Description
The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and initiative. WE ARE THE KIND OF EMPLOYER YOU DESERVE. LTCG is a leading provider of business process outsourcing for the insurance industry, managing over 1.3 million ...

LOCATION: Remote
GENERAL STATEMENT OF JOB
The Claims Supervisor administers all accounting functions related to a designated area of physical and behavioral health medical claims processing to ensure providers receive timely and accurate payment. Supervision of claims adjudication through continuous monitoring and quality control measures. Finalize claims processed electronically ...

LOCATION: Remote
GENERAL STATEMENT OF JOB
The Claims Trainer will be responsible for designing, developing and conducting high quality remote training for the Claims Administration Department staff. This position will also document and provide updated and accurate documentation of claims desk level procedures, policies and job aids in accordance with Vaya approved policy and procedures...

Company :
Highmark Inc.
Job Description :
JOB SUMMARY
This job is responsible for screening, reviewing, evaluating online entry, correcting errors and/or performing quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Reviews processed claims and inquiries to determine ...

Trustmark’s mission is to improve wellbeing – for everyone. It is a mission grounded in a belief in equality and born from our caring culture. It is a culture we can only realize by building trust. Trust established by ensuring associates feel respected, valued and heard. At Trustmark, you’ll work collaboratively to transform lives and help people, communities and businesses thrive. Flourish in...

Company
Navitus
About Us
Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encour...

About Our Company
We're a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.
Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, a...

Who You Are:
Join our team as a Claims Assistant, where you will play a pivotal role in supporting our claims processing unit. This position demands a unique blend of autonomy, meticulous attention to detail, and a proactive approach to workload management. We value team members who exhibit a high level of skepticism and curiosity, constantly seeking ways to improve our processes and ensure the...

The Doctors Company is seeking an experienced Claims Specialist for our Region II (Northeast) team. This is a telecommuter position with the preferred location in the Northeastern States.
The Claims Specialist independently and pro-actively manages the medical malpractice claims for assigned members. Monitors and reviews all new claims for designated members and establishes a plan of action to ...

Selected as a Top Workplace in Philadelphia for the past 15 years and headquartered in Montgomeryville, Pennsylvania, MSS has a need for a Claims Associate. This person will be responsible for the investigation, processing, disposition and resolution of customer or mover claims. We are seeking a motivated and high-energy individual who will develop responsive relationships with customers to r...

The Doctors Company is seeking an experienced Claims Specialist for our Region II (Northeast) team. This is a telecommuter position with the preferred location in the Northeastern States.
The Claims Specialist independently and pro-actively manages the medical malpractice claims for assigned members. Monitors and reviews all new claims for designated members and establishes a plan of action to...

Who You Are:
Join our team as a Claims Assistant, where you will play a pivotal role in supporting our claims processing unit. This position demands a unique blend of autonomy, meticulous attention to detail, and a proactive approach to workload management. We value team members who exhibit a high level of skepticism and curiosity, constantly seeking ways to improve our processes and ensure th...

Curative is searching for a claims analyst to review claims for completeness and process per plan guidelines. Carries out all duties while maintaining compliance and confidentiality and promoting the mission of the organization.
ESSENTIAL DUTIES AND RESPONSIBILITIES
* Reviews claims for compliance with plan guidelines and approves or denies payment using established guidelines, policy and...

Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com , then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System two-year institutions will also view open positions and apply within Workday by searching for “Find Jobs for St...