Claims and Policy Processor Jobs

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Company Confidential
Insurance company seeking GA based LT & MO Adjuster to be based out of Augusta. This position will handle all GA and North FL claims. Experience required. Email resume immediately to *****....

Company Confidential
Insurance company seeking GA based LT & MO Adjuster to be based out of Albany. This position will handle all GA and North FL claims. Experience required. Email resume immediately to *****....

At Great American, we focus on building relationships and linking people to various career paths. Whether it’s underwriting, claims, accounting, IT, legal or customer service, Great American Insurance Group combines a “small company” entrepreneurial atmosphere with “big company” expertise. Great American has more than 30 specialty insurance divisions within our Property & Casualty Group, and our A...

Description: At Optum, we believe the technology we create helps to change lives. When you join us as a Training Consultant, you will have the opportunity to be a part of that change. You will work alongside our brilliant teams who are focused on solutions to meet a wide range of health consumer needs. We need world-class educational architect / trainers, like you, to help us build our next gener...

PharMerica Corporation is a premier institutional pharmacy services provider, dedicated to providing quality patient care and innovative pharmacy solutions to institutional customers and patients in long-term care settings. With nearly $2 billion in annual revenues, PharMerica is the second largest institutional pharmacy company in America. PharMerica operates more than 100 institutional pharmacie...

Job Title: Third Party Systems Claims Processing Coordinator Department: Third Party Systems – Managed Healthcare Third Party Systems Job Responsibility: · Handles a variety of complex duties related to auditing Third Party claims via POS and compliance related system functionality thru our Vendor processing system. · Initiate and identify new ways to maximize margin via editing and special re...

Job ID: 216 Position Description: One of the foremost public policy research organizations in the United States, Mathematica is leading the way in conducting high-quality evaluations of government programs for federal agencies, including the Centers for Medicare & Medicaid Services (CMS). We are seeking an experienced research SAS or Stata programming professional to process and analyze public ...

Job ID: 213 Position Description: One of the foremost public policy research organizations in the United States, Mathematica Policy Research is leading the way in conducting high-quality evaluations of government programs for Federal agencies, including the Centers for Medicare & Medicaid Services (CMS). We are seeking an experienced research SAS or Stata programming professional to process and...

Description Position Objective: This position is responsible for providing customer service that supports Berkshire’s and our Customer’s standards for quality for all products administered by Berkshire and Guardian. In addition the position is accountable for the analysis and processing of certain Disability Insurance requests, policy changes, billing and administration of all in-force disabilit...

Job Description Description Position Objective: Thisposition is responsible for providing customer service that supportsBerkshire’s and our Customer’s standards for quality for all productsadministered by Berkshire and Guardian. In addition the position is accountablefor the analysis and processing of certain Disability Insurance requests,policy changes, billing and administration of all in-for...

Description McKesson is in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. McKesson Health Solutionsdelivers industry-leading clinical evidence and expert technology to help payers and providers collaborate for better healthcare outcomes at lower costs. Our solutions reduce unnecessary healthcare utilization while improving outcomes; opera...

Job Description Description PositionObjective: Thisposition is responsible for providing customer service that supportsBerkshire’s and our Customer’s standards for quality for all productsadministered by Berkshire and Guardian. In addition the position is accountablefor the analysis and processing of certain Disability Insurance requests, policychanges, billing and administration of all in-forc...

PNO Claims Payment Policy Consultant Requisition ID 137626 Business Overview Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportun...

Policy Services Rep I (CT, RI, ME, NH, VT) Location:​ Webster, MA Job Summary This position may be filled at a higher level commensurate with skill and experience. Daily responsibilities include the screening, coding and input of all new business, renewal, endorsement and cancellation transactions within departmental standards. Basic analysis is performed to assure the issuance system entry re...

Job Description Description Responsibilities: This position is responsible for providing excellent customer service that supports Berkshire’s and our customer’s standards for quality for all products administered by Berkshire and Guardian. Creates the customer experience that builds loyalty and persistency by presenting our customer with high-quality tangible value-added services through a foc...

Description Responsibilities: This position is responsible for providing excellent customer service that supports Berkshire’s and our customer’s standards for quality for all products administered by Berkshire and Guardian. Creates the customer experience that builds loyalty and persistency by presenting our customer with high-quality tangible value-added services through a focus on attitude an...

Position: Global Process Technology, Senior R&D Process Engineer Location: World Headquarters -Easton, PA Reports to: Manager, Global Process Technology **FULL RELOCATION ASSISTANCE IS OFFERED FOR THIS POSITION*** Scope: Lead Research and Development activities to evaluate current and future manufacturing processes and materials and/or performance improvement projects for optimization. Duties ...

Duties: Examines and processes paper claims and/or electronic claims. Determines whether to return, pend, deny or pay claims within policies. Determines steps necessary for adjudication. Follows established departmental policies and procedures, operating memos and corporate policies to resolve claims and claims issues. Settles claims with claimants in accordance with policy provisions. Compares c...

Claims Processor Competitive Salary and Benefit Package Peak PACE Solutions, a growing health plan management services company located in Webster Grove, MO is seeking a full-time, highly motivated, focused claims processor. Candidate should possess knowledge of ICD- 9 and CPT codes, have previous health insurance claims processing or medical billing experience, strong communication and excellent...

Description: Position Description: Energize your career with one of health care's fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading healt...