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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 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..
... Job Overview Job Title: AVP Claims Operations Company: Travelers Insurance Category: Claims, Executive / Management Location: Charlotte, ... Carolina Tweets by @TRV_Careers AVP Claims Operations Charlotte, North Carolina Company..
Job Information Humana Claims Review Representative 2 in Wilmington ... Wilmington North Carolina Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
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..
Job Information Humana Insurance Product Management Representative 2 in ... Charlotte North Carolina Description The Insurance Product Management Representative 2 Manages ... Product Management Representative 2 Manages insurance product offerings..
Job Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Charlotte North Carolina Description The Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple aspects related to reviewing pharmacy ..
Description The Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted either via paper or ... via paper or electronically. The Claims Processing Representative 2..
Job Information Humana Claims Review Representative 2 in Asheville ... Asheville North Carolina Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
Job Information Humana Medical Claims Processing Representative 2 in Charlotte ... North Carolina Description The Medical Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted..
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..
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..
Job Information Humana Claims Review Representative 2 in Greensboro ... Greensboro North Carolina Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
... - Charlotte, NC Company: Travelers Insurance Category: Claims Location: Charlotte, North Carolina Tweets ... investigating, evaluating, negotiating and resolving claims on losses of lesser value ... assignments: Handles 1st..
Job Description Analyzes and approves routine claims that cannot be auto adjudicated. Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and applies all cost containment measures to assist ..
Job Information Humana Pharmacy Claims Specialist, Remote in Charlotte North ... North Carolina Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy..
Description The Pharmacy Claims Professional 2 is responsible for ... maintaining guidelines. Responsibilities The Pharmacy Claims Professional 2 analyzes and answers ... and answers inquiries regarding pharmacy claims adjudication, including..
... Representative Trainee Asheville Company: Travelers Insurance Category: Claims Location: Charlotte, North Carolina Tweets ... investigating, evaluating, negotiating and resolving claims on losses of lesser value ... assignments: Handles 1st..
Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of ..
Job Information Humana Claims Review Representative 2 in Raleigh ... Raleigh North Carolina Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
... Job Overview Job Title: Liability Claims Specialist Company: CorVel Corporation Category: ... Specialist Company: CorVel Corporation Category: Claims Location: Charlotte, NC 28277 Tweets ... 28277 Tweets by @CorVelCorp Liability..
Job Information Humana Claims Review Representative 2 in Bakersville ... Bakersville North Carolina Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
