Senior Claims Examiner

Review, process and identify medical claims based on standard operating procedures on CPS. Apply appropriate processes and procedures to process claims (e.g., claims processing policies and procedures, grievance procedures, state mandates, CMS / Medi Claims, Examiner, Processing, Microsoft, Senior, Health, Healthcare

Review, process and identify medical claims based on standard operating procedures on CPS. Apply appropriate processes and procedures to process claims (e.g., claims processing policies and procedures, grievance procedures, state mandates, CMS / Medi Claims, Examiner, Processing, Microsoft, Senior, Health, Healthcare

Review, process and identify medical claims based on standard operating procedures on CPS. Apply appropriate processes and procedures to process claims (e.g., claims processing policies and procedures, grievance procedures, state mandates, CMS/ Medic Claims, Examiner, Processing, Microsoft, Senior, Healthcare, Benefits

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

Salary: $ $44.75 Hourly Location : San Bernardino City Unified School District, CA Job Type: Most positions work 8 hours/12 months Job Number: Department: Business Services Division Opening Date: 05/01/2024 Closing Date: Continuous Job DescriptionDEFINITION To perform journey-level specialized and complex technical work in support of the District Workers'...

Job DescriptionJob DescriptionYou can make a difference in the San Francisco community. San Francisco Health Plan is seeking a full-time Claims Examiner. The Claims Examiner is responsible for claims processing, adjudication, and research. In addition, this position keeps current on claim processing procedures, produces a quality and timely work product, and...

Overview: Administer indemnity claims and handle complex claim issues. Use strong litigation management experience, lien resolution abilities, and customer service skills to resolve routine claims without legal representation. Keenan, an Accretive company, is an insurance brokerage and consulting firm meeting the insurance needs of hospitals, public...

POSITION SUMMARY/RESPONSIBILITIES Performs adjudication of medical (HCFA) or hospital (UB92) claims for Medicaid, Commercial, and CHIP (Children's Health Insurance Program) according to departmental and regulatory requirements. Maintains audit standards as defined by the Department. EDUCATION/EXPERIENCE High school diploma or GED equivalent is required....

**Salary** - $66,776.32 - $80,633.28 Annually**Location** - San Jose Metropolitan Area, CA**Job Type** - Full-Time**Job Number** - 24-D4M-A**Department** - Valley Health Plan**Opening Date** - 04/19/2024**Closing Date** - 5/3/2024 11:59 PM Pacific**Bargaining Unit** - 02**Description**: Under general supervision, to examine and process medical claims...

Our client has been experiencing continued growth and seeking to add (2) Senior Auto Liability/Bodily Injury Claims Examiners for their Maryland office. This person would be responsible for handling moderate to complex Auto Liability and Bodily Injury claims for losses throughout the Mid-Atlantic region. Responsibilities of this position include...

SWBC is seeking a talented individual to review and evaluate incoming claims for payment or denial and acts as a liaison for the carrier and the financial institution. This role allows you to help those who are dealing with difficult circumstances in their lives. Your help gives them a sense of relief in times of need. You will also have a team who is...

Are you looking for more than just a job? Do you want to have a voice and feel a sense of belonging? At ICW Group, we hire innovative people who consistently adapt, grow and deliver. We believe in hard work, a fun work environment, and embracing creativity that only comes about when talented people collaborate to develop solutions. Our mission is to create...

San Diego’s St. Paul's PACE program (Program of All-Inclusive Care for the Elderly). This innovative program is for individuals 55 years or older, who are living with chronic illness, or disabilities and need coordinated medical care to continue living as independently as possible in their home and community. The healthcare teams at St. Paul’s PACE...

Are you looking for more than just a job? Do you want to have a voice and feel a sense of belonging? At ICW Group, we hire innovative people who consistently adapt, grow and deliver. We believe in hard work, a fun work environment, and embracing crea Worker, Compensation, Claims, Examiner, Triage, Benefits, Healthcare

POSITION SUMMARY/RESPONSIBILITIES Acts as Claims Department resource to coordinate, analyze and improve departmental performance. Identifies areas for improvement, documents business processes, researches best practices, compiles information and assists process owners to implement change and monitor performance. Responsible for providing project coordination...

Status: Open Union Code: - Profession: Non-Clinical - Finance/Accounting Specialty: Claims Processor Unit: Claims Examiner/ 110-85300 Shift: Day 5x8-Hour (07:00 - 15:30) Block Schedules: No Start Date: 05/06/2024 Job Duration: 13 # of Positions: 1 Non-Bill. Orientation: Job ID: 2475029 Account Manager: Brittney Clark Email: Brittney.Clark@ayahealthcare.com ...

**WHAT WE'RE LOOKING FOR** Upon successful completion of the Claims Training program, the Claims Adjuster Trainee will be responsible for management of a caseload of workers compensation claims from inception to resolution. Responsibilities include initial investigation and analysis, strategic planning, management of medical care and legal process, and...

WHAT WE'RE LOOKING FOR Are you searching for a unique opportunity that offers exceptional training and career growth with a dynamic and growing organization? Are you a Spanish speaker looking to apply those skills in a professional environment? Berkshire Hathaway Homestate Companies is searching for bright individuals looking to begin a challenging, yet...

WHAT WE'RE LOOKING FOR Are you searching for a unique opportunity that offers exceptional training and career growth with a dynamic and growing organization? Are you a Spanish speaker looking to apply those skills in a professional environment? Berkshire Hathaway Homestate Companies is searching for bright individuals looking to begin a challenging, yet...

San Diego’s St. Paul's PACE program (Program of All-Inclusive Care for the Elderly). This innovative program is for individuals 55 years or older, who are living with chronic illness, or disabilities and need coordinated medical care to continue living as independently as possible in their home and community. The healthcare teams at St. Paul’s PACE...