Claims Validation Jobs
114 Claims Validation jobs found on Monster.
Project Summary: This position directly supports the Space and Naval Warfare (SPAWAR) System Center Pacific (SSC-PAC), Next Generation Command and Control Processor (NGC2P) Independent Verification and Validation (IV&V) and other Joint Test and Evaluation (JT&E) Programs. Specific Required Experience: 7 years of relative experience in Tactical Data Links, Naval Combat System Operations, and Test a...
UnitedHealth Group
Multiple
Description: In this role you will work with our key clients to help optimize and obtain the full value of Optumâs decision support products, data and data warehouse related solutions. This role will require someone with the ability to gather technical requirements, perform claims data analysis, write SQL and/or SAS to tailor products and review data. No industry is moving faster than health care....
ikaSystems is a leading provider of cloud computing solutions for the healthcare payer market. Our solutions are revolutionizing the way that healthcare payers do business, supporting commercial, Medicare and Medicaid lines of business. ikaEnterprise, the company's product suite, automates all key processes in the payer business cycle - from marketing and sales through claims administration and cu...
ikaSystems is a leading provider of cloud computing solutions for the healthcare payer market. Our solutions are revolutionizing the way that healthcare payers do business, supporting commercial, Medicare and Medicaid lines of business. ikaEnterprise, the company's product suite, automates all key processes in the payer business cycle - from marketing and sales through claims administration and cu...
ikaSystems is a leading provider of cloud computing solutions for the healthcare payer market. Our solutions are revolutionizing the way that healthcare payers do business, supporting commercial, Medicare and Medicaid lines of business. ikaEnterprise, the company's product suite, automates all key processes in the payer business cycle - from marketing and sales through claims administration and cu...
UnitedHealth Group
Multiple
Description: In this role you will work with our key clients to help optimize and obtain the full value of Optumâs decision support products, data and data warehouse related solutions. This role will require someone with the ability to gather technical requirements, perform claims data analysis, write SQL and/or SAS to tailor products and review data. No industry is moving faster than health care....
About Aon Aon plc (NYSE: AON) is the leading global provider of risk management, insurance and reinsurance brokerage, and human resources solutions and outsourcing services. Through its more than 61,000 colleagues worldwide, Aon unites to empower results for clients in over 120 countries via innovative and effective risk and people solutions and through industry-leading global resources and techni...
About Aon Aon plc (NYSE: AON) is the leading global provider of risk management, insurance and reinsurance brokerage, and human resources solutions and outsourcing services. Through its more than 61,000 colleagues worldwide, Aon unites to empower results for clients in over 120 countries via innovative and effective risk and people solutions and through industry-leading global resources and techni...
Solid reputation, passionate people and endless opportunities. That's Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference. SUMMARY: Under general supervision, handle first party Personal...
This position is responsible for manually reviewing and adjudicating, via on-line corrections techniques, intermediate Medicare Claims. Resolving claims that have suspended for potential duplication of payments, overlapping services, manual pricing, reasonability of charges, MSP secondary pricing, and all general edit/audit/reason code validation exceptions. Keying hardcopy claims. Using on-line i...
Overview: This position’s primary focus is to validate and settle customer claims for trade promotions and research deductions for product and price related issues. For trade investment processing, this position is responsible for uploading claim files, entering paper claims and monitoring the creation of claims provided via EDI. This also includes reviewing and resolving non-matching and non-refe...
WellPoint is one of the nation's leading health benefits companies and a Fortune Top 50 company. At WellPoint, we are dedicated to improving the lives of the people we serve and the health of our communities. WellPoint strives to simplify the connection between health, care, and value for our customers. Bring your expertise to our innovative, achievement-driven culture, and you will discover lasti...
Compensation Analyst PRIMARY OBJECTIVE(S): Leads key sales compensation processes and activities to enable sales compensation to be a driver to support business objectives Meets operational performance objectives, identifies, executes on ideas that allow for continuous improvement in existing processes Works collaboratively within IP&S unified incentive and compensation team and with key external...
Job ID: 595 Position Description: The Rebate Analyst is responsible for the overall administration of rebate payments to Managed Care customers. This includes calculating and verifying the rebate payment as well as providing management summary level reporting to Managed Care Operations Management, the Account Management team, as well as Managed Care customers. Primary responsibilities for this rol...
Works under the direction of Manager/Team Lead in a matrix organization within distributed teams. Team comprised of, business analysts, programmers, functional analysts, training staff, technical writers, and testers. Performs functions that are part of the project management and software development methodologies, such as conducting high-level and complex analysis, design, testing and implementat...
The Health Buddy System interfaces between patients at home and care providers, facilitating communication of historical patient data and self-management support for patients with chronic conditions. Bosch Telehealth supports healthcare professionals at clinician and patient interfaces, as well as funding bodies, in providing enhanced and regular care services for patients with chronic conditions,...
Position Objective As part of the Molecular Medicine, Standards and Controls group, the Engineer II will lead R&D software activities aimed at designing and developing products that include software tools that support molecular diagnostic in a clinical setting. The Engineer II will design, develop, and validate software on various development platforms. Activities will include creating software re...
UnitedHealth Group
Multiple
Description: Position Description: UnitedHealth Group is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.Positions in this function u...
Description: Our Product Development and Management groups are vital to our success and are leaders in driving the future growth of UnitedHealth Group. Success in these careers relies on many factors'your ability to deal with ambiguity, your ability to adapt and embrace change, and a long-term commitment to making health care better for everyone. - Assesses and interprets customer needs and requir...
Responsible for all overall aspects of alcohol drawback process and is held accountable to explain all fluctuations in loss experience and to demonstrate consistent reductions in TTB Permit losses. Ensures that the TTB reports (EDIN, WIP and TTB) are set up to run at the proper time each month end (or quarter end) for all applicable NOAM sites. Oversees the monthly/quarterly preparation and proces...
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Answers for Claims Validation Jobs
Questions & Answers Powered by Yahoo! Answers
Lost social security card? What happens at the Social security office?
Say I go to the social security office and ask for a replacement card because I lost my other one and I claimed it as lost. I need to get a validation paper for my employer stating that the number i'm...
What happens once you are turned over to collections?
I had a collections agency call me yesterday about something that I have not heard about and some charges that I have not made. I dont even know the name of the company because I have not heard of it....
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
Popular Claims Validation Articles
Sample Resume for an Insurance Claims Processor
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©2013 Monster - All Rights Reserved U.S. Patents No. 5,832,497; 7,599,930 B1; 7,827,125 and 7,836,060 MWW - Looking for Monster Cable? - V: 2013.1.5.22-212 
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©2013 Monster - All Rights Reserved U.S. Patents No. 5,832,497; 7,599,930 B1; 7,827,125 and 7,836,060 MWW - Looking for Monster Cable? - V: 2013.1.5.22-212