- Office of Personnel Management (Washington, DC)
- Summary As a Legal Administrative Specialist ( Insurance Benefits Claims Examiner), you will be part of Healthcare and Insurance , Office of Personnel ... Management. If selected, you will review health insurance disputes between enrollees and participating FEHB carriers to ensure Federal enrollees receive the benefits… more
- Office of Personnel Management (Washington, DC)
- Summary As a Legal Administrative Specialist ( Insurance Benefits Claims Examiner), you will be part of Healthcare and Insurance , Office of Personnel ... Management. If selected, you will review health insurance disputes between enrollees and participating FEHB carriers to ensure Federal enrollees receive the benefits… more
- 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
- 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...concerning eligibility for public assistance or unemployment, health benefits, social security, insurance , or participation in … more
- Providence (OR)
- **Description** Providence Health Plan is calling an Associate Claims Specialist , Medicaid who will process claims for members, providers, and employers. ... empower them._** **Providence Health Plan is calling an Associate Claims Specialist , Medicaid who will:** + Process...Insurance Support, Etc.) + 2+ years' experience processing insurance claims + 2+ years' experience in… more
- Sedgwick (Columbus, OH)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist , Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** ... and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management… more
- MetLife (Bloomfield, CT)
- …customers and our communities. The Senior Long Term Disability (LTD) Claims Specialist evaluates long term disability insurance claims in accordance with ... time service standards. In this role, the Senior LTD Claims Specialist is required to exercise independent...and Technical Skills: Required: * 3+ years of LTD Insurance Claims experience * Creative problem-solving abilities… more
- City of New York (New York, NY)
- …making recommendations concerning eligibility for public assistance or unemployment, health benefits, social security, insurance , or participation in social ... Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED...Office (DSS-AO) is responsible for protecting the integrity of social services programs administered by the New York City… more
- Sedgwick (San Diego, CA)
- …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 long term care and medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury … more
- MetLife (Cary, NC)
- …impact in the lives of our customers and our communities. The LTD Claims Specialist II evaluates long term disability insurance claims in accordance with ... prescribed time service standards. In this role, the LTD Claims Specialist is required to exercise independent...Preferred: * Bachelor's degree * 1-3 years of LTD/IDI Insurance Claims experience Business Category Operations -… more
- CenterWell (Atlanta, GA)
- …part of our caring community and help us put health first** As a **Healthcare Claims Denials Specialist /Accounts Receivable Specialist ** , you will: + Ensure ... action. + Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing. + Prepare input data forms… more
- Lincoln Financial Group (Columbus, OH)
- …73969 **The Role at a Glance** We are excited to bring on a Recertification Claims Specialist to our claims organization. This position will be reviewing ... the change in definition, there will be no pended claims **What you'll be doing** * Communicating with claimants,...and solutions across four core businesses - annuities, life insurance , group protection and retirement plan services. As of… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...and vision, 401(k), PTO, paid holidays, life and disability insurance , on-site fitness center and company-wide social … more
- LogixHealth (Bedford, MA)
- …environment and will bring your expertise to ensure timely filing of insurance carrier claims , bank file retrieval, statement processing, accurate Explanation ... Review the Insurance Carrier Reports to resolve discrepancies or incomplete claims + Reconcile electronic payments by retrieving electronic bank files for each… more
- Pacific Medical Centers (Seattle, WA)
- **Description** The Claims Specialist ensures patient account and claim information contains comprehensive and accurate data to provide for timely billing and ... hospital departments, physicians, physician's office staff, government agency and insurance company representatives, patients, consultants and co-workers. Maintains confidentiality… more
- MetLife (Tampa, FL)
- …Business Experience and Technical Skills: Required: * 5+ years of LTD/IDI Insurance Claims experience with excellent customer service skills proven through ... * Independently manage an assigned caseload of the most complex claims which consists of pending, ongoing/active and appeal reviews. Provides timely,… more
- MetLife (Cary, NC)
- …pending, ongoing and appeal reviews. . Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and ... fast-paced environment and in accordance with state and department of insurance regulations. . Conducts lengthy detailed information-gathering telephone calls with… more
- Pacific Medical Centers (Seattle, WA)
- **Description** Adjudicates all claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. Adjusts ... complex claims for advanced processing needs. Responds to Customer Service...1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon,… more
- UIC Government Services and the Bowhead Family of Companies (Mcguire AFB, NJ)
- **Overview** **Communications Specialist - Social and New Media:** Bowhead Total Enterprise Solutions seeks a Communications Specialist experienced in ... public-release review of written and audiovisual materials + Develop and implement social and new media communications tools, objectives and goals in conjunction… more
- Overseas Private Investment Corporation (Washington, DC)
- …and Social (E&S) Risk Assessment Division. As an Environmental and Social Risk Specialist , you will be responsible for conducting environmental and ... , equity finance, and financial intermediaries. Responsibilities Serves as an Environmental and Social Risk Specialist in one or more of the following sectors:… more