Medical Claims Processing jobs in Dearborn, MI

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Specialist, Configuration Oversight (healthcare medical claim audits)

Molina Healthcare
Detroit 48208

Job DescriptionWork hours will be 7am-3:30pm PST M-FJob SummaryResponsible for conducting various healthcare Healthcare claim audits including, but not limited to; vendor, focal, audit the auditor. Confirm that documentation is clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains to...

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4 days ago

Field Property Claims Specialist (CHICAGO)

USAA
Dearborn

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values honesty, integrity, loyalty and service define how we treat each other and our members. As a...

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an hour ago
Hybrid

SOT Process and Product Owner

Ford
Dearborn 48120

SOT Process and Product OwnerWe are the movers of the world and the makers of the future. We get up every day, roll up our sleeves and build a better world -- together. At Ford, we're all a part of something bigger than ourselves. Are you ready to change the way the world moves?We are seeking a highly analytical and strategic individual to contribute to lead critical initiatives that enhance the...

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5 days ago
Hybrid

Central Sterile Process Specialist

Corewell Health
Dearborn 48120

Prefer candidates that have completed a Sterile Processing program.Corewell Health is offering up to $1500 as a sign on bonus for this opportunity for new hires!About the UnitIn a fast-paced environment, under direct supervision, detailed oriented individuals are responsible for the cleaning, assembly, sterilization and storage of instrumentation and equipment required for surgeries,...

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a day ago

Process Engineer

Insight Global
Dearborn 48120

The Process Engineer will play a critical role in supporting manufacturing engineering activities for cell and array production within joint ventures. This position focuses on developing standardized engineered solutions for assembly and test equipment, ensuring ergonomics, safety, and productivity. The role involves equipment installation, supplier assessments, and continuous improvement...

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a day ago

Manufacturing Process Engineer

HTC Global Services
Dearborn 48120

Job Description: - Support Engineering Manage-the-Change (MTC) process - Initiate and lead continuous improvement / six sigma projects - Support Project Writing to obtain capital funds for plant projects (cost save, wellness, etc.) - Manage project budgets and timelines - Support minor launches and product related changes within area of support - Lead / Support Plant Quality Initiatives /...

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3 days ago
Hybrid

Workers Compensation Claims Team Lead | NY Jurisdictional Knowledge - Remote

Sedgwick
Detroit 48208

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top...

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2 days ago

Claims Support Analyst Quality

AAA Life Insurance Company
Livonia 48153

Overview Why AAA Life AAA Life is a respected and trusted American brand that has been focusing on Life Insurance and Annuity Products since 1969. At AAA Life we have over 1.8 million policies where we take pride in earning the trust of our policyholders who understand our promise to be there for them and their families when were needed most. By joining the AAA Life team, you are joining a...

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a day ago

Accounting Manager- Healthcare Risk & Non-Claim Benefit Expense Contracts

Advantasure, Inc.
Detroit 48226

Job Description We are seeking a highly skilled and strategic Accounting Manager to lead complex accounting operations related to healthcare facility and provider contracts, with a focus on Non-Claim Benefit Expenses (NCBE), Medical Loss Ratio (MLR) impacts, self-funded group billings, and provider risk arrangements within our Controllership organization (Enterprise Accounting). This role...

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12 hours ago
Hybrid

Manager, Data Quality and Process (Software Delivery)

Ford
Dearborn 48124

Job Description The Quality Analytics team within Industrial System Analytics (ISA) of the Global Data Insights & Analytics (GDIA) organization is focused on leveraging data to improve Ford's business decisions and operations across the globe. We act as a trusted advisor providing data, advanced analytics and AI/ML, and insights to improve quality and reduce warranty costs at Ford. Our mission...

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2 days ago

Senior Claim Service Adjuster

USAA
Dearborn

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values honesty, integrity, loyalty and service define how we treat each other and our members. As a...

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an hour ago

Claims Examiner - Workers Compensation - Must live in Michigan - Jurisdiction Michigan

Sedgwick
Detroit 48208

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top...

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5 days ago

Specialist, Configuration Oversight (healthcare medical claim audits)

Molina Healthcare
Sterling Heights 48311

Job DescriptionWork hours will be 7am-3:30pm PST M-FJob SummaryResponsible for conducting various healthcare Healthcare claim audits including, but not limited to; vendor, focal, audit the auditor. Confirm that documentation is clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains to...

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20 hours ago

Process Coach, Material Handling, BlueOval Battery Park Michigan

Ford
Dearborn 48126

Job Description We are the movers of the world and the makers of the future. We get up every day, roll up our sleeves, and build a better world -- together. At Ford, we're all a part of something bigger than ourselves. Are you ready to change the way the world moves? Ford's legacy of innovation is about to reach new heights. Imagine being on the ground floor of something truly extraordinary. At...

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4 days ago

Specialist, Configuration Oversight (healthcare medical claim audits)

Molina Healthcare
Warren 48093

Job DescriptionWork hours will be 7am-3:30pm PST M-FJob SummaryResponsible for conducting various healthcare Healthcare claim audits including, but not limited to; vendor, focal, audit the auditor. Confirm that documentation is clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains to...

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20 hours ago
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Claims Advisor | Professional Liability | Remote

Sedgwick
Detroit 48208

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top...

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4 days ago

Senior Property Claims Adjuster (CHICAGO)

USAA
Allen Park

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the 1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values honesty, integrity, loyalty and service define how we treat each other and our members. Be part of...

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18 hours ago

Claims Adjuster - Workers Compensation (REMOTE- Midwest State Jurisdiction Exp needed)

Sedgwick
Detroit 48208

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top...

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2 days ago

Claims Examiner | Multi-Line | Public Entity | Remote

Sedgwick
Detroit 48208

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top...

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6 days ago
Remote

Claims Examiner - Liability | Litigation, General Liability and Auto Preferred | NY Licensing Required - Remote

Sedgwick
Detroit 48208

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top...

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3 days ago
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