- AIG (Atlanta, GA)
- …AIG, we are reimagining 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 ... and efficiency. How you will create an impact The Recovery Specialist is responsible for the end-to-end...assigned files for adequacy of investigation and recognition of recovery potential by claims personnel. Advises management… more
- Molina Healthcare (NM)
- …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, ... and provider compliance. Interacts with health plans and vendors regarding recovery outstanding overpayments. **Job Duties** + Prepares written provider overpayment… more
- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Recovery Specialist , Large Loss - Claims to play your part in that ... How you will create an impact The Large Loss Recovery Specialist is responsible for the end-to-end...-related state laws, evidence-securing techniques. + Prior experience in claims recovery , commercial lines of business. +… more
- City of New York (New York, NY)
- …Revenue Office was enhanced by the addition of the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP-CR). SNAP-CR establishes SNAP claims ... major component of IREA. It is responsible for the recovery of public assistance benefits paid to current and...(4) Eligibility Specialists level II to function as a Claims Review Specialist , who will: - Review,… more
- NJM Insurance (Hammonton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a hybrid schedule after training. The ... Claims Account Specialist will be responsible for...all parties + Recognize and investigate subrogation opportunity for recovery of third-party funds + Work with the policyholder… more
- 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...as appropriate. + Recognize and investigate subrogation opportunity for recovery of third-party funds + Initiate and provide excellent… more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Professional Liability (Cyber) **PRIMARY PURPOSE** **:** To ... analyze complex or technically difficult Cyber and other Professional Liability claims ; to provide resolution of medium to highly complex nature claims ; to… 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** ... + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages… more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or...+ Identifies and investigates for possible fraud, subrogation, contribution, recovery , and case management opportunities to reduce total claim… more
- Whitney Young Health Center (Watervliet, NY)
- Claims Coding Specialist (Req 100825) Watervliet, NY (http://maps.google.com/maps?q=1601+Broadway+Watervliet+NY+USA+12189) Apply Description GENERAL ... RESPONSIBILITIES: Responsible for reviewing medical claims prior to submission and following up on more...the risk of fraud and abuse, and optimize revenue recovery . + Assists in training of Patient Account staff… more
- Crawford & Company (New Orleans, LA)
- …+ Evaluates claims for potential fraud issues, loss control and recovery in accordance with insurance policy contracts, medical bill coding rules and state ... In Everything We Touch Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including Fast Track and Incident Only … more
- City of New York (New York, NY)
- …Office of Liens & Trust (OLT) and Supplemental Nutrition Assistance Program - Claims & Recovery (SNAP-CR). Within Revenue, SNAP-CR is a revenue producing, ... Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED...data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and… more
- Sedgwick (Moline, IL)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Complex General Liability Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or ... technically difficult General Liability claims ; to provide resolution of highly complex nature and/or...+ Identifies and investigates for possible fraud, subrogation, contribution, recovery , and case management opportunities to reduce total claim… more
- St. Luke's Health System (Boise, ID)
- …Luke's is truly a great place to work. **What You Can Expect:** The Billing/ Recovery Specialist is responsible for providing support in the functional areas of ... as directed. * Understands insurance plan coverages, authorizations and limits. Insurance Recovery : The Insurance Recovery Specialist 2 is responsible… more
- St. Luke's Health System (Twin Falls, ID)
- …Luke's is truly a great place to work. **What You Can Expect:** The Billing/ Recovery Specialist is responsible for providing support in the functional areas of ... Revenue Cycle which includes Billing, Reimbursement and Insurance Recovery . Ensures adherence to company policies, procedures, and related government regulations.… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Recovery Specialist Augusta , Maine , United States | Accounting, Business & Finance | Full-time Apply by: Nov. 26, 2024 Apply with Linkedin Apply Department of ... we are looking for you! Core Responsibilities: As a Recovery Specialist within the Recovery ...regulations, included in but not limited to the State's Claims Management Plan (CMP) and the MaineCare Benefits Manual.… more
- US Tech Solutions (FL)
- …between 6am - 6pm. **Summary** We are seeking a talented individual for a Recovery Specialist who is responsible for processing all probate and estate functions ... beneficiaries or deceased Medicaid beneficiaries. This includes intake, maintenance, claims review and selection, asset investigation, court filings and deadline… more
- The Hertz Corporation (Oklahoma City, OK)
- **A Day in the Life:** The Recovery Specialist is responsible for managing claims including billing, collections, and adjustments. This role partners with ... and works with customers and insurance carriers to resolve claims over the phone and through email. We expect...**What You'll Do:** + Contact accounts to resolve outstanding claims quickly and accurately. + Research and document collection… more
- Wright-Patt Credit Union Inc. (Beavercreek, OH)
- The Recovery Specialist is responsible for the collection of post charge-off consumer loans and negative accounts assigned to them. An important element of this ... and appropriate documentation within the collection platform. (5%) Required Skills The Recovery Specialist will understand the applicable laws and regulations… more
- Allied Solutions (Plano, TX)
- …policy; + Determine the appropriate application of coverage and damage to identify those claims with the highest amount of recovery potential for EZ Claim Total ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...other adjusting tools; + Meet and exceed all established recovery and claim service standards and benchmarks for a… more