Claims processing refers to the insurance company's procedure to check the claim requests for adequate information, validation, justification and authenticity.
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A company is looking for a Claims Examiner to evaluate insurance claims and determine compensation amounts.Key ResponsibilitiesReview insurance claims for validity and adherence to policy termsCollect and analyze relevant documentation to support claims processingCommunicate with claimants and stakeholders regarding the claims process and status updatesRequired QualificationsHigh School diploma or equivalent requiredHealth claims processing exper...
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...
Job Details. Description. Mailing Secondary Claims: Preparing and sending secondary insurance claims. Helping Out TPL (Third Party Liability): Assisting with tasks related to third-party liability claims. Printing Claims from Epic: Using the Epic system to print out claims. Skills. Claim, Epic, epic systems, printing, claims processing. Pay and Benefits. The pay range for this position is $21.00 - $22.00/hr. Eligibility requirements apply to some...
Claims Lead at Prime Therapeutics in Boise, Idaho, United States Job Description Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Claims Lead Job Description Summary Adjudicate or submit claims and adjustments as required. Track and trend performance of root cause analysis and provide additional training...
Job Summary. This position is responsible for following written criteria, policies and procedures in reviewing and processing claims received from Out of Group providers to determine if such claims are appropriate for payment. The position also considers eligibility, benefits, authorizations, coding, compliance, contracted payment terms and health plan contracts to decide the disposition of a claim. The contracts can change annually and the exami...
Please review the job details provided and advise if you would be interested in discussing the specifics. Job Title –. Claims Examiner. Duration- 3 months contract to hire. Location- Irving, Texas, 75039. Pay Rate - $22.54/hr. Note: Need a copy of educational certificate Or transcript at time of applying. Summary. The Claims Examiner Senior is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance wi...
Please review the job details provided and advise if you would be interested in discussing the specifics. Job Title –. Claims Examiner. Duration- 3 months contract to hire. Location- Irving, Texas, 75039. Pay Rate - $22.54/hr. Note: Need a copy of educational certificate Or transcript at time of applying. Summary. The Claims Examiner Senior is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance wi...
Job Description. Job Description. The Warranty Administrator is responsible for. Recording and processing claim information to manufacturer specifications. Ensure warranty repairs are carried out to customer satisfaction. Investigate overdue, unsettled and short-paid claims. Check, verify, process, document and file warranty forms. Receive, reconcile and record payment summaries from. manufacturers/concessionaires. Working knowledge of activities...
Description. The ideal candidate will be responsible for the timely and accurate completion of key tasks supporting the successful implementation of new Small Business Clients with and/or on behalf of a team of Implementation Specialists. Responsibilities during this assignment can include. Execute the preliminary steps to build a new client structure for implementation requests routed through shared Salesforce queue. using standard client set-up...
Job Description. . Description. Responsible and accountable for the accurate and timely claims processing of all claim types. Claims must be processed with a high level of detailed quality and in accordance with claims payment policy and by the terms of our customer/provider contractual agreements. Essential Functions. Adjudicate claims and adjustments as required. Resolve claims edits and suspended claims. Maintain and update required reference ...
Job Description. Job Description. The Warranty Administrator is responsible for. Recording and processing claim information to manufacturer specifications. Ensure warranty repairs are carried out to customer satisfaction. Investigate overdue, unsettled and short-paid claims. Check, verify, process, document and file warranty forms. Receive, reconcile and record payment summaries from. manufacturers/concessionaires. Working knowledge of activities...
Job Title: Claims Processing. Specialist. / Office Assistant. Location. 10241 Main St, Fingerville, SC 29338. Job Type. Full-time / Part-time. About Us. First Choice Constructors S&B LLC specializes in roofing, siding, and gutters, with extensive experience handling insurance claims. We are looking for a detail-oriented and organized Claims Processing Specialist / Office Assistant to assist with processing claims and office administration. Job Re...
