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... 2 conducts reviews on pharmacy claims to assess for recoveries. The ... of action. Responsibilities The Pharmacy Claims Professional 2 analyzes and answers ... and answers inquiries regarding pharmacy..
... 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 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 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..
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..
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 ..
... Summer 2022 Bond & Specialty Insurance Underwriting Internship Company: Travelers Insurance Category: Entry Level, Underwriting Location: ... Summer 2022 Bond & Specialty Insurance Underwriting Internship Independence, Ohio Company .....
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 Title: Sales Executive, Personal Insurance Company: Travelers Insurance Category: Claims Location: Columbus, Ohio Tweets by ... by @TRV_Careers Sales Executive, Personal Insurance Columbus, Ohio Company Summary Taking .....
Job Information Humana Claims Review Representative 2 in Columbus ... in Columbus Ohio Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
Job Information Humana Claims Review Representative 2 in Canton ... in Canton Ohio Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
Job Information Humana Claims Review Representative 2 in Lima ... in Lima Ohio Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
... Property Claim Representative Company: Travelers Insurance Category: Claims Location: Independence, Ohio Tweets by ... handling of first party property claims including: investigating, evaluating, estimating and ... resolution for personal..
Job Information Humana Medical Claims Processing Representative 2 in Cincinnati ... Cincinnati Ohio Description The Medical Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted..
... member of the Field Property Claims Team, you will play a ... resolve a variety of homeowner claims in a fast paced, detail-oriented, ... challenge, as our Field Property..
Job Information Humana Pharmacy Claims Specialist, Remote in Cincinnati Ohio ... Cincinnati Ohio Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy..
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 Springfield ... in Springfield Ohio 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 Claims Review Representative 2 in Toledo ... in Toledo Ohio Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
Job Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Cincinnati Ohio Description The Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple aspects related to reviewing pharmacy claim ..
... specific problems related to systems, claims, networks, providers, eligibility, billing, collections, ... issues which the majority are claims issues. Understands department, segment, and ... 5 years of group health..
