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Claim processor jobs in Idaho Falls, ID - 91 jobs

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  • Claims Examiner

    Harris 4.4company rating

    Claim processor job in Idaho

    Responsibilities & Duties:Claims Processing and Assessment: Evaluate incoming claims to determine eligibility, coverage, and validity. Conduct thorough investigations, including reviewing medical records and other relevant documentation. Analyze policy provisions and contractual agreements to assess claim validity. Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: Ensure compliance with company policies, procedures, and regulatory requirements. Maintain accurate records and documentation related to claims activities. Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: Identify opportunities for process improvement and efficiency within the claims department. Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: Generate reports and provide data analysis on claims trends, processing times, and outcomes. Contribute to the development of management reports and presentations regarding claims operations.
    $36k-52k yearly est. Auto-Apply 43d ago
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  • Claims Processor (remote) Iowa ONLY

    Cognizant 4.6company rating

    Claim processor job in Boise, ID

    **Claims Processing - Remote** for Iowa resident candidates Join our team as a Claims Processing Executive in the healthcare sector where you will utilize your expertise in MS Excel to efficiently manage and process commercial claims. This remote position offers the flexibility of working from home during day shifts allowing you to balance work and personal commitments effectively. Your contributions will directly impact the accuracy and efficiency of our claims processing enhancing customer satisfaction and operational excellence. _You will report to our office in Des Moines, Iowa for part of our training regimen._ **Key Responsibilities-** + _Claims Processing:_ Review, validate, and process healthcare claims submitted by providers in accordance with US insurance policies. + _Eligibility Verification:_ Confirm patient coverage, benefits, and pre-authorization requirements under Medicare, Medicaid, and private insurance plans. + _Adjudication:_ Approve, deny, or adjust claims based on payer guidelines and policy terms. + _Compliance:_ Maintain adherence to HIPAA regulations, CMS guidelines, and other US healthcare compliance standards. + _Documentation:_ Record claim activity, maintain audit trails, and prepare reports for management. **Required Skills & Qualifications-** + High school diploma or equivalent REQUIRED + Strong knowledge of US healthcare insurance systems (Medicare, Medicaid, commercial payers). + 2-4 years of experience in US healthcare claims processing + Familiarity with claims management software and EDI transactions. + Excellent analytical, organizational, and communication skills. + Ability to interpret insurance policies and payer guidelines. + Detail-oriented with strong problem-solving abilities. _Competencies-_ + Regulatory Knowledge - Deep understanding of US healthcare laws and payer requirements. + Accuracy & Detail Orientation - Ensures claims are processed correctly and efficiently. + Problem-Solving - Resolves claim disputes and denials effectively. **Salary and Other Compensation:** Applications will be accepted until January 30, 2025.The hourly rate for this position is between $16.00 - 17.00 per hour, depending on experience and other qualifications of the successful candidate.This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and subject to the terms of Cognizant's applicable plans. **Benefits:** Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:- Medical/Dental/Vision/Life Insurance- Paid holidays plus Paid Time Off- 401(k) plan and contributions- Long-term/Short-term Disability- Paid Parental Leave- Employee Stock Purchase Plan _Disclaimer:_ The hourly rate, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law. Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
    $16-17 hourly 17d ago
  • Claims Examiner

    Harriscomputer

    Claim processor job in Wyoming

    Responsibilities & Duties:Claims Processing and Assessment: Evaluate incoming claims to determine eligibility, coverage, and validity. Conduct thorough investigations, including reviewing medical records and other relevant documentation. Analyze policy provisions and contractual agreements to assess claim validity. Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: Ensure compliance with company policies, procedures, and regulatory requirements. Maintain accurate records and documentation related to claims activities. Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: Identify opportunities for process improvement and efficiency within the claims department. Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: Generate reports and provide data analysis on claims trends, processing times, and outcomes. Contribute to the development of management reports and presentations regarding claims operations.
    $29k-43k yearly est. Auto-Apply 43d ago
  • Adjudicator, Provider Claims-On the phone

    Molina Healthcare 4.4company rating

    Claim processor job in Idaho Falls, ID

    Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. - Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution. - Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. - Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions. - Assists in reviews of state and federal complaints related to claims. - Collaborates with other internal departments to determine appropriate resolution of claims issues. - Researches claims tracers, adjustments, and resubmissions of claims. - Adjudicates or readjudicates high volumes of claims in a timely manner. - Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership. - Meets claims department quality and production standards. - Supports claims department initiatives to improve overall claims function efficiency. - Completes basic claims projects as assigned. **Required Qualifications** - At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. - Research and data analysis skills. - Organizational skills and attention to detail. -Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Customer service experience. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software programs proficiency. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $38.37 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $21.7-38.4 hourly 34d ago
  • Technical Claims Specialist, Workers Compensation - West Region

    Liberty Mutual 4.5company rating

    Claim processor job in Meridian, ID

    Under limited supervision and established practices, responsible for the investigation, evaluation, and disposition of Complex Workers Compensation cases of high exposure and severity. Applies established medical management strategies on high dollar complex claims. Has developed high level of knowledge of Workers Compensation claims handling techniques, a full knowledge of LMG claims procedures and is cognizant of new industry trends and claim handling techniques Uses available data to track claims trends and other claim related metrics. Candidates should be based in California with California Self-Insured Certification or based in West Region with experience in handling Alaska Workers Compensation claims. The salary range posted reflects the range for the varying pay scale that encompasses each of the Liberty Mutual regions and the overall cost of living for that region. Responsibilities * Investigates claims to determine whether coverage is provided, establish compensability and verify exposure. * Resolves claims within authority and makes recommendations regarding case value and resolution strategy to Branch Office Management and HO Examining on cases which exceed authority. * Participates in pricing, reserving and strategy discussions with HO Examining and Examining Management. * Works closely with staff and outside defense counsel in managing litigated files according to established litigation management protocols. * Identifies and appropriately handles suspicious claims and claims with the potential to develop adversely. * Identifies and appropriately handles claims with third party subrogation potential, SIF (Self-Insured Fund) and MSA (Medicare Set Aside) exposure. * Establishes and maintains accurate reserves on all assigned files. * Makes timely reserve recommendations to Branch Office Management and HO Examining on cases which exceed authority. * Prepares for and attends mediation sessions and/or settlement conferences and negotiates on behalf of LMG and LMG Insureds. * Demonstrates the ability to understand new and unique exposures and coverages. * Demonstrates the ability to understand key data elements and claims related data analysis. * Confers directly with policyholders on coverage and resolution strategy issues. * Coordinates and participates in training sessions for less experienced staff, including both Complex Non-Complex staff. Qualifications * A bachelor's degree or equivalent business experience is required * In addition, the candidate will generally possess 5-7 years of related claims experience with 1-2 years of experience in complex claims * Demonstrated proficiency in Excel, PowerPoint as well as excellent written and verbal communication skills required About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco
    $56k-84k yearly est. Auto-Apply 21d ago
  • Bodily Injury Claims Specialist

    Auto-Owners Insurance 4.3company rating

    Claim processor job in Boise, ID

    We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Study insurance policies, endorsements, and forms to develop an understanding of insurance coverage. Follow claims handling procedures and participate in claim negotiations and settlements. Deliver a high level of customer service to our agents, insureds, and others. Devise alternative approaches to provide appropriate service, dependent upon the circumstances. Meet with people involved with claims, sometimes outside of our office environment. Handle investigations by telephone, email, mail, and on-site investigations. Maintain appropriate adjuster's license(s), if required by statute in the jurisdiction employed, within the time frame prescribed by the Company or statute. Handle complex and unusual exposure claims effectively through on-site investigations and through participation in mediations, settlement conferences, and trials. Handle confidential information according to Company standards and in accordance with any applicable law, regulation, or rule. Assist in the evaluation and selection of outside counsel. Maintain punctual attendance according to an assigned work schedule at a Company approved work location. Desired Skills & Experience A minimum of three years of insurance claims related experience. The ability to organize and conduct an investigation involving complex issues and assimilate the information to reach a logical and timely decision. The ability to effectively understand, interpret and communicate policy language. The dissemination of appropriate claim handling techniques so that others involved in the claim process are understanding of issues. Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. *Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-CH1 #LI-DNP #LI-Onsite
    $50k-67k yearly est. Auto-Apply 15d ago
  • Formulation Processor - Evenings ($19.00) Full Time

    Melaleuca 4.4company rating

    Claim processor job in Idaho Falls, ID

    Company Profile "Enhancing the Lives of Those We Touch by Helping People Reach Their Goals” Melaleuca has firmly supported this mission statement since our humble beginning in 1985. Everything we accomplish is done with an eye toward promoting the physical, environmental, financial, and personal wellness of those around us. Our focus has always been on wellness. By manufacturing and selling effective, high quality, natural, health oriented products we help people live more vibrant, healthier, and happier lives. When you walk through the doors at Melaleuca, you can feel it immediately. This is The Wellness Company. We have achieved consistent and profitable growth with our annual revenue consistently hitting over $2 billion dollars. Recognized as one of America's Most Trusted Brands and one of the nation's Best Stores, the Melaleuca name represents a promise we uphold every day-delivering a world-class customer experience in everything we do. With a global team of over 4,000 employees and operations in 19 countries, Melaleuca is positioned to grow even more rapidly in upcoming years. Overview Weighs out and processes bulk product in accordance with all applicable SOPs, regulations and procedures Great Starting Pay $18.00 +$1.00 Shift Differential Longevity Bonus (5 Yrs/$5000, 10 Yrs/$10,000, 15 Yrs/$15,000, etc.) Company Profit Sharing (After 6 Mo of F/T Employment) First Pay Review After 6 Months Free Company Products (Monthly voucher currently equal to $100/month value - $1200/year) Company Sponsored Employee Appreciation Events Healthy Work Life Balance Clean Indoor Climate Controlled Environment Opportunities to Promote No Layoffs Safe/All Natural Product Line Responsibilities Essential Responsible for following all Plant Policies, Safety Policies, Procedures and Regulations (including but not limited to FDA, FSMA, HACCP, GMP, OSHA, Lock Out Tag Out, Required PPE) Excellent Technological Skills to use the copier, handheld scanner and navigate such programs as Microsoft Excel, Word, email, JDE, RFGen and MasterControl Excellent communication skills including being able to read and follow instructions and to write detailed explanations of work performed. Also able to communicate professionally between Supervisors, shifts and departments any process changes or delays Responsible for sanitation using compressed air, hot water, cleaning and sanitizing chemicals, and vacuums to maintain a clean and safe environment for the consumer and the plant Actively participate in meetings, safety programs, personal development, and company improvements Responsible for driving a forklift safely and under control in tight spaces and in high traffic areas Ability to work well under pressure and multi-task as the demand necessitates Expected high personal and team performance with an ability to work without direct supervision Excellent eye for detail to create a batch from raw ingredients to its final blended stage Ability to determine changes in ingredient color/consistency Clean up and dispose of expired ingredients, returned bulks and other materials in accordance with Federal, State, and Local regulations Train/supervise new employees to share vital information/skills to improve their job performance Take responsibility for inventory control Performs other duties in the facility as needed or assigned Qualifications Essential Ability to learn and drive a standup forklift and a scissor lift safely Ability to work in and around high places Ability to weigh ingredients to nearest 1/1000 th of a pound Must be able to work with allergens (Milk, Soy and Shellfish) Must be able to read and follow directions as given without deviating from the process Good written and verbal communication skills Good math skills (add, subtract, multiply and divide) Must be able to problem solve and work under pressure Ability to work independently, efficiently and accurately with limited supervision Ability to lift a minimum of 60 lbs on a regular basis Must work in tight spaces including under and around processing equipment Must be able to work in varying working conditions including hot, humid and dusty environments Must be willing to learn, remember and follow all Plant Policies, Safety Policies, Procedures and Regulations (including but not limited to FDA, FSMA, HACCP, GMP, OSHA, Lock Out Tag Out, Required PPE) One year or more experience in manufacturing environment or equivalent is preferred One year or more experience driving a forklift safely is preferred Willing to work overtime and on weekends as needed Good mechanical understanding to be able to disassemble and reassemble processing equipment Ability to learn and use an overhead crane safely Why Melaleuca Melaleuca is one of the leading Health and Wellness companies in the world. We manufacture and distribute nutritional, pharmaceutical, personal care, facial care, home hygiene, and other wellness products and distribute them directly to the consumer through a full-service catalog and Internet shopping system. We carefully craft products used every day with the highest standards of safety, health, and wellness in mind. This revolutionary system is changing the way hundreds of thousands of people shop by eliminating middlemen and reducing marketing and distribution costs. This enables the company to spend more on research and high-quality, ecologically-sensible ingredients, while maintaining reasonable prices. Great culture - flexibility is a must in this position; you'll become a part of a fast-paced team dedicated to a feel-good lifestyle brand dedicated to changing lives. Like the rest of Melaleuca, we are proud to be part of a values-driven organization that treats employees with respect. Our employees and their families enjoy company parties and countless discounts around the community. We implement a very real open-door policy, and all employees are on a first name basis-it feels more like a family than a multi-national corporation. Safe, uncrowded, affordable - nestled in the heart of beautiful Eastern Idaho, Idaho Falls is a prosperous and vibrant community, as well as the gateway to recreational paradise. This unique setting provides numerous opportunities for total wellness -- social, physical, financial, and emotional. If you love outdoor activities, this is the place for you, with the Snake River running right through town, the Rocky Mountains dominating the horizon, and Yellowstone less than a 2-hour drive away. Excellent compensation - in addition to a competitive wage, we offer comprehensive benefits for our full-time employees that include all you would expect plus some remarkable surprises, such as a longevity bonus. The next step is yours. To apply today, click on the "Apply" button below.
    $31k-38k yearly est. Auto-Apply 22d ago
  • Workers Compensation Claims Specialist

    Mountain View Hospital 4.6company rating

    Claim processor job in Idaho Falls, ID

    Mountain View Hospital is looking for a Workers Compensation Claims Specialist to join our team! This position provides support for the entire Occupational Health continuum and requires a passionate commitment of core values and behaviors. Responsibilities- Coordinates and assists with new client set up. Functions as a Case Manager for Occupational Health regarding Workers Compensation. The following description of job responsibilities and standards are intended to reflect the major duties of the job, but are not intended to describe minor or other responsibilities as may be assigned form time to time. This job description cannot anticipate all physical and mental requirements that may come up in the daily assignment of the job. ABOUT MOUNTAIN VIEW: Mountain View Hospital and our 29 affiliate clinics are committed to providing compassionate, cutting edge care to our patients. We serve the entire Snake River Valley - all the way from Pocatello to Rexburg. Our medical capabilities span everything from wound care to urgent care, oncology to neurology, physical therapy to speech therapy, a Level III NICU, robust robotic surgery department and a continuously expanding rural health practice. Our work environment is mission driven, people-centric and supportive. It is what sets apart and makes people excited to come to work each day. If you are looking for a career where you can make a difference in your community, we invite you to apply. BENEFITS: Taking care of our community starts with taking care of our own team. Mountain View Hospital is proud to offer its employees competitive and comprehensive benefit packages. Benefits include: Medical, Dental and Vision Insurance Paid Time Off (vacation, holidays and sick days) and Medical Paid Time Off Retirement Plans (401K with up to 6% match) Earned Quarterly Bonus Program Education Reimbursement Program Discount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community Hospital Please note benefits are based on eligibility according to full-time, part-time or PRN status classification. Qualifications Education/Certification: Must be a high school graduate or an accredited secondary educational system. Must have a working knowledge of the Microsoft Office suite products (Word, Excel, & Outlook). Knowledge of basic Workers Compensation and medical terminology is essential. Some college or Certified Workers Compensation Specialist certification preferred. Experience: Knowledge of Workers Compensation Statutes/Laws of Idaho and Medical Terminology. Minimum of one year experience in customer service. Equipment/Technology: Must be familiar with computerized information systems and office equipment such as fax, copier, and scanning devices. Language/Communication: Must have the sensitivity, maturity, and ability to communicate clearly and concisely, both verbally and in writing. Mental Capabilities: requires assessment and planning, calculation, analyzing, sorting, comparing, ability to prioritize, listening, decision making and reading comprehension. Performance: Job tasks should be completed in a timely manner, and all deadlines met appropriately. Anticipates/prepares for forthcoming problems and projects. Failure to ensure this could have adverse consequences on the operations of the Occupational Health Department.
    $39k-44k yearly est. 5d ago
  • Claims Specialist 1

    Blue Cross Blue Shield of Wyoming 4.8company rating

    Claim processor job in Cheyenne, WY

    Deep Roots. Solid Growth. Caring People. Rooted in Wyoming! We are Blue Cross Blue Shield Wyoming: a not-for-profit health insurer with offices throughout the state. Ever since a small group of caring, persistent Wyoming women helped us put down roots in 1945, everything we do is aimed at better health care for the people of Wyoming. Our Vision: We envision a future where integrity, compassion, and trust define a local health insurance experience. Committed to doing the right thing for our members, employees, and community, we strive to protect and contribute to the health and care of all we serve. Our Mission: provide our members with access to local health insurance solutions that prioritize health, care, and well-being for those who call Wyoming home. If our passion and purpose resonate with you, you may be who we are looking for. The role we are looking to fill: Claims Specialist If you are a passionate and detail-oriented professional looking to make a difference in the community, apply to be a BCBSWY Claims Specialist today. As a claims adjudicator you will be responsible for reviewing, assessing, and processing health plan claims to ensure accuracy, compliance with regulations, and adherence to company policies. In this role, you will key, review, evaluate, and process health plan claims received electronically and via mail. You'll collaborate with the Claims Management Team to ensure adjudication accuracy when needed. Our team approach requires interacting with other departments to solve problems and achieve common goals. To be successful, you must be able to navigate between multiple systems at the same time and communicate effectively in writing and verbally. You will also need to be well organized and detail oriented. Requirements include a high school, or equivalent, education and a willingness to help others. BCBSWY Employees Enjoy: Best-In-Class Health Insurance at minimal to no-cost for BCBSWY employees! PLUS many other benefits along with highly competitive compensation! Our compensation program is reviewed for competitive market match on an annual basis and employees are eligible for annual merit increases. Monthly incentives that are based on individual and company performance are also available to eligible employees and members of our Sales Team can realize generous performance-based commissions. At BCBSWY our employees are provided best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include medical, dental, vision, 401(k), life insurance, paid time off (PTO), 10 paid holidays in addition to PTO annually, plus 8 paid volunteer hours, various wellness programs, and a dress code of "Dress for Your Day!" which can mean jeans every day (depending on your role) . Serving Those Who Call Wyoming Home. Our positions are all based in Wyoming. Depending on the department and the position, eligible employees may be offered limited In-Office/WFH flexibility (for those positions that are offered limited WFH, there will be a required number of In-Office days per week/month depending on department). Executive level employees are required to reside full-time in Wyoming. Our Selection Process: Typically includes the following (NOTE: process steps may differ depending on role applied for) Review of your completed application and any additional submitted materials (e.g., cover letter, certifications, etc.) for minimum qualifications and skills alignment. Confirmation of Wyoming residency, intent to become a Wyoming resident, or reasonable commuter distance if Colorado resident. Recruiter Phone Screen. Possible Self-Assessment and/or Questionnaire. Initial interview with Hiring Manager. Possible 2nd Interview with Hiring Manager and/or additional Team members. Comprehensive Background Check. BCBSWY is an Equal Opportunity Employer. We do not discriminate based on race, color, religion, national origin, sex, age, disability, genetic information, or any other status protected by law or regulation. Qualified applicants are provided with an equal opportunity and selection decisions are based on job-related factors. We use E-Verify to confirm employment eligibility; we DO NOT sponsor applicants for work visas. BCBSWY is committed to the full inclusion of all qualified individuals. As part of this commitment, we will ensure that persons with disabilities are provided reasonable accommodations for the application, selection, and hiring process. If reasonable accommodation is needed, please contact: *************
    $38k-55k yearly est. Auto-Apply 3d ago
  • Field Claims Investigator

    Phoenix Loss Control

    Claim processor job in Buffalo, WY

    Job Description Job Type: Contract Workplace Type: Hybrid (50% remote, 50% fieldwork) Compensation: $20/hr plus $.50/mi Phoenix Loss Control (PLC) is a US-based business services provider in the cable, telecom, and utilities sector. PLC's core service is outside plant damage investigation, recovery, and prevention. Across the US and parts of Canada, we help our clients recover the costs of third-party damage to their infrastructure, such as underground fiber optic or gas lines. PLC currently employs over 140 people, servicing some of the largest cable and telecoms operators (e.g., Comcast, Spectrum, AT&T, and Google). PLC is currently aggressively expanding its business and looking for talented and energetic people to bring onboard to help drive growth. POSITION SUMMARY Outside Plant Damage (OPD) costs our clients over 30 million annually. Field investigators are needed to collect, access, and report these damages. This is a part-time, on-call contract job to help support our clients with damage recovery. For our field investigators, each day and every investigation is different. We need inquisitive, self-driven individuals who are comfortable rolling up their sleeves and working in a constantly changing, dynamic environment. Duties Conduct on-site field investigations Write detailed but concise investigation reports using diverse sources of information, types of evidence, witness statements, and costing estimates Develop and maintain comprehensive knowledge of local and state statutes, laws, and regulations for underground and aerial cables and utility service lines Remain prepared and willing to respond to damage calls within a timely manner Complete damage investigations within 7 days and then work with and support our claims managers to complete the investigation and begin the recovery process Respond to damages same day if received during business hours (if not, first response following day) Accurately record all time, mileage, and other associated specific items Requirements Interpersonal skills to gather information and conduct field interviews with involved parties including contractors and technicians, witnesses, law enforcement, and possible damagers Smartphone to gather photos, videos, and other information while conducting investigations Computer, with high-speed internet access, to upload and download reports, research cases, and to interact with our claims system and other databases and portals Exceptional attention to detail and strong written and verbal communication skills Proven ability to operate independently and prioritize while adhering to timelines Strong and objective analytical skills Valid driver's license, current insurance, and reliable vehicle with ability to respond to damages at any time Safety vest, work boots, and hard-hat Preferred Qualifications and Skills Current or previous telecommunication or utility experience Knowledge of underground utility locating procedures and systems Investigation, inspection, or claims/field adjusting Criminal justice, legal, or military training or work experience Engineering, infrastructure construction, or maintenance background Remote location determined at discretion of investigations manager This is a contract position. There are no benefits offered with this position.
    $20 hourly 2d ago
  • Embedded ROI Processor ll

    Datavant

    Claim processor job in Boise, ID

    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. This is a remote role + Full-Time:Monday - Thursday, 6am to 5pm, potential overtime dependent on inventory needs + Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical record status + Documenting information in multiple platforms using two computer monitors. + Proficient in Microsoft office (including Word and Excel) **You will:** + Enter accurate data when assigned by team lead + Remote processing of electronic medical records through various EMR systems as directed + Ability to work with minimum supervision responding to changing priorities and role needs + Report any technical difficulties that you may experience as soon as they occur. + Meet required metrics for your role - CPH (Charts Per Hour) & Attendance. + Actively participate in all training that is assigned to you by your supervisor + Maintain high standards of Confidentiality to safeguard and protect Patient's Right and comply with all company and facilities policies and HIPPAA regulations + Read all documentation and follow written instructions provided to ensure compliance and accurate job completion. + Immediately report to team lead/coordinator/supervisor or management any security breaches, unsafe behavior witnessed or any site difficulties. + Support a service environment that focuses on quality processes + Ensure that deadlines are met and respond to emails and other requests for information timely + Adhere to company policies + Perform other duties as assigned + Work effectively with co-workers in a constructive and positive manner + Listen to and objectively consider ideas and suggestions for improvement + Assist with new hire training and development + Assist with special projects as defined by leadership (i.e., CNA research, Time Studies, Quality Review, Deep Dive assistance) **What you will bring to the table:** + [High School Diploma or equivalent required + Experience in a healthcare environment or release of information setting is preferred + 2-year EMR related experience strongly preferred + Knowledge, experience and/or training in accurate data entry, office equipment and procedures required. + Demonstrate ability to address problems constructively to find acceptable solutions + Demonstrate accuracy and attention to detail + Computer skills including Windows based applications (Word, PowerPoint, Excel, Access, Outlook) + Excellent organizational skills + Excellent detail-orientation and accuracy with high volume environment + Effective verbal and written communication skills in the English language + Adaptable to changing business environment + Demonstrated ability to work within a diverse group of individuals and collaboratively in a matrixed, cross-departmental remote environment. + Consistently meets and/or exceeds department's Productivity, Attendance and Behavioral Standards + Ability to work OT as necessary, including weekend shifts (required) We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services. The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job. The estimated total cash compensation range for this role is: $16.90-$18.90 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
    $16.9-18.9 hourly 10d ago
  • Signavio Process Modelling

    Tata Consulting Services 4.3company rating

    Claim processor job in Boise, ID

    Must Have Technical/Functional Skills: * Strong expertise in SAP Signavio Process Manager and Process Intelligence tools. * Hands-on experience in process modeling, mapping, and optimization for S/4HANA implementations. * Knowledge of Business Process Management (BPM) methodologies and process governance frameworks. * Ability to integrate Signavio with SAP Solution Manager and other SAP tools. * Familiarity with end-to-end process documentation and process mining techniques. * Understanding of SAP Best Practices and Fit-to-Standard workshops. Roles & Responsibilities: * Lead process modeling and documentation activities using Signavio for S/4HANA projects. * Conduct process discovery workshops and capture business requirements * Design and maintain process flows, diagrams, and repositories aligned with SAP standards. * Collaborate with functional teams to ensure process compliance and optimization. * Support process governance, version control, and stakeholder reviews. * Provide insights through processing mining and analytics to identify improvement areas. * Ensure alignment with SAP Activate methodology and project timelines. Salary Range: $38,000-$110,000 a year #LI-CM2
    $37k-47k yearly est. 11d ago
  • Bankruptcy Intake Processor

    Aldridge Pite LLP 3.8company rating

    Claim processor job in Idaho

    Purpose Aldridge Pite LLP has an immediate need for a Bankruptcy Intake Processor. This position will be responsible for opening and reviewing high volumes of new Legal Referrals from multiple clients. Specific Duties and Responsibilities Open new Legal Referrals in Aldridge Pite, LLP's internal case management software Download all corresponding documents from client systems and PACER Review referrals for all necessary information and documents according to client/court/judge requirements in order to proceed with the file Request and follow-up on any missing information or documents necessary to proceed with the file Forward complete files to appropriate department/attorney to ensure appropriate and timely handling of file Assist with additional projects as needed Job Requirements High school diploma Prior Bankruptcy experience preferred but not required Self motivated and able to work efficiently in a fast paced environment Be able to open and review high volumes of new referrals effectively and accurately Must have the ability to communicate with coworkers, attorneys and other staff members regarding files Must have ability to interpret client systems. Must be proficient in software tools including but not limited to Word, Excel, Outlook and the Internet Must be organized and multi-task oriented Must have excellent communication skills both verbal and written General Competencies Demonstrates strong written and verbal communication skills. Effectively communicates with all clients (via Client Systems, e-mail and phone). Provides exceptional customer service to internal and external customers. Identifies and resolves problems in a timely manner. Conscientious with respect to work completion, deadlines, time management and attendance. Takes initiative in face of obstacles and identifies what needs to be done and takes action. Demonstrates commitment to Firm's vision, mission, and core values. Processes work in compliance with Client requirements as well as SOPs and Operations Matrices. Analytical and detail oriented, while working at a fast pace and capable of multi-tasking. Excellent problem solving and organizational skills. Must be a team player and willing to help others in their department whenever necessary. Develops professional relationships and builds rapport with others. Overall good work ethic and willingness to adapt to change.
    $26k-32k yearly est. 19d ago
  • Backroom Processing

    Tjmaxx

    Claim processor job in Nampa, ID

    HomeGoods At TJX Companies, every day brings new opportunities for growth, exploration, and achievement. You'll be part of our vibrant team that embraces diversity, fosters collaboration, and prioritizes your development. Whether you're working in our four global Home Offices, Distribution Centers or Retail Stores-TJ Maxx, Marshalls, Homegoods, Homesense, Sierra, Winners, and TK Maxx, you'll find abundant opportunities to learn, thrive, and make an impact. Come join our TJX family-a Fortune 100 company and the world's leading off-price retailer. Job Description: Opportunity: Grow Your Career Responsible for delivering a highly satisfied customer experience proven by engaging and interacting with all customers, embodying customer experience principles and philosophy, and maintaining a clean and organized store environment. Adheres to all operational, merchandise, and loss prevention standards. May be cross-trained to work in multiple areas of the store in order to support the needs of the business. Role models established customer experience practices with internal and external customers Supports and embodies a positive store culture through honesty, integrity, and respect Accurately rings customer purchases/returns and counts change back to customer according to established operating procedures Promotes credit and loyalty programs Maintains and upholds merchandising philosophy and follows established merchandising procedures and standards Accurately processes and prepares merchandise for the sales floor following company procedures and standards Initiates and participates in store recovery as needed throughout the day Maintains all organizational, cleanliness, and recovery standards for the sales floor and participates in the maintenance/cleanliness of the entire store Provides and accepts recognition and constructive feedback Adheres to all labor laws, policies, and procedures Supports and participates in store shrink reduction goals and programs Participates in safety awareness and maintains a safe environment Other duties as assigned Who We're Looking For: You. Possesses excellent customer service skills Able to work a flexible schedule to support business needs Possesses strong communication and organizational skills with attention to detail Capable of multi-tasking Able to respond appropriately to changes in direction or unexpected situations Capable of lifting heavy objects with or without reasonable accommodation Works effectively with peers and supervisors Retail customer experience preferred Benefits include: Associate discount; EAP; smoking cessation; bereavement; 401(k) Associate contributions; child care & cell phone discounts; pet & legal insurance; credit union; referral bonuses. Those who meet service or hours requirements are also eligible for: 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long term disability; paid parental leave; paid holidays/vacation/sick; auto/home insurance discounts; scholarship program; adoption assistance. All benefits are provided in accordance with and subject to the terms of the applicable plan or program and may change from time to time. Contact your TJX representative for more information. In addition to our open door policy and supportive work environment, we also strive to provide a competitive salary and benefits package. TJX considers all applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, marital or military status, or based on any individual's status in any group or class protected by applicable federal, state, or local law. TJX also provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. Applicants with arrest or conviction records will be considered for employment. Address: 16412 N Marketplace Blvd Location: USA HomeGoods Store 1112 Nampa IDThis position has a starting pay range of $12.00 to $12.50 per hour. Actual starting pay is determined by a number of factors, including relevant skills, qualifications, and experience.
    $12-12.5 hourly 23d ago
  • Claims Examiner

    Harriscomputer

    Claim processor job in Idaho

    Responsibilities & Duties:Claims Processing and Assessment: Evaluate incoming claims to determine eligibility, coverage, and validity. Conduct thorough investigations, including reviewing medical records and other relevant documentation. Analyze policy provisions and contractual agreements to assess claim validity. Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: Ensure compliance with company policies, procedures, and regulatory requirements. Maintain accurate records and documentation related to claims activities. Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: Identify opportunities for process improvement and efficiency within the claims department. Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: Generate reports and provide data analysis on claims trends, processing times, and outcomes. Contribute to the development of management reports and presentations regarding claims operations.
    $27k-41k yearly est. Auto-Apply 43d ago
  • Adjudicator, Provider Claims

    Molina Healthcare 4.4company rating

    Claim processor job in Idaho Falls, ID

    Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims in a call center environment. - Respond to inbound calls to provide support for provider claims adjudication activities including responding to provider to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. - Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions. - Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution. - Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. - Assists in reviews of state and federal complaints related to claims. - Collaborates with other internal departments to determine appropriate resolution of claims issues. - Researches claims tracers, adjustments, and resubmissions of claims. - Adjudicates or re-adjudicates high volumes of claims in a timely manner. - Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership. - Meets claims department quality and production standards. - Supports claims department initiatives to improve overall claims function efficiency. - Completes basic claims projects as assigned. **Required Qualifications** - At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. - Research and data analysis skills. - Organizational skills and attention to detail. -Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Customer service experience. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software programs proficiency. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $38.37 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $21.7-38.4 hourly 9d ago
  • Technical Claims Specialist, Workers Compensation - West Region

    Liberty Mutual 4.5company rating

    Claim processor job in Meridian, ID

    Under limited supervision and established practices, responsible for the investigation, evaluation, and disposition of Complex Workers Compensation cases of high exposure and severity. Applies established medical management strategies on high dollar complex claims. Has developed high level of knowledge of Workers Compensation claims handling techniques, a full knowledge of LMG claims procedures and is cognizant of new industry trends and claim handling techniques Uses available data to track claims trends and other claim related metrics. Candidates should be based in California with California Self-Insured Certification or based in West Region with experience in handling Alaska Workers Compensation claims. The salary range posted reflects the range for the varying pay scale that encompasses each of the Liberty Mutual regions and the overall cost of living for that region. Responsibilities Investigates claims to determine whether coverage is provided, establish compensability and verify exposure. Resolves claims within authority and makes recommendations regarding case value and resolution strategy to Branch Office Management and HO Examining on cases which exceed authority. Participates in pricing, reserving and strategy discussions with HO Examining and Examining Management. Works closely with staff and outside defense counsel in managing litigated files according to established litigation management protocols. Identifies and appropriately handles suspicious claims and claims with the potential to develop adversely. Identifies and appropriately handles claims with third party subrogation potential, SIF (Self-Insured Fund) and MSA (Medicare Set Aside) exposure. Establishes and maintains accurate reserves on all assigned files. Makes timely reserve recommendations to Branch Office Management and HO Examining on cases which exceed authority. Prepares for and attends mediation sessions and/or settlement conferences and negotiates on behalf of LMG and LMG Insureds. Demonstrates the ability to understand new and unique exposures and coverages. Demonstrates the ability to understand key data elements and claims related data analysis. Confers directly with policyholders on coverage and resolution strategy issues. Coordinates and participates in training sessions for less experienced staff, including both Complex Non-Complex staff. Qualifications A bachelor's degree or equivalent business experience is required In addition, the candidate will generally possess 5-7 years of related claims experience with 1-2 years of experience in complex claims Demonstrated proficiency in Excel, PowerPoint as well as excellent written and verbal communication skills required About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.
    $56k-84k yearly est. Auto-Apply 1d ago
  • Embedded ROI Processor

    Datavant

    Claim processor job in Boise, ID

    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. The EMR Remote Processor serves as a key member of the EMR Remote team. This position is responsible for processing Release of Information (ROI), specifically medical record requests in a timely and efficient manner, ensuring accuracy and individual metrics are met. Verifying and analyzing data to affect the efficient and effective retrieval of charts in accordance with the core business function of Ciox Health. Associates must always safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. **You will:** + Enter accurate data when assigned by team lead + Remote processing of electronic medical records through various EMR systems as directed + Ability to work with minimum supervision responding to changing priorities and role needs + Report any technical difficulties that you may experience as soon as they occur. + Meet required metrics for your role - CPH (Charts Per Hour) & Attendance. + Actively participate in all training that is assigned to you by your supervisor + Maintain high standards of Confidentiality to safeguard and protect Patient's Right and comply with all company and facilities policies and HIPPAA regulations + Read all documentation and follow written instructions provided to ensure compliance and accurate job completion. + Immediately report to team lead/coordinator/supervisor or management any security breaches, unsafe behavior witnessed or any site difficulties. + Support a service environment that focuses on quality processes + Ensure that deadlines are met and respond to emails and other requests for information timely + Adhere to company policies + Perform other duties as assigned **What you will bring to the table:** + High School Diploma or equivalent required + Six months plus Data Entry Experience + EMR experience A+ Experience in a healthcare environment or release of information setting is strongly preferred. + Demonstrate ability to address problems constructively to find acceptable solutions + Demonstrate accuracy and attention to detail. + Computer skills including Windows based applications (Word, PowerPoint, Excel, Access, Outlook) + Excellent organizational skills + Excellent detail-orientation and accuracy with high volume environment + Adaptable to changing business environment + Demonstrated ability to work within a diverse group of individuals and collaboratively in a matrixed, cross-departmental remote environment Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $15-$18.32 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
    $15-18.3 hourly 10d ago
  • Foreclosure Processor

    Aldridge Pite LLP 3.8company rating

    Claim processor job in Idaho

    Purpose Aldridge Pite is seeking a Foreclosure Processor. The Foreclosure Processor is responsible for data entry, accurately drafting documents and performing quality control measures. Knowledge of foreclosure is preferred but not required. The ideal candidate will be a self-starter who thrives in a high volume work environment and will have the ability to adapt to change easily. Specific Duties, Activities and Responsibilities Respond to status inquiries Document preparation, Quality control Data entry Title review Update internal processing systems Update and monitor client's 3rd party systems Communicate with clients, vendors and borrowers. Assist with other duties and special projects as needed Job Requirements High School Diploma required Foreclosure or office experience preferred but not required Must be very organized and multi-task oriented Possess good organizational skills and attention to detail Ability to identify and resolve issues in a timely manner Must be proficient in software tools including but not limited to Word, Excel, Outlook and the Internet Overall positive attitude and willingness to adapt to change Team player and willing to provide assistance in multiple areas whenever is necessary General Competency Factors Demonstrates strong written and verbal communication skills. Effectively communicates with all clients (via Client Systems, e-mail and phone). Provides exceptional customer service to internal and external customers. Identifies and resolves problems in a timely manner. Conscientious with respect to work completion, deadlines, time management and attendance. Takes initiative in face of obstacles and identifies what needs to be done and takes action. Demonstrates commitment to Firm's vision, mission, and core values. Processes work in compliance with Client requirements as well as SOPs and Operations Matrices. Analytical and detail oriented, while working at a fast pace and capable of multi-tasking. Excellent problem solving and organizational skills. Must be a team player and willing to help others in their department whenever necessary. Develops professional relationships and builds rapport with others. Overall good work ethic and willingness to adapt to change.
    $26k-32k yearly est. 23d ago
  • MOTIONS Processor

    Aldridge Pite LLP 3.8company rating

    Claim processor job in Idaho

    Purpose Preparation, Processing and Filing Motions, Orders, Notice of Hearing, Adequate Protection Orders, Response to Motions to Sell, Motions to Approve Loan Modification/Deferrals/Partial Claims Specific Duties, Activities and Responsibilities Review daily reports to ensure that files are handled efficiently and timely Preparation, Processing and Filing Motions, Orders, Notice of Hearing, Adequate Protection Orders, Response to Motions to Sell, Motions to Approve Loan Modification/Deferrals/Partial Claims Sending & Monitoring of Declarations/Affidavits in Support of Motions, Assignments, Meet and Confer Letters, and Motions for Client Approval Perform SCRA Searches and 48 hour Hearing Status Set up of Local Counsel and process Hearing Results Process ECF notifications and Attorney paper mail Update Client Systems Process Calls, Faxes, E-mails, Payment Histories, Disputes, Attorney Assignments and Debtor Checks Provide support to Management and attorneys Assist with additional projects as needed Job Requirements High School Diploma Previous law firm experience is preferred but not required Must have the ability to communicate with Attorneys Must have ability to interpret client systems Must be proficient in software tools including but not limited to Word, Excel, Outlook and the Internet Must be organized and multi-task oriented Must have excellent communication skills General Competency Factors Must be proficient in software tools, including but not limited to Word, Excel, Outlook, and the Internet. Must possess strong written and verbal communications skills. Must provide excellent customer service to internal and external customers Identifies and solves issues in a timely manner. Must be a team player and willing to help others in their department whenever necessary. Must be extremely organized and be able to multi-task. Conscientious with respect to work completion, deadlines, time management and attendance. Takes initiative in face of obstacles and identifies what needs to be done and takes action. Demonstrates commitment to Firm's vision, mission, and core values. Analytical and detail oriented, while working at a fast pace and capable of multi-tasking. Develops professional relationships and builds rapport with others. Overall good work ethic and willingness to adapt to change.
    $26k-32k yearly est. 19d ago

Learn more about claim processor jobs

How much does a claim processor earn in Idaho Falls, ID?

The average claim processor in Idaho Falls, ID earns between $22,000 and $49,000 annually. This compares to the national average claim processor range of $26,000 to $62,000.

Average claim processor salary in Idaho Falls, ID

$33,000
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