Processor • plano tx
Summary Of Position: Under the guidance and direction of the Team Leader (Claims Supervisor), the primary role of a Senior Claims Examiner is that of a superior claims processor with a thorough kno... Show more
Come join Payroll Tax Operations (PTO) as a senior payroll tax expert and Subject Matter Expert (SME) on a team responsible for the end-to-end resolution of payroll tax issues across Notices, Corre... Show more
This position is responsible for assisting Account Manager(s) and/or producers in the servicing and processing of new and renewal business and other tasks assigned in a timely, accurate and positiv... Show more
Originate portfolio loans, secondary market conventional, FHA, VA and RD loans which are compliant with investor requirements and all State and Federal laws and regulations; Promote Bank products a... Show more
Payments Governance Risk Policy Client Operations Manager III.Are you seeking an opportunity to make a meaningful impact in the payments and merchant services industry? JPMorgan Chase invites you t... Show more
We're seeking a meticulous and dedicated Commission Analyst to join our team.In this role, you'll be the backbone of our sales commission process, pulling together commission and client reports, or... Show more
We're seeking a meticulous and dedicated Commission Analyst to join our team.In this role, you'll be the backbone of our sales commission process, pulling together commission and client reports, or... Show more
Green Brick Mortgage is looking for a detail-oriented loan processor to join our team in Plano, TX.As a loan processor, you will be responsible for preparing and organizing loan files, ensuring all... Show more
As the System Engineering Lead, you will be responsible for leading hardware and software requirements definition, decomposition, allocation, management, verification, and validation of technical p... Show more
The Mortgage Loan Processor role will be responsible for performing a variety of documentation duties related to both agency and portfolio loans while ensuring compliance with policies and procedur... Show more
Director Of Transactional Services.We're looking for a Director of Transactional Services to drive adoption, revenue, and expansion of our services portfolio.This role exists to make sure the servi... Show more
This role is intended for Tamil / Telegu fluent speakers.Are you ready to go uP?  We are named in Top Workplaces NYC for 2024 We are one of the winners of USPAACC’s Fast 100 Asian Americ... Show more
Client Solutions Architect Manager.Harness your technical expertise to shape innovative client solutions and bridge product capabilities with real-world challenges.Collaborate closely with diverse ... Show more
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clien... Show more
Quality Control Specialist - Quality Control Department .DebtBlue, LLC is a fast‑growing debt settlement organization committed to helping individuals and families regain financial stability.W... Show more
Cancellation Administrative Specialist.Position: Cancellation Administrative Specialist.Job Title: Cancellation Processor - Department: Contract Administration.Pay Grade: Overtime Eligibility: Non-... Show more
Schedule: Flexible availability during standard business hours.The Benefits Boss is a remote insurance organization that provides health and life.We are seeking licensed Health Insurance Agents to ... Show more
Under the direction of the Branch and/or Production Manager, markets and promotes Highland Home Loan's products and services to its client base of realtors, builders, bank officers and potential an... Show more
Applied Concepts has an exciting opportunity at our Richardson R&D facility, where you will be contributing to our.You will help leverage our 49 years of technology expertise in Radar, Lidar, a... Show more
We’re seeking a meticulous and dedicated Commission Analyst to join our team.In this role, you’ll be the backbone of our sales commission process, pulling together commission and client reports, or... Show more
The average salary range is between $ 31,200 and $ 53,625 year , with the average salary hovering around $ 36,923 year .
The average salary range is between $ 29,250 and $ 53,648 year , with the average salary hovering around $ 35,100 year .
Summary Of Position: Under the guidance and direction of the Team Leader (Claims Supervisor), the primary role of a Senior Claims Examiner is that of a superior claims processor with a thorough knowledge of all claims processing systems, claim processing rules and medical policy. The successful candidate will also possess analytical skills to aid in research and resolution of Adjustment inquiries and/or correspondences. The incumbent will also possess a cooperative spirit that will lead to information sharing with the goal of enhancing the overall performance of the Department.
Major Duties And Responsibilities: Proficient in the use of all claim related systems, including Claims Processing System, Claims Workflow, Claims Pricing system, Claims processing rules and Desk Level procedures. Interpret and apply applicable processing guidelines while interacting with on-line system edits/pends. Research written and/or verbal queries from providers/members/internal departments to determine appropriate action on claim and process corrections as required. Analyze patient and medical information to identify instances where investigation for determining appropriate Claim Benefits, Pricing, Prior Authorization or Coordination of Benefits is necessary and process claims accordingly. Adjudicate all claim types, including professional and facility for all lines of business. Process voids and adjustments as required. Meet and maintain individual and departmental productivity and quality standards. Review and release high dollar claims or other complex claims adjudicated by less senior examiners as directed by the Team Leader (Claims Supervisor). Review reports and research pended claims to ensure timely adjudication within accepted corporate cycle times. Reports include, but are not limited to, daily hot and pend reports, weekly cumulative pend, and other special reports as received from customer. Identify, based on review and research of pend reports, and inform.
Job Location: USTXPAOC01 Plano - TX USA, CLT Alternate.
