Senior Vice President of Eligibility, Claims - Philadelphia - confidential

Job Summary · The Sr. Claims Examiner is responsible for analyzing, validating, and processing claims to ensure compliance with plan provisions, regulatory requirements, and internal policies. This role focuses on identifying discrepancies, improving accuracy, and supporting oper ...

The Claims Payment Adjuster is responsible for reviewing and accurately processing claims in accordance with plan provisions and internal policies. This role ensures timely and accurate claims payment while providing excellent service to providers and members. · Key Responsibilit ...

The Insurance Eligibility Coordinator is responsible for verifying patient insurance coverage and supporting efficient revenue cycle operations. · Verify patient insurance eligibility and benefits using electronic systems. · Accurate document coverage details. · ...

The Insurance Eligibility Coordinator is responsible for verifying patient insurance coverage, ensuring accurate benefit information, and supporting efficient revenue cycle operations.Verify patient insurance eligibility and benefits using electronic systems, payer portals, and d ...

This position is responsible for responding to customer needs regarding benefit eligibility and other provider issues. The role involves reviewing claims based on provider contractual agreements and claims processing guidelines. · Responds in a timely manner to all customer needs ...

A Healthcare Claims Specialist with strong Medicare claims processing experience is sought to join a growing healthcare organization. · ...

Stop Loss Claims ManagerWe are seeking an experienced and highly organized Stop Loss Claims Manager with a deep background in third-party administration (TPA). · ...

This position involves contacting claimants and /or service providers to request information needed to process claims. The Claims Adjuster will evaluate claims based on documentation received, including responses from claimants and providers. · Evaluate claims in accordance with ...

GoTo Telemed seeks a detail-oriented and compliance-minded Dental Biller to manage comprehensive Revenue Cycle Management (RCM) operations for our internal dental clinics. · ...

GoTo Telemed seeks a detail-oriented and compliance-minded Dental Biller to manage comprehensive Revenue Cycle Management (RCM) operations for our internal dental clinics. · ...

The Brandywine Claim Director 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, · a Brandywine Vice President.Analyze contracts,policies applicable ...

Graham Company seeks an associate claims consultant to join its team. · Act as lead consultant on a book of business while supporting another claims consultant. · Review first reports of loss and consult with senior colleagues on higher-impact cases. · Prepare customized claims s ...

Under the general direction of the Operations Call Center Supervisor, responsible for responding in a timely and professional manner to all customer needs. This includes provider phone calls or correspondence regarding benefit eligibility and other provider issues. · ...

The Training and Capacity Building (TCAP) department of HPC seeks a motivated and detail-oriented candidate with a background or interest in the intersection of public health, community services and clinical care for the role of Referral and Claims Navigator. · ...

This role is the head of North America auto, property, and casualty claims for Personal Risk Services (PRS) reporting to the Head of NA Claims and the President of PRS. · ...

The Brandywine Claim Director 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. · ResponsibilitiesAnal ...

Graham Company is seeking a Claims Consultant to join their team. The role involves reviewing first reports of loss, consulting with clients and carriers, and providing customer service throughout the claims process. · Act as lead consultant on a book of business · Review first r ...

This is an individual contributor role within our Major & Specialty Claims Team. · Investigate and settle first and third-party marine claims (personal and commercial). The position requires strong negotiation and customer service skills, including the ability to handle high prof ...

Graham Company is an insurance brokerage and consulting firm committed to creating a healthy, safe, · and prosperous tomorrow. · Manage and grow all aspects of the client relationships on claims matters. · ...

The Senior Coverage Director depending in the Coverage and Complex Claim Department will have responsibility for management of an inventory of casualty claims with complex coverage issues, · Long Tail Exposure (LTE) claims which are claims occurring over multiple policy periods a ...