• CLevelCrossing (Scotts Valley, CA)
    …Thorough knowledge of healthcare information technology, including systems supporting claims processing , clinical program management, health plan operations, ... reports: three Directors, one Information Security Analyst, and one Administrative Specialist . The CIO has strategic leadership of the following Departments and… more
    JobGet (10/01/24)
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  • Processing Claims Specialist

    Adecco US, Inc. (Orlando, FL)
    Adecco is currently assisting a great client in their search for an experienced ** Processing Claims Specialist ** who is an expert in **MS Excel** . **Type:** ... office, but must work EST hours. Responsibilities for the ** Processing Claims Specialist ** role include:...deadlines and quality standards. + Communicate and coordinate with insurance agents and/or insurance carriers to verify… more
    Adecco US, Inc. (09/13/24)
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  • Claims Specialist - Claims

    Providence (Mission Hills, CA)
    …best people, we must empower them. **Required qualifications:** + 2 years HMO claims processing experience in a managed care environment, preferably PMG/IPA ... Schedule:** Full time **Job Shift:** **Career Track:** Admin Support **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
    Providence (08/22/24)
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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. + Sr Level -… more
    NJM Insurance (09/24/24)
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  • Insurance Claims Specialist

    Limitless Male (Omaha, NE)
    JOB TITLE: Insurance Claims Specialist EMPLOYER:...state, and federal regulations as it relates to the processing of claims Other Job Duties + ... products to help men feel their best! SUMMARY: The Insurance Claims Specialist is responsible...back office required + Solid working knowledge of claim processing from all perspectives (submissions, processing , denials)… more
    Limitless Male (09/26/24)
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  • Claims Coordinator/ Insurance

    Montana State University (Bozeman, MT)
    …###@montana.edu ### Classification Title Occup Safety/Health Spec II Working Title Claims Coordinator/ Insurance Specialist Brief Position Overview The ... * Manage the workers' compensation and SAW / RTW programs including processing workers' compensation claims ; reporting; participating in claims more
    Montana State University (09/27/24)
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  • Complex Claim Specialist (Workers'…

    NJM Insurance (Trenton, NJ)
    …Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after training. ... The Complex Claim Specialist will be responsible for contacting all parties involved...manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This role can be… more
    NJM Insurance (07/31/24)
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  • Claims Specialist

    BrightSpring Health Services (Taunton, MA)
    …from a retail to office environment for those who are willing to learn claims , billing and insurance processing . Pharmacy Technician experience and/or ... PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready...with Shift Differentials + Health, Dental, Vision, and Life Insurance + Company-Paid Disability Insurance + Tuition… more
    BrightSpring Health Services (09/13/24)
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  • Claims Specialist I

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    CLAIMS OPERATIONS Necessary Contacts: In order to effectively fulfill this position, the Claims Specialist I must be in contact with personnel in other Units: ... of receipt following departmental and corporate guidelines to ensure accuracy of claims processing and customer satisfaction. + Researches, investigates, and… more
    Blue Cross and Blue Shield of Louisiana (09/23/24)
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  • Claims Specialist

    Community Clinic Inc. (Silver Spring, MD)
    …a more equitable health care system for everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial resource in support of the clinical ... services provided. The Claims Specialist will assure that services are...center personnel in maintaining accuracy in data elements and processing crucial to effective claims processing more
    Community Clinic Inc. (09/04/24)
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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 ... customers to manage risk. Join us as a Recovery Specialist , Large Loss - Claims to play...complex, highest value claim recovery cases covering multiple commercial insurance lines of business within the North American region.… 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 ... help customers to manage risk. Join us as a Claims Recovery Specialist to play your part...responsible for the claim recovery cases covering multiple commercial insurance lines of business within the North American region.… more
    AIG (08/16/24)
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  • Operational Risk Specialist - Property…

    M&T Bank (Buffalo, NY)
    …of M&T Bank's insurance program, including monthly reporting, invoice processing , and claims management. Operational Risk Loss and Measurement: Ensures ... Required:** Bachelor's degree and two years' experience in Property Casualty insurance claims , including insurance carrier claim adjuster, broker liaison,… more
    M&T Bank (09/25/24)
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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 Benefit Specialist - Life…

    CVS Health (Franklin, TN)
    …communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing . Contributes to the efficient and accurate handling ... of benefits for each claim based on the patient's insurance plan and policy guidelines and scope. + Assesses...stakeholders to resolve any discrepancies or issues related to claims . + Determines if claims processing more
    CVS Health (09/27/24)
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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,...submission and following up on more complex or problem claims or insurance types as designated by… 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...responsible for researching and resolving complex facility and professional insurance denials and ensures that claims are… more
    Prairie Ridge Health (07/14/24)
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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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  • Content Claims Specialist - Field…

    Crawford & Company (Bakersfield, CA)
    …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 (08/13/24)
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  • Pharmacy Claims Specialist

    BrightSpring Health Services (Uniondale, NY)
    …from a retail to office environment for those who are willing to learn claims , billing and insurance processing . Pharmacy Technician experience and/or ... come join our team and apply today! Responsibilities TheClaims Specialist - 3rd Party: + Manages and identifies a...office environment for those who are willing to learn claims , billing and insurance processing .… more
    BrightSpring Health Services (09/03/24)
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