Claims and Policy Processor Jobs

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17 Claims and Policy Processor jobs found on Monster.

Jobs 1 to 17 of 17
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 infor...
Required Skills -Processes payment or denial of all types of claims, professional, hospital and specialty, using the designated claims processing system in accordance with company policies and procedures in a timely manner that meets or exceeds productivity and quality goals Preferred Skills Healthcare Industry/Medicaid Industry DESCRIPTION For a quick response please send your resume directly at...
Required Skills - Handling Office Equipments - Processing Documents - HIPAA DESCRIPTION • The Claims Processor works both independently and in conjunction with network personnel to adjudicate claims and respond to inquiries in an accurate and courteous manner Responsibilities: • Processes payment or denial of all types of claims, professional, hospital and specialty, using the designated claims pr...
Required Skills -Processes payment or denial of all types of claims, professional, hospital and specialty, using the designated claims processing system in accordance with company policies and procedures in a timely manner that meets or exceeds productivity and quality goals Preferred Skills Healthcare Industry DESCRIPTION For a quick response please send your resume directly at mohamedirfan.khan@...
Required Skills •Processes payment or denial of all types of claims, professional, hospital and specialty, using the designated claims processing system in accordance with company policies and procedures in a timely manner that meets or exceeds productivity and quality goals. DESCRIPTION For a quick response please send your resume directly at ***** •The Claims Processor...
Randstad National Recruiting is seeking skilled healthcare professionals for openings with a client in Wilmington, DE. Positions will involve: 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...
Job Description • A Claims Adjuster represents those who have sustained an insured loss. Organization handles every detail of the claim, working closely with the insured to provide the most equitable and prompt settlement possible. Claims adjuster inspects the loss site immediately, analyzes damages, assembles claim support data, reviews the insureds coverage, determines current replacement costs...
THE COMPANY Since its founding in 1945 by Earnest S. Wheaton, one thing has always come first at Wheaton World Wide Moving - the customer. The customer-first philosophy is the cornerstone of Wheaton's success as its employees take great pride in ensuring that each customer moved has a positive relocation experience. As such, Wheaton seeks to employ individuals who support and share its customer-fo...
Position Description AIG Life and Retirement has been serving clients for over 50 years and maintains it competitive posture with one of the most efficient operating models in the industry – responding to continually changing market needs with flexible, competitively priced products. Our Amarillo Annuity Service Center remains focused on what really matters, – caring for our customers and helping...
Required Skills Insurance claims, claims processor, Audit claims, HIPPA, denial, medical, medicaid, healthcare, insurance, health, claims Preferred Skills Insurance claims, claims processor, Audit claims, HIPPA, denial, medical, medicaid, healthcare, insurance, health, claimsInsurance claims, claims processor, Audit claims, HIPPA, denial, medical, medicaid, healthcare, insurance, health, claimsIns...
Reviews, evaluates and processes claims and makes recommendations for resolution. Has contact with agents, claimants, and policy holders. May require a bachelor's degree or its equivalent and 5 years of experience in the field or in a related area. Familiar with standard concepts, practices, and procedures within a particular field. Relies on experience and judgment to plan and accomplish goals. P...
The Claims Processor works both independently and in conjunction with network personnel to adjudicate claims and respond to inquiries in an accurate and courteous manner. Responsibilities: •Processes payment or denial of all types of claims, professional, hospital and specialty, using the designated claims processing system in accordance with company policies and procedures in a timely manner that...
Indianapolis, 46203
Job Description: The Claims Processor works both independently and in conjunction with network personnel to adjudicate claims and respond to inquiries in an accurate and courteous manner. Processes payment or denial of all types of claims, professional, hospital and specialty, using the designated claims processing system in accordance with company policies and procedures in a timely manner that m...
Manager, Clinical Pharmacy Services OmedaRx Portland, OR -or- Seattle,WA Primary Job Purpose: Directs, organizes, manages and oversees clinical pharmacy activities and service. These activities include services pertaining to: evidence reviews of medications; formulary development, Pharmacy and Therapeutics Committee support, medication use policy development, Medication Policy Group, prior authori...
Required Skills •Experienced working in a call center environment •Experience with claim Processing DESCRIPTION Claims Processors: • The Claims Processor works both independently and in conjunction with network personnel to adjudicate claims • Respond to inquiries in an accurate and courteous manner. Responsibilities: • Processes payment or denial of all types of claims, professional, hospital and...
Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, inclu...
POSITION DESCRIPTION Job Title: Controller Reports To: President Location: Las Vegas, NV Company Description: Founded in 1986, National Home Warranty has been consistently providing its policy holders with a way to mitigate the cost and inconvenience of unforeseen home repairs for over two decades. The Company sells one-year service contracts to homeowners and landlords covering repairs to electri...
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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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