Insurance Claims Adjuster Jobs in San Juan

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 Processing Representative 3 reviews and ... and adjudicates complex or specialty claims, submitted either via paper or ... via paper or electronically. The Claims Processing Representative 3..

Description The Claims Processing Representative 1 reviews and ... and adjudicates complex or specialty claims, submitted either via paper or ... via paper or electronically. The Claims Processing Representative 1..

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 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 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..

... in San Juan, PR. This Claims Review Representative 3 opportunity is ... based on strong knowledge of claims procedures, contract provisions, and state ... for the review of all..

Job Information Humana Claims Review Representative - Remote Puerto ... keep priorities moving forward. The Claims Review Representative 1 makes appropriate ... based on strong knowledge of claims procedures, contract..

Job Information Humana Bilingual English/Spanish Claims Representative - Remote Puerto Rico ... Juan Puerto Rico Description The Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims,..

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 ..

... in San Juan, PR. This Claims Review Representative 3 opportunity is ... based on strong knowledge of claims procedures, contract provisions, and state ... in San Juan, PR. This..

Description The Claims Processing Representative reviews and adjudicates ... and adjudicates complex or specialty claims, submitted either via paper or ... via paper or electronically. The Claims Processing Representative performs..

Job Information Humana Medical Claims Processing Representative 2 in San ... Puerto Rico Description The Medical Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted..

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

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 ..

Job Information Humana Claims Review Representative 3 - Remote ... Juan Puerto Rico Description The Claims Review Representative 3 makes appropriate ... based on strong knowledge of claims procedures, contract..

Job Information Humana Grievances & Appeals Representative 3 (Bilingual, Inbound call center in the Health Care industry, Medicare, Medical Claims, CAS, exp.) - San Juan, PR in San Juan Puerto Rico ..

Job Information Humana Bilingual English/Spanish Claims Review Representative - Remote Puerto ... keep priorities moving forward. The Claims Review Representative 1 makes appropriate ... based on strong knowledge of claims..

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 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 ..

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 Pharmacy Claims Specialist, Remote in San Juan ... Puerto Rico Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy..

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 ..