Claims Advisor Jobs

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1000+ Claims Advisor jobs found on Monster.

Jobs 1 to 20 of 2210
Marsh & McLennan Companies, Inc. Dallas, TX, 75201
As a global leader in insurance broking and risk management, Marsh helps our clients succeed by defining, designing, and delivering innovative, industry-specific solutions that help them effectively manage risk. We have 27,000 employees worldwide, operations in more than 130 countries, and annual revenue of approximately $5.4 billion, along with comprehensive global expertise that spans 26 industr...
Description Claims Specialist/Sr Claims Specialist The Claims Specialist is responsible for working with internal/external customers on the receipt, analysis, impact, resolution and posting/reporting of all contractual payments across multiple customer segments including Health Plans, PBMs, Part D, GPOs, Wholesalers, and State and Federal Government as well as maintaining all related documentati...
Description The World Trade Center Health Program has an opportunity for a Medical Advisor/ Claims Auditor. The Medical Advisor/Claims Auditor will be responsible for conducting audits of medical claims and records, health certifications, billings for specific medical services and procedures and other areas where the WTC Health Program requires tracking and validation. This position is also respo...
Claims Specialist/Sr Claims Specialist The Claims Specialist is responsible for working with internal/external customers on the receipt, analysis, impact, resolution and posting/reporting of all contractual payments across multiple customer segments including Health Plans, PBMs, Part D, GPOs, Wholesalers, and State and Federal Government as well as maintaining all related documentation for those ...
ValueOptions Latham, NY, 12110
ABOUT OUR COMPANY ValueOptions® is a health improvement company that serves more than 32 million individuals. On behalf of employers, health plans and government agencies, we manage innovative programs and solutions that directly address the challenges our health care system faces today. A national leader in the fields of mental and emotional wellbeing, recovery and resilience, employee assistanc...
Job Category: Project Management Clinical Licensure Required : N/A Job Type: Full Time Position Summary: Coding Advisor acts in a consultative role/SME as support to Sr. Analysts and Benefit Relationship Managers. This position will report in to the COE Coding Leader. *Assist CST’s to develop the necessary thought process and network to be effective in their roles as the highest level of respo...
CVS Caremark Irving, TX, 75061
Job Category: Project Management Clinical Licensure Required : N/A Job Type: Full Time Position Summary: Coding Advisor acts in a consultative role/SME as support to Sr. Analysts and Benefit Relationship Managers. This position will report in to the COE Coding Leader. *Assist CST’s to develop the necessary thought process and network to be effective in their roles as the highest level of respo...
CVS Caremark Northbrook, IL
Job Category: Project Management Clinical Licensure Required : N/A Job Type: Full Time Position Summary: Coding Advisor acts in a consultative role/SME as support to Sr. Analysts and Benefit Relationship Managers. This position will report in to the COE Coding Leader. *Assist CST’s to develop the necessary thought process and network to be effective in their roles as the highest level of respo...
Job Category: Project Management Clinical Licensure Required : N/A Job Type: Full Time Position Summary: Coding Advisor acts in a consultative role/SME as support to Sr. Analysts and Benefit Relationship Managers. This position will report in to the COE Coding Leader. *Assist CST’s to develop the necessary thought process and network to be effective in their roles as the highest level of respo...
Coding Advisor acts in a consultative role/SME as support to Sr. Analysts and Benefit Relationship Managers. This position will report in to the COE Coding Leader. *Assist CST’s to develop the necessary thought process and network to be effective in their roles as the highest level of responsibility with regard to plan design *Promotes detailed coding documentation which will benefit CVS Caremar...
Oct 27, 2014 The World Trade Center Health Program has an opportunity for a Medical Advisor/ Claims Auditor. The Medical Advisor/Claims Auditor will be responsible for conducting audits of medical claims and records, health certifications, billings for specific medical services and procedures and other areas where the WTC Health Program requires tracking and validation. This position is also respo...
Humana Inc. Louisville, KY
Clincial Claims Review Nurse Advisor Requisition ID 127407 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...
Description CSC has an opportunity for a Claims Review Nurse/Medical Advisor. The Claims Review Nurse/Medical Advisor will be responsible for reviewing medical claims and supporting documents to determine coverage and reimbursement under guidelines established under Federal law for the Program. This person will also be responsible for providing medical expertise and guidance in evaluating request...
The Reporting Advisor will work with the department's mentor to expand and enhance highly complex automated business rules/algorithms performing claim analysis for all Medicare Part D Plans of approximately 1 million paid claims and 200,000 rejected claims daily. Other responsibilities include: *Generate and distribute claim reports with business rule outcomes both internally and externally for c...
Job Category: Information Systems, Medicare, Project Management Clinical Licensure Required : N/A Job Type: Full Time Position Summary: The Reporting Advisor will work with the department's mentor to expand and enhance highly complex automated business rules/algorithms performing claim analysis for all Medicare Part D Plans of approximately 1 million paid claims and 200,000 rejected claims dail...
Assurant Solutions St. Petersburg, FL
Description Assurant Solutions businesses develop, underwrite, market and administer specialty insurance, extended service contracts and other risk management solutions through collaborative relationships with leading financial institutions, retailers, automobile dealers, funeral homes, manufacturers, wireless carriers and other entities. With operations in 25 locations, including executive offic...
Brunswick Corporation Lake Forest, IL
Principal Duties and Responsibilities: • Accurately decision claims presented based on policy documents governing program benefits. • Maintain a high degree of customer service and work with the sales team to support both the core business and new business development. • Maintain effective communication with boat dealers, customers and team members; know how to ‘sell’ the claims decision with e...
INSURANCE Workers' Compensation Ergonomic Advisor Redwood Empire Schools' Ins. Group (RESIG) located in Windsor CA is seeking appl. for a W/C Ergonomic Advisor position to provide ergonomic evaluations to member districts' employees and RESIG employees for both preventive and work related injuries. F/T position, 3-5 years exp. must possess a CEES, CEAS I or II certificate. Public sector exp. is de...
State Farm Insurance is looking to establish new agents in the following areas: Monterey, Salinas and Santa Cruz, CA State Farm® -The #1 Insurer of Cars and Homes in California and Nationally! Ranked 41st on the 2014 Fortune 500 list of top companies and one of the largest insurers in the United States, State Farm has been named one of America's Greatest Brands and been consistently recognized ...
State Farm Insurance is looking to establish new agents in the following areas: Palo Alto, CA State Farm® -The #1 Insurer of Cars and Homes in California and Nationally! Ranked 41st on the 2014 Fortune 500 list of top companies and one of the largest insurers in the United States, State Farm has been named one of America's Greatest Brands and been consistently recognized as a leader in the indu...

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Insurance 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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