Claims Jobs in San José

#Jobs Job scheduleFull time in office while training 24 weeks. Once trained the schedule will revert to the hybrid model/ Tues/Wed/Thurs in office after training Job hours7:30am CST4:00pm CST Interview processone and done Job Title: Claims Assistant Summary: The main function of a More...

PRIMARY PURPOSE: To analyze complex or technically difficult workers compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations industry best practices a More...

#jobs Summary: The main function of a Claims Adjuster is to investigate analyze and determine the extent to which an insurance company is liable and to determine how much compensation is needed/required. 5 years Claims Adjuster Workers Compensation experience handling Californi More...

Security Comments: The following screenings must be met by all contract labor resources at PharMerica and need to be ran through HireRight: Select from Packages 14 1) Candidates must pass an 8 Panel Drug Screen and a 7 Year County/Federal Background Check. They no longer test for Mari More...

Hello All Hope you are doing great Please go through the job description and let me know your interest. Role: QA Automation Engineer with Pega Testing & EDI Claims Experience Location: Remote Duration: Fulltime Job Description: Skills: EDI Claims Pega testing Collaborate with QA and More...

7 years of Life insurance BA experience preferred (Only Life Insurance experience will work P&C Motor General Insurance will not work) Strong life/health claims domain expertise. Experience in Medical Supplemental claims is a plus Gathering and documenting requirements in JIRA/other More...

Title: Data analyst Position: ContractWork Location: Remote Description:Position background:What does this position accomplish for the business Coding and data analysis for high priority valuebased care projectsDescribe the team: There are 4 other team members consisting of anal More...

Role: Project Manager with Payer/ Medicaid/Medicare/ Provider/claims/Benefits Location: 100% Remote Duration: Contract Job Description: Must Haves: A minimum 5 years of experience in a Project Management role 7 for a Project Manager Senior A minimum 3 years of experience in t More...

Role: QNXT Tester Location: Remote Duration: Contract Job Description: Need Strong Tester in Healthcare experience. Must have Skills: QNXT Medicaid/Medicare Enrollment/Claims/Provider/Billing/Finance.

Role: Healthcare QA Location: 100% Remote Duration: Contract/C2C/W2 Job Description: Must have Skills: QNXT Medicare/Medicaid Jira Skills: Enrollment Claims Billing Service provider

Duties Under the direction of the Medical Record Review Ops Manager the HEDIS Retrieval Coordinator is responsible for: Will participate in and provide guidance and support for the development and maintenance of the HEDIS Medical Record Review platform(s) to support all plans. R More...

Senior Product Owner (Direct Hire Remote) We are looking for a Senior Product Owner to join our client’s product team. You will help support sales and production by gathering feature requests prioritizing tasks organizing sprints and scheduling releases. This role also involve More...

Job Description: Insurance Agent at Primerica Job Responsibilities: Serve as a trusted advisor to clients by providing them with insurance solutions tailored to their needs Generate leads and cultivate relationships to increase client base Educate customers on various insurance More...

DEPARTMENT DESCRIPTIONSamaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health More...

Bachelors degree in computer science Information Technology or a related field. Masters degree preferred. Minimum of 6 years of handson experience in test automation with a focus on TOSCA toolset and insurance domain expertise. Strong proficiency in designing and implementing test au More...

POSITION Sr Business Systems Analyst LOCATION Remote EST hours DURATION Temp 6 Months INTERVIEW TYPE Video VISA RESTRICTIONS Only GC or Citizens REQUIRED SKILLS Healthcare claims and claimsbased platforms Previous cloud migration project experience More...

Duties: Essential FunctionsDesigns codes tests debugs documents and maintains those programs.Manages projects in all aspects of information systems lifecycle (info planning business requirements definition implementation productions support). Communicates and manages project scope.Coo More...

Description: 1. Collects enters processes sorts and tabulates information according to departmental process and procedure. At higher classification levels processes involve a wide range of procedures research decision making and discretion. 2. Answers telephones takes and relays mess More...

Role: NetworX Pricer Configuration Analyst Location: 100% Remote Duration: Long Term Contract Job Description: Responsibilities Commercial line of business implementation building out rate sheets in Pricer Actively using standard pricing methodologies Solutioning detail level More...

Duties: Song deliveries. Send confirmed writer splits with corresponding release information to be properly registered in the UMPG system societies etc. Maintain writer MDRC sheets; adding newly delivered songs helping to keep the sheet live with new & pending releases. Track the foll More...