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Claims Examiner jobs in worcester USA

2 claims examiner jobs found in worcester: showing 1 - 2

Fraud Waste And Abuse (fwa) Audit Manager
Company: Fallon Health |

Location: Worcester, MA, USA

| Salary: unspecified | Date posted: 09 Nov 2024
of business processes and systems to assure integrity and compliance in billing and claims payment. Develop educational materials.... Participate in projects that may involve new vendors that process claims, or the expansion of new products and programs to ensure...
Claims Examiner - $21/hour - Hybrid
Company: Fallon Health |

Location: Worcester, MA, USA

| Salary: $21 per hour | Date posted: 24 Oct 2024
; and attendance. Responsible for resolving a high volume of claims edits for all lines of business. Thorough knowledge of Fallon.... Price claims using external vendor processing systems and manually apply rates in the core system. Resolution of complex...