Claims Review jobs

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Claims Representative
GEICO 850 reviews - Fredericksburg, VA
After training, you will assist customers throughout the claims process and settle undisputed non-injury claims....
Sponsored by GEICO
Technical Claims Associate
ERC 116 reviews - Waycross, GA
Review and negotiate claim approvals to insure that materials costs and diagnosis are equitable and within the established guidelines and standards....
Sponsored by ERC
Claims Examiner
Personnel Plus 31 reviews - Anchorage, AK
General job duties include reviewing and addressing scheduled claims issues, performing file reviews, and other duties as assigned....
Sponsored by Personnel Plus, Inc.

BSS Claims Validation Assoc-AZ

Banner Health 409 reviews - Mesa, AZ
Validates claims eligibility. Performs final validation review and prepares file for export to the claims adjudication system....

Claims Examiner I/II

USAble Life - Little Rock, AR - +1 location
The Claims Examiner I performs diverse duties relating to the processing, review and adjudication of claims;...

Claims Analyst

Asurion 501 reviews - Nashville, TN
Works with Claims Examiners to identify, research, and resolve claims issues to ensure timely and accurate adjudication of Service department claims....

Social Insurance Specialist (Claims Representative)

Social Security Administration 399 reviews - Austin, MN
Developing, processing, or authorizing claims; Once selected for the Claims Representative position in. Please review the Tips for Applying for additional...

PSR II or PSR Sr (Patient Service Representative)-Medical Ce...

Cancer Care Centers of South Texas 5 reviews - San Antonio, TX
Billing and claim submissions; Researches and resolves claim delay issues. Reviews Explanation of Benefits (EOB) for consistency....

Claims Processor, MD

Nationwide Mutual Insurance Company 798 reviews - Wausau, WI
Reviews and determines disposition of first party claims or salvage postings. Claims are typically simple Fire & Theft and Total Loss claims that involve towing...

Claims Approver - LTC

MetLife 1,061 reviews - Tampa, FL
Reviews claim data to make claim payment decisions. Investigates long-term care claims and makes determination on claims payments within authorized guidelines....

MEDICARE BILLING & FOLLOW UP

Houston Methodist 437 reviews - Houston, TX 77054(Medical area)
Claim validation and submittal; Fully utilizes system claim tools including primary and secondary claim scrubbers, claim editing software post initial bill,...

Claim Benefit Specialist

Aetna 505 reviews - Orlando, FL 32809 - +1 location
Reviews and adjudicates routine claims in accordance with pharmacy claim processing guidelines. Reviews eligibility and investigates benefits in accordance with...

Associate Claim Representative/Work Comp - (CORE/Trainee)

The Hartford Financial Services 288 reviews - San Antonio, TX
Recognize claim exposure. Claim File Management (40%). Responsible for the investigation and file management of claims as well as assisting other claim...
Nurse Utilization Management - Memphis, TN - #106004
Anthem, Inc. 599 reviews - Memphis, TN
Conducts pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to ensure...
Sponsored by Anthem, Inc.
Claims Analyst
Pure Insurance 4 reviews - White Plains, NY
Processes transactions in claim and policy administration system, inputs claim data for reporting purposes. First notice of loss and claim assignment....
Sponsored by Pure Insurance

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