Insurance Claims Adjuster Jobs in Pittsburgh

Field Claims Representative - Property - Pittsburgh, ... privileged to serve. Today, Farmers Insurance Group of Companies is the ... Lines passenger automobile and homeowner’s insurance. Farmers operates primarily in..

... 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 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 ..

Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..

... pricing sophistication, telematics, digital photo claims and, more recently, device and ... of a Field Auto Technical Adjuster: Communicate empathetically with customers and ... in multiple workstreams (Quick Foto..

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

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 ..

Job Information Humana Insurance Product Management Representative 2 in ... in Pittsburgh Pennsylvania Description The Insurance Product Management Representative 2 Manages ... Product Management Representative 2 Manages insurance product offerings..

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 Medical Claims Processing Representative 2 in Pittsburgh ... Pittsburgh Pennsylvania Description The Medical Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted..

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 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 ..

... an opportunity for a full-time Insurance Collections Representative to handle insurance follow up. The Insurance Collections Representative will ensure timely ... to patients, healthcare professionals and insurance carriers. Key..

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 Pharmacy Claims Specialist, Remote in Pittsburgh Pennsylvania ... Description Assist local pharmacies with claims adjudication to support medication access ... the direction of the Pharmacy Claims Team..

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 Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..

Job Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Pittsburgh Pennsylvania Description The Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple aspects related to reviewing pharmacy claim ..

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..