- Magellan Health Services (Albuquerque, NM)
- …abandonment rate, talk time). Comfortable adapting to change. General Job Information Title Claims Resolution Specialist Grade 20 Work Experience - Required ... this role makes the appropriate payment adjustment into the claims system. Must complete duties with a...all pertinent information is recorded both for ease of resolution by the Claims Department and service… more
- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift. The Claims Resolution Specialist is responsible...Previous experience with health insurance and collection techniques. + Must possess the ability to work both independently and… more
- Integra Partners (Troy, MI)
- JOB OVERVIEW Our Claims Resolution Specialist role...and ability to learn new programs and software + Must type 45+ words per minute + Familiar with ... is responsible for reviewing Durable Medical Equipment (DME) claims for billing accuracy while maintaining appropriate documentation and...documentation and account records, as well as timely issue resolution . In this role, you will ensure work is… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined...a well-reasoned analytical focus, and a clear strategy for resolution . The Claim Specialist must ... manage, and can involve higher exposures. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to independently...to customers and business partners in the management and resolution of claims * Respond to inquiries… more
- Zurich NA (Columbus, OH)
- Property Claims Specialist II 117992 Zurich is...within the coverage. + Working to have a timely resolution to claims by developing case strategy; ... currently seeking a Property Claims Specialist II to join our Commercial...and 5 or more years of experience in the Claims or Insurance areaAND + Must obtain… more
- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Claims Specialist III to play your part in that transformation. It's an opportunity to ... fair and professional service with empathy and efficiency. Casualty Claims Specialist III-Western World The Specialist...claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans.… more
- MyFlorida (Tallahassee, FL)
- CLAIMS PROCESSING SPECIALIST - 36000292 Date:... that result from the validation process. These debts must be verified, withheld, and then forwarded to the ... Requisition No: 840194 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SPECIALIST - 36000292 Pay Plan:...effectively with customers to attempt to provide a timely resolution of processing problems. + Assist with training of… more
- BrightView (Blue Bell, PA)
- Job Summary + The AL/GL Claims Specialist is a key member of the risk management team and has responsibility for directly investigating and settling in-house ... Coordinate with Third-Party Administrator and branches for investigation and resolution of TPA handled claims . + Develop...Adjuster licenses in one or more states preferred but must be willing to obtain additional state licensures. +… more
- Zurich NA (Schaumburg, IL)
- Litigated Claims Specialist , General Liability, Direct Markets 118142 Zurich is currently looking for a Litigated Claims Specialist to support ourDirect ... **About the Role:** Zurich is seeking a dedicated Litigated Claims Specialist to join our team. In...Diploma or Equivalent with 5+ years of experience in Claims or Insurance + Must obtain and… more
- Zurich NA (Omaha, NE)
- Litigated Claims Specialist , Auto 116890 Zurich is...Equivalent and 5 or more years of experience in Claims or Insurance + Must obtain and ... currently seeking an Auto Litigation Claims Specialist II. At...develop and execute a negotiation strategy and plan for resolution + Skill in identifying subtleties in customer/client and/or… more
- AIG (Atlanta, GA)
- …responsive, fair and professional service with empathy and efficiency. The role of a Claims Specialist III is to investigate, evaluate and resolve first and ... help customers to manage risk. Join us as a Claims Examiner III, Accident & Health to play your...This requires accurate and thorough documentation, as well as, resolution action plans based upon the applicable law, coverage… more
- Zurich NA (Columbus, OH)
- Sr. Claims Specialist - Complex Construction Claims 117562 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join ... claims with an emphasis on litigated construction claims , from inception to resolution . + Collaborate...and 8+ years of experience managing litigated general liability claims , including high-severity cases + Must obtain… more
- Zurich NA (Atlanta, GA)
- Litigated Claims Specialist , General Liability 117036 At...Diploma or Equivalent with 5+ years of experience in Claims or Insurance + Must obtain and ... **About the Role:** Zurich is seeking a dedicated Litigated Claims Specialist to join our team. In...and business partner interactions + Proficiency in presenting claim resolution information to stakeholders Join us at Zurich North… more
- Vail Resorts (Broomfield, CO)
- …(whichever is first). **Job Summary:** The Claims team is looking for a Sr. Guest Claims Specialist to join our talented group. The Claims team is a fun, ... claims support across the enterprise. The Guest Claim Specialist 's primary responsibilities will be to assist the Litigation...Claims team and to investigate and manage guest claims , from inception through resolution . This includes… more
- ICW Group (Pleasanton, CA)
- … claims to an equitable resolution within Company standards. The Claims Specialist works with a sense of urgency, understands insurance coverage concepts, ... belong. **PURPOSE OF THE JOB** This role will be responsible for handling complex claims with a focus on providing exceptional service for stakeholders in order to… more
- Prime Therapeutics (Eagan, MN)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Claims Specialist - Hybrid **Job Description** The Claims Specialist ... internal and external partners for the research of and resolution of claim issues. Additionally, this position serves as...accredited institution or equivalent GED + 1 year of claims experience + Must be eligible to… more
- Louisiana Department of State Civil Service (Harahan, LA)
- WORKERS' COMPENSATION DISPUTE RESOLUTION SPECIALIST 1/2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4712249) Apply WORKERS' ... COMPENSATION DISPUTE RESOLUTION SPECIALIST 1/2 Salary $2,602.00 - $4,682.00...the state's Workers' Compensation procedures as they relate to resolution of disputed claims . Researches, examines, and… more
- Amazon (Nashville, TN)
- …expansive portfolio. Amazon is looking to hire an Accounts Payable Dispute Resolution Specialist to help our expanding Amazon Transportation Services network. ... The Accounts Payable Dispute Resolution Specialist will work as part of...work environment. Passion and drive for customers is a must . Key job responsibilities - Identify, deep dive, and… more
- University of Virginia (Charlottesville, VA)
- The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities ... from insurance companies. They are responsible of ensuring all claims billed are in compliance with all federal and...to resolve insurance denials and guarantor/patient inquiries. The representative must be able to respond knowledgeably to a wide… more
- Library of Congress (Washington, DC)
- …Responsibilities The Registration Program is responsible for the examination of copyright claims , the creation of public records, and the issuance of certificates of ... registration. Registration staff examine claims , communicate with applicants to resolve registration issues, create public records, refuse to register for failure to… more