Claims Processing Jobs
We are currently seeking a Claims Processing Clerk. This is a GREAT opportunity to work in the International Insurance industry for one of the Industry Leaders in the Country. This is a 3 month contract. Claims Processing Clerk · Will generate condolence letters for claims processing. · Assist with 2013 tax corrections. · General processing including data entry and work with excel spreadsheets. We...
Senior Implementation Analyst (Insurance / Healthcare Claims Processing) We have a great, long-term opportunity with a large, stable, enterprise-client in Atlanta for a Senior Implementation Analyst experienced in implementing claims processing systems for workers compensation claims, commercial insurance, pharmacy benefit management, or healthcare. You will own and manage each client for implemen...
Our client is looking for candidates with supervisory experience who are experts in overseas claims processing and TRICARE. This employee will work with contractors and government customers in an effort to help them understand all aspects of claim processing (working as a technical liaison with the IT department will also be a key part of the job). A four year degree, 3+ years of overseas claim pr...
Responsibilities Leads the development and implementation of the strategic goals and objectives for Claims System Software configuration, ensuring optimization of auto adjudication rates, improvement of payment accuracy, and compliance with regulatory requirements. Defines and implements operational and business plans for current and new VNSNY CHOICE managed care products utilizing claims system a...
Visiting Nurse Service of New York (VNSNY) is the nation’s largest not-for-profit community-based health system. VNSNY provides a comprehensive array of home- and community-based programs, including health plans, tailored to the needs of high-risk, vulnerable New Yorkers, improving their quality of life. Each day, more than 18,000 VNSNY employees - including nurses, rehabilitation therapists, soci...
Position Description Manage Claims Setup department for multiple lines of business including Financial Lines, Workers’ Comp, Property & Casualty, Environmental, A&H, and Healthcare for both US and Canada. Manage the Financial Lines c-Claim department which involves reviewing D&O and E&O matters primarily Employment Practices Liability matters. Duties include management of staff, processes and proj...
We are currently seeking a Processing Clerk. This is a GREAT opportunity to work in the International Insurance industry for one of the Industry Leaders in the Country. This is a 3 month contract. Processing Clerk WORD & EXCEL SCORES ARE REQUIRED UPON SUBMISSION · Responsible for processing and generating rep letters for returned mail. Speak with reps and performing change of representative and ch...
Job_Other_Compensation: Up to $18.00 Job Description: Well-known company has an immediate need for a Medical Claims Examiner with at least 4 years of DIRECT health care claims processing experience in a managed care environment. JOB DUTIES: Accurate and timely processing of direct contract and delegated claims per regulatory and contractual guidelines. Processing claims for all lines of business,...
Job_Other_Compensation: Up to $16.00 Job Description: An outstanding Medical Claims Processing opportunity with a stable, local health care organization that offers you a tremendous career path! A great hourly salary in an energetic office. Minimum of two years of processing claims experience is required and you must have experience with UB04 and HCFA 1500 forms . If you think you have the experie...
Organized in 1953, ESIS®, Inc. (ESIS) provides customized risk management services. ESIS is part of ACE USA, the U.S.-based retail operating division of the ACE Group, headed by ACE Limited (NYSE: ACE). ACE USA, through its underwriting and service companies, provides insurance products and services throughout the U.S. Additional information about ESIS and its products and services can be found at...
Analyze and review claims for accuracy, completeness, and compliance with federal, state, and local regulatory requirements. Prepare and maintain reports and records to ensure that all appropriate internal controls are in place. Responsibilities * Review and analyze claims data * Based on audit findings, provide suggestions for improvement and corrective action plans * Ensure that all required aud...
Description: Position Description:Welcome to 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.This position will be responsible for adjudicating member/pharmacy and provider reimbursements and cl...
Ajilon is currently recruiting for a Claims Adjudicator job in the greater Indianapolis, IN area. Three to five years of previous medical claims adjudicating experience is required for this position. Previous experience in third party claims is preferred. This position will be processing a high volume of claims as well as researching issues and documenting results. Qualifications: · Three to five...
Claims Adjusting Analyst Job in Sharonville, OH A leading provider within the sales and service industry has an opening for a Claims Adjusting Analyst job located in Sharonville, OH. They are seeking a self-motivated individual with great problem solving skills on a temp-to-hire basis to assist them with the validation of promotional deductions. The major job responsibilities for the Claims Adjust...
Title: Medical Claims Processor Jobs in Tempe, AZ Summary: We are hiring for a Medical Claims Processor job in Tempe, AZ. This opportunity will be responsible for processing and adjudicating incoming medical claims and deciding whether to pay or deny the claim. Experience working for an insurance provider in a claims processing position is a must. The company is looking to setup and interview cand...
Description As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management , patient comm...
Job_Other_Compensation: Up to $16.00 Job Description: An awesome Medical Claims Processing opportunity with a stable, global health care organization that offers tremendous career path. A great hourly salary in a fun and energetic office. Two years of processing claims experience required. Experience with UB04 and HCFA 1500 billing forms are a must! If you think you have the energy and drive to wo...
This position is responsible for the direct oversight of the claims processing area. Duties include monitoring and managing inventories of claims, inquiries and refund/returned checks to ensure established timelines are met, monitoring claim processor performance which includes production, quality, and attendance and provide feedback, handling and resolving client calls that are non-routine and re...
Job_Other_Compensation: Up to $13.00 Job Description: Claims Processors Process claims accurately and in a timely manner and to assist with claims inquiries while maintaining production and quality standard. Qualification: 2 years medical billing or claims processing experience Knowledge of CPT-4, ICD-9, and HCPCS codes Knowledge of CMS 1500 and/or UB04 forms Knowledge of IDX system preferred Duti...
Doherty Staffing Solutions is currently seeking a Claims Processor/Customer Service Representative for our client company in St. Cloud, MN. Job responsibilities include, but are not limited to: processing claims and responding to customer inquiries via phone, email and mail. Assisting customers in resolving issues and following up with them in a timely manner. Qualified candidates should have exce...
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Answers for Claims Processing Jobs
Questions & Answers Powered by Yahoo! Answers
What's the story behind these mysterious e-mails I receive regarding rebate processing?
I get e-mails from a mysterious source claiming that homeworkers can get paid for processing rebates. Does this work-at-home job have anything to do with the nationwide rebates that were put into eff...
Can you get unemployment if i leave a job that pays only on commission?
I have just been laid off and am thinking of taking a new job as a claim processor that pays strictly on how many claims I process daily. If the amount of work drops so much that I can't make enough ...
How should I answer this question in my review for work?
I am stuck on what question, how should I answer: What aspects of your performance would you like to develop during the next review period? What are your ideas about how to accomplish this? I work ...
How do individuals connect with companies to process rebates from home?
Processing rebates from home appears to be a decent home business although it is not clear what the cost to become involved covers. Are individuals guaranteed work in the form of connections to compan...
How can I speed up insurance claim processing?
My family and I are trying to find an appropriate residential treatment facility for my sister (who suffers from bipolar disorder and substance abuse). One of the facilities we spoke with accepts ...
Insurance Career Tools
Claims/Policy Processing Clerk
$20,000.00 - $38,000.00
Typical Salary for Claims/Policy Processing Clerk
Source: Monster.com Careerbenchmarking Tool
Education / Training
Some College Coursework Completed
Source: Monster.com Careerbenchmarking Tool
Claims/Policy Processing Clerk
Processes insurance claims and policies by performing related duties.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Administrative Writing Skills
Prepares new insurance policies by creating policyholder file; entering policy information.
Prepares work to be accomplished by sorting, organizing, and recording insurance applications and claims forms.
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