Claims Benefit Specialist Aetna

  • CVS Health - Minnesota 3.2

    Trains and mentors claim benefit specialists. Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise that…

  • Getty Images - Chicago, IL +2 locations3.9

    Understand the business and our employee benefit needs so that you can help drive benefit plan design improvements and employee engagement.

  • CVS Health - Ohio +1 location3.2

    Trains and mentors claim benefit specialists. Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise.

  • Getty Images - Los Angeles, CA 3.9

    Understand the business and our employee benefit needs so that you can help drive benefit plan design improvements and employee engagement.

  • CVS Health - Pennsylvania 3.2

    Answer inbound calls from providers regarding EAP/mental health benefits, authorizations, and claims questions. Assist with inbound MES call volume as needed.

  • Working knowledge of Medicare and Medicaid benefits. 1-3 years' related customer service experience preferably with exposure to benefits interpretation.

  • Lockton, Inc. - Plano, TX 3.9

    Resolve benefit and claims issues. Process and audit benefits billing. Assist with designing new benefit plans. Assist in preparation for executive meetings.

  • City of Roanoke - Roanoke, VA 3.7

    Optum RX [Pharmaceutical Benefits Manager] - Manages pharmacy benefits, processes employee pharmacy claims and answers employee pharmacy benefit questions.

  • CVS Health - Phoenix, AZ 3.2

    This position requires an understanding of medical claims, healthcare principles, and coding ability. Reporting to the Manager of Business Information Services …

  • Forsyth County, GA - Cumming, GA 3.9

    This is a County-paid benefit. Eligibility begins 14 days after an accident or sickness and has a benefit period of 24 weeks. Eligibility begins date of hire.

  • City of Roanoke - Roanoke, VA 3.7

    Optum RX [Pharmaceutical Benefits Manager] - Manages pharmacy benefits, processes employee pharmacy claims and answers employee pharmacy benefit questions.

  • The University of Chicago - Chicago, IL 4.1

    Experience working with insurance companies and confirming benefit coverage with Plans, Members, and Providers. BSD DIV - Health Plan Support.

  • City of Roanoke - Roanoke, VA 3.7

    Optum RX [Pharmaceutical Benefits Manager] - Manages pharmacy benefits, processes employee pharmacy claims and answers employee pharmacy benefit questions.

  • The Carolina Center for ABA & Autism Treatment - Durham, NC 

    Communicate effectively with families on benefits and insurance costs. Timely, complete and accurate initial submission of claims, follow-up, and re-submission…

  • CVS Health - Concord, CA 3.2

    Resolve appropriate claim & eligibility issues. College graduate, and/or 2-3 years benefits experience. Engage with Account Managers and other internal support…

  • City of Roanoke - Roanoke, VA 3.7

    Optum RX [Pharmaceutical Benefits Manager] - Manages pharmacy benefits, processes employee pharmacy claims and answers employee pharmacy benefit questions.

  • City of Roanoke - Roanoke, VA 3.7

    Optum RX [Pharmaceutical Benefits Manager] - Manages pharmacy benefits, processes employee pharmacy claims and answers employee pharmacy benefit questions.

  • City of Roanoke - Roanoke, VA 3.7

    Optum RX [Pharmaceutical Benefits Manager] - Manages pharmacy benefits, processes employee pharmacy claims and answers employee pharmacy benefit questions.

  • Florida Medical Clinic - Land O' Lakes, FL 3.2

    Review explanation of benefits to ensure the claims have processed per our contractual agreement. Contact Insurance carriers to obtain claim status /confirm…

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