Lead Claims Processor

Partner with management in the design, implementation and maintenance of claims processing programs and procedures. Verify that claims are being adjudicated or submitted according to Magellan contracts in a consistent and accurate manner. Manage projects and administrative duties as required by business need. Lead and implement positive changes with a high...

Job DescriptionJob DescriptionClaims Processor for durable medical equipment and pharmaceutical claims submitted from contracted and out of network providers. Responsible for processing claims in a timely manner, verifying insurance coverage for date of service/diagnosis and reviewing all paperwork for proper documentation and payment of claims.Company...

Cherokee Insurance, a leading commercial Property/Casualty insurance provider, is currently in search of an Insurance Adjuster to work on-site at our corporate office located in Sterling Heights, MI. We are looking for highly detailed, analytical and assertive individuals to assist with the insurance claims process. If you love a challenge and are looking to...

Cherokee Insurance, a leading commercial Property/Casualty insurance provider, is currently in search of an Insurance Adjuster to work on-site at our corporate office located in Sterling Heights, MI. We are looking for highly detailed, analytical and assertive individuals to assist with the insurance claims process. If you love a challenge and are looking to...

Cherokee Insurance, a leading commercial Property/Casualty insurance provider, is currently in search of an Insurance Adjuster to work on-site at our corporate office located in Sterling Heights, MI. We are looking for highly detailed, analytical and assertive individuals to assist with the insurance claims process. If you love a challenge and are looking to...

Are you interested in working for the nation's leading fire protection company and beginning a rewarding and satisfying career that helps save the lives of thousands each year? Do you want to be a part of a growing and expanding team of industry experts? If so, exploring career opportunities with Summit Companies may be right for you Summit Companies,...

Under the general supervision of a Manager or above the incumbent's accountabilities may include, but are not limited to, the following:Provides ongoing internal and external customer support for system questions for customer inquires and problems impacting claims; serves as subject matter expert for business processes and related systems; coordinating with...

locating merchandise; Assists management with the supervision of associates in assigned area of responsibility by assigning duties to associates; training associates on processes and procedures; techniques to ensure member complaints and issues are resolved according to company guidelines; ensuring compliance with company policies and supporting the Open...

Job Title: Claims Advocate Agency/Platform: New Jersey Platform Location: Hasbrouck Heights, NJ About Acrisure: Acrisure is a global Fintech leader that combines the best of humans and high tech to offer multiple financial products and services to millions of businesses and individual clients. We connect clients to solutions that help them protect and...

Job DescriptionJob DescriptionAxtria IntroductionAxtria is a global provider of cloud software and data analytics to the Life Sciences industry. We help Life Sciences companies transform the product commercialization journey to drive sales growth and improve patient healthcare outcomes. We are acutely aware that our work impacts millions of patients and lead...

Join Cleveland Clinic's Hillcrest Hospital where research and surgery are advanced, technology is leading-edge, patient care is world-class, and caregivers are family. Hillcrest Hospital is recognized as one of the top hospitals in the country. Here, you will work with and learn from some of our best caregivers, receive endless support and appreciation, and...

Join Cleveland Clinic's Hillcrest Hospital where research and surgery are advanced, technology is leading-edge, patient care is world-class, and caregivers are family. Hillcrest Hospital is recognized as one of the top hospitals in the country. Here, you will work with and learn from some of our best caregivers, receive endless support and appreciation, and...

Posted Monday, March 11, 2024 at 4:00 AM COST ENGINEER Kindeva is a leading global contract developer and manufacturer (CDMO) with delivery platform expertise in Autoinjector, Inhalation, Transdermal/Intradermal Patch Technologies. We partner with our customers to improve patient outcomes around the world. Together, as One Team, we will manufacture many more...

Job Description : Staff Vice President (VP) Governance ((Health Benefits Claims Operations) Location Successful candidate must reside within 50 miles of an Elevance Health office location, and able to commute on-site at least 3 days per week. Summary New leadership position responsible for developing the strategic vision, goals,...

Are you a Licensed Audiologist looking to take on an assessment role? Would you find it rewarding to serve the Veteran community? We are looking for an Audiologist to perform medical assessments on United States Veterans as part of the VA's disability benefits process. The Veteran files the claim before they see you. All of their medical records are...

**Position Summary...** **What you'll do...** Provides member service by acknowledging the member and identifying member needs; providing guidance and support to members regarding self-service technology; assisting members with purchasing decisions; locating merchandise; resolving member issues and concerns; and promoting the company's products and...

Are you a Licensed Audiologist looking to take on an assessment role? Would you find it rewarding to serve the Veteran community? Are you interested in some travel across Northern California? We are looking for an Audiologist to perform medical assessments on United States Veterans as part of the VA's disability benefits process. The Veteran files the...

Job DescriptionJob DescriptionWe are seeking a detail-oriented Quality Manager to join our team. If you are a responsible leader, who values integrity, excellence, and leadership, APPLY TODAY!Responsibilities:Responsible for the daily operation of the quality lab department and managing quality lab technicians.Support and maintain audit compliance for...

Description Position Summary Position responsible for submitting and resolving medical claims moderate to high complexity. Must remain current with governmental and third party billing, follow-up and appeal requirements for compliant billing and follow-up of both inpatient and outpatient claims for all wholly owned facilities and physician entities including...

DutiesServes as the Wing Information Assurance Manager. Applies Information Technology (IT) security principles, methods, and security products to protect and maintain the availability, integrity, confidentiality, and accountability of information system resources and information processed throughout the system's life cycle. Establishes and publishes...