Claims Appeals Representative

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Pusham B.
Painter & NGO Founder
Claims Adjuster

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Claims Appeals Representative

Meaningful work creates true job satisfaction.  In this role as an Appeals Representative, we'll depend on you to communicate some of our most critical information to the appropriate people regarding appeals and grievance issues, implications and decisions. You’ll put your research skills to work to explore how claims were processed and, eventually, denied. You’ll use the Department of Insurance guidelines to determine the outcome of each appeal and communicate the results to members and/or providers.  You'll combine your appeals expertise, passion for ethics and high degree of follow through to help our team deliver speedy and fair appeals.

Latest Claims Appeals Representative Jobs

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Full-time Boston, MA

Quick Look
Region: North America Country United States
State/Province: MA City: Boston
Position Description
Transform health care and change the way consumers engage with technology.Sounds like a big challenge, right? Here, at Optum, you have the opportunity to achieve great things while you showcase your passion and technical expertise as a Java Applications Developer. You'll be inspired by working alongside some of the most brilliant minds in technology who bring compassion, energy and focus to their work every day on a mission to change health care as we know it. Join us! Come share who you are and start doing your life's best work.(sm)As part of our development team, you will predominantly be in...

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Java Applications Developer - Boston, MA (718875)

Full-time Boston, MA

Quick Look
Region: North America Country United States
State/Province: MA City: Boston
Position Description
Transform health care and change the way consumers engage with technology.Sounds like a big challenge, right? Here, at Optum, you have the opportunity to achieve great things while you showcase your passion and technical expertise as a Java Applications Developer. You'll be inspired by working alongside some of the most brilliant minds in technology who bring compassion, energy and focus to their work every day on a mission to change health care as we know it. Join us! Come share who you are and start doing your life's best work.(sm)As part of our development team, you will predominantly be in...

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Java Applications Developer - Boston, MA (718874)

Full-time Boston, MA

Quick Look
Region: North America Country United States
State/Province: MA City: Boston
Position Description
Is it important to you to create an application that will benefit millions of people? At Optum, you are empowered to do your best! You will work with an elite team to create applications using the newest and latest technologies. If you have a solid track record for innovation and accomplishment, we are eager to speak with you! We hire talented coding professionals who are looking to advance their careers by working for the best company in the healthcare industry. You will have the most opportunities to grow and develop your career while using the skills that you have obtained thus far. Being ...

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Business Analyst, Consultant - Harford CT or telecommute (709373)

Full-time Hartford, CT or Telecommute Considered

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Region: North America Country United States
State/Province: CT City: Hartford
Position Description
You’re empowered to do your best! Use your sharp business analysis skills to support small, medium, and large programs and initiatives for the Business Service Solutions organization. Positions in this function work in the business analysis phase of the system development life cycle and consult with users to define business requirements, processes, and rules as well as the information systems for supporting those processes.   We are looking for a Business Analyst, Consultant in our Harford, CT or as a telecommuter.    Primary Responsibilities: Apply understanding and execution of analysis co...

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Java Applications Developer - Boston, MA (718873)

Full-time Boston, MA

Quick Look
Region: North America Country United States
State/Province: MA City: Boston
Position Description
Is it important to you to create an application that will benefit millions of people? At Optum, you are empowered to do your best! You will work with an elite team to create applications using the newest and latest technologies. If you have a solid track record for innovation and accomplishment, we are eager to speak with you! We hire talented coding professionals who are looking to advance their careers by working for the best company in the healthcare industry. You will have the most opportunities to grow and develop your career while using the skills that you have obtained thus far. Being ...

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Executive Assistant, OptumRx - Chicago, IL (709194)

Full-time Chicago, IL

Quick Look
Region: North America Country United States
State/Province: IL City: Chicago
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If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)   The Executive Assistant performs administrative duties and support the Chief Medical Officer (CMO) and 2 additional senior leaders of OptumRx. Responsibilities may include screening calls; managing calendars; making travel, meeting and event arrangements; preparing reports and financial data; and customer relations. This role requires strong comput...

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