• Claim Specialist III - 1st Party No Fault…

    City of New York (New York, NY)
    …to determine eligibility of No-fault benefits; 2) Authorize and process payments of medical bills using fee schedule, lost wages, and additional reimbursements ... claim submission and, issuing verification letters to claimants and medical providers; 5) Process Lost Wages and...claims within delegated monetary authority level; 8) Review medical providers and law firms to ensure all entities… more
    City of New York (11/16/24)
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  • Occupational Accident Claims

    Zurich NA (Omaha, NE)
    Specialist 119902 Zurich is currently looking for an Occupational Accident Claims Specialist I to handle disability and medical accident claims within ... interpret policy coverages, and analyze medical time lost benefits, while resolving claims within set authority limits. You will build internal and… more
    Zurich NA (01/22/25)
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  • Claims Specialist (Hybrid)

    Sedgwick Government Solutions (Bethesda, MD)
    Job Details Claims Specialist (Hybrid) 2025-1391 Bethesda, Maryland, United States Client Services Full Time Description **Overview- Claims Specialist ** ... to be appreciated for your technical expertise? As a Claims Specialist working on a Federal contract,...A minimum of 2 years' experience in workers' compensation, lost time claim handling, claims adjuster/administration, case… more
    Sedgwick Government Solutions (01/10/25)
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  • Claims Intake Department Claims

    AIG (Atlanta, GA)
    …the value of a lost family heirloom or a prized possession. Our Claims team is an industry leader, drawing daily on its unparallelled levels of expertise to ... range of products to customers through a diversified, multichannel distribution network. Claims Our claims professionals support AIG policyholders through some… more
    AIG (01/16/25)
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  • PIP Specialist

    Kemper (Lake Mary, FL)
    … Handling: Identify involved parties eligible for coverage, analyze medical bill, lost wage and other expense claims submitted for payment using a consistent ... strategies when communicating settlement related information to insured's, claimants, attorneys, medical providers and other parties. + Claims Fraud… more
    Kemper (01/18/25)
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  • Denials Specialist

    Cuyuna Regional Medical Center (Crosby, MN)
    …Successful completion of data entry, general clerical, ten key, and denials specialist standards administered by Cuyuna Regional Medical Center Human Resources ... general responsibilities include denial follow up and research, appeals of insurance claims , working of undistributed dollars and credits in accounts, audit support… more
    Cuyuna Regional Medical Center (01/25/25)
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  • Revenue Integrity Specialist

    Chesapeake Regional Healthcare (Chesapeake, VA)
    … record and other applicable hospital documentation, assigning modifiers to appropriate claims , researching edited claims for medical necessity, and ... The Specialist works directly with revenue producing departments regarding lost charges, billing questions, proper coding and charging, education on appropriate… more
    Chesapeake Regional Healthcare (01/24/25)
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  • Patient Safety Clinical Specialist

    Trinity Health (Syracuse, NY)
    …meeting regulatory requirements for reporting to the FDA pursuant to the Safe Medical Device Act. **PROPERTY LOSS PREVENTION AND CLAIMS REPORTING:** Collaborates ... standing and walking. **WORK CONTACT GROUP:** All services, employees, medical staff, patients, visitors, vendors, various regulatory and professional agencies.… more
    Trinity Health (01/17/25)
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  • Remote Hospital Charge Specialist

    TEKsystems (Norfolk, VA)
    …documentation . Assigning modifiers to appropriate claims . Researching edited claims for medical necessity, and advising the billing staff of appropriate ... Remote Hospital Charge Specialist Remote with equipment provided!! Must live within...modifiers . Works directly with revenue producing departments regarding lost charges, billing questions, proper coding and charging, education… more
    TEKsystems (01/24/25)
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  • Customer Care Center Specialist II

    Needham Bank (Needham, MA)
    …change of address, balance and transaction inquiries, loan inquiries, transfers, and card lost stolen and claims intake. + Resolve complex customer service ... the Customer Care Center channel. A Customer Care Center Specialist will advise, advocate and deliver on the service...package for a full-time employee which includes fully paid medical and dental insurance, HRA, 401(k) plan with an… more
    Needham Bank (12/12/24)
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  • Denials Management Specialist , Full Time,…

    St. Luke's University Health Network (Allentown, PA)
    …regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity ... review. Provides billing with information needed to obtain payment of claims . Remote within local geography after orientation. JOB DUTIES AND RESPONSIBILITIES:… more
    St. Luke's University Health Network (12/28/24)
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  • Surgical Review Specialist

    St. Luke's University Health Network (Allentown, PA)
    …a patient's ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment in accordance with ... coding conventions, UHDDS guidelines and CMS directives. Researchs failed claims , identifies discrepancies and communicates resolution to appropriate departments.… more
    St. Luke's University Health Network (10/31/24)
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  • EHS Plant Specialist , WI Campus

    Kohler Co. (Kohler, WI)
    …projects, including the evaluation, justification, ACT preparation and follow-up. + Work with medical provider to evaluate lost and restricted work days, etc. ... **EHS Plant Specialist , WI Campus** _Work Mode: Onsite_ **Location: **...light duty programs. + Support management of workers compensation claims . + Coordinate and present monthly safety meeting topics… more
    Kohler Co. (11/06/24)
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  • Environmental Health & Safety (EHS)…

    Charles River Laboratories (Hollister, CA)
    …for 24-hour incident response. Assist in the investigation of injuries resulting in lost time claims and/or safety violations and property damage. Make ... feel passionate about. **JOB SUMMARY** The **Environmental Health and Safety (EHS) Specialist ** at our **Hollister, CA** location, will be responsible for: managing… more
    Charles River Laboratories (11/17/24)
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  • Nurse Auditor/Rev Intgty Spec

    Chesapeake Regional Healthcare (Chesapeake, VA)
    … record and other applicable hospital documentation, assigning modifiers to appropriate claims , researching edited claims for medical necessity, and ... Specialist works directly with revenue producing departments regarding lost charges, billing questions, and proper coding and charging. Essential Duties… more
    Chesapeake Regional Healthcare (01/04/25)
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  • Outpatient Coder/Nurse Auditor

    TEKsystems (Chesapeake, VA)
    … record and other applicable hospital documentation, assigning modifiers to appropriate claims , researching edited claims for medical necessity, and ... Revenue Integrity/CDM Analyst works directly with revenue producing departments regarding lost charges, billing questions, proper coding and charging, education on… more
    TEKsystems (01/16/25)
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  • Attorney-Adviser (General)

    HQDA Field Operating Agencies and Staff Support Agencies (Lewis County, WA)
    …locations as directed. Properly screens and refers clients who are eligible to file claims UP AR 27-20 (eg, personal items lost , damaged, or destroyed while ... may require travel. Review the case file and Soldier's medical records to evaluate potential and likely outcomes; assist...to a move of household goods) to the appropriate Claims Office. Supervises at least one paralegal specialist more
    HQDA Field Operating Agencies and Staff Support Agencies (01/22/25)
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  • Project Controls Coordinator

    Stantec (Irvine, CA)
    …solutions to life. **Your Opportunity** Stantec is seeking a Project Controls Specialist within our Transportation group with a background in scheduling of large ... of any actual or foreseen delay. + Identify strategies for catching up lost time or avoiding potential delays and opportunities to accelerate the completion of… more
    Stantec (01/09/25)
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