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Collaborate with the Stop Loss Carrier and TPA vendors for all Transplant specific language, contracting, and claims payment provisions. Diversity, Equity and Inclusion: Quantum Health welcomes everyone.
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Experience with a health insurance company, TPA, or claim processor and a thorough understanding on the underlying structure of claims transactions. Understanding of claims adjudication steps and SQL manipulation of QNXT core tables to process claims.
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As a subject matter expert on leave of absence, to include Family Medical Leave Act (FMLA), Pregnant Fairness Workers Act, American with Disabilities Act, military leave laws, and state-specific regulations, you will serve as critical support to Team Members by educating them on the documents needed to support their leave of absence and acting as a first point of contact for their related questions and regularly interact with our TPA throughout the lifecycle of their leave claims.
Full-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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JOB TITLE: Remote SQL Developer with QNXT. Develop QNXT Claims system stored procedure (SP) claims extensions including creating support tables to process claims outside of cored adjudication. Ability to create complex claims impact analysis reports, write QNXT table update scripts, and contract term, fee schedule, enrollment, etc.
$60 an hourFull-timeRemoteExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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Administer claims under various line of liability insurance (including general liability, property, product liability, and state workers' compensation, working collaboratively with claims TPA for workers' compensation claims and other claims as necessary and appropriate.
$88,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago
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