Baltimore, MD · On-site
$56K - $74K/yr
This req is a mix of training resources on Claims as well as Customer Service Instructor-Led ... and use video editing software., Proficient Proficient in Microsoft Office applications ...
Baltimore, MD · On-site
$56K - $74K/yr
This req is a mix of training resources on Claims as well as Customer Service Instructor-Led ... and use video editing software., Proficient Proficient in Microsoft Office applications ...
Lake Mary, FL · On-site
$127K - $191K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Lake Mary, FL · On-site
$127K - $191K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Leawood, KS · On-site
$127K - $191K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Leawood, KS · On-site
$127K - $191K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Lake Mary, FL · On-site
$127K - $191K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Lake Mary, FL · On-site
$127K - $191K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Durham, NC · On-site
$18 - $23/hr
Medical
Dental
Duties will include typing/editing various documents (e.g., reports, proposals, contracts, and ... Position requires strong knowledge/skills in the use of various software (e.g., Word, Excel, and ...
Durham, NC · On-site
$18 - $23/hr
Medical
Dental
Duties will include typing/editing various documents (e.g., reports, proposals, contracts, and ... Position requires strong knowledge/skills in the use of various software (e.g., Word, Excel, and ...
$18 - $23/hr
Medical
Dental
Duties will include typing/editing various documents (e.g., reports, proposals, contracts, and ... Position requires strong knowledge/skills in the use of various software (e.g., Word, Excel, and ...
$18 - $23/hr
Medical
Dental
Duties will include typing/editing various documents (e.g., reports, proposals, contracts, and ... Position requires strong knowledge/skills in the use of various software (e.g., Word, Excel, and ...
Indianapolis, IN · On-site
$127K - $191K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Indianapolis, IN · On-site
$127K - $191K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Nashville, TN · On-site
$127K - $191K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Nashville, TN · On-site
$127K - $191K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Indianapolis, IN · On-site
$127K - $191K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Indianapolis, IN · On-site
$127K - $191K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Columbus, OH · On-site
$127K - $191K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Columbus, OH · On-site
$127K - $191K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Overland Park, KS · On-site
$127K - $191K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Overland Park, KS · On-site
$127K - $191K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Nashville, TN · On-site
$127K - $191K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Nashville, TN · On-site
$127K - $191K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Columbus, OH · On-site
$127K - $191K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Columbus, OH · On-site
$127K - $191K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Richmond, VA · On-site +1
Medical
Dental
Vision
Life
Retirement
PTO
Description This position is responsible for support, enhancement and implementation software ... Experience in claims editing (Required). * NetworX Payment Bundling Administration (PBA), Optum ...
Richmond, VA · On-site +1
Medical
Dental
Vision
Life
Retirement
PTO
Description This position is responsible for support, enhancement and implementation software ... Experience in claims editing (Required). * NetworX Payment Bundling Administration (PBA), Optum ...
Santa Ana, CA · On-site
$31.75 - $38.19/hr
On a daily basis prepares and submits primary and secondary claims using the billing editor software to submit claims electronically or hardcopy, ensuring all edits are worked in a compliant manner ...
Quick apply
Santa Ana, CA · On-site
$31.75 - $38.19/hr
On a daily basis prepares and submits primary and secondary claims using the billing editor software to submit claims electronically or hardcopy, ensuring all edits are worked in a compliant manner ...
San Jose, CA · On-site
... Optum CES (Claims Editing System), etc. * Troubleshoot small to large scale, basic to highly ... Coordinate the loading, validation, and testing of third party software updates, rate changes, and ...
San Jose, CA · On-site
... Optum CES (Claims Editing System), etc. * Troubleshoot small to large scale, basic to highly ... Coordinate the loading, validation, and testing of third party software updates, rate changes, and ...
... on delay claims * Assist in enforcing schedule compliance with subcontractors * Shared ... Blue Beam editing software * BIM 360 Glue (working knowledge) Physical Demands / Job Expectations:
... on delay claims * Assist in enforcing schedule compliance with subcontractors * Shared ... Blue Beam editing software * BIM 360 Glue (working knowledge) Physical Demands / Job Expectations:
... on delay claims * Assist in enforcing schedule compliance with subcontractors * Shared ... P-Vault electronic invoicing * Blue Beam editing software * Building Connected/Procore ...
... on delay claims * Assist in enforcing schedule compliance with subcontractors * Shared ... P-Vault electronic invoicing * Blue Beam editing software * Building Connected/Procore ...
San Jose, CA · On-site
$113K - $176K/yr
... Optum CES (Claims Editing System), etc. * Troubleshoot small to large scale, basic to highly ... Coordinate the loading, validation, and testing of third party software updates, rate changes, and ...
San Jose, CA · On-site
$113K - $176K/yr
... Optum CES (Claims Editing System), etc. * Troubleshoot small to large scale, basic to highly ... Coordinate the loading, validation, and testing of third party software updates, rate changes, and ...
$95K - $115K/yr
Medical
Dental
Vision
Life
Retirement
PTO
... pharmacy claims editing policy. * Responsible for writing business logic for new rules and ... on software enhancements required. * Experience supporting Behavioral Health and/or Laboratory ...
$95K - $115K/yr
Medical
Dental
Vision
Life
Retirement
PTO
... pharmacy claims editing policy. * Responsible for writing business logic for new rules and ... on software enhancements required. * Experience supporting Behavioral Health and/or Laboratory ...
$13.94 - $15.25
4% of jobs
$15.25 - $16.56
6% of jobs
$16.56 - $17.88
14% of jobs
$17.97 is the 25th percentile. Wages below this are outliers.
$17.88 - $19.19
12% of jobs
The median wage is $20.07 / hr.
$19.19 - $20.50
21% of jobs
$20.50 - $21.81
14% of jobs
$22.32 is the 75th percentile. Wages above this are outliers.
$21.81 - $23.12
12% of jobs
$23.12 - $24.43
5% of jobs
$24.43 - $25.74
4% of jobs
$25.74 - $27.05
4% of jobs
$27.05 - $28.37
4% of jobs
$13
$21
$28
| Feature | Claims Editing Software | Claims Adjuster |
|---|---|---|
| Primary Role | Software tool for reviewing and correcting insurance claims data | Human professional evaluating and settling insurance claims |
| Required Skills | Technical knowledge of insurance policies, data analysis | Communication, negotiation, assessment skills |
| Work Environment | Office-based, computer-focused | Field and office-based, client interaction |
| Certifications | None typically required, software proficiency preferred | Adjuster licenses, certifications often required |
Claims Editing Software is a digital tool used to review and correct insurance claims data, streamlining the claims process. In contrast, a Claims Adjuster is a human professional who evaluates claims, negotiates settlements, and interacts directly with clients. While Claims Editing Software enhances efficiency, Claims Adjusters provide the critical judgment and personal assessment needed in claims processing.
Cities with the most Claims Editing Software job openings:
States with the most job openings for Claims Editing Software jobs include:
The top searched job categories for Claims Editing Software jobs are:
$56K - $74K/yr
Other
Posted 8 days ago
Looking for candidates who can training resources on basic claims enquiries and basics on how to use LumeniX. This req is a mix of training resources on Claims as well as Customer Service
Instructor-Led Training (ILT)/ in-person training
Virtual Instructor-Led Training (VILT) it will mostly be Virtual training.
Strong understanding and application of adult learning principles
Strong proficiency in Microsoft Office Suite
The recourses can either have experience with healthcare claims environments or customer service training. HC is strongly preferred.
ROLE: Facilitates training programs to ensure that employees are equipped with the right skills, knowledge/abilities to perform their assigned tasks, strengthen current skills, and acquire new skills to meet current and future business demands. Both virtual Instructor-led and Instructor-led training programs are delivered to maximize reach and impact on the organization.
ESSENTIAL FUNCTIONS:
Facilitates both virtual instructor-led & instructor-led training that reflect adult learning ideas to build capabilities and drive behavioral change and engage learners.
Utilizes business trends and post-learning evaluation to improve training content and delivery.
Contributes to the development and maintenance of training materials.
Partners with coordinators to maintain scheduling of training courses.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education Level: Bachelor's Degree
Experience: 2 years Experience delivering various training, teaching or adult learning modules to large audiences.
In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Preferred Qualifications
Knowledge, Skills and Abilities (KSAs)
Knowledge of adult learning delivery methods and principles., Proficient
Knowledge and understanding of learning management systems (LMS)., Proficient
Ability to troubleshoot and use video editing software., Proficient
Proficient in Microsoft Office applications., Proficient
Ability to conduct thorough research to uncover insights., Proficient
Ability to analyze, organize and prioritize work while meeting multiple deadlines., Proficient
Skill in talking to others to convey information effectively., Proficient
Ability to maintain effective interpersonal relationships., Proficient
Mandatory Skills:
o Experience delivering instructor-led (ILT) and virtual training
o Ability to work with current SME/Supervisor to learn the business
o Ensure consistent learner experience
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TalTeam is a leading provider of Information Technology (IT) workforce solutions. We specialize in software, manufacturing, retail and distribution systems.
It services
51 - 200 Employees
Herndon, VA, US
2011
