- AIG (Atlanta, GA)
- …AIG, we 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 ... and efficiency. How you will create an impact The Recovery Specialist is responsible for the end-to-end...assigned files for adequacy of investigation and recognition of recovery potential by claims personnel. Advises management… more
- Molina Healthcare (Covington, KY)
- …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, ... and provider compliance. Interacts with health plans and vendors regarding recovery outstanding overpayments. **Job Duties** + Prepares written provider overpayment… more
- City of New York (New York, NY)
- …Revenue Office was enhanced by the addition of the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP-CR). SNAP-CR establishes SNAP claims ... major component of IREA. It is responsible for the recovery of public assistance benefits paid to current and...(4) Eligibility Specialists level II to function as a Claims Review Specialist , who will: - Review,… more
- NJM Insurance (Hammonton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a hybrid schedule after training. The ... Claims Account Specialist will be responsible for...all parties + Recognize and investigate subrogation opportunity for recovery of third-party funds + Work with the policyholder… more
- 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...as appropriate. + Recognize and investigate subrogation opportunity for recovery of third-party funds + Initiate and provide excellent… more
- 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 (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 (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
- 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...the risk of fraud and abuse, and optimize revenue recovery . + Assists in training of Patient Account staff… more
- City of New York (New York, NY)
- …Office of Liens & Trust (OLT) and Supplemental Nutrition Assistance Program - Claims & Recovery (SNAP-CR). Within Revenue, SNAP-CR is a revenue producing, ... Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED...data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and… 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 ... technically difficult General Liability claims ; to provide resolution of highly complex nature and/or...+ Identifies and investigates for possible fraud, subrogation, contribution, recovery , and case management opportunities to reduce total claim… more
- St. Luke's Health System (Twin Falls, ID)
- …Luke's is truly a great place to work. **What You Can Expect:** The Billing/ Recovery Specialist is responsible for providing support in the functional areas of ... as directed. + Understands insurance plan coverages, authorizations and limits. Insurance Recovery : The Insurance Recovery Specialist 1 is responsible… more
- Elevance Health (Louisville, KY)
- ** Recovery Specialist Associate ( Recovery Specialist Assoc)** _Location: Virtual with the ideal candidate living within 50 miles of our Indianapolis, IN, ... is a health care cost containment company offering subrogation recovery services. The ** Recovery Specialist ...Identifies, reviews, sets up or closes health insurance subrogation claims via phone, fax, email or mail. + For… more
- Crawford & Company (St. Louis, MO)
- …Evaluates medical claims for potential fraud issues, loss control and recovery in accordance with insurance policy contracts, medical bill coding rules and state ... In Everything We Touch Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents… more
- Avera (Sioux Falls, SD)
- …and opportunities for career growth. **Avera is looking for a Revenue Recovery Specialist !** **_Position Highlights:_** + **Paid Time Off (PTO) available ... + **Career Growth** **opportunities!** **Job Summary** + The Revenue Recovery Specialist is responsible for follow up...as well as follow up and appeals of denied claims . + Responsible to handle claims billing… more
- US Tech Solutions (FL)
- …between 6am - 6pm. **Summary** We are seeking a talented individual for a Recovery Specialist who is responsible for processing all probate and estate functions ... beneficiaries or deceased Medicaid beneficiaries. This includes intake, maintenance, claims review and selection, asset investigation, court filings and deadline… more
- WTW (New York, NY)
- …consultant to provide strategy claim consulting + Advocate for client for prompt, optimal recovery on claims + Ensure quality and consistency in executing high ... **Description** The Senior Claims Consultant provides claim strategy, consulting, and advocacy services to dedicated client. The Consultant will be responsible for… more
- AIG (Atlanta, GA)
- …appropriate Recovery Best Practices, including facilitating Salvage specialist recovery process training. + Collaborate with Claims to ensure a ... procedures. Provides input to the development of training programs for recovery units and claims staff. + Train and develop salvage staff regarding technical and… more