Supervisor Medical Claims Support - Portland, OR

Dental Claims Support I provides backup to support leads including training of staff. · Investigates complex file reviews and processes complex claims adjustments and Coordination of Benefits (COB) claims, · Investigates COB claims in a timely manner. · ...

· Let's do great things, together · About Moda · Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, ...

We are seeking a Medical Claims Support Specialist to join our team at Moda Health. As a key member of our claims department, you will be responsible for investigating and processing claim adjustments for all medical lines of business. · ...

· Let's do great things, together · About Moda · Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, ...

This is a FT WFH position providing supervision coaching and support to Claim Support staff establishing goals procedures and provide direction to ensure prompt and accurate support services ensures department reports are prepared and quality assurance conducted. · ...

Investigates and processes claim adjustments for all medical lines of business.Fulfills various tasks including COB updates file reviews payment offsets stop payment requests customer service inquiries regarding contractual policies Medical Dental Vision Pharmacy Life & Disabilit ...

Provides supervision coaching and support to Claim Support staff establishes goals procedures and provides direction to ensure prompt accurate support services ensures department reports are prepared quality assurance conducted This is a FT WFH position. · ...

Investigates and processes claim adjustments for all medical lines of business and COB claim adjustments for Medicare/Medicaid plans. Also processes adjustments related to overpayment recovery, underpayment adjustments and other corrections. · ...

+Provides backup to support leads including training of staff and investigates complex file reviews and processes claims. · + · +Investigates complex file reviews and processes claims adjustments and Coordination of Benefits (COB) claims.Sends custody, primary payment, refund req ...

We are seeking a Senior Claims Processor to support our client's benefits organization. · Process medical and/or dental claims across the full lifecycle. · Audit claims processed by other team members. · ...

Our client is seeking a Senior Claims Processor to support a long‑standing benefits organization. · ...

We are seeking an experienced Senior Claims Processor to join our U.S. Benefits team. · This role is critical for claims processing, auditing, adjudication logic, and long-term knowledge transfer. · Ideal candidates bring deep experience in medical and/or dental claims and thrive ...

Our client is seeking a Senior Claims Processor to support a long‑standing benefits organization. · ...

The Claims Manager provides expert advocacy and consulting services for Commercial and Personal Lines clients. · • Serve as the primary advocate and intermediary between clients and insurance carriers to ensure fair and efficient claims outcomes.• Conduct thorough coverage analys ...

Our client, a long‑standing and reputable benefits organization, · is seeking an experienced Senior Claims Processor to join their U.S. · Benefits team. · ...

We're looking for passionate individuals to be part of our dynamic team who can help us create safer workplaces and support employees during their times of need. · The Senior Claim Representative investigates and settles claims promptly, equitably and within established best prac ...

Senior Claims Adjuster Workers Compensation role at Gallagher Bassett involves helping clients navigate complexity, support recovery and deliver outcomes that make a real difference in people's lives. We help businesses and individuals move forward with confidence. · The ideal ca ...

The Assistant General Counsel role oversees the organization's captive insurance program's litigation and claims management program providing strategic support direction development implementation and maintenance to the system-wide corporate risk management program. · Recruit and ...

The Claims Specialist manages workers' compensation claims within company best practices to the best possible outcome. This is a remote position. · ...

We help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people's lives. We're a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. · Apply c ...