Claims Processor Jobs in USA

SummaryResponsible for the accurate and timely processing of claims.DescriptionLogistics: PGBA - one of BlueCross BlueShields South Carolina subsidiary companiesLocation: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled...

Company DetailsPreferred Employers Insurance A Berkley Company specializes in providing workers compensation insurance to California business owners. The company serves three major Client Segments: Small Business Mid-Larger Businesses and Programs (Groups & Association Members). The companys distrib...

Our CompanyStepStone Family & Youth ServicesOverviewWe are looking for a Case Manager to enhance the quality of patient management maximize satisfaction and promote cost effectiveness. The successful candidate will be accountable for the case management cycle.ResponsibilitiesEngage in recruitment an...

Primary Duties:ï Receive analyze and process assigned claims by product (medical dental vision FSA or HRA) andgroup. Ensure accurate processing based on benefit plan design and/or regulations.ï Evaluate underpayments resolve non-payments and rejected claims. Follow through until theclaim is complete...

Job Description SummaryEntityMedical University Hospital Authority (MUHA)Worker TypeEmployeeWorker Sub-TypeRegularCost CenterCC002349 CHSCorp - Precertification UnitPay Rate TypeHourlyPay GradeHealth-20Scheduled Weekly Hours40Work ShiftJob DescriptionDetermine covered medical insurance benefits in a...

DepartmentGuest ServicesEmployment TypeSeasonal - Full TimeLocationAnchorage Transportation and Guest ServicesWorkplace typeOnsite Responsibilities Requirements Benefits About Holland America/Princess Alaska-Yukon Land Operations Were a coll...

DepartmentGuest ServicesEmployment TypeSeasonal - Full TimeLocationAnchorage Transportation and Guest ServicesWorkplace typeOnsite Responsibilities Requirements Benefits About Holland America/Princess Alaska-Yukon Land Operations Were a coll...

POSITION OVERVIEWThe Accounts Payable Specialist I is responsible for the accurate and timely processing of all RWC Group payables ensuring all charges are authorized and coded correctly within the proper time period. This includes matching invoices with the appropriate purchase order and receiving...

Process Executive - Remote Contract - 6months Job Description: This position requires individuals to perform the following duties and work as part of a team: This position is for a Inbound Provider & Member services representative With the goal of first call resolution the CSR Agent will address...

DescriptionThe Brandywine Senior Direct Claim Handler is responsible for all aspects of claim handling on a book of complex asbestos long term exposure and environmental claims from first notice through resolution with guidance from and reporting to a Brandywine Vice President.Analyze contracts poli...

Job DescriptionAbout the Role:Our client a leading national insurance carrier is seeking an experienced Workers Compensation Claims Adjuster to join their claims team. This individual will be responsible for managing a caseload of complex workers compensation claims from initial filing through resol...

Description of Position:The Product Management Senior Advisor is responsible for supporting Claim and Adjustment data that is provided to our clients. To help educate clients on methods of delivery interpreting the data and best practices for using the data within their systems. The position will al...

About HUBJoin our Stevie Award Winning Team at HUB International!When you join the team at HUB International you become part of the largest privately owned global insurance broker providing a broad array of property casualty risk management life and health employee benefits investment and wealth man...

Who We AreAt Corebridge Financial we believe action is everything. Thats why every day we partner with financial professionals and institutions to make it possible for more people to take action in their financial lives for today and tomorrow.We align to a set of Values that are the core pillars tha...

Wintrust Mortgage was founded in 1981 to help customers achieve the American dream of homeownership and has since successfully navigated the ever-changing real estate market. As a full-service federally chartered lender with offices located across the country were dedicated to providing customers wi...

The Accounts Receivable Collections Specialist will oversee all A/R collections activities across multiple FEINs. This includes monitoring receivables running aging reports following up on collections and conducting audits. The role requires a strong understanding of Medicaid NAMI and private pay bi...

Mail Room Admin /Facility Mgt & Services needs 2 years of experience Office Administrator/Facility Mgt & Services requires: Mail room experienceOffice equipmentFacility adminNeeds experience in handling a wide range of administrative and executive support related tasks and able to work independent...

SummaryReviews and adjudicates complex or specialty claims. Determines whether to return deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members.DescriptionPosition PurposeReviews and adjudicates complex or specialty claims. Determine...

Responsibilities:Investigate reported claims to determine their validity.Coordinate cycle counts as required in researching the claim.Manage all documentation and submissions related to each claim.Proactively follow up on claims and maintain consistent communication with each brands customer service...

Site: Mass General Brigham Health Plan Holding Company Inc.Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and com...