- CVS Health (Jacksonville, FL)
- …measures to assist in the claim adjudication process. Routes and triages complex claims to Senior Claim Benefits Specialist . Proofs claim or ... **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Demonstrated… more
- City of New York (New York, NY)
- …New York employees serving in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent civil service title on ... Law & Adjustment is responsible for investigating and adjusting claims filed for and against the City of New...in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent… more
- CVS Health (St. Paul, MN)
- …personal, convenient and affordable. **Position Summary:** In this position the Senior Claim Benefit Specialist will reviews and adjudicates complex, sensitive, ... and/or specialized claims in accordance with claim processing guidelines....May handle customer service inquiries and problems. Reviews pre-specified claims or claims that exceed specialist… more
- CVS Health (Jacksonville, FL)
- …written correspondence related to claim processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim ... and affordable. **Position Summary** * Reviews and adjudicates routine claims in accordance with claim processing guidelines....and adjudicates routine claims in accordance with claim processing guidelines. * Analyzes and approves routine … more
- Travelers Insurance Company (Irvine, CA)
- …and other complex claims . Attempt to resolve through innovative and expert claim management. This work may include: Remains out of work and unlikely to return ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...is no longer available. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical treatment… more
- Billings Clinic (Billings, MT)
- …four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more! Claim Specialist I (Full-time) PATIENT FINANCIAL SERVICES ... 80 hours (Non-Exempt) Starting Wage DOE: 15.00 -17.25 The Claim Specialist 's main focus is to obtain...claims from government and third party payers. The Claims Specialist is responsible for preparing and… more
- Travelers Insurance Company (Franklin, TN)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site… more
- Axis (Red Bank, NJ)
- …is available upon request for candidates taking part in the selection process. Claims Specialist - EPL/Ancillary Key Duties and Responsibilities: Excels in best ... practices claim environment, thoroughly documenting the claim process...coverage. Timely makes recommendations regarding resolution strategy for such claims including reserve adequacy; executes such strategy on behalf… more
- CRC Insurance Services, Inc. (MN)
- …and makes recommendation for additional activity as appropriate. 4. Determine where new loss claims should be reported. 5. Manage all claim documentation. 6. Use ... information and/or correspondence to the Agent or Insurer to process claims appropriately. 7. Analyze claim coverage with insurance carriers to ensure claims … more
- City of New York (New York, NY)
- Job Description PLEASE NOTE ALL CANDIDATES MUST BE PERMANENT IN THE CLAIM SPECIALIST CIVIL SERVICE TITLE IN ORDER TO BE CONSIDERED. The NYC Department of ... 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 in the Litigation Support Unit.… more
- City of New York (New York, NY)
- …York City Comptroller's Office. BLA is seeking qualified candidates for the position of Claim Specialist 2 in the Litigation Support Unit. This position, with ... is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office....well as other DEP personnel, to provide litigation and claim support. The candidate will perform various types of… 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 ... evaluate the claim and implement an action plan to manage the claim . The Claims Account Specialist will work with and communicate to NJM policyholders,… 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...outlining and recommending an action plan to manage the claim . The Regional Claim Specialist … more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined to... Claim Specialist is the highest claim handling designation within the Complex Claims Unit ... to manage, and can involve higher exposures. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to...timely manage all aspects of the most complex, high-value claims exhibiting a detailed knowledge of each claim… 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 ... investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and timely… 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** ... investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and timely… more
- BrightView (Blue Bell, PA)
- Job Summary + The AL/GL Claims Specialist is a key member of the risk management team and has responsibility for directly investigating and settling in-house ... claims and oversight of Third-Party Administrator Claims . This role formulates and executes claim ...Administrator Claims . This role formulates and executes claim investigation and settlement strategies and ensures that subcontractors… 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 PROVISIONALLY IN THE ELIGIBILITY SPECIALIST TITLE… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As an Electronic Claim /Remit Specialist at LogixHealth, you will work with internal teams to provide services that ... will bring your expertise to ensure timely filing of insurance carrier claims , bank file retrieval, statement processing, accurate Explanation of Benefits (EOB)… more
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