Claims Review jobs

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Clinical Claims Review RN / Coder - Las Vegas, NV
UnitedHealth Group - 11,712 reviews - Las Vegas, NV 89105
Review assigned claims (e.g. Registered Nurse, Nurse, RN, Clinical, Claims, Clinical Claims Review, Appeals, Grievances, Coding, Medical Adjudication,...
Desired Experience: RN, Microsoft Word, Medical Coding Certification, Managed Care
Claims Analyst (Las Vegas, NV)
BeneSys, Inc. - 35 reviews - Las Vegas, NV 89113
SUMMARY – The claims analyst will be responsible for medical, dental, and vision claims processing of claims submitted electronically or on hard copy....
Desired Experience: Medical Terminology, CPT-4
Claims Analyst
Reviews and resolves pended and corrected claims. Review, research and finalize provider claims within established regulatory requirements and CPHL policies....
Desired Experience: Microsoft Powerpoint, Microsoft Access
Claims Adjuster - File Review Homeowner Inside
Continental Staffing, Inc. - Sarasota, FL
Has inside positions available in BRADENTON to do file review for homeowner claims. You must know Xactimate, have handled AOB claims and be comfortable...
Easily apply

Medical Claims Review Coordinator, Healthcare, WellMed

UnitedHealth Group - 11,712 reviews - Texas   +5 locations
Claims reports with reconciliation needs. Under the supervision of the Medical Claims Review (MCR) Supervisor, this position is responsible for processing...
Desired Experience: Microsoft Office, Managed Care

Claims Representative - PIP - Potential Work from Home

Sentry Insurance - 239 reviews - Tampa, FL 33601
We’re looking to staff Experienced PIP Claims Reps in Florida. Able to make sound decisions while using good judgment in evaluating claims....
Desired Experience: Medical Terminology

Construction Claims Administrator-Dulles Rail Phase II

Keville Enterprises Inc. - Herndon, VA 20170
Conducts forensic analysis of claims and potential claims by reviewing Contractor claims and potential claims....
Desired Experience: OSHA 10, Construction Experience, Driver's License
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Claims Quality Review Representative Job

Baylor Scott & White - 1,947 reviews - Temple, TX 76502
Specialty/Department/Practice †Claims. The Quality Review Claims Representative will conduct tracks and trends audits and works effectively and professionally...

Workers Comp Claims Specialist - Lost Time Adjuster

CorVel Corporation - 259 reviews - Fairfax, VA 22030   +4 locations
Identifies potential subrogation claims. Previous exp with adjudicating VA workers compensation claims required....
Desired Experience: Workers' Compensation, Microsoft Office
Easily apply


Loudoun County Government - 24 reviews - Leesburg, VA
$51,896 - $75,473 a year
Review vendor reports, reconciling actual reimbursements deposited ensuring accuracy with County Treasurer, LC-CFRS, and vendor through Oracle....
Desired Experience: Oracle, Microsoft Office

Administrative Coordinator

HealthWorks for Northern Virginia - Leesburg, VA
Reviews and follows up on outstanding patient accounts receivables; Functions as a liaison to insurance payers, billing company, credentialing vendor and health...
Desired Experience: Microsoft Powerpoint, Customer Service
Easily apply

Full-time Investigator (MPIC Healthcare Fraud, Remote)

Integrity Management Services, Inc. - Remote
Data aggregation and claims analysis. Reviews and responds to requests for information from stakeholders as assigned;...
Desired Experience: CFE
Easily apply

Sr. Claims Examiner

Disney Parks & Resorts - 5,872 reviews - Anaheim, CA
5 years experience in management of occupational claims and administration of benefits Solid understanding of the State of California rules and regulations, the...
Desired Experience: Bilingual

Workers' Compensation Claims Specialist

State of Ohio Jobs - 505 reviews - Dayton, OH 45414 (Northridge Estates area)   +3 locations
$19.77 - $25.71 an hour
As Workers' Compensation Medical Claims Specialist, 16721 (i.e., managing caseload of medical-only claims & paying medical claims for Ohio Bureau Of Workers'...
Desired Experience: Time Management, Microsoft Powerpoint, Microsoft Office, Workers' Compensation
In House Counsel
Seneca Promotions - Buffalo, NY
$45,000 - $55,000 a year
Responsible for the defense of employment law claims. Review and develop compliance initiatives to verify the consistent adherence to stated policies over time;...
Desired Experience: Workers Compensation, Employment Law, Microsoft Office, Workers' Compensation, Bar
Easily apply
Telephonic RN Case Manager - $1500 Sign On Bonus for Externa...
UnitedHealth Group - 11,712 reviews - Las Vegas, NV 89105
Registered Nurse, Nurse, RN, Clinical, License, Utilization Review, Utilization Management, Prior Authorizations, Case Management, Care Coordinator, Claims...
Desired Experience: Bilingual, Case Manager Certification, RN, Windows, Case Management, Microsoft Word