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
2w
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Claims Representative , Auto
Seven Hills or Virginia Beach or Rhode Island or Indiana or Texas or Delaware or Kentucky or South Carolina or Florida 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 Vermont or Connecticut
$50k-$55k/yr OnsiteFull Time
Processes and analyzes auto property and lower-level injury claims; familiarity with personal/commercial lines, damage and total loss evaluation, Microsoft Office, strong communication and analytical skills; state adjuster licenses required.
Microsoft Office
1w
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Claims Payment Analyst
King of Prussia or Pennsylvania or New Jersey or Delaware
HybridFull Time
1+ YOEProcess and reconcile securities class action claim payments, prepare SWIFT/wire payments, maintain client instructions, and communicate payment details; Bachelor's degree and ~1 year professional experience preferred.
Microsoft 365, Microsoft Excel, Microsoft Word, Remote Deposit Capture (RDC), SWIFT
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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Operations Manager - Claims and Research
Wilmington, Delaware, United States
$72k/yr HybridFull Time
3+ YOE3+ years financial services experience, supervisory background, intermediate Microsoft Word and Excel, KPI and SLA management, process improvement, team coaching, analysis and reporting skills.
Microsoft Word, Microsoft Excel
1mo
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Operations Manager - Claims and Research
Wilmington, Delaware, United States
$72k/yr HybridFull Time
3+ YOE3+ years financial services experience preferred; supervisory experience; intermediate Microsoft Word and Excel; strong people management, KPI monitoring, SLA management, analysis, process improvement, and communication skills.
Microsoft Word, Microsoft Excel
5d
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Head of Operations, Warranty
United States or Washington or Alaska or Arkansas or Delaware or Hawaii or Iowa or Maine or Mississippi or Montana or New Hampshire or West Virginia
$139k-$194k/yr RemoteFull Time
7+ YOE7-10 years warranty operations leadership with claims and contractor network experience, SOP/SOX/compliance knowledge, analytics and process improvement skills, and experience with operational systems (PCMI/PCRS, Zoho).
PCMI/PCRS, Zoho
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
1w
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Senior Claim Benefit Specialist - Remote
Georgia or Mississippi or Montana or North Carolina or Louisiana or Maryland or Maine or Minnesota or Nebraska or Missouri or North Dakota or New York or New Jersey or New Mexico or Nevada or Ohio or South Carolina or Texas or Rhode Island or South Dakota or Vermont or Tennessee or Virginia or Washington or Utah or Wisconsin or West Virginia or Oregon or Wyoming or Oklahoma or Pennsylvania or Colorado or Alabama or Arizona or California or Connecticut or District of Columbia or Florida or Hawaii or Iowa or Alaska or Arkansas or Idaho or Illinois or Kansas or Delaware or Indiana or Kentucky or Michigan or Massachusetts or New Hampshire
$19-$42/hr RemoteFull Time
1.5+ YOE18+ months medical claim processing experience with a payor or TPA, high school diploma required, ability to work in high-volume environments and manage multiple assignments with accuracy.
DG system
6d
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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
5d
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Customer Service Representative - State Farm Agent Team Member
Milford, Delaware, United States
$40k-$45k/yr OnsiteFull Time
Customer-service focused, detail-oriented communicator able to handle policy inquiries, updates, claims processing, and recordkeeping. Previous customer service experience preferred.
3w
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Customer Service Representative - State Farm Agent Team Member
Rehoboth Beach, Delaware, United States
$40k-$55k/yr OnsiteFull Time
Strong communication and interpersonal skills; detail-oriented and able to multitask. Previous customer service experience preferred. Ability to handle policy inquiries, changes, claims processing, and recordkeeping.
4d
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Revenue Cycle Specialist
Denver or Delaware or Florida or New Hampshire or New Jersey or Pennsylvania or Texas
$20-$24/hr RemoteFull Time
3+ YOE3+ years medical billing experience, knowledge of insurance/claim processing, ICD-10/CPT, EOB/ERA, EMR experience, Athena Collector preferred, CPC preferred.
Athena Collector, Hybrid Chart, Electronic Medical Records (EMR), Microsoft Word, Microsoft Excel
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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Appeals and Grievances Clinical Specialist
New York City or Lake Mary or New York or North Dakota 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 Kansas or Illinois or Iowa or Georgia or Florida or Delaware or Connecticut or Colorado or New Hampshire or Vermont or Arizona or Alabama or Maine or Utah or Mississippi or Montana or South Dakota or Nebraska or New Mexico or Washington or Michigan or Oklahoma
$73k-$120k/yr RemoteFull Time
Active registered nurse (rn) required; experience in appeals & grievances, utilization review, claims processing preferred; familiarity with Utilization Review guidelines and care management systems; strong documentation and case management skills.
Microsoft Word, Microsoft Excel, Macess, CCMS, TruCare, Hyland, InterQual, Milliman
2w
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Manager - Operations-(AHNJ) Hybrid in Philadelphia, Pennsylvania
Philadelphia or Delaware or New Jersey or Pennsylvania
HybridFull Time
3+ YOEManages and develops associates, drives operational strategies, 3+ years managerial experience (or 5–7 years without degree), bachelor\u0002s preferred, knowledge of benefits/claims processing, strong communication and budgeting skills.
Microsoft Authenticator
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