- City of New York (New York, NY)
- …New York employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE ... to gather information relevant to the investigation of the claim ; 10) Investigate, identify, and report fraudulent claims...in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this… more
- CVS Health (Jacksonville, FL)
- …the claim adjudication process. Routes and triages complex claims to Senior Claim Benefits Specialist . Proofs claim or referral submission to ... **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Demonstrated… more
- CVS Health (St. Paul, MN)
- …more personal, convenient and affordable. **Position Summary:** In this position the Senior Claim Benefit Specialist will reviews and adjudicates complex, ... May handle customer service inquiries and problems. Reviews pre-specified claims or claims that exceed specialist...assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to… more
- CVS Health (St. Paul, MN)
- … claims in accordance with plan processing guidelines. - Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... discrepancies, and applies all cost containment. measures to assist in the claim adjudication process. - Insures all compliance requirements are satisfied and all… more
- Zurich NA (Parsippany, NJ)
- Sr. Pollution Claim Specialist 117186 Zurich is currently seeking a Sr. Claims Professional to join our Latent & Environmental team in NY- World Trade. This ... a company with a global footprint that offers terrific benefits including an incentive plan, 401K match and an...communications and reporting associated with the life of a claim . At Zurich North America Claims we… more
- CVS Health (Franklin, TN)
- …health care more personal, convenient and affordable. **Position Summary** Performs claim documentation review, verifies policy coverage, assesses claim ... with healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical… more
- Travelers Insurance Company (Morristown, NJ)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- CVS Health (Albany, NY)
- …clients and the stop loss administrators. Reviews and manages stop loss claim filings. Resolves discrepancies between the amount requested and the amount reimbursed ... stop loss carrier. **Required Qualifications** * 1+ years of experience in claims processing background preferred * 1+ years of experience in Microsoft Applications… more
- Robert Half Office Team (Chicago, IL)
- …customer escalations via phone calls, emails, and general inquiries on Voluntary Benefits claims . * Providing excellent customer service and accurate information ... Description We are offering an opportunity for a Claim Resolution Specialist -Bilingual English/Spanish in the...processes, and procedures. * Handling customer inquiries related to claim administration and benefit functions. * Utilizing… more
- MetLife (Tampa, FL)
- …NY * Cary, NC * Tampa, FL * Aurora, IL Role Value Proposition: Claim owner and decision-maker. Responsible for administering claims within contractual provisions ... * Accountable for accurate financial decisions on block of claims with financial base benefit amount up...benefit amount up to $8000 per week per claim decisions made in accordance with Customer provisions *… more
- CVS Health (Franklin, TN)
- …effective communication skills. **What you will do** + Handles and processes Benefits claims submitted by healthcare providers, ensuring accuracy, efficiency, ... healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling...and guidelines. + Determines the eligibility and coverage of benefits for each claim based on the… more
- Robert Half Office Team (Chicago, IL)
- …status updates and other necessary information to customers regarding their Voluntary Benefits claims . * Work collaboratively with team members to streamline ... offering a long term contract employment opportunity for a Claim Resolution Specialist . The role is situated...and resolution procedures * Understanding of policy, practices, and benefit functions * Ability to research and gather information… more
- TEKsystems (Columbia, SC)
- Job Title: Claim Resolution Specialist - Bilingual English/Spanish Location: Columbia, SC (Hybrid) Job Schedule: Flexible, Hybrid Job Hours: 8-hour shift between ... your bilingual skills and passion for helping others, this Claim Resolution Specialist position is perfect for...for you! Based in Columbia, SC, you'll handle escalated claims and inquiries related to Voluntary Benefits ,… more
- TEKsystems (Chicago, IL)
- Job Title: Claim Resolution Specialist - Bilingual English/Spanish Location: Chicago, IL (Hybrid) Job Schedule: Flexible, Hybrid Job Hours: 8-hour shift between ... solver who thrives in a fast-paced environment? As a Claim Resolution Specialist , you'll be the final...for our customers, providing exceptional service by resolving escalated claims and inquiries related to Voluntary Benefits .… more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Regional Claims Specialist . This is a full-time position and offers a hybrid schedule after training. ... The Regional Claims Specialist will be responsible for contacting...delivery of timely, appropriate, and accurate indemnity and medical benefits + Evaluate the claim for potential… more
- Travelers Insurance Company (Richardson, TX)
- …1 **What Is the Opportunity?** This position is responsible for providing quality claim handling of low complexity General Liability claims from the first ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- The Hartford (Hartford, CT)
- …we help shape the future. The Claim Specialist is the highest claim handling designation within the Complex Claims Unit - Construction (CCU-CD) and is a ... Specialist Claims - CH07DE We're determined...to manage, and can involve higher exposures. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to… more
- City of New York (New York, NY)
- …is recruiting for four (4) Eligibility Specialists level II to function as a Claims Review Specialist , who will: - Review, process, determine and/or establish ... Job Description YOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR IF YOU ARE HIRED...cases assigned manually or via Automated SNAP Claim System (ASCS) cases for potential SNAP … more
- Sedgwick (Columbus, OH)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist Professional Liability, Public Entity **PRIMARY PURPOSE** **:** ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...for this role is_ **_$100,000- $110,000_** _. A comprehensive benefits package is offered including but not limited to,… more
- AIG (Charleston, WV)
- …reimagining the way we help customers to manage risk. Join us as a Casualty Claims Specialist III to play your part in that transformation. It's an opportunity ... WV account. How you will create an impact The Claims Specialist III will handle auto and...and gathering information to determine the exposure on the claim ; ensure proactive claims handling aimed at… more