- TEKsystems (Englewood Cliffs, NJ)
- …customer contact admin support and overall claims management. The goal of the Claims Operations Specialist is to support the Product Safety Team by ... Care / Legal Position: The primary objective of the Claims Management Specialist is to support Product...teams in Korea occasional evening conference call and SEA operations to manage all possible risks. Pending Claim Management… more
- Citizens (Johnston, RI)
- Description As a Fraud and Claims Sr. Specialist , you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical ... use critical thinking skills to assist customers with existing claims and determine the best next step for the...in the banking industry, including an understanding of banking operations , compliance, and customer service best practices. + Workflow… more
- State of Arkansas (Little Rock, AR)
- …help care for others. Position Information Job Series:Program Operations - Claims Review Classification: Claims Review Specialist Class Code:PCR02P Pay ... CLAIMS REVIEW SPECIALIST Date: Jan 7,... CLAIMS REVIEW SPECIALIST Date: Jan 7, 2026 Req ID: 54816...Grade:SGS03 Salary Range:$39,171 - $57,973 Job Summary The Claims Review Specialist plays a critical role… more
- Zurich NA (St. Paul, MN)
- RCIS Crop Claims Specialist (West or Central MN)... in the facilitation of general day to day operations and claims management. In addition, the ... is currently looking for a or an experienced Crop Claims Specialist to join our Rural Community...Management Agency initiated reviews and referrals for sake of operations integrity and quality assurance. + Protect Zurich's reputation… more
- AIG (Atlanta, GA)
- Claims , Quality Assurance Specialist - Worker's...an exciting time to join us - across our operations , we are thinking in new and innovative ways ... Compensation Join us as a Claims QA Specialist to make more of your specialist ...specialist expertise and experience. Make your mark in Claims . Our Claims teams are the proven… more
- Zurich NA (Indianapolis, IN)
- Workers' Compensation Litigated Claims Specialist (IN/IL) 129136 Zurich North America is seeking a sharp, solutions-driven Workers' Compensation Litigated ... Claims Specialist II to join our high-performing...multi-state experience is essential to effectively support our regional claims operations and drive strong outcomes. In… more
- AIG (Lenexa, KS)
- …reimagining the way we help customers to manage risk. Join us as a Casualty Claims Specialist III to play your part in that transformation. It's an opportunity ... and efficiency. How you will create an impact The Claims Specialist III will handle auto and...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Claims Specialist - Aviation to play your part in that transformation. It's an ... and efficiency. How you will create an impact As Claims Specialist for Aviation Claims ...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- NJM Insurance (NJ)
- NJM's WC Claims Department is seeking an experienced Claims Specialist , Sr. who lives in Western or Central PA to provide on-site service to our ... in the growth and success of our policyholders' business operations . To meet these expectations, WC Claims ...business operations . To meet these expectations, WC Claims Specialists are supported by a dedicated call center… more
- DoorDash (Tempe, AZ)
- …the company's bottom line. The team is divided into three separate subgroups: Actuarial, Claims Operations , and Risk Management & Mitigation. We are looking for ... partners at DoorDash. About the Role We are seeking an experienced claims specialist who will be a member of DoorDash's Corporate Risk & Insurance… more
- Select Medical (Camp Hill, PA)
- **Overview** ** Claims Resolution Specialist ** **Starting at $18.50 per hour** **ON-SITE** Do you enjoy puzzles and research? Are you results-oriented? If so, our ... Claims Resolution Specialist position may be a...write off requests and refund requests. + Notify database operations of changes or additions to specific payor, plan,… more
- Marriott (Bethesda, MD)
- …The Claims Support Specialist will provide administrative support for Claims Operations , including daily assignment of international claims , document ... handling, mail routing and check processing. The Claims Support Specialist reports to the Sr. Director, Global Claims and interacts with our customers and… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not ... the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr....on financial ability and forecasting for small to large Operations Management + Collaborate system and data configuration into… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Cross and Blue Shield of Minnesota Position Title: Technical Specialist Claims Location: Remote Career Area: Customer Service/ Operations About Blue Cross and ... and mentoring along with coordination, development, and delivery of claims specific training for claims operations staff. This position is responsible for… more
- Mass Markets (Killeen, TX)
- …companies in the USA, with a strong call center footprint and operations that extend across multiple countries. We deliver Customer Experience (CX), Business ... industry-leading organization. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong critical… more
- Providence (Mission Hills, CA)
- …years of experience of acquired in-depth technical knowledge of functional area ie, claims operations , HMO products, industry claims processing procedures, ... **Description** Working under the general supervision of the Claims Director, provide an effective education program to...to advance the quality and production level of the Claims Department by developing and delivery claims … more
- Agile Cold Storage (Claymont, DE)
- Position Overview: The Billing and Claims Specialist will be responsible for managing all aspects of customer billing, including preparing invoices, reconciling ... and customers. + Maintain accurate and organized billing and claims records. + Collaborate with operations and sales teams to ensure proper billing for services… more
- Insight Global (Tempe, AZ)
- Job Description The Claims Production Representative is responsible for accurately reviewing, processing, and adjudicating health insurance claims in compliance ... experience in any of the following areas: data analytics, provider data, claims processing, broker commissions, eligibility and billing * Must be within healthcare… more
- Pacific Medical Centers (Renton, WA)
- …or equivalent experience in Health Care Business Administration. + 2 years in Managed Care operations . + 1 year of Claims processing experience, in a TPA, MSO, ... **Description** Adjudicates claims submitted by outside purchased services for PMC's...enrolled capitated population and communicates those actions. Adjusts complex claims for advanced processing needs. Responds to Customer Service… more
- TEKsystems (Parkersburg, WV)
- Description Position Summary: Under moderate supervision, performs basic claims /zone support activities. Duties and Responsibilities: Performs support and ... a working knowledge of policies and procedures, verifies and provides claims information, and offers initial services. Assists personnel with various activities… more
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