60 claims processing jobs at 33 companies in Philadelphia, PA
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Claims Repricer
Philadelphia, Pennsylvania, United States
OnsiteFull Time
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
2w
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Claims Assistant
East Norriton, Pennsylvania, United States
$40k-$50k/yr HybridFull Time
Performs clerical claims duties, telephone investigations, schedules exams, prepares legal documents, processes disability and medical payments; strong communication, math, and time-management skills required.
Word, Outlook Calendar, E-Mail, Performa, Zeus
5d
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Claims Analyst II
Plymouth Meeting, Pennsylvania, United States
$62k-$68k/yr OnsiteFull Time
0.5+ YOEHigh school diploma or GED and 6–12 months of insurance claims experience. Requires claims process knowledge, MS Office proficiency, communication, organization, analysis, judgment, and multitasking skills.
Microsoft Office, Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft Teams
2w
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Claims Director, Property Damage
Mount Laurel, New Jersey, United States
$130k-$170k/yr OnsiteFull Time
15+ YOEBachelor's or tenured claim management background, 15+ years claims technical/management experience, strong auto property knowledge, regulatory knowledge (NJ, NY, PA, CT, MA), Excel/Tableau proficiency, leadership and process improvement skills.
Microsoft Excel, Tableau
2mo
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Claims Repricer in Philadelphia, Pennsylvania
Philadelphia, Pennsylvania, United States
OnsiteFull Time
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
1mo
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Retailer Claims Support Manager - Operations
Camden, New Jersey, United States
$95k-$120k/yr HybridFull Time
6+ YOE6+ years experience managing multi-functional teams in claims operations; strong claims processing knowledge, data analytics and Excel skills; familiarity with Subarunet/RPM/EPC/NorthStar; Bachelor's degree or HS with equivalent experience; strong communication and training ability.
NorthStar, Subarunet, Retail Parts Management (RPM), Labor Time Guide (LTG), Electronic Parts Catalog (EPC), Microsoft Excel
5d
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Claims Supervisor II - Commercial G/L
Bala Cynwyd or Lone Tree or Naperville or Glastonbury or Roseville or Ewing or Leawood or Plano or Alpharetta or Lake Mary
$114k-$128k/yr HybridFull Time
10+ YOEHigh school diploma required; bachelor's degree preferred. Requires 10+ years of related experience or equivalent education and experience, plus claims industry studies and Windows and word processing skills.
Microsoft Windows, Microsoft Word
2d
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Claims Operations Associate
Princeton or Philadelphia
$51k-$60k/yr HybridFull Time
Requires strong organization, multitasking, time management, prioritization, communication, relationship-building, adaptability, and process improvement skills in a fast-paced environment.
ISCyL, FSRI, Microsoft SharePoint
1mo
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VP, Global Claims Transformation Initiative Lead
London or Philadelphia
OnsiteFull Time
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.
2mo
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Supervisor, Claims Medical Only
Princeton, New Jersey, United States
$67k-$92k/yr HybridFull Time
5+ YOEBachelor's degree or equivalent; 5+ years in workers' compensation; valid adjuster license; leadership skills; ability to work with minimal supervision; strong process/quality focus.
Insurance Software, Microsoft Office, Data Analysis Tools
1mo
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Quality & Training Specialist, Claims (Hybrid)
Bethlehem or Pittsfield or New York City or Boston
$59k-$96k/yr HybridFull Time
Extensive Individual Claims experience, quality assurance/audit or process improvement background, training delivery experience, advanced Microsoft Excel skills, strong analytical and communication abilities.
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
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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
1mo
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Solution Owner II – General Claims
Trenton, New Jersey, United States
$105k-$122k/yr OnsiteFull Time
1+ YOE1+ years analyzing business processes, basic agile knowledge, ability to translate business needs into solutions, strong communication, stakeholder influence, requirement definition, and experience supporting delivery teams.
3d
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Technical Director, TPA Workers' Compensation Oversight
Atlanta or Philadelphia or Dallas
OnsiteFull Time
Extensive workers' compensation claims and TPA oversight experience; knowledge of reserving, litigation, claims operations, analytics, systems, reporting, leadership, and process improvement.
Fusion, RMIS
1mo
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Accounts Receivable Specialist- Physician Billing
Allentown, Pennsylvania, United States
OnsiteFull Time
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.
Microsoft Office Suite
2mo
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Member Advocate - Insurance Specialist
Hamilton Township, New Jersey, United States
$40k-$50k/yr OnsiteFull Time
Experience in health insurance administration and claims processing; strong interpersonal and communication skills; proficiency in Microsoft Office; ability to work independently and in a team.
2w
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Insurance Coordinator
Allentown, Pennsylvania, United States
OnsiteFull Time
1+ YOEProvide patient financial counseling, perform physician billing, manage provider schedules, and support insurance/claims processing with accuracy and strong communication.
Microsoft Office, IDX, LastWord
2w
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Pharmacy Technician-Certified
Allentown, Pennsylvania, United States
OnsiteFull Time
Assist pharmacists with dispensing, customer service at the counter, stocking inventory, processing insurance claims, maintaining records and following safety and confidentiality procedures.
4d
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Part Time Pharmacy Technician-Allentown, PA
Allentown, Pennsylvania, United States
OnsitePart Time
Pharmacy technician supporting prescription processing, medication preparation, inventory, patient communication, insurance claims, delivery coordination, and pharmacy quality and security procedures.
HIPAA, HITECH, FWA
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