Claims Processor I: Health & Welfare Adjudication
American Benefit Plan Administrators
Zenith American Solutions in San Francisco, CA is seeking a Claims Processor 1 to process routine health and welfare claims and provide customer service while adhering to plan guidelines and regulatory requirements. Minimum qualifications include a high school diploma or GED and at least six months of claims processing experience, with basic knowledge of ICD-10/CPT-4. Proficiency in Microsoft Office and discretion with PHI/PII are required. #J-18808-Ljbffr American Benefit Plan Administrators
$25.75 per hour
Zenith American Solutions, Inc. is seeking a Claims Processor 1 to provide customer service and support in processing routine health and welfare claims. This role requires maintaining knowledge of assigned plans and effective communication with customers. The ideal candidate...SuggestedHourly pay$25.75 per hour
...Claims Processor The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to... ...Basic knowledge of benefits claims adjudication principles and procedures and medical...SuggestedWork at officeLocal areaShift work$27.81 per hour
Zenith American Solutions, Inc. is looking for a Health Claims Processor in San Francisco, California, to independently process health claims and manage customer service responsibilities. The successful candidate will need a high school diploma and at least two years of...SuggestedHourly pay$100k - $165k
...property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of... ...financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At Chubb, we are...SuggestedWork at officeLocal area$27.81 per hour
...Claims Processor Responsible for independently processing all types of health claims on an assigned Plan(s), and for assuming primary or back-up customer service responsibilities... ...benefits claims processing and basic claims adjudication principles and procedures, medical and/or...SuggestedLocal area- ...range $75,000-$90,000/AnnuallyEmployer paid continuing education courses and designations via access to Kaufman InstituteHealth and welfare benefits including medical, vision and dental401K with employer matchPaid vacation, sick time, and holidaysAccess to Kaufman...Worldwide
- ...Part-Time (34 Hours/Week) Data Entry Claims Intake Processor San Francisco, California, United States Part-Time (34 Hours/Week) Data Entry... ...claims and/or authorization requests submitted by health care providers. Enter data from insurance claims and/or...Part timeRemote workMonday to FridayFlexible hours
$70k - $75k
...and brands including Intercare, InterMed, George Hills, and AS&G Claims Administration, we’re a people-focused, operations-driven... ...competitive, people first benefits package designed to support your health, financial security, and career growth, including: Company contributions...Contract work- ...Claims Business Analyst Onsite at SFO CA 12 Months Contract Looking for 10 plus... ...Cloud is preferred ~ Knowledge of claim adjudication processes and Facets platform experience... ...environment ~ Experience with Mass Health governing policies and procedures and procedural...Contract work
- UCSF Health is seeking an EDI Claims Assistant to manage electronic claim production for hospital and professional billing across UCSF entities. The role interfaces with Patient Financial Services, external payers, and clearinghouses, handling 837I/837P/835 workflows and...
$120k - $150k
...will rely on you to analyze customers’ business information and claims history, monitor clients’ activities to change the policies as risks... ...to participate in annual discretionary bonus• Benefits include: Health, dental, vision, dental, life, disability, wellness, paid time...Full timeRemote work$120k - $150k
...our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security—as well as your professional development—to bring peace of mind to you and your family....Full timeWork at office$87.4k - $170k
...balancing risk appetite and market dynamics.Collaborate with actuaries, claims teams, and other stakeholders to refine risk selection and... ...of what matters most to you, covering the full picture of your health, wellbeing, lifestyle and financial security. It provides...Flexible hours$124k - $199.8k
...business without sacrificing quality.Program ManagementParticipation in all aspects of program management such as actuarial pricing, claim or TPA oversight, reinsurance accounting and collateral management.Possesses a deep understanding of the business.Demonstrated...Full timeTemporary workWork at office3 days per week$132.2k - $257.1k
...providing effective underwriting, valuable risk engineering, and global claims capabilities. Businesses that are moving the world forward... ...of what matters most to you, covering the full picture of your health, wellbeing, lifestyle and financial security. It provides...Work at officeFlexible hours- Join Starr, a global leader in commercial insurance with over a century of expertise. We empower our employees to innovate, make impactful decisions, and build lasting client relationships worldwide. At Starr, you'll work in an entrepreneurial culture alongside accessible...Full timeWorldwide
$170k - $215k
...You will also be eligible for a comprehensive and competitive benefits package which includes medical plans for you and your family, health and wellness programs, retirement plans, tuition reimbursement, paid vacation, and much more.Where this role is based in the United...Full time$86.25k - $172.5k
...in the future. Depending on your eligibility, options for full-time employees include: medical/prescription drug coverage (with a Health Savings Account feature), dental and vision options; employee and spouse/child life insurance; short and long-term disability protection...Full timeTemporary workPart timeWork experience placementWork at office- With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short...Full timeTemporary workRemote work
- ...insured retentions, captives, group captives, bundled and unbundled claims.Knowledge of workers compensation, general liability and... ...of what matters most to you, covering the full picture of your health, wellbeing, lifestyle and financial security. It provides competitive...Flexible hours
$125k - $250k
...directly with the founders, own a consequential part of the company, and help define how the function works as we scale. We offer health benefits and meaningful equity. WORK MODEL This role is based in San Francisco and works in person with the team six days a week...Full time$125.5k - $209.1k
...assessment of current and prospective risks, including actuarial, claims, legal and risk engineering. Pro-active service of business in... ...At AXA XL, we know how important physical, mental, and financial health are to our employees, which is why we are proud to offer...Work at officeFlexible hours$89k - $108.19k
...Advocacy • Victim Compensation • Restitution We are seeking a Claims Specialist to join our Victim Compensation Unit. In this role,... ...includes knowledge of victimology, advocacy, trauma, and health or mental‑health services; familiarity with the criminal justice...Permanent employmentFull timeWork experience placementWork at office$72k - $141k
...potential. CNA is one of the premier providers of professional liability insurance. CNA Financial Lines has an opening for a Complex Claims Consultant handling Employment Practice Liability, Private and NFP D&O claims. This individual will work with insureds, attorneys...Full timeWork experience placementWork at officeLocal areaRemote workShift work- About the RoleShepherd's underwriting approach will be client-centric with a heavy emphasis on an efficient process. Our goal will be to leverage our technology and data to make quick, informed, underwriting decisions tailored to our client's specific needs.Candidates ...
- ...excellence (e.g., member of a working team). Models effective collaboration across teams, stakeholders and partners (e.g., UW Support, Claims, Actuarial, Directors of Underwriting in North America). Has strong knowledge of key legal cases, legislation and regulation...Local area
- ...environment as well as support our employees’ needs at all stages of life. All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance. We also offer a 401(k) with employer...Full timeWork at officeLocal areaWork from homeFlexible hours
- ...decisions and practices.Cross-Functional Collaboration: Works closely with internal stakeholders, including Underwriting Support, Claims, Actuarial, and Directors of Underwriting across GRS North America, to ensure seamless execution and alignment.Mentorship & Development...Local area
$190k - $250k
...capabilities beyond underwriting, including market trends, audits, and claims; represent Sompo through on-site visits, industry conferences,... ..., and Operations to support underwriting outcomes and portfolio health.What you’ll bring:At least 10 years, preferably 12 years of...Full timeFlexible hours$130k - $160.58k
Job Title:Vice President, Commercial Underwriter- CommercialLocation:San Francisco - MontgomeryWhat you'll do:As a Vice President, Commercial Underwriter - Commercial you'll be responsible for underwriting complex loan requests and renewals for working capital lines of ...Full time
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