Processor • richardson 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
Go Up With Universal Processing.This role is intended for fluent Mandarin-Chinese speakers, including reading and writing.We are named in Top Workplaces NYC for 2024.We are one of the winners of US... 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
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
Job Title/h2pCome join our amazing team!/ph3Job Description/h3pResponsible for developing and maintaining broker/seller relationships to sell wholesale and correspondent mortgage loan products.Call... Show more
Green Brick Mortgage is looking for a detail-oriented loan processor to join our team in Plano, TX.As a loan processor, you will be responsible for preparing and organizing loan files, ensuring all... Show more
Senior Strategic Growth And Execution Associate.Unleash your expertise in product development and optimization by leveraging user research, analyzing metrics, and collaborating across one of the wo... 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
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
At TJX Companies, every day brings new opportunities for growth, exploration, and achievement.You’ll be part of our vibrant team that embraces diversity, fosters collaboration, and prioritizes your... Show more
Pay: $16/hour- Please note this pay rate may be below your state's minimum wage.Please take this into consideration when applying.Monday Friday | Scheduled start times may vary between 3:00 AM 6:... 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.C... Show more
If you have worked in customer services and looking for flexible and varied work, consider a new financial services program on the Arise® Platform.This program needs customer-focused individuals to... Show more
Toyota Logistics Services Transportation Damage Claims Processor.These are just a few words that describe what life is like at Toyota.As one of the world's most admired brands, Toyota is growing an... Show more
Come join Payroll Tax Operations (PTO) as a payroll tax professional responsible for the accurate and timely resolution of payroll tax issues across Notices, Corrections, Amendments, and Pay & File... Show more
Quality Control Specialist - Quality Control Department .DebtBlue, LLC is a fast‑growing debt settlement organization committed to helping individuals and families regain financial stability.W... Show more
Compile and audit all loan information to submit to underwriting / collect conditions and coordinate the file to closing.Be a sounding board of knowledge for MLOs and other processors.Essential Fun... Show more
Under the direction of the Branch and/or Production Manager, markets and promotes Highland Home Loan's products and services to its client base of realtors, builders, bank officers and potential an... 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 ... Show more
You are excited to utilize your background in Payments and as a trusted sales professional to make an impact.As a Strategic Supplier Specialist within the Supplier Experience Team, you will engage ... Show more
The average salary range is between $ 31,200 and $ 38,500 year , with the average salary hovering around $ 35,000 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.
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