• Claims Processing Specialist

    MyFlorida (Tallahassee, FL)
    CLAIMS PROCESSING SPECIALIST - 36000292 Date: Oct 28, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 840194 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SPECIALIST - 36000292 Pay Plan: Lottery Exempt Serv… more
    MyFlorida (10/29/24)
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  • Business Processing Specialist

    CGI Technologies and Solutions, Inc. (Cleveland, OH)
    …(HUD) to assist in the provision of affordable housing has an opening for a Claims Processing Specialist . The successful candidate will work directly with ... and general business skills. **Your future duties and responsibilities:** The Claims Processing Specialist is responsible for managing a portfolio of… more
    CGI Technologies and Solutions, Inc. (10/08/24)
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  • Senior Claims Benefit Specialist

    CVS Health (St. Paul, MN)
    …- Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, ... and affordable. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as… more
    CVS Health (10/30/24)
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  • Workers Comp- Regional Claims

    NJM Insurance (Trenton, NJ)
    NJM's Workers' Compensation Claims Team is seeking a Regional Claims Specialist . This is a full-time position and offers a hybrid schedule after training. ... The Regional Claims Specialist will be responsible for contacting...WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II -… more
    NJM Insurance (09/24/24)
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  • Claims Account Specialist (I/II/Sr.)

    NJM Insurance (Hammonton, NJ)
    …including basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II - 3-5 years' experience as a ... Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a...WC Law, medical terminology, and utilization of an automatic claims processing system. + Sr Level -… more
    NJM Insurance (11/01/24)
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  • Claims Specialist

    BrightSpring Health Services (Taunton, MA)
    Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key...office environment for those who are willing to learn claims , billing and insurance processing . Pharmacy Technician… more
    BrightSpring Health Services (09/13/24)
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  • Pharmacy Claims Specialist

    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 ... that's a big plus! + Learn essential skills in claims processing while being part of a...for a minimum of 7 business days. Responsibilities TheClaims Specialist - 3rd Party: + Manages and identifies a… more
    BrightSpring Health Services (09/03/24)
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  • Claims Specialist

    CenterLight Health System (Flushing, NY)
    JOB PURPOSE: The Claims Specialist will support department operations related to provider communication, pended claim review, reporting, auditing, and oversight ... State, Federal, and contractual guidelines. JOB RESPONSIBILITIES: + The Claims Specialist will be responsible for reviewing...Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor + Attends JOC meetings… more
    CenterLight Health System (10/15/24)
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  • Claims Resolution Specialist

    Acosta Group (Dallas, TX)
    …provide high quality service to clients and make continuous improvements in claims processing . **RESPONSIBILITIES** **Duties and Responsibilities** + Processes ... **DESCRIPTION** The Claims Resolution Specialist is responsible for...procedures for assigned clients and adheres to them when processing claims + Uses advanced problem solving… more
    Acosta Group (10/09/24)
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  • Recovery Specialist , Large Loss…

    AIG (Atlanta, GA)
    …guidelines and authority, indemnity and legal payments through the appropriate Claims Processing Systems. + Forecasts potential recoveries and updates ... way we help customers to manage risk. Join us as a Recovery Specialist , Large Loss - Claims to play your part in that transformation. It's an opportunity to grow… more
    AIG (08/16/24)
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  • Claims Recovery Specialist

    AIG (Atlanta, GA)
    …guidelines and authority, indemnity and legal payments through the appropriate Claims Processing Systems. + Forecasts potential recoveries and updates ... 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 to grow… more
    AIG (08/16/24)
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  • Claims Review Specialist

    City of New York (New York, NY)
    …is recruiting for four (4) Eligibility Specialists level II to function as a Claims Review Specialist , who will: - Review, process, determine and/or establish ... Job Description YOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST TITLE… more
    City of New York (09/22/24)
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  • Claims Specialist

    Randstad US (Earth City, MO)
    claims specialist . + earth city , missouri +...and resolve within the agreed upon Service Levels Skills + Claims Processing + Claims + Medical ... to join a growing team located in Earth City, MO, 63045. The claims specialist will be responsible for working with internal and external partners to help… more
    Randstad US (10/16/24)
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  • Workers Compensation Claims

    Extra Space Storage (Salt Lake City, UT)
    We are seeking a highly detail-oriented Workers Compensation Claims Specialist with 1-2 years of experience in risk management or insurance claims handling. ... processing of workers' compensation, general liability, and auto claims disputes and closures. + Collaborate with third-party administrators, insurance brokers,… more
    Extra Space Storage (10/16/24)
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  • Claims Specialist Sr - Professional…

    Sedgwick (Columbus, OH)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist Sr - Professional Liability **PRIMARY PURPOSE** : To ... analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate… more
    Sedgwick (10/30/24)
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  • Claims Specialist , Professional…

    Sedgwick (Columbus, OH)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist , Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** ... + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages… more
    Sedgwick (10/22/24)
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  • Claims Specialist Sr - Professional…

    Sedgwick (Kansas City, MO)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist Sr - Professional Liability **PRIMARY PURPOSE** : To ... analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate… more
    Sedgwick (10/16/24)
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  • Claims Coding Specialist

    Whitney Young Health Center (Watervliet, NY)
    …date . Four (4) years of progressive experience in medical billing and claims processing in a multi-specialty healthcare setting. Professional coding experience ... Claims Coding Specialist (Req 100825) Watervliet, NY (http://maps.google.com/maps?q=1601+Broadway+Watervliet+NY+USA+12189) Apply Description GENERAL… more
    Whitney Young Health Center (08/10/24)
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  • Claims Resolution Specialist - Coder…

    Prairie Ridge Health (Columbus, WI)
    Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift. The Claims Resolution Specialist is responsible for researching...as a part of a team + Basic word processing proficiency. This includes the ability to: insert tables… more
    Prairie Ridge Health (10/13/24)
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  • Content Claims Specialist - Field…

    Crawford & Company (Fort Lauderdale, FL)
    …edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim. + Operating ... with the Company's productivity and performance standards. + Work with Central Claims Processing to organize/direct the resources ( claims assistants,… more
    Crawford & Company (09/20/24)
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