Claims - Claims Examiner - Remote

Point C is looking for a detail-oriented and motivated Claims Examiner to join our team. In this role, you'll be responsible for accurately processing medical claims while ensuring compliance with plan documents, policies, and industry regulations. · ...

We are transforming senior care by providing an all-inclusive healthcare option. · Ensuring timely and efficient processing of claims for our contracted specialty provider partners. · ...

We are seeking a Claims Examiner who is excited to be part of a growing team where renters claims experience is highly valued. · ...

The Claims Examiner II is an intermediate level position responsible for the timely review, investigation and adjudication of all types of Medicaid, Medicare, group and individual medical, dental mental health claims. · ...

This position interacts routinely with the Actuarial department, Legal department, service personnel at third party administrators, outside vendors, and claimants. · Process incontestable life and annuity claims for payment or denial · Process non-financial tasks associated with ...

The Sr Claims Examiner I handles death claims with moderate complexity and is responsible for processing claims within Life, Annuity, RPS or a combination of the three. · Review and adjudicate standard and moderately complex life and annuity claims in compliance with policies and ...

This role involves examining travel claims and providing customer service as a representative of One80 Intermediaries. · ...

We're seeking a detail-oriented Claims Examiner II to join a progressive Claims Third-Party Administrator (TPA) serving the PACE (Program of All-Inclusive Care for the Elderly) market. · ...

We are seeking a Claims Auditor who will be responsible for conducting pre-payment, post-payment and claims adjudication audits across multiple employer groups and product lines. The role plays a key part in maintaining the integrity of our claims operations by supporting all asp ...

We are seeking a highly motivated Claims Advocate to serve as a trusted partner to clients throughout the workers' compensation claims process. · Manage relationships with external workers' compensation claims administrators, including insurance partners and Third-Party Administr ...

+Job summary · We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. · +Oversight and management of ...

The Medical Biller will gather charge information, code, enter into data base complete billing process and distribute billing information. · Key Responsibilities include:Researching all information needed to complete the billing process. · Coding information about procedures perf ...

We exist for workers and their employers -- who are the backbone of our economy. · We need someone to manage file requirements from beginning to end for subrogation cases and overpayment recoveries with third-party vendors. · ...

We exist for workers and their employers -- who are the backbone of our economy. · Centivo comes in -- our mission is to bring affordable, high-quality healthcare to millions who struggle to pay their healthcare bills. · ...

A senior disability hearing attorney should possess a comprehensive blend of legal expertise, practical experience, interpersonal skills, and personal qualities to effectively represent clients and navigate the complexities of Social Security Disability law. · ...

A disability hearing attorney should possess legal expertise and interpersonal skills to represent clients in Social Security Disability law. · ...

A senior disability hearing attorney should possess legal expertise practical experience interpersonal skills and personal qualities to represent clients navigate the complexities of Social Security Disability law. · Representing clients in appeals hearings before administrative ...

The Project Manager 2 contributes to the organization and operation of the State of Rhode Island's Office of Data, Analytics and Evaluation (ODAE) including its work with Medicaid Ecosystem and All-Payer Claims Database data systems. · ...

As a Regulatory Compliance Analyst for Hagerty you will play an integral role in ensuring that Hagerty promotes an organizational culture that encourages ethical business conduct and a commitment to compliance with the law resulting in a positive image to associates customers ven ...

We are seeking a Royalty Auditor to join our team. · Adeptus is an independent, full-service accounting and advisory firm specializing in accounting and consulting services for businesses and individuals. Join a rapidly growing organization with a strategic vision and dynamic pla ...

The Clinical Auditor I performs detailed medical record audit review and analysis of the health plan's outpatient, professional and ancillary claims to ensure that all reimbursement to the provider is paid accurately and ensuring adherence to regulations, internal policies and be ...