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claims processor

2485 claims processor jobs found

Fulcrum Risk Solutions
01/30/2023  
Account Manager Featured
$50,000 - $60,000 yearly
Essential Duties and Responsibilities include the following- ·         Provide client services for designated prospects and clients, managing the submission (RFP) process, securing information to effectively market to all carrier partners, preparing all new and renewal submissions for marketing, analyzing data, reviewing proposals, and implementing communication strategies with the client and/or producer. ·         Stay abreast of markets, products, and carrier competitiveness to provide a comprehensive product portfolio to the client. ·         Knowledge of Agency Management System, keeping data current and staying up to date on system requirements, updates etc. ·         Act as a liaison between the client and insurance companies in order to resolve all normal service issues regarding billing, claims, eligibility and other customer service issues. ·         Dive into the technical details of plan design and cost analysis when preparing to...
Fulcrum Risk Solutions Columbia, SC, USA Full Time
The Murphius Group
01/19/2023  
Benefit Analyst (Hybrid to fully remote available) - Grand Rapids, MI Featured
JOB DUTIES: Track all renewals, schedule potential marketing activity, and coordinate with Account Manager and Producer Prepare analyses in accordance with client service calendar financial meetings (e.g., post renewal, mid-year review, pre-renewal, renewal). Analyses may include but are not limited to: Market review analysis Renewal rate and funding projections and modeling Analysis of claims utilization Rate and contribution analysis Benchmarking Financial funding analysis (e.g., fully insured vs self-funded) IBNR and claims lag analysis Review and interpret data to develop alternative strategies, plan modeling and cost reduction opportunities. Technical analysis of group insurance contracts and financial arrangements. Request applicable claims reports. Consult with Account Manager and Producer on a quoting or negotiation strategy.  If quoting is...
The Murphius Group Hybrid (Grand Rapids, MI, USA) Full Time
Ae
01/18/2023  
QNXT Claims Processor
Role: QNXT Claims Processor 100% Remote Project Duration: 9+ Months + Extension Interview: Phone/WebEx Client: Aetna Openings: 35 Job Description: Candidate must be immediately available to start and need to have recent QNXT Claims Processing skills. (fully remote) If they meet all those requirements, please send those people ASAP. Must have recent QNXT Claims Processing skills Immediately available to start (will be moving very fast) Regards, Mohit Sisodia| Voto Consulting LLC. | 1549 Finnegan Lane, 2nd floor North Brunswick, NJ 08902 | http://www.votoconsulting.com Direct Voice: 201-300-2761| Desk: 201-297-1611 Ext: 152 | mohits@votoconsulting.com Hangout: sisodiamohit4| Skype: sisodiamohit4 LinkedIn:...
Aetna Atlanta, GA, USA
NTT DATA
01/18/2023  
Claims Processor
At NTT DATA Services, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA Services and for the people who work here.   NTT DATA Services seeks a Claims Examiner  on a project basis to work remote, from home .   POSITION SUMMARY: The Claims Processor reports to the Regional Claims Manager, Employee Benefits Division. This position is responsible for registering, processing, and adjudicating claims accurately and efficiently. PRINCIPAL DUTIES AND RESPONSIBILITIES: Process all claims for assigned group(s) within ten days of receipt. Complete forms for overspecific claims, including, but not limited to, printing EOBs, pulling claims and copying claims. Contact...
NTT DATA Decatur, IL, USA
NTT DATA
01/09/2023  
Claims Processor
At NTT DATA Services, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA Services and for the people who work here.   NTT DATA Services seeks a Claims Examiner  on a project basis to work remote, from home .   POSITION SUMMARY: The Claims Processor reports to the Regional Claims Manager, Employee Benefits Division. This position is responsible for registering, processing, and adjudicating claims accurately and efficiently. PRINCIPAL DUTIES AND RESPONSIBILITIES: Process all claims for assigned group(s) within ten days of receipt. Complete forms for overspecific claims, including, but not limited to, printing EOBs, pulling claims and copying claims. Contact...
NTT DATA Decatur, IL, USA
Ae
12/13/2022  
QNXT Claims Processor
Role: QNXT Claims Processor 100% Remote Project Duration: 9+ Months + Extension Interview: Phone/WebEx Client: Aetna Openings: 35 Job Description: Candidate must be immediately available to start and need to have recent QNXT Claims Processing skills. (fully remote) If they meet all those requirements, please send those people ASAP. Must have recent QNXT Claims Processing skills Immediately available to start (will be moving very fast) Regards, Mohit Sisodia| Voto Consulting LLC. | 1549 Finnegan Lane, 2nd floor North Brunswick, NJ 08902 | http://www.votoconsulting.com Direct Voice: 201-300-2761| Desk: 201-297-1611 Ext: 152 | mohits@votoconsulting.com Hangout: sisodiamohit4| Skype: sisodiamohit4 LinkedIn:...
Aetna Atlanta, GA, USA
UnitedHealth Group
11/22/2022  
Medical Claims Processor - National Remote
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Imagine this. Every day, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one’s better. And no company has put together better teams of passionate, energetic and all out brilliant Claims Representatives . This is where you come in. We’ll look to you to maintain our reputation for service, accuracy and a positive claims experience. We’ll back you with great training, support and opportunities. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am – 5:00pm). It may be necessary, given the business need, to work occasional overtime....
UnitedHealth Group Dallas, TX, USA
UnitedHealth Group
11/22/2022  
Medical Claims Processor - National Remote
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Imagine this. Every day, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one’s better. And no company has put together better teams of passionate, energetic and all out brilliant Claims Representatives . This is where you come in. We’ll look to you to maintain our reputation for service, accuracy and a positive claims experience. We’ll back you with great training, support and opportunities. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am – 5:00pm). It may be necessary, given the business need, to work occasional overtime....
UnitedHealth Group Atlanta, GA, USA
UnitedHealth Group
11/22/2022  
Medical Claims Processor - National Remote
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Imagine this. Every day, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one’s better. And no company has put together better teams of passionate, energetic and all out brilliant Claims Representatives . This is where you come in. We’ll look to you to maintain our reputation for service, accuracy and a positive claims experience. We’ll back you with great training, support and opportunities. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am – 5:00pm). It may be necessary, given the business need, to work occasional overtime....
UnitedHealth Group Tampa, FL, USA
UnitedHealth Group
11/22/2022  
Medical Claims Processor - National Remote
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Imagine this. Every day, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one’s better. And no company has put together better teams of passionate, energetic and all out brilliant Claims Representatives . This is where you come in. We’ll look to you to maintain our reputation for service, accuracy and a positive claims experience. We’ll back you with great training, support and opportunities. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am – 5:00pm). It may be necessary, given the business need, to work occasional overtime....
UnitedHealth Group Phoenix, AZ, USA
UnitedHealth Group
11/22/2022  
Medical Claims Processor - National Remote
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Imagine this. Every day, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one’s better. And no company has put together better teams of passionate, energetic and all out brilliant Claims Representatives . This is where you come in. We’ll look to you to maintain our reputation for service, accuracy and a positive claims experience. We’ll back you with great training, support and opportunities. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am – 5:00pm). It may be necessary, given the business need, to work occasional overtime....
UnitedHealth Group Minneapolis, MN, USA
UnitedHealth Group
11/22/2022  
Medical Claims Processor - National Remote
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Imagine this. Every day, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one’s better. And no company has put together better teams of passionate, energetic and all out brilliant Claims Representatives . This is where you come in. We’ll look to you to maintain our reputation for service, accuracy and a positive claims experience. We’ll back you with great training, support and opportunities. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am – 5:00pm). It may be necessary, given the business need, to work occasional overtime....
UnitedHealth Group Hartford, CT, USA
Gallagher
01/09/2023  
Total Loss Processor
Pronto Insurance is one of the fastest growing general agencies in South Texas and is now a member of Gallagher, a world wide expert in risk management solutions. Our first agency was founded in 1997 and the managing general agency operations commenced in 2005. Pronto has emerged in the insurance market through its captive agencies, independent agents, and franchise locations. Today Pronto has over 200 captive locations in Texas and recent expansion into the California and Florida market. Our vision is to become the industry leader by making Pronto Insurance products a reality for all. JOB DESCRIPTION: CLAIMS PROCESSOR SPECIALIST Employment Status: Full Time Job Locations: Brownsville Starting Pay: Based on education & experience Hours of Operation: Monday - Friday (schedule may vary) PRIMARY RESPONSIBILITIES Provide Adjuster support to ensure efficiency and effectiveness Maintain general filing for all closed files Stamp all mail received, note...
Gallagher Brownsville, TX, USA
Gallagher
12/16/2022  
Total Loss Processor
Pronto Insurance is one of the fastest growing general agencies in South Texas and is now a member of Gallagher, a world wide expert in risk management solutions. Our first agency was founded in 1997 and the managing general agency operations commenced in 2005. Pronto has emerged in the insurance market through its captive agencies, independent agents, and franchise locations. Today Pronto has over 200 captive locations in Texas and recent expansion into the California and Florida market. Our vision is to become the industry leader by making Pronto Insurance products a reality for all. JOB DESCRIPTION: CLAIMS PROCESSOR SPECIALIST Employment Status: Full Time Job Locations: Brownsville Starting Pay: Based on education & experience Hours of Operation: Monday - Friday (schedule may vary) PRIMARY RESPONSIBILITIES Provide Adjuster support to ensure efficiency and effectiveness Maintain general filing for all closed files Stamp all mail received, note...
Gallagher Brownsville, TX, USA
Gallagher
12/05/2022  
Total Loss Processor
Pronto Insurance is one of the fastest growing general agencies in South Texas and is now a member of Gallagher, a world wide expert in risk management solutions. Our first agency was founded in 1997 and the managing general agency operations commenced in 2005. Pronto has emerged in the insurance market through its captive agencies, independent agents, and franchise locations. Today Pronto has over 200 captive locations in Texas and recent expansion into the California and Florida market. Our vision is to become the industry leader by making Pronto Insurance products a reality for all. JOB DESCRIPTION: CLAIMS PROCESSOR SPECIALIST Employment Status: Full Time Job Locations: Brownsville Starting Pay: Based on education & experience Hours of Operation: Monday - Friday (schedule may vary) PRIMARY RESPONSIBILITIES Provide Adjuster support to ensure efficiency and effectiveness Maintain general filing for all closed files Stamp all mail received, note...
Gallagher Brownsville, TX, USA
UnitedHealth Group
11/18/2022  
Senior Claims Business Process Analyst - Remote in California
If you are located within California, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self-Directed; These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful, team-driven and customer-focused. To put it mildly, there is never a dull moment. Senior Claims Business Process Analysts are responsible for all related aspects of claim system processes...
UnitedHealth Group Los Angeles, CA, USA
UnitedHealth Group
11/18/2022  
Senior Claims Business Process Analyst - Remote in California
If you are located within California, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self-Directed; These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful, team-driven and customer-focused. To put it mildly, there is never a dull moment. Senior Claims Business Process Analysts are responsible for all related aspects of claim system processes and...
UnitedHealth Group Atlanta, GA, USA
UnitedHealth Group
11/18/2022  
Senior Claims Business Process Analyst - Remote in California
If you are located within California, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self-Directed; These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful, team-driven and customer-focused. To put it mildly, there is never a dull moment. Senior Claims Business Process Analysts are responsible for all related aspects of claim system processes...
UnitedHealth Group Houston, TX, USA
UnitedHealth Group
11/08/2022  
Senior Claims Business Process Analyst - Remote in California
If you are located within California, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self-Directed; These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful, team-driven and customer-focused. To put it mildly, there is never a dull moment. Senior Claims Business Process Analysts are responsible for all related aspects of claim system processes...
UnitedHealth Group Austin, TX, USA
UnitedHealth Group
11/08/2022  
Senior Claims Business Process Analyst - Remote in California
If you are located within California, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self-Directed; These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful, team-driven and customer-focused. To put it mildly, there is never a dull moment. Senior Claims Business Process Analysts are responsible for all related aspects of claim system processes...
UnitedHealth Group Miami, FL, USA
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