- Rady Children's Hospital San Diego (San Diego, CA)
- …of the Manager Professional Billing & Coding, the Billing & Collections Representative II (BCII) is responsible for the resolution of all outstanding balances ... payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid claims by… more
- New York State Civil Service (Albany, NY)
- …State NY Zip Code 12206 Duties Description Under the general supervision of a Claims Services Representative 2 responsibilities include, but are not limited ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/ 2...Representative DB Trainee 2 , Underwriter Trainee 2 ; OR* Five years of experience* processing … more
- EquipmentShare (St. Louis, MO)
- Future Claims Representative Opportunities at EquipmentShare! EquipmentShare is accepting applications for a future Claims Representative in the St. ... real-time support, and a team that truly cares. We're accepting applications for a future Claims Representative role at our rental facility in St. Louis, MO, and… more
- Commonwealth of Pennsylvania (PA)
- State Workers' Insurance Fund Claims Representative - Bilingual (Spanish) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5164557) Apply ... State Workers' Insurance Fund Claims Representative - Bilingual (Spanish) Salary $45,907.00...Work involves completing an investigation for reported incidents or claims and processing acceptance or denial within… more
- Sedgwick (Marlton, NJ)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Liability Claims Representative | Marlton, NJ **Are you looking for an opportunity ... NJ** **Hybrid schedule** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Sedgwick (Rochester, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers' Compensation Claims Representative | NY Lost-Time Experience | NY Licensing **Are ... Syracuse, NY** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to...timely manner. **QUALIFICATIONS** + Education & Licensing: 1 - 2 years of claims management experience or… more
- Sedgwick (Cincinnati, OH)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Liability Claims Representative | Licensing required | Blue Ash, OH (Hybrid Schedule) ... **37.5 hour work week** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate and… more
- NTT DATA North America (Plano, TX)
- …as part of an overall sourcing strategy. NTT DATA currently seeks a Remote **Medical Claims Representative ** to join our team in **for a remote position** . This ... is a US based, W- 2 project. All candidates will be paid through NTT...**Required Skills/Experience** + 1+ year(s) hands-on experience in **Healthcare Claims Processing ** + **Previously performing - in… more
- IKO (Kankakee, IL)
- …you! Job Description Reporting to the Warranty Claims Manager (US) , the Warranty Claims Representative is a key position within our team. You will be the ... listen, solve problems, answer questions and work to bring claims to conclusion. WHEN YOU JOIN US YOU WILL...Ad hoc projects OUR IDEAL CANDIDATE + Minimum of 2 years of previous call center or customer service… more
- Kelly Services (Myrtle Beach, SC)
- …Great opportunities are right here in your backyard. Kelly(R) is looking for a Claims Customer Service Representative to work at a premier organization in Myrtle ... - $23 Why you should apply to be a Claims Customer Service Representative : + Competitive pay...based on organizational policies and procedures. + Identifying and processing adjustments for incorrectly processed claims according… more
- Sedgwick (Sacramento, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigated Claims Manager | Staff Attorney | Public Entity Pooling | Hybrid Are you ... work, your location, and your career path. **Hybrid** setting 2 days in the Sacramento, CA Sedgwick office, and...8+ years of experience collaborating with outside counsel and claims examiners to oversee litigated claims ? Have… more
- Zodiac Pool Systems (Carlsbad, CA)
- Order Processing Representative I Customer Service Carlsbad, California Apply Description Fluidra is looking for an Order Processing Representative I to ... inquires and issues. + Basic customer service skills including processing order requests via email and fax. + Submits...judgment to help determine the validity of a customer claims . + Good written and pleasant verbal communication skills.… 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 policyholders ... This is a 100% remote position which includes virtual claims handling for customers in any area of PA...+ 5+ years' experience as a Workers' Comp Claim Representative , or comparable knowledge and experience with various aspects… more
- Pike Corporation (Mount Airy, NC)
- …internal knowledge base. + Handles multiple functions related to business operations, claims processing , and office workflows. + Recognizes and resolves basic, ... in a corporate environment + Customer Service experience + 2 years of claims experience preferred +...GED Physical Demands The physical demands described here are representative of those that must be met by an… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …change from time to time. 1. Manage the supervision and coordination of the claims department and staff. 2 . Organize and disseminate information that affects the ... functions. 1. College degree with a concentration in business or equivalent work experience 2 . Five years of Claims handling experience, with one year of… more
- University of Washington (Seattle, WA)
- …UW Medicine Faculty Practice Plane Services has and outstanding opportunity for a ** Claims Specialist (Patient Account Representative 2 ).** This position is ... claims review, clearing claim edits, and timely and accurate submission of claims (both electronic and paper) **WORKING SCHEDULE:** + Monday - Friday, Full-time +… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …financial field or equivalent healthcare experience Preferred: Type of Experience Required: 2 + years of claim processing experience with a Medicaid/Medicare ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- State of Minnesota (St. Paul, MN)
- **Working Title: Senior Investigator - Pharmacy** **Job Class: Human Services Program Representative 2 ** **Agency: Human Services Dept** + **Job ID** : 90721 + ... laws and requirements that allow for making and/or denying payment of claims adjudicated the Medicaid claims processing system. + Understanding of claims … more
- Sedgwick (Southfield, MI)
- …Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims . **ARE YOU AN IDEAL CANDIDATE?** We are looking ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative **Disability Representative ** **Our teams connect! We collaborate in… more
- LA Care Health Plan (Los Angeles, CA)
- …One (1) inquiries, this includes but not limited to, general inquiries on claims processing and status and eligibility verification. In addition, this position ... this includes (but not limited to): general inquiries on claims processing , payment status and appeal and...request/issue; Resolution information or escalation steps. Escalate Level Two ( 2 ) provider concerns to the Claims Department… more
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