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Coverage Determination Specialist (Temp)

Abarca
San Juan, PR
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Content : What you’ll do In a few words… Abarca is igniting a revolution in ...
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Summary
About the job:
healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning… Providing high quality services to clients and beneficiaries is at the core of what we do every day! The PBM Operations & Services team is the very heart of Abarca and meets that standard by running services from medication therapy management programs, price eligibility, configurations, and beneficiary services to government services and beyond. Within Coverage Determination,...
Location:
San Juan, PR
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
3
Workplace Documents
4
apply
Detailed Job Information

Home Service Technician $18/HR

Orkin, Inc.
Anderson, IN
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Overview $18.00/hr Want to Join the Best in Pest ? Go Pro with Orkin. As an ...
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About the job:
Orkin Pro, you’ll put the "pro” in pro tecting what people value most: their home. You’ll have more than a job —you’ll have a career with growth potential and benefits that go beyond the basics. This includes a company vehicle, competitive pay and a 401(k) program. Not to mention, you’ll receive opportunities to volunteer and give back . You’ll join a team backed by more than 120 years of delivering top-notch service, and you’ll be a key player in maintaining our reputation as the best in pests. With Orkin’s...
Location:
Anderson, IN
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
Occupational Safety & Health Administration Certification
Driver's License
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Bill Review Analyst I

CorVel Corporation
Portland, OR
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Job Details Description Responsible for review, auditing and data-entry of ...
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Summary
About the job:
medical bills for multiple states and lines of business. This is a hybrid role in our Portland, OR office. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines and PPO discounts Position requires knowledge of the Fee Schedule and the operation of the computer terminal May consult reference materials in the auditing process Requires regular and consistent attendance Comply with all safety rules and...
Location:
Portland, OR
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Investigator Assistant

Elevance Health
Richmond, VA
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Anticipated End Date: 2024-05-10 Position Investigator Assistant Job ...
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About the job:
Description: Investigator Assistant Supports the Payment Integrity line of business Location: Must reside within 50 miles of one our Elevance Health Pulse Points. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Investigator Assistant is responsible for providing administrative support to the investigative unit and performing research on data to assist...
Location:
Richmond, VA
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
3
apply
Detailed Job Information

eCOB Specialist I

Elevance Health
New York, NY
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Anticipated End Date: 2024-05-03 Position eCOB Specialist I Job Description: ...
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Summary
About the job:
eCOB Specialist I Location : Remote, within 50 miles of an Elevance Health pulse point. Hours: Monday - Friday, 8 am - 4:30 pm The eCOB Specialist I is responsible for researching and investigating other coverage for all of the company's groups and members. Performs multi complex functions and interprets complex rules, laws and contracts. Accountable for end-to-end functionality on every Coordination of Benefits (COB) function including reconciliation of claim, membership and accounting. How you will make an impact:...
Location:
New York, NY
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Investigator I

Elevance Health
Indianapolis, IN
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Anticipated End Date: 2024-04-24 Position Investigator I Job Description: ...
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Summary
About the job:
Investigator I Schedule: 1-2 days per week in the office (Hybrid 1) Location: This position will work on hybrid model (remote and office). Candidates must live within 50 miles of one of our Elevance Health PulsePoint locations. The Investigator I position is responsible for investigating assigned cases, collecting, researching and analyzing claim data in order to detect fraudulent, abusive or wasteful activities/practices. This is how you will make an impact: - Using appropriate system tools and databases for analysis...
Location:
Indianapolis, IN
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

eCOB Specialist I

Elevance Health
San Juan, PR
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Anticipated End Date: 2024-05-03 Position eCOB Specialist I Job Description: ...
Details
Summary
About the job:
eCOB Specialist I Location : Remote, within 50 miles of an Elevance Health pulse point. Hours: Monday - Friday, 8 am - 4:30 pm The eCOB Specialist I is responsible for researching and investigating other coverage for all of the company's groups and members. Performs multi complex functions and interprets complex rules, laws and contracts. Accountable for end-to-end functionality on every Coordination of Benefits (COB) function including reconciliation of claim, membership and accounting. How you will make an impact:...
Location:
San Juan, PR
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Investigator I

Elevance Health
Norfolk, VA
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Anticipated End Date: 2024-04-24 Position Investigator I Job Description: ...
Details
Summary
About the job:
Investigator I Schedule: 1-2 days per week in the office (Hybrid 1) Location: This position will work on hybrid model (remote and office). Candidates must live within 50 miles of one of our Elevance Health PulsePoint locations. The Investigator I position is responsible for investigating assigned cases, collecting, researching and analyzing claim data in order to detect fraudulent, abusive or wasteful activities/practices. This is how you will make an impact: - Using appropriate system tools and databases for analysis...
Location:
Norfolk, VA
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Insurance Analyst I

Spectraforce Technologies
Avon, IL
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Spectraforce Technologies medical insurance, sick time, 401(k) United ...
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Summary
About the job:
States, Illinois, Avon April 17, 2024 Job Insurance Analyst I Duration: 6 Months Location: (Remote) Shift Hours: The hours of operation are 7am-7pm CST . Are you comfortable working one of the following shifts 9:30am-6pm CST or 10:30am - 7pm CST. Training schedules will run 8:00 am - 4:30 pm CST (**6-10 weeks depending on the role you are selected for.) shift after training will be later, likely the 10:30am-7pmCST so it is essential that they are okay with working this shift Purpose : The primary function of the Insurance...
Location:
Avon, IL
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
Postsecondary nondegree award
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Insurance Specialist

Credit Acceptance Corporation
Florida
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Credit Acceptance is proud to be an award-winning company with local and ...
Details
Summary
About the job:
national workplace recognition in multiple categories! Our world-class culture is shaped by dedicated Team Members who share a drive to succeed as professionals and together as a company. A great product, amazing people and our stable financial history have made us one of the largest used car finance companies nationally. Our Operations teams work with our consumers to promote great service, encourage them to bring their accounts current and resolve escalated issues. Team Members specialize in various segments of the...
Location:
Florida
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information
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Job Type: Full-time
Salary: Middle Income Jobs ($30K-$49K)
Occupation: Claims Adjusters, Examiners, and Investigators
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