- City of New York (New York, NY)
- … claims and address 3rd Party No-Fault Arbitrations; 4) Set up No-fault claim files which includes issuing and processing NF2 application, confirming the ... to gather information relevant to the investigation of the claim ; 11) Investigate, identify, and report fraudulent claims... claim ; 11) Investigate, identify, and report fraudulent claims , utilize statistical data to identify claims … more
- Crawford & Company (Boise, ID)
- …knowledge of computer entry and operations. + Demonstrates a thorough working knowledge of claim processing and claim policies and procedures. + Demonstrates ... Touch Position Summary Under direct supervision, processes medical only claims within authority, processes other claims open...issues (indemnity, legal, etc.) have been settled and the claim is only open for payment of medical benefits… more
- IQVIA (Phoenix, AZ)
- **Experienced Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of ... 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team....+ High School Diploma or equivalent + Experience in claim processing required + Medical Billing Certification… more
- Sedgwick (Bartlesville, OK)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Travelers Insurance Company (Anchorage, AK)
- …internal and/or external resources for specific activities required to effectively resolve claims . + Maintain and document claim file activities in accordance ... Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is… more
- CVS Health (Columbus, OH)
- …in training / graduate in good standing will move to $18.50. Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit ... and retention by providing accurate and timely resolution in processing medical claims . You will be a...Ability to use multiple computer applications at one time. Claim processing experience. **Desired qualifications** We are… more
- Sedgwick (Columbus, OH)
- …while providing high levels of customer service. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** Claims Management and Processing : + Handle a diverse portfolio of ... + Calculate and assign timely and appropriate reserves to claims ; monitor reserve adequacy throughout claim life. + Refer cases as appropriate to supervisor and… more
- Providence (Mission Hills, CA)
- …in medical/institutional claims examining within a medical group/IPA setting claim processing experience. + 2 years experience in a medical/institutional ... of staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include reporting… more
- Travelers Insurance Company (Charlotte, NC)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site...mail. Orders, receives and distributes supplies and/or equipment. + CLAIM PAYMENTS AND EXPENSE PROCESSING : Ensures the… more
- System One (Cincinnati, OH)
- …job Education, Experience, Location and Availability: + High school diploma is required + Related claims set up, claims processing or claims operations ... ClaimCenter, OpsNow, Maven, Outlook, and FNOL to track workload, finalize claims , manage activities, confirm claim information, and remain organized… more
- Sedgwick (Pasadena, CA)
- …under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim action/ processing with claimant and ... only claims . + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal… more
- Sedgwick (Houston, TX)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Samsung SDS America (Plano, TX)
- …all available carriers. + Communicate and build relationships with partner carriers to streamline claim processing . + Monitor claims sent to Cello to ensure ... preferred (High School Diploma Required) + 2+ years of Logistics Freight Claims Processing experience required. + Excellent verbal and written communication… more
- CGI Technologies and Solutions, Inc. (Albany, NY)
- **Business Claims Processing Specialist** **Category:** Administration **Main location:** United States, New York, Albany **Position ID:** J1024-0536 ... in the provision of affordable housing has an opening for a Business Claims Processing Specialist in Albany, NY. This is an opportunity to join an energetic… more
- The Hartford (Hartford, CT)
- …a motivated, positive individual to join our claims team as a Marine claim adjuster Specialist. Responsible for maintaining and processing Marine claims . ... to ensure the highest level of customer service. + Claims Processing and Administration. + Investigation and...vendors to ensure service quality. + Reviews and analyzes claim reports to identify and address trends. + Develops… more
- CVS Health (Scottsdale, AZ)
- …-Working within turnaround times to meet client performance guarantees for claims processing . -Meeting productivity and accuracy standards **Required ... include: -Outbound calls to Members and/or Providers for verification of information - Processing and adjudicating paper claims . -Maintaining integrity of … more
- Sedgwick (Milwaukee, WI)
- …FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files are ... and pursues subrogation opportunities; secures and disposes of salvage. + Communicates claim action/ processing with insured, client, and agent or broker when… more
- Access Dubuque (Dubuque, IA)
- Claims Processing Representative **Grand River Medical Group** 1 Positions ID: 1384666 Posted On 12/23/2024 **Job Overview** ** Claims Processing ... options available Grand River Medical Group is seeking an experienced Claims Processing Representative to join our Revenue Cycle Team. You will provide… more
- CVS Health (Phoenix, AZ)
- … processing guidelines. May be required to learn multiple Medicaid plans. Medical claims processing experience is a basic requirement. * Works to research and ... issues and any other irregularities. **Required Qualifications** 2 years Medical Claims processing experience (Commercial, Medicaid, Medicare, etc.) Experience… more
- City of New York (New York, NY)
- …New York, and has a wastewater conveyance and treatment system capable of processing over 1.3 billion gallons of wastewater per day to protect the environment ... is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office....BLA is seeking qualified candidates for the position of Claim Specialist 2 in the Litigation Support Unit. This… more
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