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Account Associate-Commercial Insurance- Select ...

Job Description: Title: Account Associate - Commercial Lines Work Mode: Remote | Location/Supporting: Longwood, FL | Book Focus: General Book, SBU Please note: If this position is posted as either...

Customer Service Advocate III - Maryland Medica...

Resp & Qualifications PURPOSE: Responsible for answering member, provider & broker inquiries pertaining to product information, benefits, claims resolution, eligibility and billing questions in a call center environment. Proactively provides...

Medical Reviewer I

Summary We are currently hiring for a Medical Reviewer I to join BlueCross BlueShield of South Carolina. In this role as a Medical Reviewer I, you will perform medical reviews...

Account Advisor I - Remote-LA/Hybrid Training

About the positionWe take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We...

Claims Processor I (Remote)

Resp & Qualifications PURPOSE: Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational policies and procedures.ESSENTIAL FUNCTIONS: Examines and resolves non-adjudicated claims...

Medical Reviewer II - Palmetto GBA

Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review...