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5-7 years of related experience in fraud examination, healthcare, business, finance or related field; with at least 2 years of experience conducting data mining in the healthcare insurance industry and claims related experience.
Full-timeRemoteExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Conduct independent data mining and data analysis techniques utilizing claims data to detect aberrancies and outliers in claims and develop trends and patterns for potential cases. Knowledge of coding, reimbursement and claims processing policies.
RemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Analyze member records and claims data to ensure compliance with applicable regulations, contracts and policy manuals. Prefer individual possessing any of the following certifications or licensure: CFE, CPA, RN/LPN, CPC, or CPMA.
RemoteExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Collections: Follow up on Outstanding Patient Liability, Private balances, and Co-Insurance claims, and report to Business Office Manager and Regional A/R Manager any Problem Accounts. Billing: Process statements for all Private Pay and Patient Liability accounts, process co-insurance billing for Med A, Med B Mgd Care, and Private insurance claims that do not cross over electronically.
Full-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Advanced professional insurance coursework (i.e., AIC, CPCU) or completion of other insurance-related classes is preferred. As a member of W.R. Berkley Corporation (NYSE: WRB), one of the largest property casualty insurance holding companies in the United States, our financial strength and integrity are two of the main reasons why Independent Agents place business with us.
Full-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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In addition, Persivia has deep expertise in Data Aggregation from various sources such as Claims, Clinical, EMR, HIE, Flat File, and SDoH data among others. Equity, Health, Dental, and Vision Insurance, 401K, FSA, Adoption Assistance, Tuition Reimbursement, Employee Assistance Program, and a casual work environment.
Full-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Evaluates injury, equipment, and property damage claims caused by alleged issues with products, heavy equipment, machines, HVAC, plumbing, fire suppression, and other mechanical systems. Provides failure analysis and forensic consulting services requiring mechanical engineering expertise for insurance, legal, industrial, and other clients.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Claims Adjuster Trainees handle entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation and claim resolution.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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The Claims Representative Trainee is a member of our Insurance Training Program where s/he will learn all aspects of commercial property and casualty insurance. Participate in a four to six-month formal training program to learn fundamentals of property & casualty insurance.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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1 - 3 years of Personal Lines insurance agency experience is desired. We are a growing full-service insurance agency with an immediate opening in our Personal Lines department. Service existing accounts including client communication, policy changes, renewals, payments & claims.
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Focus on what you love: We handle the administrative burden, including insurance credentialing, claims processing, and marketing, so you can focus on providing high-quality therapy in a comfortable in-home environment.
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HealthDrive is seeking a dedicated Medical Reimbursement Specialist in our corporate office in Framingham, MA. The Medical Reimbursement Specialist is responsible for daily follow-up on large volumes of unpaid/partially paid or denied claims for Optometry, Podiatry, Audiology, and Dental services from insurance plans in 17+ states.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Assist internal team with the investigation, evaluation, and resolution of auto, general liability, and workers' compensation claims. Manage the shared claims inboxes for general liability and workers' compensation claims by monitoring all emails received and responding to all requests for information.
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This territory allows either an experienced or entry-level representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure accurate settlements.
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Commercial Insurance Account Manager. Apply problem solving techniques to various issues including cancellations, claims, renewal issues, audits, receivables, carrier issues. Established agency seeking a detail-oriented person who demonstrates clear knowledge and understanding of commercial lines insurance coverage.
Full-timeRemoteExpandApply NowActive JobUpdated 4 days ago
insurance claims jobs in Marlborough, MA
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