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Claims Examiner at Independent Living Systems
, Florida, United States - Full Time
Skills Needed
Claims Examination, Medical Billing, Healthcare Insurance Processing, Medical Terminology, Insurance Policies, Healthcare Billing Codes, Claims Management Software, Microsoft Office Suite, Regulatory Frameworks, Fraud Detection, Communication, Record Keeping, Problem Solving, Attention To Detail, Compliance, Auditing
Specialization
Candidates must have a high school diploma or GED and at least 2 years of experience in claims examination or related fields. A strong understanding of medical terminology and proficiency with claims management software is also required.
Experience Required
Minimum 2 year(s)
Wendy's Cashier at Pilot Company
Marion, Indiana, United States - Full Time
Skills Needed
Guest Service Skills, Sales Transactions, Food Management, Wendy's Processes, Teamwork, Flexible Schedule
Specialization
Incredible guest service skills and the ability to maintain a guest-focused culture are required. Experience in a similar position and the ability to work a flexible schedule are preferred.
Field Marketer at Erie Home
Springfield, Missouri, United States - Full Time
Skills Needed
Friendly Personality, Outgoing Personality, Strong Work Ethic, Go Getter Attitude, Competitive Mindset, Goal Oriented, Quick Learner, Open To Coaching, Positive Energy, Resilience
Specialization
Candidates must have reliable transportation and a friendly, outgoing personality. A strong work ethic, competitive mindset, and resilience are essential for success in this role.
Cashier at Pilot Company
Fargo, North Dakota, United States - Full Time
Skills Needed
Guest Service Skills, Sales Transactions, Teamwork, Inventory Management, Cash Register Operation, Cleanliness Maintenance
Specialization
Incredible guest service skills and the ability to maintain a guest-focused culture are required. Experience in a similar position and the ability to work a flexible schedule are preferred.
Cashier at Pilot Company
Laredo, Texas, United States - Full Time
Skills Needed
Guest Service Skills, Sales Transactions, Teamwork, Inventory Management, Cash Register Operation, Cleanliness, Flexible Schedule
Specialization
Incredible guest service skills and the ability to maintain a guest-focused culture are required. Experience in a similar position and the ability to work a flexible schedule are preferred.
Cashier at Pilot Company
, Tennessee, United States - Full Time
Skills Needed
Guest Service Skills, Teamwork, Sales Transactions, Computer Skills, Telephone Skills, Inventory Management, Cleanliness, Flexibility
Specialization
Incredible guest service skills and the ability to maintain a guest-focused culture are required. Experience in a similar position and the ability to work a flexible schedule are preferred.
Medical Assistant I (Las Colinas) at Innovista Medical Center Texas LLC
Irving, Texas, United States - Full Time
Skills Needed
Medical Assistant Certification, Bls/Cpr Certification, Communication Skills, Phlebotomy Certification, Epic Proficiency, Excel Proficiency, Word Proficiency, Powerpoint Proficiency, Iv Training, Patient Care, Laboratory Testing, Infection Control, Confidentiality, Team Collaboration, Patient Flow Management, Equipment Inspection
Specialization
A high school diploma or equivalent and completion of a medical assistant training program are required. Additionally, a minimum of two years of experience as a Medical Assistant is preferred, along with relevant certifications.
Experience Required
Minimum 2 year(s)
CNA - Certified Nursing Assistant at Theracare INC
Walkerton, Indiana, United States - Full Time
Skills Needed
Certified Nursing Assistant, Patient Care, Teamwork, Communication, Basic Mathematics, Compassion, Professionalism, Observation
Specialization
Candidates must be certified in the State of Indiana and complete the Basic Aide Training Course. They should also pass a physical examination for employment.
Regional Sales Manager - West at ExtraHop
Uster, Zurich, Switzerland - Full Time
Skills Needed
Technology Sales, Cybersecurity, Saas Solutions, Communication Skills, Organizational Skills, Interpersonal Skills, Sales Success, Networking Technologies, Decision Making Processes, Strategic Sales Account Planning, Lead Generation, Forecasting Revenue, Customer Feedback, Relationship Building, Independent Work Ethic, Startup Culture
Specialization
Candidates must have a four-year degree and at least 5 years of technology sales experience, including 2 years in cybersecurity or complex SaaS solutions. Strong communication skills and a proven track record of sales success are essential.
Experience Required
Minimum 5 year(s)
Deli Production Team Member at Pilot Company
Blacksburg, South Carolina, United States - Full Time
Skills Needed
Team Building, Customer Service, Food Preparation, Food Safety, Organization, Self Motivation, Flexibility, Communication
Specialization
Candidates should be highly motivated self-starters with the ability to work as part of a team. They must be able to lift 50 pounds and work a flexible schedule including nights, days, weekends, and holidays.
Deli Production Team Member at Pilot Company
Wytheville, Virginia, United States - Full Time
Skills Needed
Team Building, Customer Service, Food Preparation, Food Safety, Organization, Communication, Motivation, Flexibility
Specialization
Candidates should be highly motivated self-starters with the ability to work as part of a team. They must be able to lift 50 pounds and work a flexible schedule including nights, days, weekends, and holidays.
Deli Baker at Pilot Company
Kenly, North Carolina, United States - Full Time
Skills Needed
Guest Service Skills, Sales Transactions, Food Management, Food Safety, Teamwork, Flexible Schedule
Specialization
Incredible guest service skills and the ability to maintain a guest-focused culture are required. Experience in a similar position and ServSafe certification are preferred.
Brand- och Säkerhetsvakt, Lysekil. Securitas at Securitas USA Corporate Services
Lysekil, Västra Götaland County, Sweden - Full Time
Skills Needed
Safety Awareness, Risk Analysis, Communication, Organization, Technical Understanding, Problem Solving
Specialization
Candidates must have approved grades in Swedish and English from high school and a B driver's license. Previous experience in similar roles and training in hot work is advantageous.
CERTIFIED PHARMACY TECHNICIAN (FT; Rotating Shifts) - Temple Women & Famili at Temple Health System
Philadelphia, Pennsylvania, United States - Full Time
Skills Needed
Medication Preparation, Medication Dispensing, Sterile Products, Pharmacy Operations, Patient Care, Labeling, Packaging, Delivery, Pharmacist Support, Attention To Detail, Communication, Teamwork, Problem Solving, Time Management, Customer Service, Regulatory Compliance
Specialization
High School Diploma or Equivalent is required, or a combination of relevant education and experience may be considered. General experience in an accredited hospital pharmacy technician training program or equivalent combination of education and experience is preferred.
Customer Service/ Retail Advisor at Ladies & Gentlemen Salon and Spa
Niles, Ohio, United States - Full Time
Skills Needed
Customer Service, Organizational Skills, Detail Oriented, Computer Knowledge, Appointment Booking, Payment Collection, Client Inquiry Response, Inventory Management, General Cleaning, Sales Solicitation, Data Input, Student Coordination, Training And Guidance, Process Maintenance, Public Relations, Register Auditing, Administrative Functions
Specialization
Candidates should be high school graduates with previous customer service experience preferred. Excellent customer service and organizational skills, along with computer knowledge, are essential.
Verkaufsleitung PV-Grossanlagen at e-selection AG
Zurich, Zurich, Switzerland - Full Time
Skills Needed
Sales Expertise, Photovoltaic Systems, Technical Knowledge, Business Administration, Customer Orientation, Coordination Skills, Organizational Skills, Communication Skills, Negotiation Skills, Project Management, Analytical Skills, Solution Development, Team Collaboration, Investor Relations, Contract Management, Reporting
Specialization
Candidates should have proven expertise in the sale of photovoltaic systems and a completed technical education complemented by business training. A natural sales personality with a strong sense of customer needs and excellent coordination and organizational skills is essential.
Experience Required
Minimum 5 year(s)
Mandataire d’Assurance (F/H) at AXA Insurance dac
Châlons-en-Champagne, Grand Est, France - Full Time
Skills Needed
Relationship Management, Networking, Sales, Client Engagement, Insurance Knowledge, Autonomy, Communication, Customer Service
Specialization
Candidates should have good professional experience and excellent interpersonal skills. They should also have a local presence and the ability to develop a network to acquire new clients.
Experience Required
Minimum 2 year(s)
Delivery Driver Papa Gino's at New England Authentic Eats LLC (Papa Gino's / D'Angelo)
Middleborough, Massachusetts, United States - Full Time
Skills Needed
Customer Service, Delivery, Teamwork, Communication, Reliability, Professionalism, Clean Driving Record, Vehicle Maintenance
Specialization
Candidates must be at least 18 years old with a valid driver's license and a clean driving record. A reliable vehicle and the ability to communicate effectively with customers are also required.
Counter Sales Representative at REXEL
Grand Junction, Colorado, United States - Full Time
Skills Needed
Customer Service, Sales, Electrical Distribution, Product Knowledge, Interpersonal Skills, Communication Skills, Organizational Skills, Team Player, Negotiation Skills, Windows Based Software, Order Entry Systems, Electrical Commodities, Showroom Maintenance, Warehouse Operations, Delivery Support, Safety Awareness
Specialization
Candidates should have 2+ years of customer service, sales, or electrical distribution experience, with a high school diploma or GED required. Knowledge of electrical products and strong communication skills are preferred.
Experience Required
Minimum 2 year(s)
Optical Consultant at AEG Vision
Myrtle Beach, South Carolina, United States - Full Time
Skills Needed
Customer Service, Sales, Technical Skills, Communication, Organization, Attention To Detail, Manual Dexterity, Eyewear Adjustments, Prescription Interpretation, Product Knowledge, Problem Solving, Team Collaboration, Time Management, Patient Education, Order Management, Cleaning And Maintenance
Specialization
A high school diploma is required, along with a minimum of one year of experience as an optician preferred. Strong communication skills, attention to detail, and customer service experience are essential.
Claims Examiner at Independent Living Systems
, Florida, United States -
Full Time

Start Date

Immediate

Expiry Date

06 Jan, 26

Salary

0.0

Posted On

08 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Claims Examination, Medical Billing, Healthcare Insurance Processing, Medical Terminology, Insurance Policies, Healthcare Billing Codes, Claims Management Software, Microsoft Office Suite, Regulatory Frameworks, Fraud Detection, Communication, Record Keeping, Problem Solving, Attention to Detail, Compliance, Auditing

Industry

Hospitals and Health Care

Description
  We are seeking a Claims to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Claims Examiner plays a critical role in the health care and social assistance industry by thoroughly reviewing and evaluating insurance claims to ensure accuracy, compliance, and appropriateness of payments. This position involves analyzing medical documentation, policy details, and billing information to determine the validity of claims and identify any discrepancies or potential fraud. The Examiner collaborates with healthcare providers, insurance agents, and internal teams to resolve claim issues and facilitate timely reimbursement. By maintaining up-to-date knowledge of healthcare regulations and insurance policies, the Examiner helps protect the organization from financial loss and supports the delivery of fair and efficient claims processing. Ultimately, this role contributes to the integrity and sustainability of the healthcare insurance system by ensuring claims are processed accurately and ethically. Minimum Qualifications: * High school diploma or GED * Minimum of 2 years experience in claims examination, medical billing, or healthcare insurance processing. * Strong understanding of medical terminology, insurance policies, and healthcare billing codes (e.g., ICD-10, CPT). * Proficiency with claims management software and Microsoft Office suite. Preferred Qualifications: * Associate’s degree or Bachelor's degree in health administration, healthcare management, or a related discipline. * Certification such as Certified Professional Coder (CPC) or Certified Claims Professional (CCP). * Experience working within the health care and social assistance industry or with government healthcare programs. * Familiarity with regulatory frameworks such as HIPAA and the Affordable Care Act. Responsibilities: * Review and analyze health insurance claims for completeness, accuracy, and compliance with policy terms and regulatory requirements. * Verify medical codes, treatment documentation, and billing information to ensure services are properly covered and billed. * Investigate and resolve claim discrepancies by communicating with providers, members, and internal departments. * Identify and escalate potential fraudulent claims or billing errors to compliance or legal teams. * Maintain detailed records of claim evaluations and stay current with healthcare laws and industry standards to support audits and improve processing workflows.
Responsibilities
The Claims Examiner reviews and analyzes health insurance claims for accuracy and compliance with policy terms. They investigate discrepancies and collaborate with various stakeholders to resolve claim issues.
Claims Examiner at Independent Living Systems
, Florida, United States - Full Time
Skills Needed
Claims Examination, Medical Billing, Healthcare Insurance Processing, Medical Terminology, Insurance Policies, Healthcare Billing Codes, Claims Management Software, Microsoft Office Suite, Regulatory Frameworks, Fraud Detection, Communication, Record Keeping, Problem Solving, Attention To Detail, Compliance, Auditing
Specialization
Candidates must have a high school diploma or GED and at least 2 years of experience in claims examination or related fields. A strong understanding of medical terminology and proficiency with claims management software is also required.
Experience Required
Minimum 2 year(s)
Wendy's Cashier at Pilot Company
Marion, Indiana, United States - Full Time
Skills Needed
Guest Service Skills, Sales Transactions, Food Management, Wendy's Processes, Teamwork, Flexible Schedule
Specialization
Incredible guest service skills and the ability to maintain a guest-focused culture are required. Experience in a similar position and the ability to work a flexible schedule are preferred.
Field Marketer at Erie Home
Springfield, Missouri, United States - Full Time
Skills Needed
Friendly Personality, Outgoing Personality, Strong Work Ethic, Go Getter Attitude, Competitive Mindset, Goal Oriented, Quick Learner, Open To Coaching, Positive Energy, Resilience
Specialization
Candidates must have reliable transportation and a friendly, outgoing personality. A strong work ethic, competitive mindset, and resilience are essential for success in this role.
Cashier at Pilot Company
Fargo, North Dakota, United States - Full Time
Skills Needed
Guest Service Skills, Sales Transactions, Teamwork, Inventory Management, Cash Register Operation, Cleanliness Maintenance
Specialization
Incredible guest service skills and the ability to maintain a guest-focused culture are required. Experience in a similar position and the ability to work a flexible schedule are preferred.
Cashier at Pilot Company
Laredo, Texas, United States - Full Time
Skills Needed
Guest Service Skills, Sales Transactions, Teamwork, Inventory Management, Cash Register Operation, Cleanliness, Flexible Schedule
Specialization
Incredible guest service skills and the ability to maintain a guest-focused culture are required. Experience in a similar position and the ability to work a flexible schedule are preferred.
Cashier at Pilot Company
, Tennessee, United States - Full Time
Skills Needed
Guest Service Skills, Teamwork, Sales Transactions, Computer Skills, Telephone Skills, Inventory Management, Cleanliness, Flexibility
Specialization
Incredible guest service skills and the ability to maintain a guest-focused culture are required. Experience in a similar position and the ability to work a flexible schedule are preferred.
Medical Assistant I (Las Colinas) at Innovista Medical Center Texas LLC
Irving, Texas, United States - Full Time
Skills Needed
Medical Assistant Certification, Bls/Cpr Certification, Communication Skills, Phlebotomy Certification, Epic Proficiency, Excel Proficiency, Word Proficiency, Powerpoint Proficiency, Iv Training, Patient Care, Laboratory Testing, Infection Control, Confidentiality, Team Collaboration, Patient Flow Management, Equipment Inspection
Specialization
A high school diploma or equivalent and completion of a medical assistant training program are required. Additionally, a minimum of two years of experience as a Medical Assistant is preferred, along with relevant certifications.
Experience Required
Minimum 2 year(s)
CNA - Certified Nursing Assistant at Theracare INC
Walkerton, Indiana, United States - Full Time
Skills Needed
Certified Nursing Assistant, Patient Care, Teamwork, Communication, Basic Mathematics, Compassion, Professionalism, Observation
Specialization
Candidates must be certified in the State of Indiana and complete the Basic Aide Training Course. They should also pass a physical examination for employment.
Regional Sales Manager - West at ExtraHop
Uster, Zurich, Switzerland - Full Time
Skills Needed
Technology Sales, Cybersecurity, Saas Solutions, Communication Skills, Organizational Skills, Interpersonal Skills, Sales Success, Networking Technologies, Decision Making Processes, Strategic Sales Account Planning, Lead Generation, Forecasting Revenue, Customer Feedback, Relationship Building, Independent Work Ethic, Startup Culture
Specialization
Candidates must have a four-year degree and at least 5 years of technology sales experience, including 2 years in cybersecurity or complex SaaS solutions. Strong communication skills and a proven track record of sales success are essential.
Experience Required
Minimum 5 year(s)
Deli Production Team Member at Pilot Company
Blacksburg, South Carolina, United States - Full Time
Skills Needed
Team Building, Customer Service, Food Preparation, Food Safety, Organization, Self Motivation, Flexibility, Communication
Specialization
Candidates should be highly motivated self-starters with the ability to work as part of a team. They must be able to lift 50 pounds and work a flexible schedule including nights, days, weekends, and holidays.
Deli Production Team Member at Pilot Company
Wytheville, Virginia, United States - Full Time
Skills Needed
Team Building, Customer Service, Food Preparation, Food Safety, Organization, Communication, Motivation, Flexibility
Specialization
Candidates should be highly motivated self-starters with the ability to work as part of a team. They must be able to lift 50 pounds and work a flexible schedule including nights, days, weekends, and holidays.
Deli Baker at Pilot Company
Kenly, North Carolina, United States - Full Time
Skills Needed
Guest Service Skills, Sales Transactions, Food Management, Food Safety, Teamwork, Flexible Schedule
Specialization
Incredible guest service skills and the ability to maintain a guest-focused culture are required. Experience in a similar position and ServSafe certification are preferred.
Brand- och Säkerhetsvakt, Lysekil. Securitas at Securitas USA Corporate Services
Lysekil, Västra Götaland County, Sweden - Full Time
Skills Needed
Safety Awareness, Risk Analysis, Communication, Organization, Technical Understanding, Problem Solving
Specialization
Candidates must have approved grades in Swedish and English from high school and a B driver's license. Previous experience in similar roles and training in hot work is advantageous.
CERTIFIED PHARMACY TECHNICIAN (FT; Rotating Shifts) - Temple Women & Famili at Temple Health System
Philadelphia, Pennsylvania, United States - Full Time
Skills Needed
Medication Preparation, Medication Dispensing, Sterile Products, Pharmacy Operations, Patient Care, Labeling, Packaging, Delivery, Pharmacist Support, Attention To Detail, Communication, Teamwork, Problem Solving, Time Management, Customer Service, Regulatory Compliance
Specialization
High School Diploma or Equivalent is required, or a combination of relevant education and experience may be considered. General experience in an accredited hospital pharmacy technician training program or equivalent combination of education and experience is preferred.
Customer Service/ Retail Advisor at Ladies & Gentlemen Salon and Spa
Niles, Ohio, United States - Full Time
Skills Needed
Customer Service, Organizational Skills, Detail Oriented, Computer Knowledge, Appointment Booking, Payment Collection, Client Inquiry Response, Inventory Management, General Cleaning, Sales Solicitation, Data Input, Student Coordination, Training And Guidance, Process Maintenance, Public Relations, Register Auditing, Administrative Functions
Specialization
Candidates should be high school graduates with previous customer service experience preferred. Excellent customer service and organizational skills, along with computer knowledge, are essential.
Verkaufsleitung PV-Grossanlagen at e-selection AG
Zurich, Zurich, Switzerland - Full Time
Skills Needed
Sales Expertise, Photovoltaic Systems, Technical Knowledge, Business Administration, Customer Orientation, Coordination Skills, Organizational Skills, Communication Skills, Negotiation Skills, Project Management, Analytical Skills, Solution Development, Team Collaboration, Investor Relations, Contract Management, Reporting
Specialization
Candidates should have proven expertise in the sale of photovoltaic systems and a completed technical education complemented by business training. A natural sales personality with a strong sense of customer needs and excellent coordination and organizational skills is essential.
Experience Required
Minimum 5 year(s)
Mandataire d’Assurance (F/H) at AXA Insurance dac
Châlons-en-Champagne, Grand Est, France - Full Time
Skills Needed
Relationship Management, Networking, Sales, Client Engagement, Insurance Knowledge, Autonomy, Communication, Customer Service
Specialization
Candidates should have good professional experience and excellent interpersonal skills. They should also have a local presence and the ability to develop a network to acquire new clients.
Experience Required
Minimum 2 year(s)
Delivery Driver Papa Gino's at New England Authentic Eats LLC (Papa Gino's / D'Angelo)
Middleborough, Massachusetts, United States - Full Time
Skills Needed
Customer Service, Delivery, Teamwork, Communication, Reliability, Professionalism, Clean Driving Record, Vehicle Maintenance
Specialization
Candidates must be at least 18 years old with a valid driver's license and a clean driving record. A reliable vehicle and the ability to communicate effectively with customers are also required.
Counter Sales Representative at REXEL
Grand Junction, Colorado, United States - Full Time
Skills Needed
Customer Service, Sales, Electrical Distribution, Product Knowledge, Interpersonal Skills, Communication Skills, Organizational Skills, Team Player, Negotiation Skills, Windows Based Software, Order Entry Systems, Electrical Commodities, Showroom Maintenance, Warehouse Operations, Delivery Support, Safety Awareness
Specialization
Candidates should have 2+ years of customer service, sales, or electrical distribution experience, with a high school diploma or GED required. Knowledge of electrical products and strong communication skills are preferred.
Experience Required
Minimum 2 year(s)
Optical Consultant at AEG Vision
Myrtle Beach, South Carolina, United States - Full Time
Skills Needed
Customer Service, Sales, Technical Skills, Communication, Organization, Attention To Detail, Manual Dexterity, Eyewear Adjustments, Prescription Interpretation, Product Knowledge, Problem Solving, Team Collaboration, Time Management, Patient Education, Order Management, Cleaning And Maintenance
Specialization
A high school diploma is required, along with a minimum of one year of experience as an optician preferred. Strong communication skills, attention to detail, and customer service experience are essential.