Processor • garland 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
This role is intended for Hindi/Urdu fluent speakers.We are named in Top Workplaces NYC for 2024.We are one of the winners of USPAACC's Fast 100 Asian American Business awards.We are recognized as ... Show more
Compliance Officer - Business Conduct.At My Funded Futures, we're transforming the world of proprietary trading by giving traders the capital, tools, and community they need to succeed.We blend inn... Show more
As a Remote Records Processor, you will be responsible for inputting and maintaining data accurately from home, including: input data accurately into company systems from home.Duties and responsibi... Show more
Responsible for developing and maintaining broker/seller relationships to sell wholesale and correspondent mortgage loan products.Calls on potential or existing brokers/sellers as assigned to devel... Show more
Originate portfolio loans, secondary market conventional, FHA, VA and RD loans which are compliant with investor requirements and all State and Federal laws and regulations; Promote Bank products a... Show more
Under the direction of the Branch and/or Production Manager, markets and promotes PrimeLending products and services to its client base of realtors, builders, bank officers and potential and past c... Show more
The Snappy Salads Shift Leader is enthusiastic and passionate about providing guests with the best hospitality experience possible.This position is accountable for opening and closing the restauran... Show more
Payments Governance Client Operations Manager III.Are you ready to make a significant impact in the world of payments and merchant services? Join JPMorgan Chase as a Payments Governance Client Oper... Show more
Are you ready to make a significant impact in the world of payments and merchant services? Join JPMorgan Chase as a Payments Governance Client Operations Manager III and be part of a dynamic team w... Show more
You enjoy turning client problems and data into clear product improvements, and you want to learn how payment infrastructure works at serious volume.Join us to build your product skills on products... Show more
The Mortgage Loan Processor role will be responsible for performing a variety of documentation duties related to both agency and portfolio loans while ensuring compliance with policies and procedur... Show more
KEY RESPONSIBILITIES/REQUIREMENTS:.Receive and validate vendor invoices meet compliance standards by confirming all required documents are included with upload and are compliant with SEA accounts p... Show more
Apply computer science, engineering, and mathematical analysis concepts and principles in the development of software for the target application.Work closely with cross functional members of the en... Show more
Payments Governance Client Operations Manager III.Are you ready to make a significant impact in the world of payments and merchant services? Join JPMorgan Chase as a Payments Governance Client Oper... Show more
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clien... Show more
Our mission is to establish long-term, mutually beneficial financial relationships with our clients, team members and community.Recruit, reward and retain a team of market leading professionals.Col... Show more
This role is intended for Spanish / Vietnamese fluent speakers.Are you ready to go uP? We are named in Top Workplaces NYC for 2024 We are one of the winners of USPAACC’s Fast 100 Asian American Bus... Show more
The average salary range is between $ 27,300 and $ 68,750 year , with the average salary hovering around $ 33,280 year .
The average salary range is between $ 29,250 and $ 53,648 year , with the average salary hovering around $ 35,100 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.
){kind=logo}
