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Senior Medical Claims Representative

Michigan Farm Bureau

Lansing, Michigan • Today

Full-time

Senior Business Analyst – Claims Module

TekShapers

Remote • Today

Easy Apply

Contract

Depends on Experience

Senior SAS Business Analyst with Medicaid/Claims experience (Remote)

Cleo Consulting Inc.

Remote • 2d ago

Easy Apply

Contract, Third Party

$55 - $60

Senior Manager, Full Stack Development Python / Go / Java, AWS (Healthcare Claims)

Bramkas Inc.

Remote • 3d ago

Easy Apply

Full-time

Depends on Experience

Medicaid Claims QA Analyst(Healthcare)

Infinite Computer Solutions (ICS)

Remote • 17d ago

Easy Apply

Full-time

$85,000 - $95,000

FACETS Architect (with Healthcare Claims)

Mindlance

Remote • Yesterday

Easy Apply

Contract

$80 - $90

California Workers Compensation Claims Examiner

Apidel Technologies

Remote • Yesterday

Easy Apply

Contract

50 - 55

CareFirstBridge/FEP Claims Tester - Remote -Contract

Lorven Technologies, Inc.

Remote • 16d ago

Easy Apply

Third Party, Contract

$55 - $60

Solution Architect, Claims (Fraud & Leakage)

VDart, Inc.

Remote • 3d ago

Easy Apply

Third Party, Contract

$70 - $75

Epic Systems Professional Billing/Claims Analyst

Empower Professionals

Remote • Today

Easy Apply

Contract, Third Party

Depends on Experience

Data QA Engineer With Payer / Provider / Claims

Magicforce

Remote • Today

Easy Apply

Contract, Third Party

Depends on Experience

Data Analyst with Healthcare Revenue Cycle Management (RCM).| Claims lifecycle Exp.- (Product Manager) - Remote W2 Role

Magnum Technologies, Inc.

Remote • Yesterday

Easy Apply

Contract

$55 - $62

Transactional Liability Claims Counsel

SANS

Remote • Yesterday

Easy Apply

Full-time

Depends on Experience

EDI Claims Implementation Specialist (Medicaid Migration)

CIS Technologies Inc.

Remote or Hybrid in Latham, New York • Yesterday

Easy Apply

Contract

Depends on Experience

Manager, Full Stack Development Python / Go / Java, AWS (Healthcare Claims)

Bramkas Inc.

Remote • 3d ago

Easy Apply

Full-time

Depends on Experience

Product Owner, Claims Editing (RTM)

Vaco by Highspring

Remote • Today

Easy Apply

Full-time

Depends on Experience

Senior Guidewire ClaimCenter Developer (Remote)

Kforce Technology Staffing

Remote or New York, New York • Today

Full-time

$120,000 - $140,000 annually

Systems Analyst III – Healthcare Claims

OpTech

Remote • Yesterday

Easy Apply

Contract

54 - 55

Senior Product Owner (insurance)

GG Tech Global

Remote • 14d ago

Easy Apply

Contract

65 - 68

QA Lead/Manager- PBM Claims Processing -Remote

The Dignify Solutions, LLC

Remote • Yesterday

Easy Apply

Contract, Third Party

Depends on Experience

Healthcare Claims Data Analyst

General Dynamics

Remote • Today

Full-time

USD 76,500.00 - 103,500.00 per year

Manager, IT Testing (Claims domain)

Conduent

Remote or Georgia • Today

Full-time

USD 97,790.00 - 127,000.00 per year

Director, AI/ML Engineering - Claims Automation & Orchestration - Remote

UnitedHealth Group

Remote or Eden Prairie, Minnesota • Today

Full-time

USD 176,700.00 - 302,900.00 per year

Epic HB/HB Claims Application Architect

Impact Advisors

Remote • Today

Full-time

USD 125,000.00 - 140,000.00 per year

Application Support Data Integration Specialist - Healthcare Claims

Wiselink Global Inc

Remote • Today

Easy Apply

Contract, Third Party

Depends on Experience

Senior QA Test Engineer with Healthcare Claims, Medicaid Medicare or PBM (Pharmacy Benefits)

Infinite Computer Solutions (ICS)

Remote • 2d ago

Easy Apply

Full-time

Depends on Experience

Workers Comp, Lost Time Claims Subject Matter Expert (User Research) - AI SaaS

EvolutionIQ

Remote or New York, New York • Today

Full-time

Job Details

Skills

Evaluation
Negotiations
Compensation Management
Reporting
Business Administration
Insurance
Preventive Maintenance
Performance Management
Project Management

Summary

Senior Medical Claims Representative

To provide efficient investigation, evaluation and negotiation of Michigan Workers Compensation (WC) claims.

Initiate timely and equitably responses to and control the disposition of all assigned Michigan Workers Disability Compensation claims in such a way to significantly affect the overall profit picture of the company while providing quality service to the insured and aid in the retention of business.

Work with computer systems keying functions, including but not limited to letter composition, log entry, dairy entry, report of investigation composition and draft productions.

Maintain enhanced knowledge and ability to apply policy of Michigan WC acts as written.

Required

Bachelors degree in business administration required, or equivalent experience may be considered.

Minimum five years medical claims handling experience required.

Must possess a valid driver license with an acceptable driving record.

Two or more designations in AIC, AINS and/or other insurance-related designation required.

Note: If a candidate is not selected, a Medical Claims Representative position may be considered on the level of experience and qualifications.

Farm Bureau offers a full benefit package including medical, dental, vision, and 401K.

PM19

PIdc4963fccea2-3

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Position Id: dc4963fccea2-30632-41858913
Posted 1 day ago

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Similar Jobs

Manager, Chief Claims Examiner

Livonia, Michigan

•

Today

Manager, Chief Claims Examiner US-MI-Livonia Job ID: 2026-2217 # of Openings: 1 Category: Claims Livonia Overview Why Life Life is a respected and trusted American brand that has been focusing on Life Insurance and Annuity Products since 1969 . At Life we have over 1.8 million policies where we take pride in earning the trust of our policyholders who understand our promise to be there for them - and their families - when we're needed most . By joining the Life team, you are joining a comp

Full-time

California Workers Compensation Claims Examiner

Remote

•

Yesterday

Position: California Workers Compensation Claims Examiner Duration: 03 Months of contract with Possible extension or conversion Location: Remote Pay Range: $50/hr to $55/hr on W2 without benefits Required Skills: SIP is mandatory.3+ years of relevant and recent California Workers Compensation experience.Ed code experience preferred but not required.Indemnity claims experience. PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; t

Easy Apply

Contract

50 - 55

Senior Business Analyst – Claims Module

Remote

•

Today

Role : Senior Business Analyst Claims Module Location : Remote with travel Type : Contract to Hire Senior Business Analyst Claims module: Play the role of Claims Domain lead for MMIS health care projects. Drive the claims module and process, domain knowledge, performs analysis of business requirements, designs and develops documentation, ensures quality process, coordinates with customers. Works in team environment and provides guidance throughout the entire life cycle. Responsible to

Easy Apply

Contract

Depends on Experience

Senior Healthcare Data Analyst

Remote

•

Today

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We're constantly reimagining what's possible in our industry, creatin

Full-time

USD 140,000.00 - 170,000.00 per year

Job Details

Skills

Evaluation
Negotiations
Compensation Management
Reporting
Business Administration
Insurance
Preventive Maintenance
Performance Management
Project Management

Summary

Dice Id: jobtfeed
Position Id: dc4963fccea2-30632-41858913
Posted 1 day ago

Fitment

Dice Job Match Score™

To see how well you match this job, please log in or create an account.

Once logged in, be sure to complete your profile to get the most accurate match score.

Create job alert

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Similar Jobs

Manager, Chief Claims Examiner

Livonia, Michigan

•

Today

Full-time

California Workers Compensation Claims Examiner

Remote

•

Yesterday

Easy Apply

Contract

50 - 55

Senior Business Analyst – Claims Module

Remote

•

Today

Easy Apply

Contract

Depends on Experience

Senior Healthcare Data Analyst

Remote

•

Today

Full-time

USD 140,000.00 - 170,000.00 per year