claims Jobs

21 - 40 of 692 Jobs

Medical Claims Auditor I - Remote USJob Title - Medical Claims Auditor I - Remote US

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Remote or Houston, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Claims System Process Improvement Program ManagerJob Title - Claims System Process Improvement Program Manager

Kern Health SystemsCompany Name - Kern Health Systems

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Bakersfield, California, USA

Full-time

KHS reasonably expects to pay starting compensation for the position of Claims System Process Improvement Program Manager in the range of $83,625 -106,622 Annual On-site Position About us Kern Health Systems is dedicated to improving the health status of our members through an integrated managed health care delivery system. About the role Under management direction, responsible for supervising the testing, configuration and auto adjudication activities in the Claims Department to ensure accuracy

Data Scientist with GenAI Exp. with Underwriting/Claims background in Insurance sector.Job Title - Data Scientist with GenAI Exp. with Underwriting/Claims background in Insurance sector.

Marici SolutionsCompany Name - Marici Solutions

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Atlanta, Georgia, USA

Contract

Position: Data Scientist GenAI Location: Atlanta, GA (Onsite) Duration: Long Term Job Description: Must Haves: AI/ML, GenAI, NLP, Python, Undersriting/Claims background in Insurance sector. A strong AI and ML engineer with vast experience in ML, DL, NLP and Gen-AI solutions Should have insurance domain experience (specifically Underwriting/Claims) Should be proficient at Python Should have prior experience in AWS SageMaker, Databricks, etc. Should be experienced with NLP techniques (OCR based t

Claims ExaminerJob Title - Claims Examiner

DTG Consulting Solutions Inc.Company Name - DTG Consulting Solutions Inc.

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Englewood, New Jersey, USA

Full-time

Spanish is Must Responsibilities: Review and process health care claims promptly and accuratelyVerify claim details using CPT and ICD codesAddress inquiries from providers, members, and insurers regarding claim statusEnsure compliance with internal policies and regulatory requirementsMaintain detailed and accurate documentation of claim processingCollaborate with team members to resolve any discrepanciesQualifications: Proven experience in processing health care claimsKnowledge of CPT, ICD codes

SEMS/Claims Analyst - Logistics Analyst IIIJob Title - SEMS/Claims Analyst - Logistics Analyst III

ATR International, Inc.Company Name - ATR International, Inc.

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Austin, Texas, USA

Full-time

Job Description: Logistics is offering a SEMS/Claims Analyst opportunity: The successful candidate will eliminate aging SEMS and process claims for AMR Logistics Work closely with the AMR Logistics teams and cross functionally to produce weekly, monthly, & quarterly data driven reports Interpret data, analyze results using statistical techniques and provide ongoing reports Develop and implement databases, data collection systems, data analytics and other strategies that optimize statistical eff

Mechanical Claims Analyst - Hybrid / Call CenterJob Title - Mechanical Claims Analyst - Hybrid / Call Center

TEKsystems c/o Allegis GroupCompany Name - TEKsystems c/o Allegis Group

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Deerfield Beach, Florida, USA

Full-time

Our client, a leading North American provider of auto-dealership services, is looking to add Mechanical Claims Analyst to their Deerfield Beach, FL team. Description Are you a skilled mechanic looking to shift gears in your career? We are seeking Mechanical Claims Analysts to join our expanding customer contact team. In this role, you'll transition from the physical demands of the shop floor to a comfortable office environment where you will leverage your automotive expertise and in-depth knowle

Mechanical Claims AnalystJob Title - Mechanical Claims Analyst

TEKsystems c/o Allegis GroupCompany Name - TEKsystems c/o Allegis Group

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Deerfield Beach, Florida, USA

Full-time

Description Are you a skilled mechanic looking to shift gears in your career? In this role, you'll transition from the physical demands of the shop floor to a comfortable office environment where you will leverage your automotive expertise and in-depth knowledge of vehicle mechanics to assess and process mechanical claims. This opportunity offers a refreshing change of pace, allowing you to work in the comfort of a modern workspace, while enjoying competitive benefits, amenities, and growth opp

Epic Billing and Claims Sr. AnalystJob Title - Epic Billing and Claims Sr. Analyst

DeloitteCompany Name - Deloitte

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Arlington, Virginia, USA

Full-time

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delive