2w
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Claims Representative, Auto
Virginia Beach or Seven Hills or Rhode Island or Indiana or Texas or Delaware or Kentucky or South Carolina or Florida or West Virginia or Maryland or North Carolina or Ohio or District of Columbia or Illinois or New Jersey or Iowa or Tennessee or Pennsylvania or New Hampshire or Maine or Michigan or Wisconsin or Virginia or Georgia or Massachusetts or Connecticut
$50k-$55k/yr OnsiteFull Time
Experience processing auto/property damage and lower-level injury claims; familiarity with personal/commercial lines, ability to assess damage and negotiate claims, strong communication and PC skills, secure state adjuster licenses as required.
Microsoft Office
3w
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Senior Manager, Claims Services
Hartford or Baltimore or Portland or Wellesley Hills or Kansas City or Milwaukee or Nashville or United States
$68k-$102k/yr HybridFull Time
5+ YOEPrior people management in high-volume claims or data operations, working knowledge of claims data and processes, advanced Microsoft Excel, Microsoft Word and PowerPoint proficiency, strong analytical and communication skills; bachelor's degree and 5–7 years preferred.
Microsoft Excel, Microsoft Word, PowerPoint
2w
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VP, Head of Claims | CT & NY
Shelton or New York
HybridFull Time
Lead a regional claims advocacy department, set standards and workflows, manage carrier relationships, hire and develop staff, and deliver claims reporting and process improvements.
Applied Epic, AMS360
2d
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Senior Claims Business Process Analyst
Dallas or Hartford or Minneapolis or Phoenix or Tampa
$24-$43/hr RemoteFull Time
2+ YOE2+ years analyzing business/customer issues and conducting end-to-end audits; high school diploma/GED or equivalent; ability to learn complex systems; Facets experience preferred; ability to work full time with flexible 8-hour schedules.
Facets, Microsoft SharePoint, Windows
1mo
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Account Assistant 3, Claims
New Haven, Connecticut, United States
$28/hr OnsiteFull Time
2+ YOEHandles claims processing and member/provider communications; requires strong phone, Microsoft Word/Excel skills, familiarity with medical terminology, and 2–4 years related experience or an Associate's degree.
Microsoft Word, Microsoft Excel, Athena, IDX, Indigo
1mo
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Account Assistant 3, Claims
New Haven or United States
$28/hr OnsiteFull Time
2+ YOE2+ years related experience (or 4 years without degree). High school level education or Associate's degree acceptable. Strong phone/customer service skills, Microsoft Word/Excel, familiarity with medical terminology and claims processing; knowledge of IDX/Athena/Indigo preferred.
Microsoft Word, Microsoft Excel, Athena, IDX, Indigo
1mo
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Business Analyst I, II, III (Claims)
Boca Raton or Alabama or Arkansas or California or Connecticut or Florida or Georgia or Kentucky or Missouri or North Carolina or Nevada or Ohio or South Carolina or Tennessee or Texas or Virginia or Wisconsin
$80k-$109k/yr RemoteFull Time
3+ YOEBachelor's degree or equivalent; experience as a claims systems business analyst in P&C homeowners/residential commercial; strong requirements elicitation, documentation, analysis, stakeholder communication, and regulatory/process knowledge.
Duck Creek, SugarCRM, ClickClaims, SQL, Microsoft Excel, Microsoft Visio, Jira
1mo
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Process Manager, Commercial Casualty Claims - Remote
California or South Carolina or Louisiana or Washington or Virginia or Utah or Texas or Tennessee or Pennsylvania or Oregon or Oklahoma or Ohio or Michigan or New York or West Virginia or New Jersey or Missouri or Massachusetts or Wisconsin or New Hampshire or New Mexico or Nevada or Kansas or Georgia or North Carolina or Montana or Arkansas or Maine or Maryland or Delaware or Rhode Island or Kentucky or Mississippi or Indiana or Alabama or Illinois or Idaho or District of Columbia or Colorado or Arizona or Florida or Iowa or Nebraska or Vermont or South Dakota or Connecticut or Minnesota or United States
$137k-$182k/yr RemoteFull Time
10+ YOE5+ MgmtBachelor's degree or equivalent, 10+ years in financial/business analysis or process design, 5+ years supervisory experience, project management skills, experience with business process analysis and budgeting, proficiency with Visio, MS Project and Excel.
Microsoft Visio, Microsoft Project, Microsoft Excel
1mo
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Project Manager - Claims Platform
Rocky Hill or North America or Israel or Europe
$160k-$180k/yr RemoteFull Time
5+ YOE5+ years project management experience in insurtech or large-scale strategic projects; strong PM process knowledge, client-facing and technical skills, ability to manage multiple projects; PMP beneficial. Location: North America.
1mo
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Senior Analyst Claim Reporting and Special Services
Hartford or Arkansas or Idaho or Texas or Georgia or Montana or Iowa or Wisconsin or Oregon or Washington or New York or Connecticut or Nebraska or Rhode Island or Tennessee or Kentucky or Ohio or West Virginia or Maryland or Massachusetts or South Carolina or Missouri or Utah or Arizona or South Dakota or Pennsylvania or New Hampshire or Vermont or Minnesota or New Mexico or Michigan or California or Maine or North Dakota or Kansas or Indiana or New Jersey or Nevada or Louisiana or Mississippi or Oklahoma or Alabama or Virginia or Illinois or North Carolina or Colorado or Florida or Wyoming or Delaware or United States
$47k-$112k/yr HybridFull Time
2+ YOE2+ years processing claims through ACAS, knowledge of Aetna claim and provider systems, project coordination and root-cause analysis skills, data analysis ability, strong communication and composure under pressure.
Aetna claim and provider systems, ACAS, USQA reporting, Microsoft Excel, Microsoft Word, Microsoft Access
4d
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Service Rep Claim Initiation
Radnor or Charlotte or Fort Wayne or Hartford or Omaha or United States
$20-$27/hr RemoteFull Time
0+ YOEHigh school/GED, 0+ years general experience, ability to initiate and process routine claims, customer service skills, confidentiality and basic decision-making.
3w
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A/R Specialist
Woburn or Scarborough or Concord or Canton or Connecticut or Florida or Maine or Massachusetts or Maryland or New Hampshire or North Carolina or Ohio or Rhode Island or Texas or Vermont
$21-$23/hr RemoteFull Time
3+ YOE3+ years processing third-party health insurance claims; knowledge of Medicare/Medicaid and payer rules; familiarity with electronic claims processing, CPT/ICD9/HCPC coding, HIPAA; strong written/verbal communication and MS Word/Excel skills.
Microsoft Word, Microsoft Excel
5d
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OON Mandate Negotiation Analyst-1
Newark or New Jersey or New York or Pennsylvania or Connecticut or Delaware
$58k-$77k/yr RemoteFull Time
5+ YOE5+ years business experience with 2+ years customer correspondence/phone service; claims processing experience; knowledge of claims systems, medical terminology, and Microsoft Office; strong communication and investigative skills.
Microsoft Office Suite, Blue 2, UCSW
1mo
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Account Associate - State Farm Agent Team Member
Fairfield, Connecticut, United States
$50k-$70k/yr OnsiteFull Time
Manage customer accounts, process claims, coordinate with underwriters, strong organizational and communication skills; previous insurance experience preferred; bilingual Spanish preferred.
1w
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Appeals and Grievances - RN, Consultant (MediCare)
Rancho Cordova or Washington or Ohio or District of Columbia or California or Long Beach or Arizona or Colorado or Connecticut or Florida or Georgia or Maryland or Minnesota or Nevada or El Dorado Hills or Lodi or Oakland or Redding or San Diego or Woodland Hills or Alabama or Illinois or Virginia or Wisconsin or Texas
$112k-$167k/yr HybridFull Time
7+ YOE2+ MgmtActive California RN license, 7+ years relevant experience, 2+ years supervisory experience preferred, BSN preferred, knowledge of Medicare and claims processing, familiarity with EHR systems.
EHR
5d
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Labor Department Community Services Representative
Wethersfield, Connecticut, United States
$61k-$76k/yr HybridFull Time
5+ YOEProvide front-line unemployment insurance services: determine monetary eligibility, process and adjust claims, correspond with claimants/employers, maintain case files; requires strong communication and computer skills.
Microsoft Word, Microsoft Outlook, Microsoft Excel, Microsoft Teams
1mo
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A&G Clinical Specialist
New York or West Virginia or North Dakota or Wisconsin or Indiana or Virginia or Texas or Tennessee or South Carolina or Pennsylvania or Ohio or Nevada or New Jersey or North Carolina or Minnesota or Maryland or Massachusetts or Florida or Delaware or Connecticut or New Hampshire or Arizona or Vermont or Alabama or Maine or Wyoming or Montana or South Dakota or Nebraska or New Mexico or Washington or Michigan or Hawaii or Oklahoma
$73k-$120k/yr RemoteFull Time
LPN or RN required; experience in clinical practice and appeals & grievances, claims processing, utilization review preferred. Knowledge of Utilization Review guidelines, InterQual or Medicare guidance; proficiency with Microsoft Word and Excel.
Microsoft Word, Microsoft Excel, Macess, InterQual
1w
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Pharmacy Coordinator
Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or California or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Montana or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Missouri or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$19-$24/hr RemoteFull Time
High school diploma/GED, experience in pharmacy prescription claims processing, knowledge of Medicaid/Medicare drug benefit design, strong computer and communication skills; preferred associate degree and pharmacy technician certification.
Microsoft Outlook, Microsoft Word, OnBase, Argus IPNS
1w
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Medicare Technician
United States or Scottsdale or Hartford or Lake Mary or San Antonio or Naperville or Las Vegas
$46k-$69k/yr HybridFull Time
Experience processing Medicare and medbill tasks including lien development/pricing, ICD-9/10 decoding, claim research, and customer communication; high school required; strong attention to detail and time management.
ECOS
1mo
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Senior Business Analyst
Atlanta or Boston or Hartford or New York City or Connecticut
$100k-$130k/yr HybridFull Time
5+ YOE5+ years P&C business analysis experience, strong insurance domain knowledge (rate/quote/bind, claims), Agile delivery experience, stakeholder facilitation, process mapping, and proficiency with Jira/Confluence/Visio/Lucidchart.
Duck Creek, Guidewire, Majesco, Jira, Confluence, Visio, Lucidchart
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