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Insurance claims Jobs in Oklahoma City, OK

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Insurance claims • oklahoma city ok

Last updated: 3 days ago

Claims Auditor

american health partnersOklahoma City, OK, United States
Full-time

American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc.Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities.In partner... Show more

Claims Analyst - City

city oklahoma cityOklahoma City, OK, United States
Full-time

This position is located in the Risk Management Division of the Finance Department within the City of Oklahoma City and is under the direction of an immediate supervisor.The Claims Analyst is respo... Show more

Licensed Life Insurance Agent

gia legacy planningOklahoma City, Oklahoma, United States
Full-time +1

Full-Time | Part-Time |Uncapped Commission-Based.Here, we’re more than just an insurance agency — we’re a family dedicated to helping individuals and families find the right financial protection fo... Show more

Workers Compensation Claims Adjuster - OK

gallagherOklahoma City, Oklahoma
Full-time

Role specifics: Claims Background: Workers Compensation Jurisdictional Experience: OK Active Adjusters' licenses: OK Location: This role is eligible for fully remote work How you'll make an impact ... Show more

Insurance Sales Representative

robbie bennett associatesOklahoma City, OK, US
$60,000.00–$100,000.00 yearly
Full-time
Quick Apply

Join Robbie Bennett & Associates, Inc.For nearly three decades (Est 1998), weve built our reputation on trust, excellence, and community.Our team thrives on positive energy, collaboration, and a we... Show more

Supplemental Health Claims Manager

american fidelity assuranceOklahoma City, OK, United States
Full-time

Direct and oversee a team, or teams, of highly skilled leaders and/or Colleagues who are responsible for Disability, Absence Management and/or Supplemental Medical claim processing.Work with Superv... Show more

Business Analyst - Healthcare Claims

gainwell technologiesOklahoma City, OK, US
Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities.Working at Gainwell carries... Show more

Insurance Sales Agent

ben osenga allstate agencyMidwest City, OK, US
$30,000.00–$85,000.00 yearly
Full-time
Quick Apply

Ben Osenga Insurance Agency is seeking a motivated, personable, and results-driven Insurance Sales Agent to join our team.The Insurance Sales Agent will help individuals and families identify their... Show more

INSURANCE AGENT TRAINEE

staff my agencyOklahoma City, OK, United States
$50,000.00–$80,000.00 yearly
Full-time

Location: Oklahoma City, OK, 73160.We are looking for individuals that are looking to enter the financial lucrative world of insurance! Our producer program allows you to work and be mentored by on... Show more

Senior Manager - Claims Management (Mortgage Servicing)

mid first bankOklahoma City, OK, United States
Full-time

Claims Department Leadership Role.The Claims department's mission is to minimize losses by maximizing recoveries through the timely and accurate filing of Claims to investors, insurers, and other t... Show more

Claims Specialist

sixtOklahoma City, OK, United States
Full-time

Are you ready to take the wheel and drive success? As a full-time Claims Specialist at SIXT, you'll be at the heart of our dynamic operation, ensuring every detail aligns for a seamless process.If ... Show more

Supplemental Health Claims Manager

american public life insuranceOklahoma City, OK, United States
Full-time

Direct and oversee a team, or teams, of highly skilled leaders and/or Colleagues who are responsible for Disability, Absence Management and/or Supplemental Medical claim processing.Work with Superv... Show more

Insurance Sales Representative

farmers insurance agenciesDEL CITY, OK, US
Full-time
Quick Apply

As an insurance producer working for a Farmers agency owner, you can assist prospective and existing customers in your community with products and services they need.Compensation for this position ... Show more

Insurance Sales Representative

executive financial partnersOklahoma City, OK, US
$74,000.00–$86,000.00 yearly
Full-time

Executive Financial Partners is growing, and we're looking for professionals who want a career with purpose.We provide supplemental health insurance that helps families, individuals, and businesses... Show more

Insurance Agency Bookkeeper - REMOTE

work at home vintage expertsOklahoma City, OK, US
Remote
Full-time +2
Quick Apply

Put your Insurance Experience to work – FROM HOME!.Our unique platform provides you with.WHAT YOU’LL LOVE ABOUT WAHVE.We created a welcoming place to work with friendly and professional... Show more

Personal Lines Insurance advisor

comma insuranceOklahoma City, OK, US
$50,000.00–$120,000.00 yearly
Remote
Full-time
Quick Apply

Comma revolutionizes property and casualty insurance through a brokerage model prioritizing customers, leveraging multi-carrier flexibility to deliver a delightful insurance experience.The tight-kn... Show more

Insurance Producer

farmers insurance district 49Oklahoma City, OK, US
$50,000.00–$60,000.00 yearly
Full-time

Our growing Farmers Insurance agency is looking for motivated individuals who enjoy working with people and want to build a rewarding career.As an Insurance Producer, you’ll help customers find the... Show more

Health Insurance Agent

millennium recruitingOklahoma City, OK, United States
$45,000.00–$100,000.00 yearly
Full-time

AO offers the ability to work from anywhere, learn from the best in the industry, and become a top earner within the company.AO offers incentives like no other - go on incredible trips, earn prizes... Show more

Insurance Agent - Training Provided

mallett region modern woodmen americaOklahoma City, OK, US
$72,900.00–$94,600.00 yearly
Full-time

Join the Mallett Region of Modern Woodmen of America!.Join the Mallett Region of Modern Woodmen of America and make a lasting impact in Oklahoma, Kansa City, Southeast Kansas and Southwest Missouri... Show more

Claims Appraiser - Auto Estimatics

state farmOklahoma City, OK, United States
$63,089.65–$82,000.00 yearly
Full-time

Being good neighbors helping people, investing in our communities, and making the world a better place is who we are at State Farm.It is at the core of how we operate and the reason for our succe... Show more

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Claims Auditor

Claims Auditor

american health partnersOklahoma City, OK, United States
27 days ago
Job type
  • Full-time
Job description

Job Opportunity

American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. This division currently operates in Tennessee, Georgia, Missouri, Kansas, Oklahoma, Utah, Texas, Mississippi, Louisiana, Iowa, and Idaho with planned expansion into other states in 2024.

If you would like to be part of a collaborative, supportive and caring team, we look forward to receiving your application!

Benefits and Perks include:

  • Affordable Medical/Dental/Vision insurance options
  • Generous paid time-off program and paid holidays for full time staff
  • TeleMedicine 24/7/365 access to doctors
  • Optional short- and long-term disability plans
  • Employee Assistance Plan (EAP)
  • 401K retirement accounts
  • Employee Referral Bonus Program

Essential Job Duties:

To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation.

  • Conduct pre-pay and post-pay audits to ensure accurate claims payments and denials
  • Ensure regulatory compliance and overall quality and efficiency by utilizing strong working knowledge of claims processing standards
  • Work closely with delegated claim processor to ensure errors are reviewed and corrected prior to final payment
  • Work assigned claim projects to completion
  • Provide a high level of customer service to internal and external customers; achieve quality and productivity goals
  • Escalate appropriate claims/audit issues to management as required; follow departmental/organizational policies and procedures
  • Maintain production and quality standards as established by management
  • Participate in and support ad-hoc audits as needed
  • Other duties as assigned

Job Requirements:

  • Proficient in processing/auditing claims for Medicare and Medicaid plans
  • Strong knowledge of CMS requirements regarding claims processing, especially regarding skilled nursing facilities and other complex claim processing rules and regulations
  • Current experience with both Institutional and Professional claim payments
  • Knowledge of automated claims processing systems
  • Hybrid role that may require 2-3 days per week onsite at the Franklin, TN office.

Required Qualifications:

  • Experience:
    • Two (2) years' experience with complex claims processing and/or auditing experience in the health insurance industry or medical health care delivery system
    • Two (2) years' experience in managed healthcare environment related to claims processing/audit
    • Two (2) years' experience with standard coding and reference materials used in a claim setting, such as CPT4, ICD10 and HCPCS
    • Two (2) years' experience with CMS requirements regarding claims processing; especially Skilled Nursing Facility and other complex claim processing rules and regulations
    • Two (2) years' experience processing/auditing claims for Medicare and Medicaid plans
  • License/Certification(s): Coding certification preferred

Equal Opportunity Employer

Our Organization does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Organization will also make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made.

This employer participates in E-Verify.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.