Claims Professional I Jobs in New Haven

... and administer assigned Workers' Compensation Claims. Remains current on Workers' Compensation ... review of new Workers' Compensation claims in order to ensure compensability, ... of action necessary for efficient..

... high volume of third party claims and ensures that accurate information ... to correct problems that prevent claims submission and/or contacts the individuals ... the corrective action to expedite..

... day. Retrospectively reviews payment of claims on remittances to insure maximum ... payment amount expected is correct (i.e per diem, DRG payment, percentage ... expedite the prompt payment of..

The world isnu2019t standing still, and neither is Allstate. Weu2019re moving quickly, looking across our businesses and brands and taking bold steps to better serve customersu2019 evolving needs. Thatu2019s why now ..

... Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Bridgeport Connecticut Description ... pharmacy claim review. The Pharmacy Claims Professional 2 work assignments are varied ... education and experience..

Job Information Humana Claims Review Representative 2 in Bridgeport ... in Bridgeport Connecticut Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..

Description The Pharmacy Claims Professional 2 is responsible for the ... maintaining guidelines. Responsibilities The Pharmacy Claims Professional 2 analyzes and answers inquiries ... and answers inquiries regarding pharmacy claims..

Description This Actuarial Analyst 2 role on the Specialty Benefits team will take ownership of our Dental and Vision commercial group (100 lives) renewal reporting and the dental trend analysis. This ..

Description The Medical Coding Coordinator 2 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..

... County) Company: Travelers Insurance Category: Claims Location: Fairfield, Connecticut Tweets by ... training to advance to Claim Professional, Outside Property. This position is ... investigating, evaluating, negotiating and resolving..

(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) The world isnt standing still, and neither is Allstate. Were ..

Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..

Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..

(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) The world isnt standing still, and neither is Allstate. Were ..

Description The Pharmacy Claims Professional 2 monitors and ensures appropriate ... ensures appropriate adjudication of pharmacy claims. The Pharmacy Claims Professional 2 work assignments are varied ... of action. Responsibilities..

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 ..

Description The Senior Pharmacy Claims Professional adjudicates pharmacy claims and process pharmacy claims for payment. The Senior Pharmacy ... for payment. The Senior Pharmacy Claims Professional work assignments involve moderately..

Description The Medical Coding Coordinator 2 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..

Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..

(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) The world isnt standing still, and neither is Allstate. Were ..

Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management ... errors. The Health Information Management Professional work assignments are varied and ... Responsibilities..

Description The Claims Review Representative 3 makes appropriate ... based on strong knowledge of claims procedures, contract provisions, and state ... state and federal legislation. The Claims Review Representative 3..

Description The Senior Health Information Management Professional work assignments involve moderately complex to complex issues to work with various teams to develop business requirements, track and monitor the success of the ..