Operations Specialist Senior, Claims - Minneapolis

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. · This role involves reviewing claim forms, eligibility, medical information and vocational information to determine if Short Term Di ...

Under limited supervision, reviews claims and discharge documents/reports per department procedures and regulatory requirements. · ...

We are seeking a Senior Claims Analyst to join our team at Players Health. The ideal candidate will have 3+ years of experience in commercial insurance and underwriting support. · The role will involve maintaining oversight of commercial claims, performing audits and QC checkpoin ...

We are seeking a Data Engineer to support health plan enrollment and claims data routing initiatives.This role focuses on extracting and routing data from Databricks environments while building tools and workflows that improve enrollment and claims processing. · ...

+ Job summary · We are seeking a Senior Claims Analyst to join our team at Players Health. The ideal candidate will have 3+ years of experience in commercial insurance and underwriting support. · + Competitive compensation package including Medical, Dental, Vision, STD, LTD and 4 ...

Description · HealthPartners is hiring a Claims Senior Manager. This position is accountable for managing the daily operations and personnel for Claims all activities necessary for timely, accurate and efficient processing of all products. This includes the administration of Coor ...

The Senior Claims Adjudicator position performs advanced professional and specialized program support work for the Paid Leave division. · Two (2) years* experience processing claims and/or appeals with one (1) of those years involving training, mentoring and/or coaching a team. · ...

+Job summaryAbout Paid Leave Division: Paid Leave is a new program launched January 1st. The program provides partial wage replacement to Minnesota workers out of work due to health condition or care of family member/new child. · +Two years experience processing claims/appeals wi ...

The Paid Leave team has high standards and an unrelenting commitment to serving Minnesotans. · ...

Close collaboration with the Reinsurance Broking Team is essential to providing best-in-class experience in the reinsurance industry. Working within our Client Services Team, the focus is on supporting clients and serving as their dedicated Advocate. · ...

This position is accountable for managing the daily operations and personnel for Claims all activities necessary for timely, accurate and efficient processing of all products. · ...

+We're hiring a Claims Senior Manager at HealthPartners. This role oversees daily operations and personnel for claims processing. · +Manage staff supervision · +Lead day-to-day activities of claims department · +Analyze data to recommend changes in claim programs · +<valid_job ...

We are seeking a Senior Claims Advocate to join our Reinsurance Broking Team. In this role, you will work closely with clients to provide best-in-class experience in the reinsurance industry. · In this role, you will assist our clients with all aspects of timely reporting of prop ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safe ...

Reviews and adjudicates complex claims in accordance with plan processing guidelines. Acts as a subject matter expert by providing training or responding to issues. · Handles customer service inquiries · ...

We are seeking a Senior Workers Compensation Claims Representative to join our team.The individual in this role will have the opportunity to investigate evaluate negotiate and resolve Workers Compensation insurance claims assigned. · ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safe ...

Western National Insurance Group is seeking a Senior Workers Compensation Claims Representative to join our team. · Investigates evaluates negotiates and resolves multi line insurance claims as assigned. · Handles moderate to high complexity claims within settlement authority. · ...

Description · HealthPartners is hiring a Senior Claims Trainer and Technical Specialist. The Senior Claims Trainer and Technical Specialist will play a key support role for the Commercial Service Center by partnering with operational leaders, examiners, and technical teams. This ...

Description · HealthPartners is hiring a Senior Claims Trainer and Technical Specialist to join our Riverview Claims Department. The Senior Claims Trainer and Technical Specialist helps operations by assisting leaders and peers in examining workflows, identifying opportunities fo ...