92 claims processing jobs at 50 companies in Pennsylvania
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Claims Repricer
Philadelphia, Pennsylvania, United States
OnsiteFull Time
Independence Blue Cross: Provides health insurance plans and managed care services.
2+ YOEHigh school diploma required (Associate/Bachelor preferred); 2+ years claims processing/pricing experience; strong knowledge of claims adjudication, contract pricing; analytical skills; proficiency with Microsoft Excel/Word, claims systems; compatible mobile device for Microsoft Authenticator.
Microsoft Excel, Microsoft Word, Microsoft Authenticator, claims systems
FM Global: Providing commercial property insurance and loss prevention engineering.
Experience in equipment breakdown or claims adjustment; must have or obtain state adjuster licenses; strong communication, analytical, customer-service, and paperless processing skills.
GBU Life: Provides life insurance and annuity products to society members.
Customer service and claims processing skills; claims experience preferred; strong verbal/written communication, organization, clerical and basic accounting ability; attention to detail and ability to follow procedures.
Senior LIFE: Provides comprehensive medical and personal care for seniors.
Process medical claims, verify provider contracts and referrals, perform weekly adjudication/balancing; CPT/HCPCS coding knowledge and prior claims experience preferred; proficient in Microsoft Outlook, Word and Excel.
Microsoft Outlook, Microsoft Word, Microsoft Excel
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/yrOnsiteFull Time
Sedgwick: Provides global insurance claims management and risk services.
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.
Select MedicalNYSE: SEM: Provides specialized inpatient and outpatient rehabilitation and recovery healthcare.
1+ YOEHigh school diploma or equivalent, 1+ year medical billing/collections or claims processing experience, experience with private/commercial claims and Medicare/Medicaid, Microsoft Office (Outlook, Excel) and multitasking skills.
UPMC: Integrated health system providing clinical care and medical insurance.
1+ YOEHigh school diploma, 1+ year claims processing experience preferred, knowledge of medical terminology/ICD-9/CPT, commercial/Medicaid/Medicare products, COB, and organizational/communication skills.
Independence Health Group: Provides health insurance and healthcare administration services.
2+ YOEHigh school diploma or equivalent; 2+ years claims processing/pricing experience; knowledge of claims adjudication and provider contract pricing; proficiency with Microsoft Excel and Word and claims systems; strong analytical and problem-solving skills; compatible Android/iOS device for Microsoft Authenticator.
Microsoft Excel, Microsoft Word, Microsoft Authenticator, Android, iOS
ChubbNYSE: CB: Provides property, casualty, and life insurance and reinsurance services globally.
7+ YOE7+ years in process engineering, operations, or project management; experience leading cross-functional teams, claims operations knowledge preferred; bachelor’s degree; Six Sigma/PMP/Agile a plus; strong analytical and communication skills.
Bethlehem or Pittsfield or New York City or Boston
$59k-$96k/yrHybridFull Time
Guardian Life: Provides life, disability, dental, and vision insurance products.
Extensive Individual Claims experience, quality assurance/audit or process improvement background, training delivery experience, advanced Microsoft Excel skills, strong analytical and communication abilities.
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/yrRemoteFull Time
CSAA Insurance Group: Provides personal and commercial insurance products to AAA members.
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
Florida or Arkansas or Idaho or Texas or Georgia or Montana or Iowa or Wisconsin or Oregon or Washington or Alaska 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 Wyoming or Delaware
$19-$35/hrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
1+ YOEMinimum 1 year ACAS claim processing experience; ability to review and research claims using ACAS/EWM, ASD, ECHS; Excel proficiency; strong analytical, communication, and multitasking skills.
Newark or New Jersey or New York or Pennsylvania or Connecticut or Delaware
$58k-$77k/yrRemoteFull Time
Horizon Blue Cross Blue Shield of New Jersey: Provides health insurance and managed care products in New Jersey.
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.
St. Luke's University Health Network: Operates a network of hospitals and medical education facilities.
High school diploma; process UB04 and HCFA-1500 claims, perform third-party billing, analyze and resolve denied claims, use Microsoft Office and web applications, strong verbal and written communication.
Germain Motor Company: Operates automotive dealerships providing vehicle sales and maintenance services.
Prior automotive warranty administration experience, knowledge of warranty processes, strong attention to detail and organization, excellent communication skills, and proficiency with software for processing warranty claims.
Brookmont Health & Rehab: Provides skilled nursing, rehabilitation, and long-term senior care services.
Knowledge of Medicaid regulations and claims processing, intake assessments, strong analytical and communication skills, ability to manage documentation and collaborate with providers.
Valley Health Partners: Non-profit community health center providing comprehensive medical services.
1+ YOEProvide patient financial counseling, perform physician billing, manage provider schedules, and support insurance/claims processing with accuracy and strong communication.