Claims Jobs in Birmingham

Claims Specialist Responsibilities: Monitors cases and billing, addressing issues and ensures proper documentation. Maintains communication with client contacts as regards claims status. Checks information collected from patients and medical providers concerning ..

... contract is responsible for processing claims for more than 6 million ... than 6 million members, the claims processing and financial management functions ... to an external vendor. The..

Description The Provider Insights & Claims Analytics (PICA) team is a blend of technology, data, and consulting professionals leveraging the latest tools and methods to solve complex business problems. In this ..

Birmingham office of a BCG Attorney Search Top Ranked Law Firm seeks a creditors rights and bankruptcy partner-level attorney with significant experience in representing financial institutions both in commercial bankruptcy and ..

Job OverviewA law firm seeks a commercial litigation associate attorney to join its Birmingham, Alabama office. The position involves a diverse commercial litigation practice, focusing on business disputes, real estate and ..

Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..

Job OverviewA law firm seeks a Bankruptcy Attorney for a fully remote position based in Birmingham, AL. The attorney will manage high-volume statewide bankruptcy matters, ensuring compliance with applicable rules and ..

Job OverviewA law firm seeks a Business Litigation Associate with 3-4 years of relevant legal experience to join its team in Birmingham, AL. The candidate should have a strong interest in ..

Job OverviewA law firm seeks an Employment Litigation Associate in Birmingham, AL. The firm is dedicated to providing comprehensive legal services in employment and labor law, helping employers develop effective strategies ..

Description What Humana Offers We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development ..

Description The Actuary role on the Medical Modeling and Specialty Strategies team within Pharmacy Analytics and Consulting (PAC) is an opportunity to provide analytics in support of Humana Pharmacy Solutions infusion ..

Description The Lead Data Scientist uses mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions. The Lead Data Scientist works on problems ..

Description The Senior Claims Research & Resolution Professional manages ... Research & Resolution Professional manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and..

Birmingham office of a BCG Attorney Search Top Ranked Law Firm seeks products liability attorney with experience. The candidate will have the opportunity to take advantage of a well-developed national platform ..

Job OverviewA law firm seeks an Alabama Licensed Associate Attorney to join their remote team based in Birmingham, AL. The firm specializes in addressing challenges faced by entities with security interests ..

Description The Bilingual Claims Research and Resolution Representative 2 ... you Come In The Bilingual Claims Research & Resolution Representative 2 ... services in the settlement of claims. Comprised of..

Description The Provider Insights & Claims Analytics (PICA) team is a blend of technology, data, and consulting professionals leveraging the latest tools and methods to solve complex business problems. In this ..

Description The Claims Research & Resolution Representative 2 ... & Resolution Representative 2 manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and against..

Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

Job OverviewA prominent law firm is seeking a Litigation Associate to join its General Litigation Practice Group in the Birmingham, AL office. This role is ideally suited for an attorney with ..

Job Information Humana Claims Research & Resolution Representative 2 ... Birmingham Alabama Description The Bilingual Claims Research and Resolution Representative 2 ... for well-being Responsibilities The Bilingual Claims Research &..

Job OverviewA law firm seeks a Veterans Affairs Attorney in Birmingham, Alabama, with the option for remote work for experienced candidates. This role involves advocating for disabled veterans and managing a ..