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Compliance Services Officer Senior

State of Minnesota
Saint Paul, MN
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Logo Working together to improve the state we love, the Department of Labor ...
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Summary
About the job:
and Industry ensures Minnesota’s work and living environments are equitable, healthy and safe. The agency oversees the state's programs for apprenticeship, construction codes and licensing, dual-training pipeline, occupational safety and health, wage and hour standards, workers' compensation and youth skills training programs. Job Details Working Compliance Services Officer Senior Job Class: Compliance Services Officer Senior Agency: Labor & Industry Dept - Job ID : 87139 - Location : St. Paul - Telework Eligible :...
Location:
Saint Paul, MN
Job Type:
Part-Time
Full-Time
Temporary
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
State of Minnesota
Certifications / Licenses:
ICD-10 / ICD-9
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Claims Analyst I(Onsite Cincinnati, Ohio)

Fifth Third Bank, N.A.
Cincinnati, OH
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Make banking a Fifth Third better® We connect great people to great ...
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Summary
About the job:
opportunities. Are you ready to take the next step? Discover a career in banking at Fifth Third Bank. This position is onsite in Cincinnati, Ohio. It cannot be remote. GENERAL FUNCTION: Responsible for completing and filing investor/insurer claims within required guidelines in order to recoup 5/3's investment in the property, may include loan principal, accrued interest, and corporate or escrow advances, as well asbank incentives for timely filing, made during the life of the loan to properly protect the investors collateral...
Location:
Cincinnati, OH
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Fifth Third Bank
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

CLAIMS ANALYST II

Fifth Third Bank, N.A.
Cincinnati, OH
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Make banking a Fifth Third better® We connect great people to great ...
Details
Summary
About the job:
opportunities. Are you ready to take the next step? Discover a career in banking at Fifth Third Bank. GENERAL FUNCTION: Responsible for completing and filing investor/insurer claims within required guidelines in order to recoup 5/3's investment in the property, may include loan principal, accrued interest, and corporate or escrow advancesmadeduringthelife of the loan to properly protect the investors collateral interest in the property. The residential mortgage portfolio is currently at 325,000 loans, 75% of which are...
Location:
Cincinnati, OH
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Fifth Third Bank
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Coordinator - Appeals & Grievances - MediGold Health Plan

Trinity Health
Columbus, OH
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**Employment Type:**Full time**Shift:****Description:****Why ...
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Summary
About the job:
MediGold?**MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the United States. We're dedicated to providing excellent customer service, cost-effective care, and exceptional healthcare coverage. We rely on talented colleagues in a wide variety of professional roles including information technology, financial analysis, audit, provider relations and more.**Position Purpose:** The Appeals and Grievance Coordinator is responsible for the...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Claims Audit Analyst

WelbeHealth
Saint Paul, MN
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**Claims Audit Analyst**At WelbeHealth, we are transforming the reality of ...
Details
Summary
About the job:
senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable senior population while serving as a care provider and care plan to those individuals we serve.Our Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or company policies and procedures.**Essential Job Duties:**+...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Claims Audit Analyst

WelbeHealth
Columbus, OH
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**Claims Audit Analyst**At WelbeHealth, we are transforming the reality of ...
Details
Summary
About the job:
senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable senior population while serving as a care provider and care plan to those individuals we serve.Our Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or company policies and procedures.**Essential Job Duties:**+...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Claims Processor - Remote

Cognizant
Saint Paul, MN
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Cognizant is a large IT Consulting Firm that leverages modern technologies ...
Details
Summary
About the job:
to transform a variety of business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Claims Processor** is responsible for the timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to claims and client for issues related to claims adjudication and adjustments, Service Now and Inquiry resolution, and any basic questions regarding health coverage as stated in the Plan Document.**Role...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
US.jobs
Certifications / Licenses:
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Claims Processor - Remote

Cognizant
Columbus, OH
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Cognizant is a large IT Consulting Firm that leverages modern technologies ...
Details
Summary
About the job:
to transform a variety of business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Claims Processor** is responsible for the timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to claims and client for issues related to claims adjudication and adjustments, Service Now and Inquiry resolution, and any basic questions regarding health coverage as stated in the Plan Document.**Role...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
US.jobs
Certifications / Licenses:
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Behavioral Health Clinical Consultant, Disability Claims Insurance

GUARDIAN LIFE
Columbus, OH
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The **Behavioral Health Clinical Consultant** serves as a clinical resource ...
Details
Summary
About the job:
for the investigation and assessment of medical information regarding disability by providing comprehensive medical reviews and analysis of long-term and or short-term disability claims. The Behavioral Health Clinical Consultant identifies restrictions, limitations and duration impacting functional capacity based on medical data, to assist the Case Managers in determining claim liability. The Behavioral Health Clinical Consultant collaborates with treating providers to assist individuals to obtain appropriate care and...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Behavioral Health Clinical Consultant, Disability Claims Insurance

GUARDIAN LIFE
Saint Paul, MN
Actions
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Save to My Profile
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Report this job
The **Behavioral Health Clinical Consultant** serves as a clinical resource ...
Details
Summary
About the job:
for the investigation and assessment of medical information regarding disability by providing comprehensive medical reviews and analysis of long-term and or short-term disability claims. The Behavioral Health Clinical Consultant identifies restrictions, limitations and duration impacting functional capacity based on medical data, to assist the Case Managers in determining claim liability. The Behavioral Health Clinical Consultant collaborates with treating providers to assist individuals to obtain appropriate care and...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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