- The Hartford (Scottsdale, AZ)
- Specialist Claims - CH07DE We're determined...a well-reasoned analytical focus, and a clear strategy for resolution . The Claim Specialist must also be ... team as we help shape the future. The Claim Specialist is the highest claim handling designation within the...to customers and business partners in the management and resolution of claims Respond to inquiries from… more
- UPMC (Pittsburgh, PA)
- UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II! This role will predominantly work remotely, Monday - Friday daylight hours. The selected ... Virginia workers comp adjuster license. The UPMC WorkPartners Workers Compensation Lost Time Claims Specialist II reports to the Workers Compensation Claims … more
- BrightView (Blue Bell, PA)
- …team where you can grow to be your brightest. We're looking for a Senior Claims Specialist . Can you picture yourself here? Hybrid Schedule: 4 Days Onsite in ... At This Time Here's what you'd do: The Senior Claims Specialist is a key member of...team and plays a strategic role in overseeing the resolution of Auto and General Liability claims .… more
- The Hartford (Scottsdale, AZ)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... The Claim Specialist will handle a caseload of complex, high-exposure claims on Excess General Liability and Environmental policies from inception to final … more
- The Hartford (Scottsdale, AZ)
- Specialist Claims - CH07DESpecialist Claims CA - CH07DN We're determined to make a difference and are proud to be an insurance company that goes well beyond ... important role within our Complex Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist , you will be responsible for… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this time. ... Position Summary: Reporting to the Director, Claims Operations and Quality Assurance, the Claims ...role is responsible for the end-to-end review, analysis, and resolution of complex reimbursement issues - including underpayments, overpayments,… 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 be ... the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr....the request based on business needs and requirements, provider resolution option based on financial ability and forecasting for… more
- HUB International (Wilmington, MA)
- …their own unique, regional culture. We currently have an opportunity for a Senior Claims Specialist . Overview : Responsible for servicing assigned accounts on a ... for small, middle market, and high-profile clients by reporting claims . Participate in the claim after hours program as...and via email with insurance company claim adjusters till resolution of claim. Determines which Policy applies to claim… more
- Penn Medicine (Philadelphia, PA)
- …our future each day. Are you living your life's work? Job Title: Accounts Resolution Specialist I Department: RAD-O-BRO Data Acct Recble Location: Centre Square ... 1500 Market Street Hours: Full Time Summary The Account Resolution Specialist I reports to the Supervisor...denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim… more
- Penn Medicine (Philadelphia, PA)
- …future each day. Are you living your life's work? Job Title: Accounts Resolution Specialist II Department: Medicine Revenue Cycle Location: Penn Presbyterian ... Mon-Fri office hours per department needs Summary: The Accounts Resolution Specialist II reports to the Supervisor...denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim… more
- Zurich NA (Boston, MA)
- Claims Concierge Service Executive - Northeast 127284 Zurich is looking to hire a Claims Concierge Service Executive in our Claims Relationship Management ... business units and functional groups to execute strategies that promote claims value-added services, drive profitable growth, and improve technical excellence,… more
- Travelers Insurance Company (Salem, OR)
- …of claim and litigation strategy. Recognize and implement alternate means of resolution . Manages litigated claims . Develop litigation plan with staff or ... reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality… more
- USAA (Springfield, MA)
- …liability. Partners with vendors and internal business partners to facilitate complex claims resolution . May also involve external regulatory coordination to ... us special and impactful. The Opportunity As a dedicated Property Adjuster Specialist , you will work within defined guidelines and framework, investigate, evaluate,… more
- Robert Half (Minnetonka, MN)
- …insurance, or claim denials. Knowledge of denial codes and their implications for claims resolution . Proficiency in Epic Clinical systems and other claims ... Description We are looking for a detail-oriented Denials Specialist to join our team in Minnetonka, Minnesota...and manage aging accounts, focusing on high-dollar or high-risk claims for efficient resolution . Ensure all activities… more
- Sedgwick (Harrisburg, PA)
- …to Work Fortune Best Workplaces in Financial Services & Insurance Unemployment Specialist PRIMARY PURPOSE : To analyze complex or technically difficult unemployment ... claims to determine benefits due; and to ensure ongoing...through well-developed action plans to an appropriate and timely resolution . Works to move claim towards appropriate claim closure… more
- Beth Israel Lahey Health (Charlestown, MA)
- …denial. Performs all Hospital Billing, Follow-Up, and Denial activities necessary to obtain payment/ resolution of claims . Review the entire account to ensure ... oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely billing… more
- Trinity Health (Livonia, MI)
- …8:30 am-5pm No Weekends w/Holiday Rotations Position Purpose: The Authorization Specialist is responsible and accountable for the processing of all THAH ... and THAH Collection analysts in the tracking of authorizations and resolution of problematic billing issues. Monitors pending authorizations report and collaborates… more
- Molina Healthcare (Akron, OH)
- JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution ... Services (CMS). Essential Job Duties Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members,… more
- Sedgwick (Little Rock, AR)
- …Workplaces in Financial Services & Insurance Remote Customer Service Specialist - Remote SCHEDULE: Sun/Mon/Tues/Wed/Fri 9:30am-6:30pm EST PRIMARY PURPOSE: To provide ... resolve issues and answer questions. Accurately and efficiently enters new housing claims into the system. Monitors inbound email for claim questions, approvals, and… more
- Fairview Health Services (Minneapolis, MN)
- …Ensure accurate and timely billing, collections, appeal of home infusion claims . Perform collection tasks to obtain payments. Analyze accounts for documentation, ... to established procedures to support day-to-day operations Process home infusion claims accurately and timely. Review accounts for all needed information and… more
Related Job Searches:
Claims,
Claims Resolution Specialist CPC,
Claims Resolution Specialist Hybrid,
Claims Resolution Specialist II,
Medical Claims Resolution Specialist,
Resolution,
Resolution Specialist,
Senior Claims Resolution Specialist,
Specialist