- Novo Nordisk Inc. (Plainsboro, NJ)
- …performance trends and provides recommendations and insights to management Identifies missing claims data and works with customers in gathering and obtaining this ... processing Reviews and recommends contract language to management Formats incoming claims data (received on tape, diskette, etc.) from contract customers;… more
- BioAgilytix (Durham, NC)
- …ensure cost-effective and competitive benefits offeringsMonitor and manage benefits enrollment, claims data, and compliance with applicable lawsOversee the ... will include:Develop, review, and update total rewards policies and proceduresEnsure compliance with federal, state, and local regulations related to compensation… more
- Cedars-Sinai (CA)
- …Procedures (SOP) associated with Managed Care Operations ( Claims Adjudication and Claims Compliance ). The Training Specialist performs claims ... America's Best Hospitals. **What will I be doing in this role?** Training Specialist is responsible for reviewing, training, and assisting in developing all relevant… more
- Sedgwick Government Solutions (Dublin, OH)
- Job Details Claims Specialist Appeals (Remote) - 2025-1407 Strong Internal Dublin, OH, USA Client Services Full Time Description **Overview** The Claims ... and facilitates ongoing support for Sedgwick Government Solutions (SGS) Claims Operations. Responsibilities include assessing and handling appeals; serves as… more
- Billings Clinic (Billings, MT)
- …four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more! Claims Specialist I (Full-time) PATIENT FINANCIAL SERVICES ... 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 (I/II/Sr.). 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
- Zurich NA (Phoenix, AZ)
- Sr. Claims Specialist , Workman's Compensation 119565 Zurich North America is seeking an experienced Senior Claims Specialist in Workers' Compensation to ... residing in California or Arizona. The Senior Workers' Compensation Claims Specialist will manage multi-party commercial ... claims files by accurately capturing and updating claims data and information, ensuring compliance with… more
- Equitable (Charlotte, NC)
- Claims Training & Process Specialist - Employee Benefits (Group Insurance Claims Experience Required) ( 2500002F ) **Primary Location** : UNITED ... that will help unlock your potential? Equitable is seeking an influential and dynamic Claims Training & Process Specialist to join our Disability and Absence … more
- Zurich NA (Springfield, IL)
- RCIS Crop Claims Specialist - IL (Lawrence, Richland, Clay, Jasper, or Crawford Counties) 120993 Zurich is currently looking for a RCIS Crop Claims ... we protect America's farmers and ranchers. The RCIS Crop Claims Specialist will work out of the...location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a… more
- ICW Group (Philadelphia, PA)
- …members with opportunities to contribute, develop, and belong. **PURPOSE OF THE JOB** This Claims Specialist is responsible for handling complex claims with ... to an equitable resolution within Company standards. The Claims Specialist works with a sense of...industry's best practices. + Ensures accuracy of data in claims system for compliance with applicable regulatory… more
- Dignity Health (Bakersfield, CA)
- …Other benefits include Paid Time Off and Sick Leave. **Responsibilities** The Claims Quality Specialist is responsible for ensuring the accuracy and ... improve overall claims accuracy and efficiency. The Claims Quality Specialist will work closely with... Research colleague and other team members to enhance claims processes and ensure compliance with regulatory… more
- Sunlighten (Leawood, KS)
- …sauna therapy, we are expanding rapidly and need a meticulous and cross-functional Claims and Commission Specialist with a solutions-oriented mindset to keep ... Sunlighten on this incredible trajectory. Our Claims and Commission Specialist will work closely...commissions for Sunlighten's Sales Representatives, the efficient resolution of claims and disputes, and ensure compliance with… 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
- Cushman & Wakefield (Chicago, IL)
- **Job Title** Sr. Liability Claims Specialist **Job Description Summary** Cushman & Wakefield is seeking a Sr. General Liability Claims Specialist who ... overseeing and managing a portion of Cushman & Wakefield's US general liability claims portfolio. Reporting to the America's Risk Manager, the role is responsible… more
- Zurich NA (Schaumburg, IL)
- Litigated Claims Specialist , General Liability (Schaumburg, IL) 117036 At Zurich North America Claims , we recognize that work-life balance and flexibility ... **About the Role:** Zurich is seeking a dedicated Litigated Claims Specialist to join our team. In...location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a… more
- Zurich NA (Maitland, FL)
- Sr. Claims Specialist , Workman's Compensation 119391 Zurich North America is looking for an exceptional Senior Workers' Compensation Claims Specialist to ... Responsibilities:** + Document claims file by accurately capturing and updating claims data/information in compliance with best practices for single and… more
- Zurich NA (Schaumburg, IL)
- General Liability Claims Specialist I 118171 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... our General Liability team. As a General Liability (GL) Claims Specialist , you will work with a...location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a… more
- ICW Group (San Diego, CA)
- …members with opportunities to contribute, develop, and belong. **PURPOSE OF THE JOB** This Claims Specialist is responsible for handling complex claims with ... to an equitable resolution within Company standards. The Claims Specialist works with a sense of...industry's best practices. + Ensures accuracy of data in claims system for compliance with applicable regulatory… more
- The Hartford (Coral Gables, FL)
- …Location: Miami, FL (In-Office-Hybrid Schedule) Job Description: We are seeking a Major Claims Specialist - Latin American Financial Lines to handle large and ... Claims Consultant FL - CV07GE We're determined to... TPAs and external providers as required. + Ensure compliance with all regulatory and statutory requirements related to… more
