Claim Adjudication Jobs (NOW HIRING)

Remote From prototype to real-world impact - be part of a global shift by doing work that matters. - Candidate will work on RxCLAIM/Claim Adjudication enhancement projects which involve changes to ...

Remote From prototype to real-world impact - be part of a global shift by doing work that matters. - Candidate will work on RxCLAIM/Claim Adjudication enhancement projects which involve changes to ...

Understand and map core processes including claims processing, claim adjudication, policy administration, new business setup, and underwriting workflows . * Collaborate with stakeholders like claims ...

Understand and map core processes including claims processing, claim adjudication, policy administration, new business setup, and underwriting workflows. * Collaborate with stakeholders like claims ...

... claim adjudication project enhancement scope and vision Define and document claim adjudication requirements along with ensuring proper sign-offs are received from business sponsor Translate ...

This person will follow up on claim adjudication to include claim rejects, underpayments and appropriate reimbursement to respective payer contacts. This person may also work on co-pay and drug ...

The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of ...

The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of ...

The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of ...

This person will follow up on claim adjudication to include claim rejects, underpayments and appropriate reimbursement to respective payer contacts. This person may also work on co-pay and drug ...

The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of ...

Combined Insurance, a Chubb Company, is seeking a Group Claim Adjudication Manager to join our fast-paced, high energy, and growing company. For nearly 100 years in the insurance industry, our ...

The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of ...

Coordinate with claims examiners, configuration, and payment integrity teams to ensure accurate claim adjudication. * Document and maintain claim processing instructions and workflows to ensure ...

Coordinate with claims examiners, configuration, and payment integrity teams to ensure accurate claim adjudication. * Document and maintain claim processing instructions and workflows to ensure ...

The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of ...

Coordinates benefits with other insurance carriers and processes simple claim adjudication, as well supports Claims Processing with data entry and claims up to Level 2. Responds to all inquiries and ...

The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of ...

... and claim adjudication based on medical documentation Review and analyze medical records including diagnostic tests, office notes, and operative reports Determine claimant eligibility as per ...

This high-profile IT Director role is jointly responsible for the transformation, modernization and automation strategy along with its execution for the Claim adjudication platform. Major ...