• Claims Processing Specialist

    MyFlorida (Tallahassee, FL)
    CLAIMS PROCESSING SPECIALIST - 36000292 Date: Oct 28, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 840194 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SPECIALIST - 36000292 Pay Plan: Lottery Exempt Serv… more
    MyFlorida (10/29/24)
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  • Business Processing Specialist

    CGI Technologies and Solutions, Inc. (Cleveland, OH)
    …(HUD) to assist in the provision of affordable housing has an opening for a Claims Processing Specialist . The successful candidate will work directly with ... and general business skills. **Your future duties and responsibilities:** The Claims Processing Specialist is responsible for managing a portfolio of… more
    CGI Technologies and Solutions, Inc. (10/08/24)
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  • Billing Specialist

    HCA Healthcare (Denver, CO)
    …or other documents that are required to be attached to the claims for processing . + Assists EDI Specialist as directed by the EDI Manager in reviewing edit ... Do you have the career opportunities as a Billing Specialist you want with your current employer? We have...out according to departmental schedule and is responsible for processing paper claims to primary insurance and… more
    HCA Healthcare (11/07/24)
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  • Workers Comp- Regional Claims

    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...WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II -… more
    NJM Insurance (09/24/24)
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  • Claims Account Specialist (I/II/Sr.)

    NJM Insurance (Hammonton, NJ)
    …including basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II - 3-5 years' experience as a ... Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a...WC Law, medical terminology, and utilization of an automatic claims processing system. + Sr Level -… more
    NJM Insurance (11/01/24)
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  • Pharmacy Claims Specialist

    BrightSpring Health Services (Taunton, MA)
    Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key...office environment for those who are willing to learn claims , billing and insurance processing . Pharmacy Technician… more
    BrightSpring Health Services (11/06/24)
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  • Senior Claims Specialist

    Providence (Mission Hills, CA)
    **Description** The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, ... adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance...have knowledge of compliance issues as they relate to claims processing and ability to identify and… more
    Providence (11/05/24)
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  • Pharmacy Claims Specialist

    BrightSpring Health Services (Uniondale, NY)
    Our Company PharMerica Overview Make the Move to PharMerica- Claims Specialist Opportunity! Ready to take your pharmacy experience to the next level? PharMerica ... that's a big plus! + Learn essential skills in claims processing while being part of a...for a minimum of 7 business days. Responsibilities TheClaims Specialist - 3rd Party: + Manages and identifies a… more
    BrightSpring Health Services (09/03/24)
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  • Claims Specialist

    PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
    Overview The Claims Specialist , under the direction of the Supervisor (with guidance from a Team Lead), is responsible for processing medical claims ... a must + Health care or pharmaceutical experience, particularly in a medical claims processing , billing provider, or insurance environment + Knowledge of EOB… more
    PSKW LLC dba ConnectiveRx LLC (11/07/24)
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  • Claims Specialist

    CenterLight Health System (Flushing, NY)
    JOB PURPOSE: The Claims Specialist will support department operations related to provider communication, pended claim review, reporting, auditing, and oversight ... State, Federal, and contractual guidelines. JOB RESPONSIBILITIES: + The Claims Specialist will be responsible for reviewing...Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor + Attends JOC meetings… more
    CenterLight Health System (10/15/24)
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  • Claims Resolution Specialist

    Acosta Group (Dallas, TX)
    …provide high quality service to clients and make continuous improvements in claims processing . **RESPONSIBILITIES** **Duties and Responsibilities** + Processes ... **DESCRIPTION** The Claims Resolution Specialist is responsible for...procedures for assigned clients and adheres to them when processing claims + Uses advanced problem solving… more
    Acosta Group (10/09/24)
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  • Recovery Specialist , Large Loss…

    AIG (Atlanta, GA)
    …guidelines and authority, indemnity and legal payments through the appropriate Claims Processing Systems. + Forecasts potential recoveries and updates ... way we help customers to manage risk. Join us as a Recovery Specialist , Large Loss - Claims to play your part in that transformation. It's an opportunity to grow… more
    AIG (08/16/24)
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  • Claims Recovery Specialist

    AIG (Atlanta, GA)
    …guidelines and authority, indemnity and legal payments through the appropriate Claims Processing Systems. + Forecasts potential recoveries and updates ... the way we help customers to manage risk. Join us as a Claims Recovery Specialist to play your part in that transformation. It's an opportunity to grow… more
    AIG (08/16/24)
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  • Claims Review Specialist

    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 PROVISIONALLY IN THE ELIGIBILITY SPECIALIST TITLE… more
    City of New York (09/22/24)
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  • Claims Specialist

    Randstad US (Earth City, MO)
    claims specialist . + earth city , missouri +...and resolve within the agreed upon Service Levels Skills + Claims Processing + Claims + Medical ... to join a growing team located in Earth City, MO, 63045. The claims specialist will be responsible for working with internal and external partners to help… more
    Randstad US (10/16/24)
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  • Lead Insurance Specialist (Live…

    Veterans Benefits Administration (Philadelphia, PA)
    …Veterans Insurance. Explains the types of documents necessary to facilitate timely processing of applications or claims . Assists veterans in completing ... handling complex cases involving issues of customer service, application processing , or claims adjudication. Initiates claims...6:00pm; Flex work schedules are available Title/PD#: Lead Insurance Specialist (Live Claims ) GS - 11; PD… more
    Veterans Benefits Administration (11/06/24)
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  • Claims Specialist

    Robert Half Accountemps (Allentown, PA)
    Description We are offering a contract to hire employment opportunity for a Claims Specialist in Allentown, Pennsylvania, United States. This role is primarily ... involved in the handling and processing of customer property damage claims that may arise from the operations or provision of electric service. The chosen… more
    Robert Half Accountemps (11/06/24)
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  • Workers Compensation Claims

    Extra Space Storage (Salt Lake City, UT)
    We are seeking a highly detail-oriented Workers Compensation Claims Specialist with 1-2 years of experience in risk management or insurance claims handling. ... processing of workers' compensation, general liability, and auto claims disputes and closures. + Collaborate with third-party administrators, insurance brokers,… more
    Extra Space Storage (11/08/24)
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  • Claims Specialist , Professional…

    Sedgwick (Columbus, OH)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist , Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** ... + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages… more
    Sedgwick (11/06/24)
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  • Sr. Claims Specialist , Professional…

    Sedgwick (Columbus, OH)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Professional Liability (Medical Malpractice) **PRIMARY PURPOSE** : ... To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate… more
    Sedgwick (10/30/24)
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