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Stage-Gate & Claims Coordinator
Agawam, Massachusetts, United States
$55k-$75k/yr OnsiteFull Time
2+ YOEBachelor's degree or equivalent experience; 2+ years in project coordination, claims administration, operations or product support; experience with stage-gate processes and reporting; strong analytical and cross-functional coordination skills.
Microsoft SharePoint, Microsoft Teams, Microsoft Planner
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
1d
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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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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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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
3d
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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.
4w
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Warranty Administrator
West Springfield, Massachusetts, United States
OnsiteFull Time
Accurately code and process warranty claims, maintain warranty documentation and records, identify and dispose warranty parts, reconcile warranty receivables, and coordinate with service, parts, and accounting departments.
1w
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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
4d
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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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Workers Compensation Manager
Springfield, Massachusetts, United States
$90k-$110k/yr OnsiteFull Time
5+ YOEMinimum 5 years' experience in workers' compensation, claims management, or healthcare operations; strong knowledge of workers' compensation processes and regulations; leadership and relationship-management skills; EMR proficiency (Athena a plus).
Electronic Medical Records (EMR), Athena EMR
4w
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Warranty Administrator
West Springfield, Massachusetts, United States
OnsiteFull Time
Perform warranty claim coding and entry, process and review warranty paperwork, identify warranty parts, reconcile warranty receivables, maintain service and customer records, and coordinate with service/parts/accounting departments.
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
1w
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eCOB Specialist II
Indianapolis or Atlanta or Wallingford or Lake Mary or Louisville or Tampa or Miami or Durham or Columbus or Winston-Salem
HybridFull Time
2+ YOEHigh school diploma or equivalent and minimum 2 years claims processing/customer service plus 2 years COB experience using NAIC & CMS guidelines; strong communication, multitasking, and attention to detail.
NAIC, CMS, WGS
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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