- BrightSpring Health Services (Taunton, MA)
- …part of a team that's dedicated to enhancing patient care through meticulous claims management and customer service. What We Offer: + DailyPay + Flexible ... PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready...on Service Excellence: Our mission is to provide top-quality care and outstanding customer service to hospitals,… 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 ... necessary. #LI-NH1 # claims #property #subgoration #claimsprofessionals Enjoy benefits that take care of what matters At AIG, our people are our greatest asset.… 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 ... Description At Amazon, we're working to be the most customer -centric company on earth. To get there, we need...Compliance, Loss Prevention). A day in the life Fleet Claims Specialist are part of the ATS… more
- BrightSpring Health Services (Uniondale, NY)
- Our Company PharMerica Overview Make the Move to PharMerica- Claims Specialist Opportunity! Ready to take your pharmacy experience to the next level? PharMerica ... is looking for enthusiastic individuals to join our team as Claims Specialists in a closed-door, non-retail setting. This is the perfect chance to step out of retail… more
- Sedgwick (San Diego, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Professional Liability (Medical Malpractice) **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult long term care and medical malpractice claims ; to provide...the total claim costs while providing high levels of customer service. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and… 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 ... RESPONSIBILITIES: Responsible for reviewing medical claims prior to submission and following up on more...identified performance problems. + Educates physicians and other health care practitioners to improve accuracy of chart coding; advises… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …/job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834382591) Share on News Feed LocationUS-NJ-Whippany ID2024-2471 Category Customer Service Position Type Full ... Overview The Claims Specialist , under the direction of...care or pharmaceutical experience, particularly in a medical claims processing, billing provider, or insurance environment + Knowledge… more
- MetLife (Bloomfield, CT)
- …lives of our customers and our communities. The Senior Long Term Disability (LTD) Claims Specialist evaluates long term disability insurance claims in ... and within prescribed time service standards. In this role, the Senior LTD Claims Specialist is required to exercise independent judgment, critical thinking… more
- Sedgwick (Moline, IL)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Complex General Liability Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or ... Taking care of people is at the heart of...technically difficult General Liability claims ; to provide resolution of highly complex nature and/or… more
- Molina Healthcare (NM)
- …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, ... notification and supporting documentation such as explanation of benefits, claims and attachments. + Maintains and reconciles department reports...work experience + Minimum of 1 year experience in customer service + Minimum of 1 year experience in… more
- CVS Health (St. Paul, MN)
- …customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Modernizing Medicine (Boca Raton, FL)
- …on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where ... across the US. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient… more
- MetLife (Cary, NC)
- …Experience and Technical Skills: Required: * 5+ years of LTD/IDI Insurance Claims experience with excellent customer service skills proven through internal ... * Independently manage an assigned caseload of the most complex claims which consists of pending, ongoing/active and appeal reviews. Provides timely,… more
- Guidehouse (San Antonio, TX)
- …+ Account Review + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & CMS 1500 + Complete all business-related ... setting. **What Would Be Nice To Have** **:** + Has active understanding of healthcare claims appeal process + UB-04 / CMS 1500 background + PC skills in a Windows… more
- AIG (Atlanta, GA)
- …Accurate and consistent policy interpretation What you will need to succeed + Basic specialist knowledge in LoB technical claims topics + Policy language skills ... Make your mark in Claims Our Claims teams are the...internal and external stakeholders. Provide a high standard of customer service and adherence to legal and regulatory requirements.… more
- AIG (Atlanta, GA)
- …revise, and maintain appropriate Recovery Best Practices, including facilitating Salvage specialist recovery process training. + Collaborate with Claims to ... may have an impact on recovery results. + Provides customer service assistance to outside organizations and AIG Claim...We would love to hear from you. #LI-AIG #claimsprofessionals # claims #ClaimsSalvage Enjoy benefits that take care … more
- AIG (Atlanta, GA)
- … strategy + Participate in client reviews Technical Skills and Expertise: + Good specialist knowledge in Marine Cargo technical claims topics + Policy language ... to manage risk. Join us as the Marine Cargo Claims Team Lead - North America to play your...watchful for, identify and recommend opportunities for process and customer service improvements in the handling / management of… more
- Baptist Memorial (Memphis, TN)
- …assistance/continuing education + Employee referral program Job Summary: Position: 11823 - Specialist - Customer Care II Facility: BMH - Central Business ... Summary Responsible for daily customer inquiries from internal and external customers to...to completion. Responsible for the daily completion of both claims edit, denial, and no response billing functions for… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist...provider complaint and appeals issues, including eligibility, access to care , claims , benefit, and quality of … more
- Southern Company (Naperville, IL)
- Join Nicor Gas, a Southern Company subsidiary, as a Customer Care Specialist in a unionized environment! If you are professional, energetic and ready to ... possible after 6 months of employment.** **Job Summary:** The Customer Care Specialist will handle...customer requests or inquiries concerning services, products, billing, claims , and reports problem areas. + Offer solutions and… more
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