- City of New York (New York, NY)
- … claims and address 3rd Party No-Fault Arbitrations; 4) Set up No-fault claim files which includes issuing and processing NF2 application, confirming the ... to gather information relevant to the investigation of the claim ; 11) Investigate, identify, and report fraudulent claims... claim ; 11) Investigate, identify, and report fraudulent claims , utilize statistical data to identify claims … more
- State of Indiana (Indianapolis, IN)
- Claim Processing & Reimbursement Specialist Date Posted: Nov 14, 2024 Requisition ID: 452358 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a ... its partner agencies achieve business objectives and innovation. Role Overview: The Claim Processing & Reimbursement Specialist is responsible for the efficient,… more
- University of Rochester (Rochester, NY)
- …as to why claims are not paid and steps necessary for processing /payment + Initiate collection phone calls to insurance companies to determine reason for ... claim denial, or reason for unpaid claim . Address unpaid claims , and solicit a...and monthly reports and Work Lists via calculating and processing transactions such as payer to payer transfers, contractual… more
- Sedgwick (Columbus, OH)
- …while providing high levels of customer service. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** Claims Management and Processing : + Handle a diverse portfolio of ... guidance to less experienced team members on complex cyber claims Reporting and Analytics: + Prepare detailed claim... claims Reporting and Analytics: + Prepare detailed claim reports and analyses for insurance company + Calculates… more
- Travelers Insurance Company (Anchorage, AK)
- …internal and/or external resources for specific activities required to effectively resolve claims . + Maintain and document claim file activities in accordance ... 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
- CVS Health (Jacksonville, FL)
- …more personal, convenient and affordable. **Position Summary** * Reviews and adjudicates routine claims in accordance with claim processing guidelines. * ... inquiries and written correspondence related to claim processing issues. * Routes and triages complex claims... processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist. *… more
- Travelers Insurance Company (West Bridgewater, MA)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site...mail. Orders, receives and distributes supplies and/or equipment. + CLAIM PAYMENTS AND EXPENSE PROCESSING : Ensures the… more
- AssistRx (Orlando, FL)
- …the organization to support all operational and financial processes related to claim processing activities ensuring effective day-to-day operations and provide ... customer business review meetings. Responsible for utilizing forecasts and analyzing claims data to determine Copay utilization, escrow account replenishment needs,… more
- Providence (Mission Hills, CA)
- …in medical/institutional claims examining within a medical group/IPA setting claim processing experience. + 2 years experience in a medical/institutional ... of staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include reporting… more
- Sedgwick (Albany, NY)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Sedgwick (San Antonio, TX)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... growth, and inclusion. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Sedgwick (Syracuse, NY)
- …claim . Negotiating settlement of claims within designated authority. Communicating claim activity and processing with the claimant and the client. ... collaboration, growth, and inclusion. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** Analyzing and processing claims through well-developed action plans to an… more
- CVS Health (Sacramento, CA)
- …PST or CST time zone** **Pay $17.50 per hour** Reviews and adjudicates routine claims in accordance with claim processing guidelines. Critical success ... requirements. **Required Qualifications** Experience in a production environment. Medical claim processing experience preferred but not required. Medical… more
- The Hartford (Hartford, CT)
- …a motivated, positive individual to join our claims team as a Marine claim adjuster Specialist. Responsible for maintaining and processing Marine claims . ... to ensure the highest level of customer service. + Claims Processing and Administration. + Investigation and...vendors to ensure service quality. + Reviews and analyzes claim reports to identify and address trends. + Develops… more
- Principal Financial Group (Des Moines, IA)
- …1+ years of customer facing work experience preferred. + Short Term Disability Claim Processing Experience - reviewing and gathering information, making phone ... financial and contractual information to make effective and timely claim decisions. + Connect with employers, employees and medical...least 1 year or more of successful performance of processing Short Term Disability claims preferred. +… more
- CGI Technologies and Solutions, Inc. (Albany, NY)
- **Business Claims Processing Specialist** **Category:** Administration **Main location:** United States, New York, Albany **Position ID:** J1024-0536 ... in the provision of affordable housing has an opening for a Business Claims Processing Specialist in Albany, NY. This is an opportunity to join an energetic… more
- Access Dubuque (Dubuque, IA)
- Claims Processing Representative **Grand River Medical Group** 1 Positions ID: 1343279 Posted On 10/30/2024 **Job Overview** ** Claims Processing ... options available Grand River Medical Group is seeking an experienced Claims Processing Representative to join our Revenue Cycle Team. You will provide… more
- Sedgwick (Milwaukee, WI)
- …FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files are ... and pursues subrogation opportunities; secures and disposes of salvage. + Communicates claim action/ processing with insured, client, and agent or broker when… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Billing/ Claims Processing + **Schedule:** Full-Time, Days Mon. - Fri. 8AM-5PM + **Hospital:** Ascension St. Vincent + **Location:** ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … more
- DXC Technology (Springfield, IL)
- …and empathetic Claim Examiner (amnuity) to join our team, specializing in death claims processing . This role is integral to ensuring a seamless claim ... life cycle with precision and care. **Essential Job Functions:** + ** Claims Processing :** Validate coverage, confirm beneficiaries, and review and decision… more