- Merck & Co. (Rahway, NJ)
- …history; prepare documents for internal review, including the preparation of allowed claims and payment of issue fee-Independently draft and/or prepare responses to ... using the United States Patent and Trademark Office's (USPTO) Electronic Filing System (EFS-Web) and/or Patent Center - Proofread granted patents, with particular… more
- Eisai, Inc (Louisville, KY)
- …with internal cross functional partners including but not limited to Associate Director Regional Marketing, Oncology Field Reimbursement Managers, and other ... the PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state… more
- Eisai, Inc (San Francisco, CA)
- …with internal cross functional partners including but not limited to Associate Director Regional Marketing, Oncology Field Reimbursement Managers, and other ... the PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state… more
- City of New York (New York, NY)
- …available sources to gather information relevant to the investigation of the claim ; 11) Investigate, identify, and report fraudulent claims , utilize statistical ... in a permanent (not provisional) Civil Service title of Claim Specialist. To be considered for this position, PLEASE...Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York.… more
- University of Rochester (Rochester, NY)
- …(Fidelis Medicaid Managed Care and Medicare Part B) clearinghouse software, third party claims systems (ePaces, Omnipro) and various payer web sites. **Typical ... up on unpaid accounts + For unpaid accounts, check claim status on appropriate payer system or...for claim denial, or reason for unpaid claim . Address unpaid claims , and solicit a… more
- Travelers Insurance Company (Lake Oswego, OR)
- … exposure. Manages file inventory and expense reserves by utilizing an effective diary system , documenting claim file activities to resolve claim in a ... Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is… more
- City of New York (New York, NY)
- …million people in Upstate New York, and has a wastewater conveyance and treatment system capable of processing over 1.3 billion gallons of wastewater per day to ... is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office....BLA is seeking qualified candidates for the position of Claim Specialist 2 in the Litigation Support Unit. This… more
- City of New York (New York, NY)
- Job Description PLEASE NOTE ALL CANDIDATES MUST BE PERMANENT IN THE CLAIM SPECIALIST CIVIL SERVICE TITLE IN ORDER TO BE CONSIDERED. The NYC Department of ... the country, with nearly 6,000 employees. DEP's water supply system is comprised of 19 reservoirs and 3 controlled...is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office.… more
- MAPFRE Insurance (Webster, MA)
- Auto Damage Insurance Claim Rep (Hybrid or Remote) Date: Nov 28, 2024 Location: Webster MA or Work from Home, MA, US Company: MAPFRE **Position is Hybrid, within a ... am to 5:00 pm EST.** As An Auto Damage Claim Rep, you will be responsible for adjusting 1st...you will be responsible for adjusting 1st party Express claims for Auto Physical Damage through screening losses, determining… more
- Providence (OR)
- **Description** Providence Health Plan is calling an Associate Claims Specialist, Medicaid who will process claims for members, providers, and employers. ... must empower them._** **Providence Health Plan is calling an Associate Claims Specialist, Medicaid who will:** +...on a broad portfolio of products + Respond to claim inquires + Resolve member issues or concerns +… more
- NJM Insurance (Hammonton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist. This is a full-time position and offers a hybrid schedule after training. The ... and implement an action plan to manage the claim . The Claims Account Specialist will work...WC Law, medical terminology, and utilization of an automatic claims processing system . + Level II -… more
- Allied Solutions (Plano, TX)
- Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. ... claims per day. This position ensures that all claim documentation is thoroughly reviewed and assessed for coverage...This position will also review database information found in systems such as Unitrac, insurance company websites, Lexis Nexis,… more
- City of New York (New York, NY)
- …childcare claims , including downloading monthly Automated Child Care Information System (ACCIS) reports, reviewing ACCIS data on a comprehensive level as part ... backup data and summary reports to supervisors and managers, and entering the actual claim into the State claiming system using monthly claim data. The… more
- AIG (Atlanta, GA)
- …underwriting, claims , accounting, finance and associated process, controls and systems + Experience with reinsurance operations and finance + Understanding of ... Make your mark in Legacy Solutions Claims Our Claims teams are the...senior management. You will also confirm that the assumed claim staff appropriately determine the applicability of the reinsurance… more
- Travelers Insurance Company (Pittsburgh, PA)
- …Imagine loving what you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range provided for this position ... legal writing and presentation skills. + Supervise research projects delegated to Associate Counsel and paralegals. + Draft pleadings, motions, briefs, discovery and… more
- Ankura (Dallas, TX)
- …documentation * Develop sensitivity analyses related to loss measurements * Reconciliation of claim amounts to accounting systems and to insurers' calculations * ... services across the Firm. Practice Summary: Ankura's Forensic Accounting and Claims Consulting (FACC) practice focuses on assisting corporations in the… more
- Allied Universal (Beckley, WV)
- …plans, employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss for ... (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud ...Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property… more
- City of Jacksonville (Jacksonville, FL)
- …records and bills; analyzes city, state, and federal documents for liability claims and establishes claim value. + Makes decisions determining settlements, ... and federal statutes as they apply to a particular claim . + Attends and participates in depositions and mediations;...(4) years of education and/or professional experience as a claims adjuster including investigations. Preferred: + Associate … more
- Kohler Co. (Kohler, WI)
- …If a Claim or Leave is approved, the Sr. Disability Claims Examiner then updates internal documentation and systems , coordinates appropriate payments ... Claims Examiner is responsible for evaluating and authorizing (or denying) associate short-term and long-term disability claims , Family Medical Leaves and… more
- Zurich NA (Schaumburg, IL)
- Associate Degree Apprenticeship Program - Claims - Schaumburg, IL (Summer 2025) 115645 **_Zurich North America's Apprentice Program_** Zurich is accepting ... commercial insurance. In our Schaumburg Headquarter office Apprentices will support our ** Claims Care Center** in: + Handling incoming inquiry calls and Live Chats… more
