Claim jobs in Philadelphia, PA

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Pharmacy Claims Specialist
Enclara Pharmacia - 11 reviews - Philadelphia, PA
Evaluate compound claims for proper ingredients/qtys/cost and ensure timely claims adjudication. Assist pharmacies with claims adjudication....
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Medical Stop Loss Insurance Claims Analyst
ELAP Services LLC - Philadelphia, PA
Analyze information on client demographics, claims history and plan design. Auditor, Auditing, Claims, Coding, Medical, Medical Billing, CPT Coding, HIPAA,...
Sponsored by ELAP Services
Claims Specialist
West Corporation - 2,019 reviews - Plymouth Meeting, PA
Assist with billing and claims adjudication process. In this challenging, member-facing role, our Claims Specialists handle complex healthcare cases by...
Sponsored

STD Claims Examiner I

Reliance Standard Life Insurance Company - 9 reviews - Philadelphia, PA 19103 (Belmont area)
The STD Claims Examiner I obtains and analyzes information to make claim decisions and payments on STD and Voluntary STD claims....

Complex Claims Specialist

Selective Insurance Group - Horsham, PA
Provide required reports to claims, underwriting, reinsurance and actuarial on significant exposure cases. Effectively evaluate, negotiate and resolve claims...

Claims Adjuster

RYZE Claim Solutions - Philadelphia, PA
Investigate and evaluate claims. Examine claim forms, policies and endorsements, client instructions, company instructions, and other documents to determine...

Claims & Benefits Specialist

Accolade Inc. - Plymouth Meeting, PA
Health Plan claims quality assurance. Act as liaison to health plans and providers to solve complex claims and coverage issues and get claims processing/payment...

Pharmacy Claims Specialist

Enclara Pharmacia - 11 reviews - Philadelphia, PA 19102 (City Center West area)
Evaluate compound claims for proper ingredients/qtys/cost and ensure timely claims adjudication. Assist pharmacies with claims adjudication....
Easily apply

Dental Receptionist

Dental Dreams - 159 reviews - Philadelphia, PA  +1 location
Create insurance claims and submit pre-authorizations to insurance companies on a timely basis. Dental Dreams is now hiring a Receptionist....

Claims Examiner

FM Global - 38 reviews - Malvern, PA
Providing claims training to our partner companies; This position will be responsible for coordination of prompt loss investigation and all other claims...

Professional Liability Claim Management Specialist

Brown & Brown Insurance - 36 reviews - Horsham, PA
Determine the most cost effective way to effectuate resolution of the claims. Reviewing various insurance policies;...

Claims Processor

Holy Redeemer Health System - 49 reviews - Philadelphia, PA 19120 (Olney area)
Previous experience required Position Summary : This position is responsible for accurate and timely performance of payment posting and account receivables

Field Auto Adjuster

Allstate Insurance - 2,773 reviews - Philadelphia, PA 19113
Accurately documenting estimates on Allstate's state-of-the-art, computerized NextGen claims system. Traveling to the location of damaged vehicles and/or...
Provider Relations Representative (Medicare/Medicaid/Managed...
Cigna - 1,696 reviews - Philadelphia, PA
Customer service, claims, and/or payor related experience. The Provider Relations Representative (Network Ops SR Analyst) develops and maintains positive...
Sponsored
Claims Associate
West Corporation - 2,019 reviews - Plymouth Meeting, PA
Claims Associate Functions. Minimum of three years customer service, healthcare, or claims experience required....
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