Claims Validation Jobs

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1000+ Claims Validation jobs found on Monster.

Jobs 1 to 20 of 11913
Job Description: If you are looking to expand within the Healthcare Industry and have experience in the following please apply!!! 5+ years claims examiner experience with experience working with complex and high dollar claims. Experience working with PDR's. Must have a strong background in analyzing healthcare data and identifying both problem areas and opportunities for improvement. Experience ...
DRG Validators (3) Massachusetts teaching hospital On-site and / or remote To $110k The Confidential Search Company is an executive recruiting firm with over 25 years of experience specializing in the placement of healthcare administrative and financial executives, directors, managers and specialists. We have been engaged to conduct the search for 3 DRG Validators for a major Massachusetts tea...
Description: Position Description: The role of an M&R Claims Appeals Coordinator is to serve as a trusted resource in providing problem resolution and support for our Medicare members regarding their questions on their health care coverage or payments made on an insurance claim. This means developing and maintaining member relationships both on the phone and in writing through the process o...
Description: Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of l...
Description: Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of l...
Piping Estimator - Seamless Pipe Mill Construction Project Who the position will report to (name or position): Claims Manager List 5 to 8 primary position Duties and Responsibilities: Duties will include: Support to the Claim Manager in the evaluation of the Change Orders and claims received from the contractors in terms of physical quantities and scope of the works for the Piping Discipline....
Electrical Estimator Who the position will report to (name or position): Claims Manager: Sergio Arone List 5 to 8 primary position Duties and Responsibilities: Duties will include: Support to the Claim Manager in the evaluation of the Change Orders and claims received from the contractors in terms of physical quantities and scope of the works for the Electrical Discipline. Provide Support to...
Oversee specific unit personnel including Compensation Specialist, Associates and Assistants from multiple office locations. Responsibilities include overseeing the unit activities while developing and implementing strategies related to the quality and function of the claim operation in an efficient, cost effective manner. The Manager will also work closely with the MEMIC Underwriting and Loss Con...
Description: Position Description: You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return we offer the latest tools and most intensive training program in the industry. Get ready to start doing your life's best work. The ...
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 payments. In this role, the incumbents m...
Claims Examiner - Addison, TX Do you have claims adjudication experience in consumer electronics, home appliances, home systems or are you an experienced repaire technician ready for a career change? If YES, we want to talk to you! Be the first voice of Assurant Solutions and help our customers put the pieces back together by providing assistance during a hardship. Honor the Assurant promise to ...
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 66,000 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...
Overview Join our team of Claims Data Analysts where you’ll play a critical role in the analysis, preparation and reporting of claims data to solve real business problems. With your outstanding skills and our great opportunity, we can go far together! You’ll work with state of the art business intelligence tools to develop and support dashboards, scorecards and leading edge reports to empower the...
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 66,000 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...
We currently have exciting CLAIMS career opportunities in our Jericho, NY office. These positions will support Aon Affinity, Berkely Travel, a leading provider of Travel Protection Plans. POSITION SUMMARY: Analyze insurance claims to determine the extent of the insurance carrier’s liability and to settle claims in accordance with the plan provisions. ESSENTIAL DUTIES: The Claims Specialist set...
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...
Job Description: Provides in-depth business knowledge and advanced technical support to one or more business areas through developed and ad hoc analysis/reporting, as well as designing and programming complex, new processes/reports. Acts as subject matter expert for department or business unit on business systems/applications. Analyzes company functions, processes, and activities to improve compu...
Job Description: Identifies and recommends operational improvement opportunities through reporting, process and trend analysis. Develops ad-hoc reports for data analysis to support initiatives. Interacts with Senior Management to recommend next-level operational strategies. Essential Functions: Develops ad-hoc reports to conduct data analysis and validation. Researches methodologies and conduc...
Allstate Insurance Special Investigative Unit is seeking an experienced Data Analytical Consultant in Uniondale, NY. (Another possible location is Bridgewater, NJ) The SIU Data Analytics function is responsible for leading advanced analytical projects with large volumes of data, training/mentoring on data, tools and processes and providing analytical support to SIU Field Claims operations. The An...
• Confirms the applicability of the insurance contract, as well as any applicable reinsurance agreements to the initial notice of loss. Analyzes, utilizes, and develops loss information to formulate and establish timely and accurate reserves. • Investigates, evaluates and negotiates coverage and damage issues with policyholders, brokers and ceding companies as may be required under the reinsuranc...

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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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