Insurance Claims Processor We are currently looking for an Insurance Claims Processor for the Broomfield area. This position acts as the primary contact between the client companies and state unemployment agencies and is responsible for receiving, analyzing and responding to unemployment claim-related documents within pre-determined time limits. Candidates will be responsible for excellent customer service experience and wi ...[more]
Career Level:
Experienced (Non-Manager)
Job Type:
Temporary / Contract / Project
Job Status:
Full Time
Salary:
13.00 USD per hour
Aerotek
Denver, CO 80244
Jul 1
Client Services - Pharmacy Technician ESSENTIAL FUNCTIONS: - Handle calls claim issues, including: o Drug not covered o Invalid member ID o Invalid date of birth o Prior Authorization Required o DUR Rejects o Non Matched Cardholder ID o Filled after coverage expired o Refill Too Soon o Invalid Prescriber ID o Exceeds quantity limit QUALIFICATIONS: Thorough knowledge of our internal mail service software Thorough knowledge of our vario ...[more]
Relevant Work Experience:
2+ to 5 Years
Career Level:
Entry Level
Education Level:
High School or equivalent
Job Type:
Employee
Job Status:
Full Time
Catalyst Health Solutions
Avon Lake, OH 44012
Jul 1
Medical Claims Processor - up to $14ph. to start Job Description: Large Health care facility is in need of a Claims Processor. Applicant will be responsible for the research, evaluation and resolution of customer claims, issuing credits and providing supporting documentation if claim denied. We are seeking a highly motivated individual with strong attention to detail as well as the ability to understand and analyze customer debit memos, revenue c ...[more]
Career Level:
Experienced (Non-Manager)
Job Type:
Employee
Job Status:
Full Time
Salary:
From 13.00 to 14.00 per hour
ACT-1
Bakersfield, CA 93309
Jun 30
Claims Processor I Mid-Continent Group is a growing insurance company with a revenue in excess of $200 million. We are a subsidiary of American Financial Group, one of the nation's top 25 insurance companies. We provide a competitive salary with yearly performance reviews. Our benefits package includes: health, dental, vision, life, disability, paid time off, 401(k), retirement plan, employee stock purchase plan and ...[more]
Career Level:
Entry Level
Great American Insurance
Tampa, FL
Jun 30
Claims Analyst Getting Results. Making a Difference. IntegriGuard relies on the highest caliber employees to achieve results for our clients. The experience, dedication, and innovative thinking of our staff is integral to our position as a national leader in the field of detection and deterrence of improper payments, fraud, and waste. Our employees get results. Our work makes a difference. Our corporate culture m ...[more]
Relevant Work Experience:
1+ to 2 Years
Career Level:
Experienced (Non-Manager)
Education Level:
High School or equivalent
Job Type:
Employee
Job Status:
Full Time
Integriguard LLC
Columbus, OH
Jun 30
Medicare Claims Processor Aerotek is currently seeking several Claims Representatives/Processors to work in the Baltimore area. Job Responsibilities: -Enter claims data into system while interpreting coding and understanding medical terminology in relation to diagnoses and procedures -Process claims forms -Adjudicates for allocation of deductibles, co-pays, co-insurance maximums and provider reimbursements -Follows adjudic ...[more]
Career Level:
Experienced (Non-Manager)
Job Type:
Temporary / Contract / Project
Job Status:
Full Time
Salary:
15.00 USD per hour
Aerotek
Baltimore, MD 21211
Jun 29
Insurance Claims Processor Aerotek client is hiring for a Healthcare Insurance patient follow up representative. This position is looking for individuals with experience in medical billing or collections as well as claims. Qualified candidates must possess: - A High school degree or equivalent - Knowledge of medical terminology and coding Sills and experience needed: - Processed facilities claims ie work with insurance comp ...[more]
Career Level:
Experienced (Non-Manager)
Job Type:
Temporary / Contract / Project
Job Status:
Full Time
Salary:
From 12.00 to 14.00 USD per hour
Aerotek
White Marsh, MD 21162
Jun 27
Claims Resolution Unit Representative (3 Openings) (2009016) Description Our Claims Resolution Unit (CRU) Representatives are responsible for partnering with our Providers to respond to and resolve incoming inquiries regarding claims adjustment requests. The CRU Representative also is assigned special projects and performs research as needed. In addition to providing accurate technical information, the CRU Representative is responsible for resolution of com ...[more]
Career Level:
Entry Level
Job Type:
Employee
Job Status:
Full Time
BMC HealthNet Plan
Boston
Jun 26
Customer Solutions Agent Description: GENERAL SUMMARY: Respond to customer inquiries via telephone communication and email transmission in an efficient and effective manner. Resolution Services Agents may also be asked to review responses from sellers submitted as a result a buyer’s reports of fraudulent or unfair practices. This position will require the Resolution Services Agent to apply the seller and buyer protection p ...[more]
Relevant Work Experience:
2+ to 5 Years
Career Level:
Entry Level
Education Level:
High School or equivalent
Job Type:
Employee
Job Status:
Full Time
Paypal
Omaha, NE 68128
Jun 24
Claims Processor Job Description: General Responsibilities Enters claims data into system while interpreting coding and understanding medical terminology in relation to diagnoses and procedures. Processes claim forms; Adjudicates for allocation of deductibles, co-pays, co-insurance maximums and provider reimbursements. Follows adjudication polices and procedures to ensure proper payment of claims. Provides prompt c ...[more]
Relevant Work Experience:
2+ to 5 Years
Career Level:
Experienced (Non-Manager)
Education Level:
High School or equivalent
Job Type:
Employee
Job Status:
Full Time
XLHealth
Baltimore, MD
Jun 23
Claims Processor POSITION INFORMATION General Responsibilities • Enters claims data into system while interpreting coding and understanding medical terminology in relation to diagnoses and procedures. • Processes claim forms; • Adjudicates for allocation of deductibles, co-pays, co-insurance maximums and provider reimbursements. • Follows adjudication polices and procedures to ensure proper payment of claims. • Pr ...[more]
Relevant Work Experience:
2+ to 5 Years
Career Level:
Experienced (Non-Manager)
Job Type:
Employee
Job Status:
Full Time
Salary:
From 12.50 to 16.00 USD per hour
On Assignment Healthcare
San Antonio, TX 78216
Jun 23
Casualty Unrepresented Processor The Allstate Corporation is the nation’s largest publicly held personal lines insurer. A Fortune 100 company, with $156 billion in assets, Allstate sells 13 major lines of insurance, including auto, property, life and commercial. Allstate also offers retirement and investment products and banking services. Allstate is widely known through the “You’re In Good Hands With Allstate®” slogan. Allstate w ...[more]
Career Level:
Experienced (Non-Manager)
Education Level:
High School or equivalent
Job Type:
Employee
Job Status:
Full Time
Allstate Insurance Company
Malvern, PA 19355
Jun 12
AO Claims Processor Supervisor AO Claims Processor Supervisor Description: Volt wants to know..are you an exceptional AO Claims Processor Supervisor looking for a better opportunity? Would you like to boost your career? Are you passionate about what you do? Do you crave interesting work, a positive work environment, and an opportunity to develop? If so, then VOLT has the job for you. As the Claims Supervisor your duties would e ...[more]
Career Level:
Manager (Manager/Supervisor of Staff)
Job Type:
Temporary / Contract / Project
Volt Workforce Solutions
Albuquerque, NM 87110
Jun 12
Claims Service Clerk Life and Health Description: Purpose: To provide administrative support for the Life and Health Claims Department. Job Responsibilities: 1.Opens, date stamps, identifies, sorts, and record incoming mail into mail tracking system. 2.Verifies coverage and status on new claims; establishes claims on Processor and Ace Systems, prepares file folder and distributes. 3.Maintains Processor and Ace Systems provider file. 4 ...[more]
Relevant Work Experience:
2+ to 5 Years
Career Level:
Experienced (Non-Manager)
Education Level:
High School or equivalent
Job Type:
Employee
Job Status:
Full Time
AEGON Direct Marketing
Detroit, MI 48332
Jun 9
Claims Examiner Description: Purpose: Process claims for Life, AD&D and A&H policies or Credit Insurance and Non-Insurance products. Job Responsibilities: 1. Set up claims, including verifying policyholder information, policy effective date, premium status, and verification of claim eligibility. Send claim form to claimant. 2.Evaluate available information to validate claim. Verify beneficiary and payment amount a ...[more]
Relevant Work Experience:
2+ to 5 Years
Career Level:
Experienced (Non-Manager)
Education Level:
Unspecified
Job Type:
Employee
Job Status:
Full Time
AEGON Direct Marketing
Detroit, MI 96034
Jun 5
Claims Examiner Description: Purpose: Process claims for Life, AD&D and A&H policies or Credit Insurance and Non-Insurance products. Job Responsibilities: 1. Set up claims, including verifying policyholder information, policy effective date, premium status, and verification of claim eligibility. Send claim form to claimant. 2. Evaluate available information to validate claim. Verify beneficiary and payment amount ...[more]
Relevant Work Experience:
2+ to 5 Years
Career Level:
Experienced (Non-Manager)
Education Level:
Unspecified
Job Type:
Employee
Job Status:
Full Time
AEGON Direct Marketing
Philadelphia, PA 19019
Jun 5
Claims Examiner Description: Purpose: Process claims for Life, AD&D and A&H policies or Credit Insurance and Non-Insurance products. Job Responsibilities: 1. Set up claims, including verifying policyholder information, policy effective date, premium status, and verification of claim eligibility. Send claim form to claimant. 2. Evaluate available information to validate claim. Verify beneficiary and payment amount ...[more]
Relevant Work Experience:
2+ to 5 Years
Career Level:
Experienced (Non-Manager)
Education Level:
Unspecified
Job Type:
Employee
Job Status:
Full Time
AEGON Direct Marketing
Dallas, TX 75204
Jun 2
Sr Manager RX Claims Transformation is the opportunity Blue Shield of California is the third largest health plan in California, with about $7.5 billion in revenue. Our mission is to ensure Californian's access to high-quality health care at a reasonable price. Join Blue Shield of California and grow your career with a leader that's stirring up a change. Helping make health care for Californians easy, accessible and r ...[more]
Career Level:
Manager (Manager/Supervisor of Staff)
Job Status:
Full Time
Blue Shield of California
San Francisco, CA 94101
May 29
AUTOMOTIVE WARRANTY CLAIMS PROCESSOR - ADJUDICATOR National Automotive Experts/National Warranty Administration Network is looking for skilled automotive professional to be part of our claims adjudication team. This person must have automotive experience in a licensed repair facility either as a mechanic, service advisor or service manager. ASE Certification is a plus, but not required. The best candidate for the job will be a person who has good p ...[more]
Relevant Work Experience:
1+ to 2 Years
Career Level:
Experienced (Non-Manager)
Job Type:
Employee
Job Status:
Full Time
NATIONAL AUTOMOTIVE EXPERTS
Strongsville, OH 44136
May 15
Claims Processor/Administrative Assistant (Temporary)-21056 Description: Do you enjoy helping people and providing top-notch service? As an Administrative Assistant/Claims Processor with Farmers Union Insurance, your work will have direct impact on our policyholders, agents, employees, and the financial success of the company. Located at our Missoula, Montana field office, you will be responsible for assisting our valued customers and agents with claims th ...[more]
