We are looking for an experienced Claims Analyst for our Claims department with Community First Health Plans ! POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ...
Quick apply
We are looking for an experienced Claims Analyst for our Claims department with Community First Health Plans ! POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ...
Quick apply
We are looking for an experienced Claims Analyst for our Claims department with Community First Health Plans ! POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ...
Downers Grove, IL · On-site
$45K - $74K/yr
Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual ... Health Insurance : Employees and their eligible family members - including spouses, domestic ...
Downers Grove, IL · On-site
$45K - $74K/yr
Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual ... Health Insurance : Employees and their eligible family members - including spouses, domestic ...
Downers Grove, IL · On-site
$45K - $74K/yr
Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual ... Health Insurance :Employees and their eligible family members - including spouses, domestic ...
Downers Grove, IL · On-site
$45K - $74K/yr
Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual ... Health Insurance :Employees and their eligible family members - including spouses, domestic ...
West Bridgewater, MA · On-site
$45K - $74K/yr
CLAIM OPERATIONAL SERVICE AND PARTNERSHIPS: Partners with claim professionals in multiple ... Health Insurance :Employees and their eligible family members - including spouses, domestic ...
West Bridgewater, MA · On-site
$45K - $74K/yr
CLAIM OPERATIONAL SERVICE AND PARTNERSHIPS: Partners with claim professionals in multiple ... Health Insurance :Employees and their eligible family members - including spouses, domestic ...
The Brandywine Senior Direct Claim Handler is responsible for all aspects of claim handling on a ... health insurance, reinsurance, and life insurance to a diverse group of clients. The company is ...
The Brandywine Senior Direct Claim Handler is responsible for all aspects of claim handling on a ... health insurance, reinsurance, and life insurance to a diverse group of clients. The company is ...
The Claims Quality Assurance Analyst reviews claim audit results and claim transactions, as well as ... The ideal candidate has prior healthcare claims auditing experience, working knowledge of claims ...
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The Claims Quality Assurance Analyst reviews claim audit results and claim transactions, as well as ... The ideal candidate has prior healthcare claims auditing experience, working knowledge of claims ...
We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our ... Your role at Baxter The Global Injury & Claim Coordinator leads, coordinates, and advances Baxter ...
We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our ... Your role at Baxter The Global Injury & Claim Coordinator leads, coordinates, and advances Baxter ...
San Diego, CA · On-site
$80K - $90K/yr
Job Summary We are seeking an experienced and highly skilled Workers' Compensation Claim Consultant to manage a complex health care account with confidence, empathy, and sound professional judgment.
San Diego, CA · On-site
$80K - $90K/yr
Job Summary We are seeking an experienced and highly skilled Workers' Compensation Claim Consultant to manage a complex health care account with confidence, empathy, and sound professional judgment.
Concord, CA · On-site
$85K - $98K/yr
In this role, you will take ownership of a dedicated portfolio of claims for a single healthcare ... As a Claim Specialist, you play a vital role in delivering the high-quality service our clients ...
Concord, CA · On-site
$85K - $98K/yr
In this role, you will take ownership of a dedicated portfolio of claims for a single healthcare ... As a Claim Specialist, you play a vital role in delivering the high-quality service our clients ...
Irvine, CA · On-site
$80K - $90K/yr
Job Summary We are seeking an experienced and highly skilled Workers' Compensation Claim Consultant to manage a complex health care account with confidence, empathy, and sound professional judgment.
Irvine, CA · On-site
$80K - $90K/yr
Job Summary We are seeking an experienced and highly skilled Workers' Compensation Claim Consultant to manage a complex health care account with confidence, empathy, and sound professional judgment.
Philadelphia, PA · On-site
The Senior Claim Handler is responsible for all aspects of claim handling on a book of complex ... health insurance, reinsurance, and life insurance to a diverse group of clients. The company is ...
Philadelphia, PA · On-site
The Senior Claim Handler is responsible for all aspects of claim handling on a book of complex ... health insurance, reinsurance, and life insurance to a diverse group of clients. The company is ...
We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our ... Your role at Baxter The Global Injury & Claim Coordinator leads, coordinates, and advances Baxter ...
We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our ... Your role at Baxter The Global Injury & Claim Coordinator leads, coordinates, and advances Baxter ...
Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs ... Bachelor's degree EXPERIENCE Required * 5 years of relevant, progressive experience in health ...
Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs ... Bachelor's degree EXPERIENCE Required * 5 years of relevant, progressive experience in health ...
Springfield, MO · On-site
This role will be expected to assist customers, stores, and DCs with labor claim questions and ... Team Member Health/Wellbeing Programs * Tuition Educational Assistance Programs * Opportunities for ...
Springfield, MO · On-site
This role will be expected to assist customers, stores, and DCs with labor claim questions and ... Team Member Health/Wellbeing Programs * Tuition Educational Assistance Programs * Opportunities for ...
Troy, MI · On-site +1
The Claims Quality Assurance Analyst reviews claim audit results and claim transactions, as well as ... The ideal candidate has prior healthcare claims auditing experience, working knowledge of claims ...
Troy, MI · On-site +1
The Claims Quality Assurance Analyst reviews claim audit results and claim transactions, as well as ... The ideal candidate has prior healthcare claims auditing experience, working knowledge of claims ...
We are looking for an experienced Claims Analyst for our Claims department with Community First Health Plans ! POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ...
Quick apply
We are looking for an experienced Claims Analyst for our Claims department with Community First Health Plans ! POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ...
We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our ... Your role at Baxter The Global Injury & Claim Coordinator leads, coordinates, and advances Baxter ...
We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our ... Your role at Baxter The Global Injury & Claim Coordinator leads, coordinates, and advances Baxter ...
We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our ... Your role at Baxter The Global Injury & Claim Coordinator leads, coordinates, and advances Baxter ...
We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our ... Your role at Baxter The Global Injury & Claim Coordinator leads, coordinates, and advances Baxter ...
We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our ... Your role at Baxter The Global Injury & Claim Coordinator leads, coordinates, and advances Baxter ...
We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our ... Your role at Baxter The Global Injury & Claim Coordinator leads, coordinates, and advances Baxter ...
Hildale, UT · On-site
$13.75 - $17.50/hr
VA Claim Processor Location: Hildale, UT Job Type: Full Time Company: Village Capital & Investment ... Health insurance * Health savings account * Life insurance * Paid time off * Vision insurance In ...
Hildale, UT · On-site
$13.75 - $17.50/hr
VA Claim Processor Location: Hildale, UT Job Type: Full Time Company: Village Capital & Investment ... Health insurance * Health savings account * Life insurance * Paid time off * Vision insurance In ...

8.1
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We are looking for an experienced Claims Analyst for our Claims department with Community First Health Plans!
POSITION SUMMARY/RESPONSIBILITIES
Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Act as consultant to claims staff in complex claim issue resolution. Work cooperatively with Configuration in testing of contracts used in business operations and reporting to assure auto adjudication. Perform in accordance with company standards and policies. Promote harmonious relationships within own department, with other departments and within CFHP. Operate under limited supervision.
EDUCATION/EXPERIENCE
High school diploma or GED equivalent is required. Five years HMO/PPO claims experience required. Amisys claims processing system experience preferred. Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
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