Senior Health Claims Specialist: Complex Adjudication
$18.5 - $42.35 per hourHispanic Alliance for Career Enhancement
CVS Health®, located in Delaware, is hiring for a full-time medical claims processing role. The position involves reviewing complex claims, ensuring compliance with regulations, and offering positive member experiences. Candidates should have at least 18 months of medical claim processing experience and be detail-oriented. The salary ranges from $18.50 to $42.35 per hour. Benefits include medical, dental, vision coverage, retirement savings options, and more. Join CVS Health® and contribute to transforming health care. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$18.5 - $42.35 per hour
CVS Health is seeking a Medical Claims Specialist to review and adjudicate complex medical claims. The role requires minimum 18 months of experience in medical claim processing within a health insurance payor environment. Candidates should have excellent attention to detail...SeniorHourly payFull time$18.5 - $42.35 per hour
...for Career Enhancement is seeking a Medical Claims Processor in New York, NY. The position involves reviewing and adjudicating complex medical claims while ensuring compliance... ...hour, with comprehensive benefits including health coverage and retirement options. #J-18808-Ljbffr...SeniorHourly payFull time$18.5 - $42.35 per hour
CVS Health is seeking a Medical Claims Adjudicator in Idaho to review and adjudicate complex medical claims while supporting customer service operations. The role requires at least 18 months of experience in medical claim processing with specific qualifications in detail...SeniorHourly payFull time$18.5 - $42.35 per hour
...CVS Health is seeking a Medical Claims Adjudicator in New Jersey. The role involves reviewing and adjudicating medical claims, addressing inquiries, and ensuring compliance with regulatory requirements. Candidates should have at least 18 months of medical claim processing...SeniorHourly payFull time$18.5 - $42.35 per hour
CVS Health is hiring a Medical Claims Processor in Oklahoma. This full-time position involves reviewing complex medical claims and providing expertise to ensure compliance with guidelines. The ideal candidate should have 18 months of experience in medical claim processing...SeniorHourly payFull time$18.5 - $42.35 per hour
...A leading healthcare provider in the United States seeks a Medical Claims Specialist to review and adjudicate complex claims. The ideal candidate has at least 18 months of experience in medical claim processing within a high-volume environment and demonstrated attention...SeniorHourly payFull time$18.5 - $42.35 per hour
A leading health organization is seeking a Full-Time Claims Coordinator to review and adjudicate medical claims, ensuring compliance with guidelines and facilitating positive member experiences. The ideal candidate will have a minimum of 18 months of experience in medical...SeniorHourly payFull time$140k - $170k
...Senior Complex Claims Specialist Build a brilliant future with Hiscox Bring your passion and enthusiasm... ...coverage and severity. This person adjudicates assigned claims within given... ...company matching ~ Comprehensive health insurance, vision, dental and FSA plans...SeniorTemporary workWork at office2 days per week$18.5 - $42.35 per hour
...Overview We're building a world of health around every individual -... .... Position Summary Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established... ...specified claims and those that exceed specialist adjudication authority or...SeniorHourly payFull timeWork experience placementLocal areaRemote workFlexible hours$124k - $160k
...Insurance is seeking a Public Entity Professional Liability Complex Claims Specialist to manage complex claims effectively. You will support... ...60,000, along with an extensive benefits package including health care plans, retirement savings, and paid time off. #J-18808...Senior$80.96k - $135.52k
...Blue Cross Blue Shield of Michigan is seeking a Claims Specialist to independently handle complex claims with a focus on commercial trucking. This position requires a Bachelor's degree or equivalent experience and at least seven years in claims management, including leadership...Senior- ...American Specialty Health is looking for a Sr Reconciliation Representative to reconcile claims, including complex ones, in a remote work environment. Responsibilities include documenting comments in internal systems, making calls to health plans regarding claims, and...SeniorWork at officeRemote work
- ...American Specialty Health Incorporated is seeking a Sr Reconciliation Representative to join our Reconciliation department. This remote position involves reconciling complex claims for payment and requires a High School Diploma or GED, alongside 2 years of claims processing...SeniorWork at officeRemote work
- ...Liberty Mutual Insurance is looking for a Complex Workers Compensation Claims Specialist in the West Region. The role involves investigating and resolving claims, working with management, and collaborating with defense counsel on litigated files. Qualified candidates...Senior
- ...Senior Claims Specialist, Law Division The New York City Comptroller's Office works to promote the financial health, integrity, and effectiveness of New York City government. The Bureau... ...involving administrative appeals and complex legal and/or factual situations;...SeniorPermanent employmentFull timeWork at office
- A leading insurance company is seeking a Complex Cyber Claims Specialist in New York City. This role involves investigating and evaluating complex cyber claims, working closely with attorneys and experts. Candidates should have several years of experience in cyber claims...SeniorFlexible hours
$15 - $18 per hour
...ONE80 INTERMEDIARIES INC is seeking a Claims Coordinator to join their team in the United States. In this role, the successful candidate... ...policy provisions. The position requires handling moderate to complex claim issues and obtaining necessary documentation. The ideal...Hourly payWork at office$98k - $107k
...2,000 employers and health plans trust Maven's... ...Role Overview The Senior Associate, Claims and Benefits Analyst... ...responsible for resolving complex billing... ...understanding of claims adjudication, cost-share structures... ...the full platform and specialists, including care for...SeniorFull timeContract workWork at officeImmediate startRemote workFlexible hours3 days per week- ...Remote Jobs is seeking an experienced Audiologist Specialist 3 to join the UW Medicine Eastside Specialty Center. This full-time position... ...comprehensive audiologic care and independently managing a complex caseload in a patient-centered environment. The role requires...SeniorFull timeRemote work
- ...A leading insurance provider is looking for a Senior Claims Consultant to manage and resolve complex insurance claims. This role requires expertise in Surety Claims and Construction Litigation, as well as a JD preferred. The position offers opportunities for professional...SeniorRemote work
- ...Senior Claim Handler The Senior Claim Handler is responsible for all aspects of claim handling on a book of complex asbestos, long term exposure and environmental claims from first notice... ...personal accident and supplemental health insurance, reinsurance, and life insurance...SeniorWork at officeLocal area
- ...Employment Practices Liability Claims Professional This is not your average Claims role... ...damage investigations and evaluations on complex Employment Practices Liability insurance... ...insurance, personal accident and supplemental health insurance, reinsurance, and life...SeniorFull timeTemporary workWork experience placementLocal area
- Liberty Mutual Insurance in New York is seeking a Claims Specialist to manage specialty lines claims throughout their life cycle. This role requires extensive experience in claims handling, specifically Cyber/Media/Tech Liability, along with strong analytical and negotiation...SeniorWork at office
- NYC Health + Hospitals seeks a Complex Care Coordinator to oversee patients with behavioral health issues in New York. Responsibilities include care management, coordinating services, and utilizing EMR systems for documentation. Candidates must have a master’s or bachelor...Senior
$105k - $110k
CenterLight Health System located in New York, NY is looking for a Claims and Encounter Analyst II. This vital position enhances the effectiveness of the claims department through data analysis and process improvement, ensuring compliance with State and CMS guidelines....Senior- A leading insurance company is hiring a Senior Technical General Liability Bodily Injury Claims Specialist to adjudicate complex claims and negotiate settlements. This role requires at least seven years of experience in handling general liability claims and strong communication...SeniorWork at office
- ...care. We believe that Health care is a right, not a... ...primary care providers, specialists and participating... ...Position Overview As a Claims Adjustment Specialist... ...analyzing standard to complex post-paid healthcare claims... ...accuracy and adjust/adjudicate as needed using multiple...Contract workShift work
- King's Insurance Staffing is looking for a Senior Inside Property Claims Specialist to manage homeowners and commercial property claims fully remotely. The ideal candidate will have at least 5 years of experience in a desk adjusting role, with strong expertise in Xactimate...SeniorRemote job
$100k
...Description Business Title(s): Senior Technical General Liability Bodily Injury Claims Specialist Employment Type:... ...and is focused on adjudicating commercial General... ...degree of technical complexity, potentially with major... ...program‑including health, dental, vision, 401(...SeniorFull timeLocal area$86k - $114k
...Mutual of Omaha is seeking an experienced Underwriter IV to join its remote team. This role involves underwriting highly complex individual life insurance cases, with a financial impact beyond $5 million. Candidates should have a minimum of 5 years in life underwriting...SeniorRemote work
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