• Business Claims Processing

    CGI Technologies and Solutions, Inc. (Albany, NY)
    ** Business Claims Processing Specialist ** **Category:** Administration **Main location:** United States, New York, Albany **Position ID:** J1024-0536 ... (HUD) to assist in the provision of affordable housing has an opening for a Business Claims Processing Specialist in Albany, NY. This is an opportunity… more
    CGI Technologies and Solutions, Inc. (10/10/24)
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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...position will be posted for a minimum of 7 business days. Responsibilities TheClaims Specialist - 3rd… more
    BrightSpring Health Services (11/06/24)
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  • Claims Resolution Specialist

    Acosta Group (Dallas, TX)
    …responsible for creating promotions within client systems. The Claims Resolution Specialist will communicate with internal and external business partners and ... **DESCRIPTION** The Claims Resolution Specialist is responsible for...quality service to clients and make continuous improvements in claims processing . **RESPONSIBILITIES** **Duties and Responsibilities** +… more
    Acosta Group (10/09/24)
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  • Claims Resolution Specialist

    Acosta Group (Charlotte, NC)
    …Acosta, client and customer policies and procedures. The Claims Resolution Specialist will communicate with internal and external business partners and act ... **DESCRIPTION** The Claims Resolution Specialist is responsible for...quality service to clients and make continuous improvements in claims processing . **RESPONSIBILITIES** + Trains and mentors… more
    Acosta Group (11/21/24)
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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 ... Consult with the Team Lead or Supervisor for complex claims or clarification of business rules. Obtains...Health care or pharmaceutical experience, particularly in a medical claims processing , billing provider, or insurance environment… more
    PSKW LLC dba ConnectiveRx LLC (11/07/24)
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  • Sr. Claims Specialist , Professional…

    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 ... while providing high levels of customer service. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** Claims Management and Processing : + Handle a diverse portfolio of… more
    Sedgwick (11/12/24)
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  • Environmental Claims Specialist

    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 ... preferred. Licenses are required. Professional certification as applicable to line of business preferred. **Experience** Ten (10) years of claims management… more
    Sedgwick (10/29/24)
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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** ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our… more
    Sedgwick (11/06/24)
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  • Medical Coder - Claims Resolution…

    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 for researching...as a part of a team + Basic word processing proficiency. This includes the ability to: insert tables… more
    Prairie Ridge Health (10/13/24)
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  • Content Claims Specialist - Field…

    Crawford & Company (Fort Lauderdale, FL)
    …edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim. + Operating ... with the Company's productivity and performance standards. + Work with Central Claims Processing to organize/direct the resources ( claims assistants,… more
    Crawford & Company (09/20/24)
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  • Claims Specialist - Liab

    Crawford & Company (New Orleans, LA)
    …members of the medical profession and other persons pertinent to the investigation and processing of claims . + Verifies policy coverage for submitted claims ... In Everything We Touch Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents… more
    Crawford & Company (11/13/24)
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  • Specialist , Config Oversight - Remote…

    Molina Healthcare (NY)
    …communicate written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims ... to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system...coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for… more
    Molina Healthcare (11/09/24)
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  • Transportation Claims Specialist

    SpartanNash (Indianapolis, IN)
    …current knowledge of legal regulations, industry trends and best Risk Management/ claims processing practices; make recommendations to improve current programs ... IT developers to vice presidents of finance; from HR Business Partners to export specialists. Each of them plays... process. + Working knowledge in risk management and claims processing + Must have an understanding… more
    SpartanNash (11/22/24)
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  • Content Claims Specialist - In-House…

    Crawford & Company (Atlanta, GA)
    …edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim. + Operating ... which are most commonly caused by theft, water, fire and other perils. + Focusing on the accurate and timely processing of content claims , via the use of… more
    Crawford & Company (11/27/24)
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  • Senior Claims Specialist

    Henderson Brothers Inc. (Pittsburgh, PA)
    POSITION SNAPSHOT + Title: Senior Claims Specialist + Department: Property & Casualty + Location: Pittsburgh, PA + Responsibilities: Manage claim process, ... POSITION DETAILS Expect your typical day as a Senior Claims Specialist to be focused on the...degree or insurance designation preferred + 5+ years of claims processing experience required + CIA, CPCU,… more
    Henderson Brothers Inc. (11/15/24)
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  • Worker's Compensation Claims

    Pacific Seafood (Clackamas, OR)
    …a safe working environment for all team members. As the Workers' Compensation (WC) Claims Specialist , you will be the subject matter expert on the management, ... Responsibilities: + Develop, implement, facilitate, and evaluate workers' compensation claims management programs. + Facilitate all required data collection,… more
    Pacific Seafood (11/07/24)
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  • Specialist II, Freight Expense…

    Sysco (Houston, TX)
    processing . Responsible for and performs any combination of freight cargo claims processing . This includes, but not limited to, evaluating and researching ... JOB PURPOSE:** Responsible for the daily review, audit, and processing of (i) carrier freight invoices and adjustments, and...carrier freight invoices and adjustments, and (ii) freight cargo claims managed by the FECM (Freight Expense & Cargo… more
    Sysco (11/15/24)
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  • Legal Administrative Specialist (Insurance…

    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. ... representatives, including responses on appeals of disputed health benefit claims , benefits regulations, and other program related inquiries. Prepares written… more
    Office of Personnel Management (11/27/24)
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  • Legal Administrative Specialist (Insurance…

    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. ... representatives, including responses on appeals of disputed health benefit claims , benefits regulations, and other program related inquiries. Prepares written… more
    Office of Personnel Management (11/27/24)
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