Claim Scrubber ( Claim Representative )
By SightMD At Hauppauge, NY, United States
Assumes professional responsibility for development of skills and ongoing education to maintain certification.
Other specials projects set by the Revenue Cycle Manager.
Years of medical billing experience is required.
Knowledge of medical terminology is required.
Great communication and organization skills.
Basic excel skills such as the ability to perform or simple calculations with formulas and functions and format spreadsheets is required.
Remote - Seasonal Customer Connection Representative Ii
By Signet Jewelers At , Akron $15 an hour
Highly organized and effectively manages their time
Willing and able to empathize and acknowledge mistakes as well as authentically apologize to guests
Confident using basic negotiation skills for both sales and service
We offer a competitive starting hourly pay rate of $15.00 minimum
We offer an outstanding employee discount program for jewelry purchases
Highly confident, proactive problem solvers who demonstrate strong ability to quickly navigate the internet
Apd Desk Claim Rep Ii
By AAA The Auto Club Group At , Remote $54,644 - $73,000 a year
Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.
Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent
Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience
Manage time, organize and plan work load and responsibilities
Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
Demonstrate effective communication skills (verbal and written)
Claim Associate-Auto-Remote Jobs
By State Farm At , Murfreesboro, 37127 $39,796 - $50,405 a year
Visit State Farm Careers for more information on our benefits, locations, and the hiring process.
An annual bonus based on individual and enterprise performance
Industry leading Tuition Assistance Programs
Wellness and mental health programs
Discounts from hundreds of retailers through our Perks at Work program
Answering inbound calls and making outbound calls to customers within a fast paced, call center environment
Phone Claim Analyst (Supplemental Health) – Remote ($19.00 / Hour)
By Talentify.io At United States
Strong time management and organizational skills
Gain experience in accurate and prompt evaluation of claims
Make independent decisions using critical thinking skills
Effective communication and interpersonal skills
Proficient in computer systems and data entry
Remote work with high-speed internet connection is possible
Field Homeowners Claim Representative Ii
By AAA The Auto Club Group At , Birmingham, Mi $60,000 - $85,000 a year
Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.
Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent
Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience.
Manage time, organize and plan workload and responsibilities.
Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
Two year of experience with:
Cdi Specialist Ii - Remote
By Mayo Clinic At , Rochester, 55901, Mn $77,376 - $116,147 a year

This Position is 100% Remote; can work from anywhere within the United States

Affirmative Action and Equal Opportunity Employer

Claim Processing Representative, Dentaquest (Remote)
By DentaQuest At United States
Adhere to approved claim workflow requirements to maximize efficiency.
Associates degree or two years of experience in a business environment.
Strong interpersonal, written and verbal communication skills.
Attention to detail, accuracy and organization skills are essential.
Cooperative, professional, and effective interaction skills with co-workers, business partners, and visitors.
Consistently process entry level and intermediate claim queues with a 99% or greater accuracy rate.
Senior Stoploss Claim Auditor (Remote)
By BlueCross BlueShield of South Carolina At Miami-Fort Lauderdale Area, United States
Communicate effectively with carriers, vendors, and management. Provide full claims service to both phone and written inquiries.
Knowledge of group insurance, managed care and direct medical claims products.
Knowledge in COB, Medicare, HIPAA, CPT, ICD-9 and benefit plan interpretation.
Two years of medical claims and/or reinsurance claims experience.
Six years of medical claims and/or reinsurance claims experience.
Prior Stop Loss insurance experience.
Cdi Specialist Ii - Remote
By Mayo Clinic At Minnesota, United States

This Position is 100% Remote; can work from anywhere within the United States

Affirmative Action and Equal Opportunity Employer

Customer Care Representative Ii (Us Remote)
By Elevance Health At United States
You will partner internally to create a seamless experience for our customers and resolve potential issues.
Ability to obtain your Associate’s or Bachelor’s degree or further your education with tuition reimbursement.
National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
A career path with opportunity for growth
Affordable Health Insurance, Dental, Vision and Basic Life
401K match, Paid Time Off, Holiday Pay
Contract Representative Ii - Remote (Ak, Az, Id, Fl, Or, Tx, Wa)
By Moda Health At United States
Bachelor’s degree in Business, Finance, Health Care Administration or 2 years’ equivalent work experience in a related field.
Years’ experience negotiating contracts, specifically with ancillaries, facilities, specialty providers, and physician groups.
Demonstrated strong interpersonal communication skills, including strong business writing skills in a manner that promotes goodwill, is timely, efficient and accurate.
Possess strong analytical, attention to detail, and problem-solving skills.
Ability to work with internal stakeholder departments to create a seamless and positive experience for the provider.
Strong judgment and decision making skills with ability to develop and foster strong working relationships.
Sr. Claim Processing Representative, Dentaquest (Remote)
By DentaQuest At United States
Associates degree and/or four years experience in a business environment
Previous claim processing experience required
Attention to detail, accuracy and organization skills are essential
Strong interpersonal, written and verbal communication skills
Cooperative, professional and effective interaction skills with co-workers, business partners and visitors
Consistently process advanced & complex claim queues with a 99% or greater accuracy rate.
Claim Specialist - Lincoln - Remote ($50999.00 - $75502.00 / Year)
By Talentify.io At United States
Apply knowledge of policies and insurance regulations to determine coverage, liability, and damages
Manage workload efficiently using technology in a fast-paced call center environment
Strong written and verbal communication skills
Strong critical thinking and decision-making skills
This is a remote position, but candidates must reside within 100 miles of the Lincoln, NE area
Visit employer Careers for more information on benefits, locations, and the hiring process.
Manager Ii Learning - Remote
By Elevance Health At Chesapeake, VA, United States
Or any combination of education and experience, which would provide an equivalent background.
Job Family: Education and Training
Manages a team of Learning & Development associates responsible for the delivery of learning solutions to meet client needs and objectives.
Ensures courses and other educational information support the overall business objectives.
Oversees the utilization of performance consulting skills in the development of training materials for associates.
Serves as a mentor and coaches newer Learning Managers.
Manager Ii Learning - Remote
By Elevance Health At Walnut Creek, CA, United States
Or any combination of education and experience, which would provide an equivalent background.
Job Family: Education and Training
Manages a team of Learning & Development associates responsible for the delivery of learning solutions to meet client needs and objectives.
Ensures courses and other educational information support the overall business objectives.
Oversees the utilization of performance consulting skills in the development of training materials for associates.
Serves as a mentor and coaches newer Learning Managers.
Manager Ii Learning - Remote
By Elevance Health At Costa Mesa, CA, United States
Or any combination of education and experience, which would provide an equivalent background.
Job Family: Education and Training
Manages a team of Learning & Development associates responsible for the delivery of learning solutions to meet client needs and objectives.
Ensures courses and other educational information support the overall business objectives.
Oversees the utilization of performance consulting skills in the development of training materials for associates.
Serves as a mentor and coaches newer Learning Managers.
Manager Ii Learning - Remote
By Elevance Health At St Louis, MO, United States
Or any combination of education and experience, which would provide an equivalent background.
Job Family: Education and Training
Manages a team of Learning & Development associates responsible for the delivery of learning solutions to meet client needs and objectives.
Ensures courses and other educational information support the overall business objectives.
Oversees the utilization of performance consulting skills in the development of training materials for associates.
Serves as a mentor and coaches newer Learning Managers.
Manager Ii Learning - Remote
By Elevance Health At Virginia Beach, VA, United States
Or any combination of education and experience, which would provide an equivalent background.
Job Family: Education and Training
Manages a team of Learning & Development associates responsible for the delivery of learning solutions to meet client needs and objectives.
Ensures courses and other educational information support the overall business objectives.
Oversees the utilization of performance consulting skills in the development of training materials for associates.
Serves as a mentor and coaches newer Learning Managers.
Manager Ii Learning - Remote
By Elevance Health At Augusta, GA, United States
Or any combination of education and experience, which would provide an equivalent background.
Job Family: Education and Training
Manages a team of Learning & Development associates responsible for the delivery of learning solutions to meet client needs and objectives.
Ensures courses and other educational information support the overall business objectives.
Oversees the utilization of performance consulting skills in the development of training materials for associates.
Serves as a mentor and coaches newer Learning Managers.

Do you have a passion for helping people and a knack for problem-solving? We are looking for a motivated and experienced Claim Representative II to join our remote team. You will be responsible for managing and resolving customer claims in a timely and professional manner. If you are looking for an opportunity to make a difference in people's lives, this is the job for you!

Overview:

Claim Representative II Remote is responsible for providing customer service and processing claims for customers. They are responsible for ensuring that claims are processed accurately and in a timely manner. They must have excellent customer service skills and be able to work in a fast-paced environment.

Detailed Job Description:

Claim Representative II Remote is responsible for providing customer service and processing claims for customers. They must have excellent customer service skills and be able to work in a fast-paced environment. They must be able to accurately and efficiently process claims, answer customer inquiries, and provide timely and accurate information to customers. They must be able to work independently and as part of a team.

What is Claim Representative Ii Remote Job Skills Required?

• Excellent customer service skills
• Ability to work in a fast-paced environment
• Ability to accurately and efficiently process claims
• Ability to answer customer inquiries
• Ability to provide timely and accurate information to customers
• Ability to work independently and as part of a team
• Knowledge of insurance policies and procedures
• Knowledge of medical terminology
• Knowledge of computer systems and software

What is Claim Representative Ii Remote Job Qualifications?

• High school diploma or equivalent
• Previous experience in customer service or claims processing
• Knowledge of insurance policies and procedures
• Knowledge of medical terminology
• Knowledge of computer systems and software

What is Claim Representative Ii Remote Job Knowledge?

• Knowledge of insurance policies and procedures
• Knowledge of medical terminology
• Knowledge of computer systems and software

What is Claim Representative Ii Remote Job Experience?

• Previous experience in customer service or claims processing

What is Claim Representative Ii Remote Job Responsibilities?

• Provide customer service and process claims for customers
• Answer customer inquiries
• Provide timely and accurate information to customers
• Accurately and efficiently process claims
• Work independently and as part of a team
• Follow insurance policies and procedures