Mail processing • allen tx
Summary Of Position: Under the guidance and direction of the Team Leader (Claims Supervisor), the primary role of a Senior Claims Examiner is that of a superior claims processor with a thorough kno... Show more
Benefits Department Customer Service And Support.Primary Purpose: Provide customer service and support for the Benefits department, including claims for unemployment compensation and workers' compe... Show more
As a Data Processing Assistant, you will be responsible for inputting and maintaining accurate data records, including: input data accurately into company systems.Duties and responsibilities can ch... Show more
This role is intended for Vietnamese fluent speakers, including reading and writing proficiency.Are you ready to go uP?  We are named in Top Workplaces NYC for 2021, 2024, and 2026!.We are one... Show more
If you have a passion for helping others and enjoy interacting with the general public, FYZICAL, the leading physical therapy company in the country, has a Customer Service Representative opening i... Show more
Prestige Personnel, LLC is seeking a.Senior Technical Program Leader (Embedded Systems).If you have deep experience in EOIR, embedded software, GPU processing, signal processing, or large‑scale Agi... Show more
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Cash Posting and Payment Reconciliation Managers to evaluate AI... Show more
B&B Trucking is committed to offering our drivers the best working environment with more home time, dedicated runs and a consistent schedule.We are a family run business and know that you value the... Show more
POSITION SUMMARY: <br>The Manager, Client Mail Services is a strategic leadership role responsible for the overall direction, profitability, resilience, and management of the Enterprise Team... Show more
No vendors, no C2C candidates, please.Ability to apply payroll principles and procedures related to state and federal labor laws to appropriately calculate pay.Versed in all aspects of multi-state ... Show more
Product Platform Director For Transaction Processing.Ignite your passion for product innovation by leading customer-centric development, inspiring solutions, and shaping the future with your strate... Show more
An International company, located in Plano, TX, is seeking a Legal Assistant for a 12+ month contract role.The client's Legal team is the team of highly experienced in-house attorneys and legal pro... Show more
Seeking an onsite Document Specialist to join a Fortune 500 Financial Services Corporation.The department is a high volume and fast paced line of business.As a Document Specialist, you will be assi... Show more
Warranty Cancellations Manager.RideNow Powersports is seeking a detail-oriented Warranty Cancellations Manager to join our Allen team!.Manages a team that is responsible for collections, processing... Show more
At The Outlook at Windhaven, hospitality is more than a service—it is the foundation of how we care for one another.Our luxury senior living community in Plano, TX, is dedicated to creating an envi... Show more
Duration: 3 to 4 Months Contract with possible extension or hire.Payroll Administrator II is responsible for the accurate preparation, documentation, distribution and reconciliation of payroll and ... Show more
Firm: Large Portfolio Management firm with over $200 billion in assets under management.This is an inside sales role with an Investment firm and the primary responsibilities are calling high-net-wo... Show more
NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team.In this Role the candidate will be responsible for:.Processing of Professional claim forms... Show more
Senior Associate, Travel & Expense - Contract-to-Hire A/P Analyst.Our client, located in Irving, is seeking a Senior Associate of Travel & Expense to join their team on a contract-to-hire basis.Rol... Show more
Petroleum Pump Operator Job Duties: Control pumping systems to circulate liquids through a refinery.Move produ... Show more
The average salary range is between $ 29,129 and $ 42,203 year , with the average salary hovering around $ 33,150 year .
Summary Of Position: Under the guidance and direction of the Team Leader (Claims Supervisor), the primary role of a Senior Claims Examiner is that of a superior claims processor with a thorough knowledge of all claims processing systems, claim processing rules and medical policy. The successful candidate will also possess analytical skills to aid in research and resolution of Adjustment inquiries and/or correspondences. The incumbent will also possess a cooperative spirit that will lead to information sharing with the goal of enhancing the overall performance of the Department.
Major Duties And Responsibilities: Proficient in the use of all claim related systems, including Claims Processing System, Claims Workflow, Claims Pricing system, Claims processing rules and Desk Level procedures. Interpret and apply applicable processing guidelines while interacting with on-line system edits/pends. Research written and/or verbal queries from providers/members/internal departments to determine appropriate action on claim and process corrections as required. Analyze patient and medical information to identify instances where investigation for determining appropriate Claim Benefits, Pricing, Prior Authorization or Coordination of Benefits is necessary and process claims accordingly. Adjudicate all claim types, including professional and facility for all lines of business. Process voids and adjustments as required. Meet and maintain individual and departmental productivity and quality standards. Review and release high dollar claims or other complex claims adjudicated by less senior examiners as directed by the Team Leader (Claims Supervisor). Review reports and research pended claims to ensure timely adjudication within accepted corporate cycle times. Reports include, but are not limited to, daily hot and pend reports, weekly cumulative pend, and other special reports as received from customer. Identify, based on review and research of pend reports, and inform.
Job Location: USTXPAOC01 Plano - TX USA, CLT Alternate.
