Duck Creek Platform Engineer - Hybrid (Policy/Billing/Claims)
Core Specialty Insurance Holdings, Inc.
A leading insurance firm is seeking a Technical Specialist for the Duck Creek Suite in Cincinnati, OH. The ideal candidate will have extensive experience in designing and configuring Duck Creek applications across Policy, Billing, and Claims. Responsibilities include customizing forms, managing SQL databases, and ensuring compliance in product lifecycle transactions. This role offers a hybrid work schedule and competitive salary with benefits, focusing on the delivery of innovative insurance solutions. #J-18808-Ljbffr
- ...Technical Specialist responsible for designing and configuring Duck Creek applications. The role involves collaborating with various teams... ...understanding of insurance workflows. This position offers a hybrid work model, emphasizing work-life balance and providing comprehensive...PolicyClaims
- ...Technical Specialist for the Duck Creek Suite responsible for... ...Creek applications (Policy, Billing, Claims) to deliver compliant... ...required to work a hybrid schedule (3 days in... ...systems (rating engines, claims vendors, finance... ...management, data platforms).* Manage and optimize...PolicyClaimsTemporary workWork at officeLocal areaRemote workRelocationWork visaFlexible hours
- ...Core Specialty's Insurance Platform (Duck Creek), responsible for the... ...insurance systems supporting Policy, Billing, and Claims workflows. This role... ...will be required to work a hybrid schedule (3 days in office... ...workflows, rules engines, forms, and integrations....PolicyClaimsTemporary workWork at officeRemote workRelocationWork visaFlexible hours
$102.5k - $187.9k
...exist today, such as in claims, underwriting, policy and billing. Our ambition is to be the... ...capabilities and engineering skills that support the... ...OneShield, Exigen/EIS, Majesco, Duck Creek, Insurity, Sapiens/... ...-led and leader-enabled hybrid model. Our expectation is...PolicyClaimsWork experience placementSummer holidayFlexible hours- ...plans, competitive pricing, and prompt, fair claims resolution. With a commitment to... ...motivated Insurance Agent for a full-time hybrid role, based in Cincinnati, OH, with opportunities... ...exceptional customer service, managing policy renewals and adjustments, and ensuring...PolicyClaimsRemote jobFull time
- ...Collaborate with financial clearance and billing departments to prevent claim denials and reimbursement delays.... ...• Stay informed of regulatory and policy changes affecting reimbursement and... ...Transplant - Administration Remote/Hybrid/Onsite Onsite Standard Working...PolicyClaimsFull timeRemote workDay shift
$65k - $90k
...posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50... ...requests, policy administration, billing, claims, and coverage analysis.... ...management systems and carrier/vendor platforms, ensuring data accuracy and completeness...PolicyClaimsRemote work$75k - $85k
...prefer the candidate be 2-3 days hybrid at one of our IOA office... ...in accordance with company policy, individuals residing within... ...requests, policy administration, billing, claims, and coverage analysis.... ...systems and carrier/vendor platforms, ensuring data accuracy and...PolicyClaimsRemote work- ...distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting... ...on identified providers as warranted. Examines claims for compliance with relevant billing and processing guidelines and to identify...PolicyClaimsTemporary workWork at officeLocal area2 days per week1 day per week
- ...full time, non-exempt role. This is a hybrid opportunity. Position Overview... ...new business and renewal activities, policy servicing handling including processing... ...partnering with other support areas like Billing, Premium Audit, Claims, Agency Licensing as well as...PolicyClaimsFull timeTemporary workWork from homeFlexible hours
- ...all Employees: Adhere to all Anderson Hills Pediatrics' Policies and Procedures Conduct self in a manner that... ...as workload necessitates Primary Function: Assists the Billing Manager with the claims submission and revenue cycle of the practice. Major Duties...PolicyClaimsWork at officeRelocationShift work
- ...individual needs. Responsible for ensuring timely claim submission, follow-up with no response... .... Experience with variety of billing issues involving payers (Medicare, Medicaid... ...by government programs, and the Companies policies, such as federal regulations, HIPPA, and...PolicyClaimsWork at office
- ...Lines CSR in Cincinnati, Ohio. In this role, you will serve as the primary contact for clients, assisting with policy changes, billing inquiries, and claims support. The ideal candidate will have 2+ years of experience in commercial lines insurance, an active Property...PolicyClaims
- ...is responsible for monitoring insurance claims due to no response, pending response, denial... ...appeal, and proactively resolve balances billed to insurance carriers by way of accurate... ...independent decisions in accord with policy and procedure. Ability to reference and...PolicyClaimsFull timeRemote workWork from homeFlexible hoursDay shift
- ...Recovery Claims Representative | License Required | Dedicated Client | Blue Ash, OH (Hybrid) By joining Sedgwick, you'll be part of something truly meaningful. It's what... ...investigators, etc., confirming accuracy of billing. Works with collections agencies when appropriate...ClaimsWork at officeFlexible hours
- ...business office workflows, reduced claim denial rates, and accelerated... ...cycle management (RCM) platform, is emerging as a top competitor... ...reach. The Position A full-time, hybrid role reporting to our Art... ...nondiscrimination in employment. This policy applies to all terms and...PolicyClaimsFull timeWork at officeLocal areaFlexible hoursShift work
$15.82 - $29.38 per hour
...the Service Representative - 9:00-6:00 ET (Hybrid) role at Paychex 3 days ago Be among the... ...relations are maintained and customer claims and complaints are resolved fairly, effectively, and in accordance with Paychex policies and procedures. Responsibilities Delivers...PolicyClaimsHourly payFull timeLocal areaImmediate startRemote workFlexible hours- ...Accounting Supervisor is responsible for overseeing the claims management and insurance billing and/or follow-up processes for UC Health. This... ...quality performance and promotes awareness of departmental processes, policies, and goals. #J-18808-Ljbffr UC Health, LLCPolicyClaimsFull timeDay shift
- ...consultations as necessary. Maintains required billing records, reports, files, etc.... ...charges. Responsible for contributing to claims corrections and appeals. Provides accurate... ..., guidelines, compliance, and operating policies. Knowledge of anatomy and medical...PolicyClaimsWork at officeAfternoon shift
$20 - $25 per hour
A prominent insurance agency in Cincinnati is seeking a Claims Manager to oversee the claims reporting process. Responsibilities include... ...The position offers a base wage of $20.00 to $25.00 per hour, with a hybrid work schedule available. #J-18808-Ljbffr AAA Club AllianceClaimsHourly pay- ...documentation. Apply correct coding guidelines for billing and provide necessary information to the billing department to resolve claim reviews or denials. Contact appropriate... ...adheres to all organizational processes and policies. Works closely with colleagues and...PolicyClaimsWork at officeTrial period
$34.1k - $40k
...service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer-focused, needs-based review process to educate customers about insurance...PolicyClaimsFor contractors- ...them with their insurance needs and ensuring a positive experience. Key Responsibilities Assist clients with policy changes, billing inquiries, and claims support. Issue insurance ID cards, certificates of insurance, and other policy documents. Process endorsements...PolicyClaimsWork at office
$29.05 - $67.97 per hour
...necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers. Job...PolicyClaimsHourly payWork experience placementWork at office- ...Behavioral Health Billing Department Lead Responsible for activities and operations of... ...Position Description Oversees the BH EHR Claims transactions (claims approval, batching,... ...relevant laws, regulations and internal policies. Communicate with management and...PolicyClaims
$29.05 - $67.97 per hour
...necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers. Job...PolicyClaimsHourly payWork experience placementWork at office- ...general guidance of leadership, the Medical Billing Supervisor is responsible for the daily... ...timely and accurate submission of claims, resolution of denials, and compliance with... ...underinsured patients. Support adherence to payer policies, Local Coverage Determinations (LCDs),...PolicyClaimsWork at officeLocal area
- ...medical providers to obtain records and itemized billing statements. Communicate with insurance adjusters regarding status of claims. Communicate with Medicare, Medicaid and... ...understand the importance of adhering to policies and procedures. Be a team player....PolicyClaimsWork at officeMonday to FridayShift work
- ...typical insurance business functions like underwriting and policy issue, payment processing, anniversary, disbursement,... ..., non-forfeiture, lapse processing, state reporting, billing, policy servicing, product set-up, claims processing Hands-on development and support...PolicyClaimsH1b
- ...coding. Keeps abreast of all current billing and coding rules and regulations affecting... ...but not limited to, rejection reports and claim denials. Performs regular analysis of... ...Strong knowledge of legal, regulatory, and policy compliance issues related to medical...PolicyClaimsWork at office
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