Claims and Policy Processor Jobs

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1000+ Claims and Policy Processor jobs found on Monster.

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Come join the hardest working, not-for-profit health plan in California and help deliver our mission to ensure all Californians have access to high-quality health care at an affordable price. Blue Shield of California was founded in 1939 by a group of physicians who believed that everyone should be able to afford a visit to their doctor. More than 70 years later, Blue Shield now serves 3.3 million...
E&Y
United States We currently are seeking a highly motivated Senior to support client engagement teams, work with a wide variety of clients to deliver professional services, and lead business development activities on strategic and global priority accounts. Ernst & Young's Financial Services Office (FSO) is a uniquely industry-focused business unit that provides a broad range of integrated services...
Digital Operations / Guidewire Consultant for Guidewire Policy, Claims and Billing Suite - Strategy and Analytics (S&A) Job ID GBS-0681264 Job type Full-time Regular Work country USA Position type Professional Work city - Any Posted 01-Aug-2014 Travel Up to 4 days a week (home on weekends-based on project requirements) Job area Consulting & Services Business group Global Business Services Job...
Work with agents to process new insurance policies and make changes to existing insurance policies. Provide customer service on the phone and in person in order to obtain information to complete requests. Process, prepare and submit forms to the appropriate carriers. Process and record new insurance policies and claims. Organize and work with detailed office records, maintain files for each pol...
About us The Boon Group is a third party administrator with 30+ years of experience in providing employee benefits, insurance products and services to government contractors and commercial businesses. We have evolved into a national enterprise, becoming the industry leader in providing affordable benefit solutions as well as worksite wellness programs and occupational health services, which are p...
Deutsche Bank New York, NY, 10007
A Passion to Perform. It’s what drives us. More than a claim, this describes the way we do business. We’re committed to being the best financial services provider in the world, balancing passion with precision to deliver superior solutions for our clients. This is made possible by our people: agile minds, able to see beyond the obvious and act effectively in an ever-changing global business landsc...
LIFE Pittsburgh is a community-based alternative to nursing home care. We assist older adults in maintaining quality, dignity and autonomy in their lives by supporting the family unit within the context of a holistic and faith-based approach to medical and social services. LIFE Pittsburgh provides guidance for older adults who wish to remain in their own home, but who have health problems that pr...
This person will be responsible to ensure all warranty claims are properly submitted and dispositioned in a timely manner. Section B – Key Responsibilities · Manual review and validation of claims submitted by the dealer network. Remote coaching of dealer network on high warranty cost areas, via manual review and validation of requests for repairs by the dealer network. · Review warranty docume...
Claims - Healthcare medical process improvement team Review the claims lifecycle and identify way to improve and capture exceptions Participates with a team, or individually to develop or modify business requirements and functional specifications for business and software application and technology projects, including Business Requirements Documents (BRDs) and Functional Requirements Documents (...
PayerFusion Miami, FL, 33196
About Us: We are a service-based company and as a licensed third party administrator, we are seeking only top talent and experienced personnel in order to meet and exceed our client's expectations. We’re an innovative company creating a unique experience for healthcare professionals. While many industry-wide solutions exist, nothing comes close to our ground-breaking approach. Responsibilities: ...
Molina Healthcare Long Beach, CA, 90802
Job Summary Perform daily audits on processed claims to ensure payment accuracy. Compile and report audit findings. Essential Functions • Collects claims sample data from system to perform audits. • Evaluates the adjudication of Medicaid claims using standard principles and state specific policies and regulations in order to identify incorrect coding, abuse and fraudulent billing practices, wast...
Wellcare Health Plans Inc Tampa, FL
Claims Coding Specialist - CPC Preferred/Claims Processing Exp Required - 1407573 About WellCare: WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in Tampa, Fla., WellCare offers a variety of health plans for families, children, and the aged, blind and disabled, as well as prescriptio...
Ctlin Scottsdale has a job opening for Claims Processing Analyst, Shared Services. Job Summary: Applicants must be highly organized and adaptable, possessing the ability to handle multiple duties within established deadlines. Additionally, candidate requires strong analytical and critical thinking skills, consistently demonstrate dependability, have above average computer skills and be able to w...
Claims Resolution Processor Processes claims and develop for missing information in accordance with regulations and guidelines with particular expertise in the area of all specialty claims. · Analyze claims to determine if eligibility requirements are met and make complex eligibility determinations · Analyze claims to determine if all claim filing requirements have been met · Add development i...
Description: Position Description: Working in Operations at UnitedHealth Group is one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. The Associate Employee Installation Specialist will be respo...
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...
Introduction Bell & Clements Inc.is an innovative and well respected Insurance organization which commenced operation in the US in July 2002. With headquarters in Reston, VA, we specialize in providing US Managing General Agents (“MGAs”) with a comprehensive service for surplus lines business. With the Group’s London affiliate, Bell & Clements Ltd., we are acknowledged market leaders in arrangin...
*Position can be hired at a higher level depending on the experience of the selected candidate JOB SUMMARY: Investigates, evaluates, negotiates and brings to a final resolution personal lines material/physical damage of a moderate to severe nature. Promotes and provides ""On Your Side"" customer service. Responsible for the handling of claims in accordance with prescribed authorization and claims...
Description Voted one of the World's Leading Top 100 Companies by Forbes magazine Do you have a passion for helping others? Have an eye for detail? Do you have strong organizational and time management skills? Are you looking to accelerate your career at a renowned company? Allstate Insurance Company has an exceptional career opportunity for an Inside Auto Liability Claim Trainee in Overland Pa...
Kemper at a glance Kemper Corporation, with $8 billion in assets, is one of the nation's leading insurers. The Kemper family of companies specializes in property and casualty insurance and life and health insurance products for individuals, families and small businesses. Rated A- (Excellent) by A.M. Best Company, the leading insurance industry rating authority, Kemper ranks in the top 25 persona...

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Business Career Tools

Claims/Policy Processing Clerk

Salaries

$20,000.00 - $38,000.00
Typical Salary for Claims/Policy Processing Clerk
(47 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Some College Coursework Completed
41.3%
Associates
21.7%
Bachelor's
21.7%
High School
10.9%
Master's
4.3%
(46 Respondents)
Source: Monster.com Careerbenchmarking Tool

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