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...
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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

EMS TRANSPORTATION REIMBURSEMENT SPECIALIST

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
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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
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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