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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
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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
1mo
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Claims Resolution Representative Hybrid Warrick, RI
Warwick, Rhode Island, United States
$31k-$44k/yr HybridFull Time
3+ YOE3+ years general experience preferred; experience with healthcare/insurance or billing helpful. Requires policy interpretation, data entry, prior authorization and claims processing skills, and proficiency with Microsoft Outlook/Word/Excel.
Microsoft Outlook, Microsoft Word, Microsoft Excel
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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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
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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
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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
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Compliance Manager
Hartford or Northbrook or Chicago or Scottsdale or Woonsocket or Irving or Arkansas or Texas or Alabama or Arizona or Illinois or Connecticut or Rhode Island or Tennessee
$66k-$146k/yr HybridFull Time
5+ YOE5+ years compliance/legal experience in healthcare/insurance/finance, knowledge of APCD and claims processing, experience with HMOPPO/Medicare products, pharmacy operations, and regulatory reporting; bachelor’s or equivalent experience.
SAS, SQL, ACL, Microsoft Excel, Microsoft Office
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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
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SENIOR EMPLOYMENT & TRAINING INTERVIEWER
Providence, Rhode Island, United States
$55k-$61k/yr OnsiteFull Time
Assess clients' employment and training needs, conduct fact-finding and eligibility interviews, refer clients to programs, and process unemployment/temporary disability insurance claims; ability to use computer systems and follow laws/regulations.