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... 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 Pharmacy Claims Professional 2 monitors and ensures ... ensures appropriate adjudication of pharmacy claims. The Pharmacy Claims Professional 2 work assignments are ... of action. Responsibilities The Pharmacy..
Job Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Metairie Louisiana Description The Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple aspects related to reviewing pharmacy claim ..
... Louisiana is seeking a Manager, Claims Research & Resolution (Claims Administrator) who will be responsible ... the administration of a comprehensive claims processing system capable of paying ... processing..
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 Claims Research & Resolution Professional 2 ... & Resolution Professional 2 manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and against..
... pricing sophistication, telematics, digital photo claims and, more recently, device and ... steps and embrace change. Our claims organization is an industry leader ... a Virtual and Field Property..
Description The Claims Review Representative 4 (formerly Team ... based on strong knowledge of claims procedures, contract provisions, and state ... state and federal legislation. The Claims Review Representative 4..
... Compensation Claim Representative Company: Travelers Insurance Category: Claims Location: Metairie, Louisiana Tweets by ... Description Summary Manage Workers' Compensation claims with lost time to conclusion ... settlements where appropriate..
Description The Senior Pharmacy Claims Professional oversees processes and ensures ... coordination of benefits (COB) adjudicated claims. The Senior Pharmacy Claims Professional work assignments involve moderately ... factors. Responsibilities The..
Job Information Humana Claims Review Representative 2 in New ... New Orleans Louisiana Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
... and 3rd party material damage claims leading to the proper disposition ... to the proper disposition of claims. Essential Duties and Responsibilities: Following ... maintaining regulatory compliance and fair..
Job Information Humana Pharmacy Claims Specialist, Remote in Metairie Louisiana ... Metairie Louisiana Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy..
Job Information Humana Medical Claims Processing Representative 2 in Metairie ... Metairie Louisiana Description The Medical Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted..
