Claims Review jobs

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Claims Representative
GEICO 932 reviews - Fredericksburg, VA
After training, you will assist customers throughout the claims process and settle undisputed non-injury claims....
Sponsored by GEICO
Compliance Analyst
Charter Oak Health Center 8 reviews - Hartford, CT
Review and analyze compliance monitoring reports and other related source documents for any suspicious patterns of activity....
Sponsored by Charter Oak Health Center
Claims Examiner II or Sr. - Kansas City / Remote
USAble Life 8 reviews - Kansas City, MO
The Claims Examiner II performs diverse duties relating to the processing, review and adjudication of claims;...
Sponsored by USAble Life

Director, Risk/QA/Infection Control

NuVista Living 7 reviews - Wellington, FL
Collaborates with Human Resources and Occupational Health in managing workers’ compensation claims. Direct staff/or others in the investigation, support and...
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Claims Resolution Analyst, 109974

Anthem, Inc. 636 reviews - Indianapolis, IN
Assists in the reviews of state or federal complaints related to claims. Performs claims and trend analysis, ensures supporting documentation is accurate and...

Medicare/Pre Authorization/Medicaid/CPT and ICD-9/ICD 10 cod...

Mindlance 41 reviews - Horsham, PA  +1 location
Review authorization requests and make determinations on correct authorization process (i.e. Processes denials including correspondence sent to families,...
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Senior Claims Advisor

Marsh LLC 25 reviews - Morristown, NJ
Facilitate claim reviews and contribute to same with in-depth claim knowledge to help expedite resolution of claims. Senior Claims Advisor....

Risk Manager

Sierra-at-Tahoe® Resort - Twin Bridges, CA
Manages property and casualty claims processing which includes maintenance of all files, monitoring, allocating costs, file closure and overall services in...
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Clinical Appeals Analyst

Piedmont Healthcare 129 reviews - Atlanta, GA
Managed care payor experience a plus either in Utilization Review, Case Management or Appeals. Handling appeals requiring clinical input or interpretation by...


Healthsmart Preferred Care - Charleston, WV
Prepare and present claims reviews and plans, negotiate settlements. Receives and processes first reports of routine claims in accordance with claims procedures...

Billing and Coding Specialist

Yakima Valley Memorial Hospital 10 reviews - Yakima, WA
Reviews demographic information, codes, charges, and corrects claims to meet specific payer requirements. Performs accurate daily processing of all coding and...

Claim Rep, Med Only

CCMSI 17 reviews - Scottsdale, AZ  +2 locations
The Medical Only Claim Representative is responsible for claims handling of designated medical only claims and provide support to claim staff....

Sr. Benefits Specialist

Total Wine & More 105 reviews - Potomac, MD
Administer, review and maintain employee benefit eligibility, identify and resolve billing and deduction issues, communicate and explain benefit programs,...
Claims Customer Service Representative - Liberty Lake, WA
Liberty Mutual 948 reviews - Liberty Lake, WA
$34,100 - $41,700 a year
Take First Notice of Losses on new claims, and move those claims through as much of the claims process as possible....
Sponsored by Liberty Mutual
Receivables Resolution Specialist
Cape Cod Healthcare 13 reviews - Hyannis, MA
Review billing, payment, and denial information utilizing a number of automated databases. Perform individual claim correction, adjustments, and cancels through...
Sponsored by Cape Cod Healthcare

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