- Rady Children's Hospital San Diego (San Diego, CA)
- …of the Manager Professional Billing & Coding, the Billing & Collections Representative II (BCII) is responsible for the resolution of all outstanding balances ... payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid claims by… more
- New York State Civil Service (Albany, NY)
- …State NY Zip Code 12206 Duties Description Under the general supervision of a Claims Services Representative 2 responsibilities include, but are not limited ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/ 2...Representative DB Trainee 2 , Underwriter Trainee 2 ; OR* Five years of experience* processing … more
- EquipmentShare (St. Louis, MO)
- Future Claims Representative Opportunities at EquipmentShare! EquipmentShare is accepting applications for a future Claims Representative in the St. ... real-time support, and a team that truly cares. We're accepting applications for a future Claims Representative role at our rental facility in St. Louis, MO, and… more
- Sedgwick (New York, NY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - General Liability and Auto | NY Licensing Required | ... arrangement. **Marlton, NJ** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Sedgwick (Rochester, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers' Compensation Claims Representative | NY Lost-Time Experience | NY Licensing **Are ... Syracuse, NY** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to...timely manner. **QUALIFICATIONS** + Education & Licensing: 1 - 2 years of claims management experience or… more
- NTT DATA North America (Plano, TX)
- …as part of an overall sourcing strategy. NTT DATA currently seeks a Remote **Medical Claims Representative ** to join our team in **for a remote position** . This ... is a US based, W- 2 project. All candidates will be paid through NTT...**Required Skills/Experience** + 1+ year(s) hands-on experience in **Healthcare Claims Processing ** + **Previously performing - in… more
- IKO (Kankakee, IL)
- …you! Job Description Reporting to the Warranty Claims Manager (US) , the Warranty Claims Representative is a key position within our team. You will be the ... listen, solve problems, answer questions and work to bring claims to conclusion. WHEN YOU JOIN US YOU WILL...Ad hoc projects OUR IDEAL CANDIDATE + Minimum of 2 years of previous call center or customer service… more
- Zodiac Pool Systems (Carlsbad, CA)
- Order Processing Representative I Customer Service Carlsbad, California Apply Description Fluidra is looking for an Order Processing Representative I to ... inquires and issues. + Basic customer service skills including processing order requests via email and fax. + Submits...judgment to help determine the validity of a customer claims . + Good written and pleasant verbal communication skills.… more
- Kelly Services (Myrtle Beach, SC)
- …Great opportunities are right here in your backyard. Kelly(R) is looking for a Claims Customer Service Representative to work at a premier organization in Myrtle ... - $23 Why you should apply to be a Claims Customer Service Representative : + Competitive pay...based on organizational policies and procedures. + Identifying and processing adjustments for incorrectly processed claims according… more
- Sedgwick (Sacramento, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigated Claims Manager | Staff Attorney | Public Entity Pooling | Hybrid Are you ... work, your location, and your career path. **Hybrid** setting 2 days in the Sacramento, CA Sedgwick office, and...8+ years of experience collaborating with outside counsel and claims examiners to oversee litigated claims ? Have… more
- NJM Insurance (NJ)
- NJM's WC Claims Department is seeking an experienced Claims Specialist, Sr. who lives in Western or Central PA to provide on-site service to our policyholders ... This is a 100% remote position which includes virtual claims handling for customers in any area of PA...+ 5+ years' experience as a Workers' Comp Claim Representative , or comparable knowledge and experience with various aspects… more
- Pike Corporation (Mount Airy, NC)
- …internal knowledge base. + Handles multiple functions related to business operations, claims processing , and office workflows. + Recognizes and resolves basic, ... in a corporate environment + Customer Service experience + 2 years of claims experience preferred +...GED Physical Demands The physical demands described here are representative of those that must be met by an… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …change from time to time. 1. Manage the supervision and coordination of the claims department and staff. 2 . Organize and disseminate information that affects the ... functions. 1. College degree with a concentration in business or equivalent work experience 2 . Five years of Claims handling experience, with one year of… more
- University of Washington (Seattle, WA)
- …UW Medicine Faculty Practice Plane Services has and outstanding opportunity for a ** Claims Specialist (Patient Account Representative 2 ).** This position is ... claims review, clearing claim edits, and timely and accurate submission of claims (both electronic and paper) **WORKING SCHEDULE:** + Monday - Friday, Full-time +… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …financial field or equivalent healthcare experience Preferred: Type of Experience Required: 2 + years of claim processing experience with a Medicaid/Medicare ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- State of Minnesota (St. Paul, MN)
- **Working Title: Senior Investigator - Pharmacy** **Job Class: Human Services Program Representative 2 ** **Agency: Human Services Dept** + **Job ID** : 90721 + ... laws and requirements that allow for making and/or denying payment of claims adjudicated the Medicaid claims processing system. + Understanding of claims … more
- Sedgwick (Southfield, MI)
- …Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims . **ARE YOU AN IDEAL CANDIDATE?** We are looking ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative **Disability Representative ** **Our teams connect! We collaborate in… more
- LA Care Health Plan (Los Angeles, CA)
- …One (1) inquiries, this includes but not limited to, general inquiries on claims processing and status and eligibility verification. In addition, this position ... this includes (but not limited to): general inquiries on claims processing , payment status and appeal and...request/issue; Resolution information or escalation steps. Escalate Level Two ( 2 ) provider concerns to the Claims Department… more
- State of Massachusetts (Boston, MA)
- …job. Incumbent of this position is expected to have knowledge of wage processing functions. Supervises and coordinates the work of staff responsible for completing ... benefit amounts, monetary eligibility, reviewing wages/earnings and issues on current claims to determine claimant eligibility on the new claim. Also responsible… more
- State of Massachusetts (Boston, MA)
- …work, available for work and looking for a job. The Job Service Representative I performs customer service and issue resolution by assisting employers or claimants ... with MGL Chapter 151A, 430 CMR, the Job Service Representative 's Handbook, and established Revenue Procedures as well as...14 days*. Applicants must have (A) at least two ( 2 ) years of full time, or equivalent part-time professional… more
