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Claims processors will work beginning to intermediate CSI's. Investigates and responds to department customer service inquiries (CSI) within company standards Interpret benefits, payment rules/exceptions, plan documents, literature, and general delivery system requirements Identify and research coordination of benefits issues and send to appropriate department Assist in i
Posted 4 days ago
We are Farmers! We are... more than just your favorite commercials. We are a passionate, award winning, equal opportunity employer, committed to the strength of a diverse workforce. We are dedicated to supporting the well being of our people through our extensive suite of benefits, as well as the well being of the communities we serve through employee volunteer programs a
Posted 5 days ago
Puget Sound Energy
- Bellevue, WA / Kent, WA / Seattle, WA / 1 more...
Puget Sound Energy is looking to grow our community with top talented individuals like you! With our rapidly growing, award winning energy efficiency programs, our pathway to an exciting and innovative future is now. PSE's Legal team is looking for qualified candidates to fill anopen Claims Adjuster position! Specific details regarding the work arrangements for this posit
Posted 5 days ago
The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en
Posted 11 days ago
The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en
Posted 11 days ago
The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en
Posted 11 days ago
Job Summary Responsible for the timely investigation and resolution of eligibility denials. Primary Duties 1. Researches eligibility denials to obtain correct information. This can include using multiple EvergreenHealth systems and payer websites. 2. Updates Cerner and billing system with accurate insurance information and refiles claim(s) to correct insurance. 3. Provide
Posted 12 days ago
Provide statistical/strategic inputs to the clinical development plans while supporting clinical trials within a program. Key contributor to clinical protocols for statistical concept as well as broader drug development concepts. Perform or oversee the analysis of clinical trial data, provide statistical interpretation of results, and collaborate on the reporting of clini
Posted 12 days ago
Symetra
- Bellevue, WA
The Claims Examiner is responsible for accurate and timely adjudication of complex professional, facility, and ancillary claims. This role makes timely, accurate, and customer focused claim decisions for supplemental health products that may include limited benefit medical (LBM), critical illness, hospital indemnity, scheduled or group accident, and/or minimum essential c
Posted 18 days ago
Job summary At Amazon, we're working to be the most Customer centric company on earth. One customer experience that we're constantly looking to take to a new level is how we fulfill and deliver their orders. Our goal is to exceed the expectations of all our customers by ensuring that their orders, no matter how large or small are delivered where and when they need them, as
Posted 25 days ago
$3,000 Hiring Bonus for eligible external candidates who meet all conditions for payment this is in addition to the fantastic benefits and compensation package offered by Providence that begin on your first day of employment. Adjudicates claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. Adjusts complex c
Posted 30 days ago
Change Healthcare
- Nashville, TN / Philadelphia, PA / Providence, RI / 48 more...
Assign appropriate ICD 10 CM codes, mapping to risk adjustment models as applicable Assign Change Healthcare Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official
Posted 1 month ago
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