- Axis (Chicago, IL)
- …available upon request for candidates taking part in the selection process. **Job Title: Senior Claims Specialist ** **BRIEF DESCRIPTION:** AXIS is seeking a ... **_Senior Claims Specialist - Management Liability - Claims_** to join our North...as well as reporting and presenting about same to senior management + In-depth knowledge of claims ,… more
- Providence (Mission Hills, CA)
- **Description** The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, ... and adjudication and claims research when necessary. Senior Claims Specialist must have...**About the Team** Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states… more
- Axis (Chicago, IL)
- …variety of loss scenarios as well as reporting and presenting about same to senior management + In-depth knowledge of claims , litigation, arbitration, and trial ... and reinsurance. We stand apart for our outstanding client service , intelligent risk taking and superior risk adjusted returns...the selection process. AXIS is seeking a _Senior Claim Specialist -_ _Construction_ _Claims_ to join our North America… more
- MetLife (Bloomfield, CT)
- …provisions and within prescribed time service standards. In this role, the Senior LTD Claims Specialist is required to exercise independent judgment, ... communities. The Senior Long Term Disability (LTD) Claims Specialist evaluates long term disability insurance...critical thinking skills, exemplary customer service skills as well as effective inventory management skills.… more
- HUB International (Frisco, TX)
- …solutions that help mitigate exposures and contain costs. **Job Summary** The Sr. Claims Specialist is responsible for helping to oversee the claim's technical ... organization's carrier partners and third party administrators. The Sr. Claims Specialist is involved in the overall...and maintain strong customer relationships + Maintain the program's service logs + Review and Triage new claims… more
- Philadelphia Insurance Companies (Naperville, IL)
- …Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr. Claims Specialist to join our team! Summary: Investigate, evaluate and settle more complex first ... Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service , Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
- Swedish Health Services (Seattle, WA)
- …they have been paid or denied appropriately in a timely manner. Re-submit claims to government agencies, medical service bureaus, and insurance companies. Submit ... **Description** Follow up on insurance denials and aged claims , submit claims to secondary payers,...**About the Team** Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states… more
- CVS Health (St. Paul, MN)
- … service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication authority ... affordable. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
- Pacific Medical Centers (Seattle, WA)
- …complex claims for advanced processing needs. Responds to Customer Service Requests and resolves problem claim situations. Assists in managing the workflow ... **Description** Adjudicates all claims submitted by outside purchased services for PMC's...areas of specialty claim processing (COB, Adjustments, Point of Service , Home Health, Home Infusion, Kidney Dialysis Centers, Encounters).… more
- 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...team that's dedicated to enhancing patient care through meticulous claims management and customer service . What We… more
- Axis (New York, NY)
- …upon request for candidates taking part in the selection process. AXIS Capital Claims Compliance Specialist , Claims Shared Services- Job Description AXIS ... and reinsurance. We stand apart for our outstanding client service , intelligent risk taking and superior risk adjusted returns...is seeking a Claims Quality Assurance and Compliance Specialist , … more
- 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 ... is looking for enthusiastic individuals to join our team as Claims Specialists in a closed-door, non-retail setting. This is the perfect chance to step out of retail… more
- Axis (Red Bank, NJ)
- …lines insurance and reinsurance. We stand apart for our outstanding client service , intelligent risk taking and superior risk adjusted returns for our shareholders. ... exposure, determine the proper course of action, and pursue claims to conclusion Set accurate and timely claim reserves...accurate and timely claim reserves and make referrals to senior members of the team where necessary Obtain relevant… more
- Axis (Red Bank, NJ)
- …lines insurance and reinsurance. We stand apart for our outstanding client service , intelligent risk taking and superior risk adjusted returns for our shareholders. ... exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim...accurate and timely claim reserves and make referrals to senior members of the team where necessary * Obtain… more
- Baptist Memorial (Memphis, TN)
- …education + Employee referral program Job Summary: Position: 5595 - Specialist -Billing Senior Facility: BMG - Central Business Office Department: ... objective of this position is to ensure correct processing of all insurance claims of all hospital. Able to interpret & implement specified insurance billing… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR INFORMATION RESOURCE SPECIALIST , BOARD OF SUPERVISORS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4535966) Apply SENIOR ... at the level of Los Angeles County's class of Senior Application Developer** or Senior Network Systems...year of experience at the level of Information Resource Specialist , Board of Supervisors . *Highly r esponsible is… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …the Emergency Adjusting Service provision of the TPA contract, when catastrophic claims are threatened or have occurred * Presents verbal and written reports and ... Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4717187)...verification via the federal government's E-verify system. No Civil Service test score is required in order to be… more
- Allied Solutions (Plano, TX)
- …and other adjusting tools; + Meet and exceed all established recovery and claim service standards and benchmarks for a Claims Investigator. + Promptly and ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...Total Losses ; refer timely and accurately to more senior level adjusting staff for adjudication and collection; +… more
- Baptist Memorial (Jackson, MS)
- …education + Employee referral program Job Summary: Position: 14583 - Specialist -Billing Senior Facility: BMHS - Regional Business Office Jackson ... Summary Responsible for the daily completion of both claims edit, denial, and no response billing functions...insurance, including dental and vision + Sick leave + Service awards + Free parking + Short-term disability +… more
- MTA (New York, NY)
- Senior Contracts Specialist (Construction Contracts) Job ID: 8466 Business Unit: MTA Construction & Development Location: New York, NY, United States ... to apply 30 days after their effective date of hire. JOB TITLE: Senior Contracts Specialist (Construction Contracts) AGENCY: Construction & Development DEPT/DIV:… more
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