CLAIMS SPECIALIST Job Locations US WA VANCOUVER ID 2024 144784 Line of Business PharMerica Position Type Full Time Pay Min USD $23.00/Hr. Pay Max USD $23.00/Hr. Our Company PharMerica Overview Join our PharMerica team! PharMerica is a closed door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long term care and senior living clients. We offer a

Assist in end to end behavioral health provider claims and help enhance call quality Assist in efforts to enhance ease of use of online provider portal and future services enhancements Contribute to design and implementation of programs that build / nurture positive relationships between the health plan, providers and practice managers Support development and management o

Provide superior analytic consultation with a focus on client satisfaction, client retention, and trend management Support short and long term operational and strategic business activities Design, execute, and maintain advanced PBM analytics, conduct and evaluate trend analyses, and present clinical and financial opportunities based on analytic insights to clients Use log

Provide expertise or general claims support by reviewing, researching, investigating, processing and adjusting claims Analyze and identify trends and provide reports to supervisor as necessary Consistently meet established productivity, schedule adherence and quality standards You'll be rewarded and recognized for your performance in an environment that will challenge you

Assist in end to end provider claims and help enhance call quality Coach, provide feedback and guide others Assist in efforts to enhance ease of use of physician portal and future services enhancements Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers, and practice managers Help implement train

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

Review and analyze medical claims to determine coverage and eligibility Investigate and gather information to support claim decisions Evaluate medical records, bills, and other documentation to ensure accuracy and compliance with coding standards Apply knowledge of medical terminology, coding systems (ICD 10, ICD 9), and billing procedures to process claims Communicate wi

Senior Claims Analyst 3 Workers Compensation investigates, evaluates, disposes of and settles claims with minimal supervision, including the investigation, determination and evaluation of coverage, compensability/liability and damages, and the setting of proper reserves in accordance with legal statutes, policy provisions and company guidelines. Perks Full and comprehensi

The salary range for this job posting is $48,024.00 $86,059.00 annually + bonus + benefits The above represents the salary range for this job requisition. Ultimately, in determining your pay, we'll consider your location, education, experience, and other job related factors. Your recruiter can share more information about the specific salary range during the hiring process

Processes claims accurately and efficiently. Reviews all incoming claims to verify necessary information. Determines that correct member and provider records are chosen and utilized to process claims. Enters claims data and information into the computerized Claims Processing System. Maintains all required documentation of claims processed and claims on hand. Adjudicates c

Property/Asset Specialist (Washington, D.C.) Job Locations US DC Washington, DC Job ID 2024 11022 # of Openings 2 Category Logistics Overview LMI seeks a Property/Asset Specialist to support a federal program management office in the National Capital Region (Washington, D.C.). Join our team of collaborative self starters focused on delivering practical and efficient solut

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Estimate Reviewer II Requisition ID 2024 25293 Job Locations US FL | US TX San Antonio | US TX Dallas | US GA Atlanta | US AZ Phoenix | US MO Kansas City | US NC Charlotte | US IL Chicago | US AL Birmingham | US CA San Diego | US IN Indianapolis | ... Position Type Regular Full Time Category Claims Business Unit XUS_CCC US Excellence In Everything We Touch Position Summar

Estimate Reviewer II Requisition ID 2024 25294 Job Locations US FL | US TX San Antonio | US AZ Phoenix | US TX Dallas | US GA Atlanta | US MO Kansas City | US IL Chicago | US NC Charlotte | US CA San Diego | US AL Birmingham | US FL Jacksonville | ... Position Type Regular Full Time Category Claims Business Unit XUS_CCC US Excellence In Everything We Touch Position Summar