- Travelers Insurance Company (Pittsburgh, PA)
- …heart of our promise to be there when our customers need us most. As a Claim Rep , you will be responsible for managing, evaluating, and processing claims ... to support flexibility. What Will You Do? Provide quality claim handling of Auto claims including customer... handling experience or successful completion of Travelers Auto Claim Representative training program. What Is in… more
- Sedgwick (Columbus, OH)
- …as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... YOU AN IDEAL CANDIDATE? Join our team as a Claims Representative focused on Property Damage and...and RESPONSIBILITIES Processes auto property damage and lower-level injury claims ; assesses damage, makes payments, and ensures claim… more
- IQVIA (Flagstaff, AZ)
- Patient Support Medical Claims Processing ? Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial ... 100% remote (work from home-WFH) contact Patient Support Medical Claims Processing Representative to join our team....claims from HCPs or patients and vetting the claim against program specific business rules to determine if… more
- Sedgwick (Boston, MA)
- …Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Representative (IAP) - Workers Compensation Training Program Are you looking ... disability claims of minimal disability duration under close supervision. Documenting claims files and properly coding claim activity. Communicating claim… more
- Ryder System (St. Paul, MN)
- …claims within Ryder's self-insured, self-administered liability program. Oversees claim -handling processes performed by a professional staff. Handles complex ... superior claim technical skills, past experience handling commercial auto claims and a comprehensive understanding of the related coverages . Superior… more
- Wells Fargo (Charlotte, NC)
- About this role: Wells Fargo is seeking a Fraud & Claims Operations Representative supporting check fraud in Detection Operations as part of Fraud & Claims ... . In this role, you will: Support fraud and claims functional area by proactively identifying opportunities to improve...as sensitive information as a part of resolving a claim Oversee multiple claim types, take appropriate… more
- WellSpan Health (York, PA)
- …tasks. Assists in the completion of submitting electronic and/or manual insurance claims , resolves claim edits, performs insurance account follow-up, researches ... companies via electronic or manual processes and facilitates special billing for split claims , ancillary charges, interim bills, etc.- Resolves Claim edits to… more
- Sedgwick (Eden Prairie, MN)
- …naturally empathic and solution-focused. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Makes claim determinations to approve non-complex disability claims or ... to Work Fortune Best Workplaces in Financial Services & Insurance Disability Representative Disability Representative Our teams connect! We collaborate onsite… more
- Sedgwick (Detroit, MI)
- …to Work Fortune Best Workplaces in Financial Services & Insurance Return-to-Work Representative - bilingual French Must be bilingual- French speaking and able to work ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . Facilitates return-to-work (RTW) and accommodation efforts through negotiation… more
- UnitedHealth Group (Phoenix, AZ)
- …including researching, analyzing, and resolving unpaid Home Delivery Pharmacy medical claims . Positions in this function contact payers to determine reason for ... schedule. Primary Responsibilities: Review open AR and prioritize medical claim activities Develop relationships with payers to obtain ...and accurate follow up activity is performed on all claims that are not paid within 45 days of… more
- CVS Health (Lansing, MI)
- …Fluency in English and Spanish is required. Position Summary Customer Service Representative is the face of Aetna and impacts members' service experience by ... Explains member's rights and responsibilities in accordance with contract. Processes claim referrals, new claim handoffs, nurse reviews, complaints… more
- UPMC (Pittsburgh, PA)
- Job Summary The Account Representative , Senior is responsible for all fiscal functions necessary to ensure the prompt and correct payment to the hospital of all ... insurers and patients. Account Representatives, Senior are responsible to: ensure claims are submitted accurately and timely; communicate with insurance companies,… more
- Highmark Health (Little Rock, AR)
- …dental offices. Formally present and effectively communicate UCD's administrative and claim guidelines and policies, benefits of participation, fee schedules, plan ... ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with… more
- UPMC (Washington, PA)
- …corrective action steps to eliminate future occurrences of denials. Assist in claim appeal process and/or perform follow-up in accordance with Revenue Cycle policies ... html: $component.getFieldValue($data)" id="qualificationInt-value" formfieldid="qualificationInt" Must have 1 year of claims /billing/collections experience; OR 4 years in a business office… more
- Intermountain Health (Oklahoma City, OK)
- …service behavior standards Perform other duties as assigned Skills Insurance Claims Medical Billing Explanation of Benefits (EOB) Translations Reading Billing ... accounting procedures such as debits/credits, required Experience with insurance claim appeals, required Excellent computer skills (including Microsoft Office… more
- Robert Half (Raleigh, NC)
- Description We are looking for a skilled Customer Service Representative to join our team on a long-term contract basis in Raleigh, NC. This role focuses on ... to sales, promotions, installations, and communications. Resolve customer complaints and claims efficiently while ensuring compliance with consumer laws and company… more
- IQVIA (Phoenix, AZ)
- …for a 100% remote (work from home-WFH) contract Pharmacy Support Call Center Representative to join our team. In this position, you will provide payment assistance ... such as co-pay cards or vouchers. The Pharmacy Support Call Center Representative is primarily responsible for fielding requests such as: card activation, program… more
- Humana (Raleigh, NC)
- …where your expertise truly makes an impact! As a Grievances & Appeals Representative , you'll be a go-to problem solver, turning complex challenges into clear ... 4 years of grievance and/or appeals experience. Previous experience processing medical claims . Additional Information Workstyle: remote, work from home or in office.… more
- Robert Half (Manheim, PA)
- Description We are looking for a dedicated Personal Lines Customer Service Representative to join our client in the Lancaster, Pennsylvania area. This role involves ... Personal Lines service inbox. Assist clients with filing auto and home insurance claims and address billing inquiries. Update payment plans and follow up on property… more
- Sanford Health (Fargo, ND)
- …Patient Access Family and Grow the Good! As a Patient Access Representative , your primary responsibility will be providing extraordinary customer service to patients ... registration work queue to address and resolve registration errors or denied insurance claims SCHEDULING Work with nursing team & providers to coordinate & schedule… more
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