- MyFlorida (Tallahassee, FL)
- CLAIMS PROCESSING SPECIALIST - 36000292 Date: Oct 28, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 840194 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SPECIALIST - 36000292 Pay Plan: Lottery Exempt… more
- Billings Clinic (Billings, MT)
- …starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Claims Specialist I - CBO (Full-time) ... claims from government and third-party payers. The Claims Specialist is responsible for preparing and...assisting in the implementation of payer regulations and ensuring compliance to the regulatory requirements, and verifying payments and… 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...of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards, and laws applicable to… 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...of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards, and laws applicable to… more
- AIG (Atlanta, GA)
- …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 transformation. It's an ... valued member of the team. Make your mark in Claims Stewardship Our Claims teams are the...you will create an impact The Large Loss Recovery Specialist is responsible for the end-to-end recovery process to… more
- AIG (Atlanta, GA)
- …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 opportunity ... valued member of the team. Make your mark in Claims Our Claims teams are the proven...efficiency. How you will create an impact The Recovery Specialist is responsible for the end-to-end recovery process, including:… 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 ... coding policies and procedures to ensure that the department remains in compliance with specific claims submission rules in order to reduce denied claims .… more
- Zurich NA (Columbus, OH)
- Sr. Claims Specialist - Complex Construction Claims 117562 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join ... team. This role is essential in managing complex, high-exposure construction, and litigation claims , while supporting the New York Labor team to ensure claims … more
- Providence (Mission Hills, CA)
- …etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate to claims ... **Description** The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, per… more
- HUB International (Frisco, TX)
- …solutions that help mitigate exposures and contain costs. **Job Summary** The Sr. Claims Specialist is responsible for helping to oversee the claim's technical ... organization's carrier partners and third party administrators. The Sr. Claims Specialist is involved in the overall...a subject matter expert on all work place injury compliance and acts as a liaison between our clients… more
- Amazon (Nashville, TN)
- …related to accidents and damages involving Amazon's growing transportation fleet. The Fleet Claims Specialist will be focusing on filing, managing and resolving ... units to be advised on as needed (eg, Legal, Risk, Compliance , Loss Prevention). A day in the life Fleet Claims Specialist are part of the ATS Fleet team… more
- CenterLight Health System (Flushing, NY)
- JOB PURPOSE: The Claims Specialist will support department operations related to provider communication, pended claim review, reporting, auditing, and oversight ... activities to ensure compliance with all applicable State, Federal, and contractual guidelines....State, Federal, and contractual guidelines. JOB RESPONSIBILITIES: + The Claims Specialist will be responsible for reviewing… 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)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist Sr - Professional Liability **PRIMARY PURPOSE** : To ... analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate… more
- ICW Group (Pleasanton, CA)
- …to drive claims to an equitable resolution within Company standards. The Claims Specialist works with a sense of urgency, understands insurance coverage ... industry's best practices. + Ensures accuracy of data in claims system for compliance with applicable regulatory reporting. + Provides knowledge transfer across… 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 ... U tilize effective communication and education programs to ensure on-going field compliance with claim reporting requirements and other claims management… more
- 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...and maximum reimbursement. Uses multiple systems to resolve outstanding claims according to compliance guidelines. This role… 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
- Robert Half Accountemps (Allentown, PA)
- Description We are offering a contract to hire employment opportunity for a Claims Specialist in Allentown, Pennsylvania, United States. This role is primarily ... service. The chosen candidate will ensure the accurate, timely processing of claims in compliance with state regulations and company policies and will also be… more
- Integra Partners (Troy, MI)
- JOB OVERVIEW Our Claims Resolution Specialist role is responsible for reviewing Durable Medical Equipment (DME) claims for billing accuracy while maintaining ... In this role, you will ensure work is in compliance with all legal, regulatory, and internal Integra policies...compliance . If you have previous medical billing or claims experience, this role may be of interest as… more