Join Our Team as Claims Analyst at Stealth Partner Group, an Amwins Group Company. Are you ready to make a meaningful impact in the dynamic world of insurance. Join Stealth Partner Group, an Amwins Group Company, as a. Claims Analyst. This an in-office position, that offers the flexibility to work from home up to 2 days a week after completing training. Why Choose Amwins. At Amwins, we value our team members and offer a range of benefits to enhan...
Horizon Transport, an. Employee Stock Ownership Plan. company, is seeking a customer service minded Claims Processor. The opportunity is full-time, indoor clerical at a modern, comfortable office building. The position requires prompt, intelligent information processing and communication. Principle Duties. Communicate with fleet for damages, accidents and billing issues resulting from compliance issue, log violations and DOT inspections. Initiate...
Job Description. Job Description. Tangelo is dedicated to improving healthy food access and promoting healthier lifestyles by making nutritious, affordable, and delicious food options accessible through a benefits platform for low-income families and those with chronic conditions. Our platform provides subsidized medically tailored meals and healthy grocery delivery at reduced costs, or even free, through partnerships with insurance companies, go...
Overview: We are seeking a detail-oriented and organized individual to join our team as a Claims Processor. As a Claims Processor, you will be responsible for accurately processing and reviewing medical claims and ensuring compliance with applicable regulations and guidelines. Duties: - Review and process medical claims for accuracy and completeness - Verify patient information, medical documentation, and coding accuracy - Utilize medical coding ...
JOB RESPONSIBILITIES. Processer will follow benefit plan documents and established departmental policies and procedures to adjudicate claim within policy provisions. Determine whether to pay, deny, or pend claims within policy guidelines and adjudicate claims accordingly - processer must be able to review and research claims by navigating multiple computer programs and accurately selecting the data/information necessary for processing (e.g. appli...
Overview. Remote Opportunity. This position can be fully remote or work out of the office in Lincoln, Omaha or LIttle Falls Office. (40 hour work week - the hours can be a start time anytime 6 am to 8 am). . . Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much ...
Position Purpose. This position examines, enters and accurately adjudicates medical, dental, vision, HRA, FLEX, or STD claims based upon coverage, policy and procedural guidelines. May be assigned multiple clients with several lines of coverage. Primary Responsibilities. To perform this job successfully, the individual must be able to perform each essential duty satisfactorily (the requirements listed below are representative of the knowledge, sk...
Job Overview: We are seeking a detail-oriented and organized individual to join our team as a Claims Processor. As a Claims Processor, you will be responsible for accurately processing and managing insurance claims. This is a vital role in ensuring timely reimbursement for medical services provided. Responsibilities: - Review and analyze insurance claims for accuracy and completeness - Verify insurance coverage and eligibility - Ensure proper cod...
Company. Highmark Inc. Job Description. JOB SUMMARY. This job is responsible for screening, reviewing, evaluating online entry, correcting errors and/or performing quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Reviews processed claims and inquiries to determine corrective action including adjusting claims as necessary and...
Company DescriptionGlobal Channel Management is a technology company that specializes in various types of recruiting and staff augmentation. Our account managers and recruiters have over a decade of experience in various verticals. GCM understands the challenges companies face when it comes to the skills and experience needed to fill the void of the day to day function. Organizations need to reduce training and labor costs but at same requiring...
Company DescriptionKelly Services Currently seeking a HR Coordinator / Executive Assistant in Wilmington, DE for one of our top Life Science clients for a 6 month contract role. Kelly is a full service workforce solutions provider to 98% of the Fortune 100™ companies. We provide employment to more than 700,000 people annually and we deal with some of the largest and best companies both nationally and locally.Job DescriptionClaims Processors in Re...
Job Description Description:Responsible and accountable for the accurate and timely claims processing of all claim types. Claims must be processed with a high level of detailed quality and in accordance with claims payment policy and by the terms of our customer/provider contractual agreements.Essential Functions:- Adjudicate claims and adjustments as required.- Resolve claims edits and suspended claims.- Maintain and update required reference ma...
