- Merck & Co. (North Wales, PA)
- Job Description Overview: As a Senior Specialist in Business Analytics and Insights at our Company's HHDDA, the successful candidate will play a pivotal role in ... that address key business questions aligned with business priorities. The Senior Specialist will also measure the impact of promotional programs and provide… more
- Eisai, Inc (San Diego, CA)
- …want to hear from you. Job Summary The Sr. Oncology Sales Specialist is responsible for meeting/exceeding sales goals through promoting Oncology therapeutic products ... assigned territory in a compliant and appropriate manner. The Oncology Sales Specialist represents and promotes assigned brand(s) in the oral markets with approved… more
- Eisai, Inc (Louisville, KY)
- …want to hear from you. Job Summary The Senior Oncology Sales Specialist is responsible for meeting/exceeding sales goals through promoting Oncology therapeutic ... territory in a compliant and appropriate manner. The Senior Oncology Sales Specialist represents and promotes assigned brand(s) in the oral markets with approved… more
- City of New York (New York, NY)
- …for four (4) Eligibility Specialists level II to function as a Claims Review Specialist , who will: - Review, process, determine and/or establish cases ... Job Description YOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR...enhanced by the addition of the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP-CR). SNAP-CR establishes SNAP claims… more
- AON (NY)
- Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your ... an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan...and policies. #li-am4 2544705 Aon is looking for a Claims Specialist II Do you have experience… more
- Randstad US (East Syracuse, NY)
- claims specialist . + east syracuse ,...program, and 401K contribution (all benefits are based on eligibility ). This posting is open for thirty (30) days. ... administrative support occupations + referenceAB_4640803 job details We are looking for a Claims Specialist in East Syracuse, New York 13057. As a Claims … more
- City of New York (New York, NY)
- …employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE YOUR CURRENT ... Bureau of Law and Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York. BLA investigates and, when… more
- Providence (OR)
- **Description** Providence Health Plan is calling an Associate Claims Specialist , Medicaid who will process claims for members, providers, and employers. ... best people, we must empower them._** **Providence Health Plan is calling an Associate Claims Specialist , Medicaid who will:** + Process claims for members,… 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 complex or problem claims or insurance types as… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY ... SPECIALIST TITLE YOU MUST TAKE AND PASS THE ELIGIBILITY SPECIALIST CIVIL SERVICE EXAM WHEN IT...lifts SNAP sanctions. SNAP-CR is recruiting for six (6) Eligibility Specialists IIs to function as a Claims… more
- Henderson Brothers Inc. (Pittsburgh, PA)
- POSITION SNAPSHOT + Title: Senior Claims Specialist + Department: Property & Casualty + Location: Pittsburgh, PA + Responsibilities: Manage claim process, ... POSITION DETAILS Expect your typical day as a Senior Claims Specialist to be focused on the...gender identity or expression, national origin, age, military service eligibility , veteran status, sexual orientation, marital status, physical or… more
- Magellan Health Services (Maryland Heights, MO)
- …Suite, specifically Excel. Ability to simultaneously maneuver through various computer claims and eligibility platforms while verifying information while on ... talk time). Comfortable adapting to change. General Job Information Title Claims Resolution Specialist Grade 20 Work Experience - Required Claims , Customer… 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...prior to offset to include, but not limited to, eligibility , COB, SOC and DRG requests. + Enters and… more
- CVS Health (St. Paul, MN)
- …handle customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication ... affordable. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
- MetLife (Aurora, IL)
- …whether to suspend, terminate, or pay claims . . Updates current claims records (inputs data). . Evaluates claimant eligibility via information received ... exemplary customer service by processing group disability income insurance claims in a timely and accurate manner. Principal Responsibilities:...long-term disability (LTD) claims . . Determines… more
- Social Security Administration (Moss Point, MS)
- …to obtain, clarify and verify information about initial and continuing eligibility for retirement, survivors, disability health insurance benefits and eligibility ... by SSA; and use state of-the-art technology to access and update claims information. Requirements Conditions of Employment Qualifications Applicants must have 52… more
- Social Security Administration (Birmingham, AL)
- …of the listed duty location and from eligible military spouses. Responsibilities Claims Specialists conduct interviews with the public to obtain, clarify, and verify ... information about initial and continuing eligibility for retirement, survivors, disability, health insurance benefits, and eligibility for supplemental security… more
- TEKsystems (Fresno, CA)
- …benefits to members, IPA/HMO providers and non-IPA providers. 2. Verifies member eligibility . 3. Resolves member/provider claim issues. 4. Resolves issues with HMO ... provider/subscriber representatives. 5. Logs member ER visits in the UR computer file. 6. Fields, researches and analyzes member-generated inquiries. 7. Communicates, as needed, including verbal and written to representatives and supervisor. 8. Develops… more
- Allied Universal (Los Angeles, CA)
- …red flags that suggest fraudulent behavior In relation to an Insurance claim. The Claims / SIU Specialist must use their extensive knowledge of Insurance ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate… more
- UNUM (Portland, ME)
- …Paid Leave Specialist , STD Benefits Specialist Trainee, Associate Leave Specialist , Eligibility Specialist and Associate Life Event Specialist . ... for candidates to fill various roles related to managing leave requests and disability claims . When you apply, you'll be considered for positions such as Integrated… more
