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Claims processor Jobs in USA

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Claims processor • usa

Last updated: 11 hours ago

Claims Processor IV

Premera Blue CrossRemote, Alaska, United States
Remote
Full-time

Enter and process all assigned claims to completion.Review, research, and resolve moderate to highly complex claims accurately and timely.Reprocess claims, including organ transplants, SCCA, BDCT, ... Show more

 • New!

Claims Specialist / Claims Manager

The Misch GroupHartford, CT, United States
$100,000.00 yearly
Permanent

Claims Specialist Or Claims Manager.An established independent insurance agency is seeking a seasoned Claims Specialist or Claims Manager to strengthen its commercial claims capability.The role can... Show more

Copay Claims Processor

TailorMedNew York, NY, US
Remote
Full-time

Join Us at TailorMed – Transforming Healthcare Affordability.As a pioneering force in healthcare, we’re building a new category that transforms how patients, providers, pharmacies, life sciences, a... Show more

Cash/Claims Processor

Objectwin Technology Inc.Mason, Ohio, United States
Temporary
Quick Apply

Job Title : Cash/Claims Processor.Location : 4000 Luxottica Place, Mason, OH, 45040 Hybrid (3 days in office, 2 days for home).Duration : 6+ Month Contract to hire.Accurately and efficiently proces... Show more

PROCESSOR

Ocean Peace, IncSeattle, WA, US
Full-time

Please be aware that this position may require you to be ready in 3 days notice.Are you able to pass a drug test?.Are you able to work 7 days a week for 16 hour days?.Can you get yourself to SEATTL... Show more

Processor

PRMGGreenville, NC, United States
$40,000.00 yearly
Full-time

As a processor, your goal is to create raving fans of your customers which are the borrowers, sales, and underwriting staff.You will process loans in accordance with company policies and procedures... Show more

Claims Analyst - Complex Claims

Mercer FranceVan Nuys, CA, United States
$42,400.00–$80,000.00 yearly
Full-time

The Claims Analyst will develop and maintain client relationships through advising and providing advocacy on claims related issues.Perform claim reviews and status updates to ensure that claims are... Show more

Data Processor

EssilorLuxottica GroupIndianapolis, IN, US
Full-time

E00880 Ops - Cust Svc - Ord Ent Indn2 .Benefits/Incentive Information.If you’ve worn a pair of glasses, we’ve already met.We are a global leader in the design, manufacture, and distribution of opht... Show more

PROCESSOR

American Pacific MortgageWashington, DC, United States
Full-time

Processor - Loan Department: Production.The Processor is responsible for preparing loan submission received from Loan Officers for underwriting with Clear Modern Mortgage.They are also responsible ... Show more

Annuity Claims - Claims Representative

American National InsuranceLeague City, TX, United States
Full-time

Are you naturally curious, detail-oriented, and energized by solving complex problems?.We're looking for a Claims Representative who thrives in a fast-paced environment and enjoys investigating, an... Show more

Medical Claims Processor I

Moda HealthMilwaukie, OR, US
$17.34 hourly
Full-time

Let’s do great things, together!.Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality.Today, like then, we’re focused on building a better future for healthc... Show more

Processor

PrideStaffOlive Branch, MISSISSIPPI, US
$17.50 hourly
Temporary

Basic computer literacy required.Comfort using computer terminals, RF barcode scanners, and inventory software/WMS.High school diploma or GED equivalent preferred.Excellent numerical accuracy, sort... Show more

Claims - Examiner, Claims

WellcovePensacola, FL, United States
Full-time

Manage and handle all Outbound calls and adjudicate claims.Should be able to prioritize work and adjudicate claims as per turnaround time.Job involves working independently on researching, reviewin... Show more

 • New!

Claims Representative Catastrophe Claims

Auto-Owners InsuranceLansing, MI, United States
Full-time

A career at Auto-Owners is challenging and rewarding.Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.We offer a me... Show more

Claims Processor

Odixcity ConsultingSaint Helena
Full-time

We are seeking a detail-oriented and organized Claim Processor Specialist to reviews, verifies, and processes insurance claims to determine coverage eligibility, ensuring compliance with company an... Show more

Dental Claims Processor

DY MANAGEMENT CONSULTANTS LLCSan Antonio, TX, US
$15.00 hourly
Full-time

Launch Your Career in Dental Revenue Cycle Management.Texas maximize their insurance collections and streamline their billing operations.Our team manages millions of dollars in insurance claims eve... Show more

Claims Management, Claims Examiner

MindlanceMemphis, TN, United States
Full-time

Manager's note: Must have at least three years' experience (litigation experience preferred) Licensed in FL Full time 40 hours per week Monday through Friday Work within client's operational hours... Show more

Office/Cash Claims Processor

GlobalchannelmanagementMason, OH, USA
Full-time
Quick Apply

Office/Cash Claims Processor requires 3+ years of experience in cash application or insurance related processes.Previous AS400 knowledge and experience.Detailed working knowledge of basic computer ... Show more

Senior Service Processor, Claims Payment Services

Lincoln FinancialRadnor, PA, US
Full-time

Remote : Work at home employee residing outside of a commutable distance to an office location.We are excited to bring on Senior Service Processor in our Payment Services team to join our Group Pro... Show more

Claims & Risk - Claims Advocate

C3 Risk and Insurance ServicesSan Diego, CA, United States
$105,000.00–$125,000.00 yearly
Full-time

C3 is different and we like it that way.Our mission is to bring color and a fresh perspective.Our vision is to create peace of mind.At C3, the Claims Advocate role is key in providing our clients w... Show more

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Claims Processor IV

Claims Processor IV

Premera Blue CrossRemote, Alaska, United States
11 hours ago
Job type
  • Full-time
  • Remote
Job description

Job Description:

  • Enter and process all assigned claims to completion
  • Review, research, and resolve moderate to highly complex claims accurately and timely
  • Reprocess claims, including organ transplants, SCCA, BDCT, benefit exchanges, and large-dollar hospital claims
  • Communicate across business units including Configuration, Customer Service, and Marketing Liaisons to resolve claims
  • Identify procedural changes and assist with updating processes and procedures
  • Provide specialized complex-claims processing knowledge to Care Facilitation, Customer Service, Appeals, benefit configuration, and claims teams
  • Complete accumulator adjustments, deductible credit loads, and member history reviews
  • Reprocess carve-out claims and complete related documentation
  • Act as team subject matter expert by training and auditing claims and providing feedback and coaching
  • Complete specialized projects such as auditing, procedure updates, and coordination with configuration
  • Meet cycle time and productivity goals
  • Translate data into information acceptable to the claims processing system and follow up on pending claims
  • Maintain confidentiality and apply quality standards to prevent defects and rework

Requirements:

  • High School diploma or GED (Required)
  • Two (2) years claims processing experience in medical and/or dental plans, or 2 years prior medical and/or dental office/insurance industry experience (Required)
  • Detailed processing knowledge on Premera processing systems (Preferred)
  • Proven ability to audit other processors (Preferred)
  • Understanding of Out-of-area programs (Preferred)
  • Ability to exert up to 10 lbs. of force occasionally and/or a negligible amount of force frequently or constantly
  • Ability to keyboard
  • Ability to communicate clearly and understandably in person and over the telephone
  • Must maintain confidentiality of documents/files

Benefits:

  • Medical, vision, and dental coverage with low employee premiums
  • Voluntary benefit offerings, including pet insurance
  • Life and disability insurance
  • 401K employer match
  • Pension plan vested after 3 years of service
  • Wellness incentives and mental well-being resources, including counseling, stress management, and mindfulness programs
  • Generous paid time off
  • Tuition assistance for undergraduate and graduate degrees
  • Employee recognition program
  • Commuter perks
  • Free convenient on-site parking
  • Subsidized on-campus cafes
  • On-site health and wellness activities
  • Fitness & well-being center with in-person and virtual workouts and nutritional counseling
  • Shuffleboard and ping pong on campus