- Select Medical (Camp Hill, PA)
- …secure information management. **Additional Data** **Your benefits as a Claims Resolution Specialist :** Select Medical strives to provide our employees ... **Overview** ** Claims Resolution Specialist ** **Starting...of experience (2+ years for remote candidates) within a medical billing, medical collecting or claims… more
- Integra Partners (Troy, MI)
- JOB OVERVIEW Our Claims Resolution Specialist role is responsible for reviewing Durable Medical Equipment (DME) claims for billing accuracy while ... documentation and account records, as well as timely issue resolution . In this role, you will ensure work is...and procedures, including HIPAA compliance. If you have previous medical billing or claims experience, this role… more
- Sedgwick (Los Angeles, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice | Professional Liability | California ... **PRIMARY PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe… 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 ... adjuster license. The UPMC WorkPartners Workers Compensation Lost Time Claims Specialist II reports to the Workers...effectively and efficiently manage loss exposures. Responsibilities: + Assign medical or other experts to case and arrange for… more
- AON (NY)
- Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your ... claim submissions and documentation to confirm coverage and assess claims . + Review medical records, itineraries and...and policies. #LI-AM4 2563784 Aon is looking for a Claims Specialist II Do you have experience… more
- ICW Group (Las Vegas, NV)
- … claims to an equitable resolution within Company standards. The Claims Specialist works with a sense of urgency, understands insurance coverage concepts, ... everyday! Learn more about why you want to be here! **PURPOSE OF THE JOB** This Claims Specialist is responsible for handling complex claims with a focus on… more
- Axis (New York, NY)
- …candidates taking part in the selection process. About the Team AXIS is hiring a Claims Specialist - Primary Casualty for its North America Claim Team. This role ... value. Evaluating coverage and claim exposure, determining appropriate actions, and pursuing claims until resolution . Settng accurate and timely claim reserves… more
- Sedgwick (San Antonio, TX)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Veterinary Claims | Professional Liability | Remote ... **PRIMARY PURPOSE** **:** To analyze complex or technically difficult veterinary claims ; to provide resolution of highly complex nature and/or severe injury … more
- Zurich NA (Indianapolis, IN)
- Workers' Compensation Litigated Claims Specialist (IN/IL) 129136 Zurich North America is seeking a sharp, solutions-driven Workers' Compensation Litigated ... Claims Specialist II to join our high-performing...within the coverage. + Work to have a timely resolution to claims by developing case strategy;… more
- TEKsystems (Englewood Cliffs, NJ)
- …Management / Customer Care / Legal Position: The primary objective of the Claims Management Specialist is to support Product Safety/Product Liability Department ... overall claims management. The goal of the Claims Operations Specialist is to support the...and manage multiple projects meet deadlines and drive to resolution Process procedure strategic planning and project development experience… more
- Axis (Princeton, NJ)
- …upon request for candidates taking part in the selection process. **Senior Claims Specialist - Management Liability - Financial Institutions** **Job Code** ... Do In This Role?** + Serving as a Senior Claims Specialist focused on management liability ...as a litigator or litigation manager, well-versed in dispute resolution . + Write coverage letters independently with precision and… more
- Sedgwick (Houston, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , E&O, D&O | Professional Liabilty **ESSENTIAL FUNCTIONS and ... to line-of-business + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and… more
- Illumination Foundation (Santa Ana, CA)
- …Los Angeles County and the Inland Empire. Job Description The CalAIM Senior Claims Specialist is responsible for ensuring accurate and compliant claim ... submission, payment posting, denial resolution , and billing follow-up for CalAIM contracted services. This position plays a critical role in supporting the… more
- Cedars-Sinai (Los Angeles, CA)
- …environment that fuels innovation. **Req ID** : 13216 **Working Title** : Revenue Cycle Specialist III (PB Claims ) **Department** : CSRC PB - Group 3 CSMCF ... 19 years in a row for providing the highest-quality medical care in Los Angeles. We provide an amazing...I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …perspective and experience makes ConnectiveRx better than the sum of its parts. The Claims Specialist , under the direction of the Supervisor (with guidance from ... a Team Lead), is responsible for processing medical claims received from patients and/or HCPs across a broad product suite. An individual in this role is… more
- Axis (New York, NY)
- …candidates taking part in the selection process. About the Team AXIS is hiring a Senior Claims Specialist - EPL and Fiduciary Claims for its North America ... Claim Team. This role involves managing primary and excess claims for various AXIS policy forms. How does this role contribute to our collective success? The… more
- Robert Half Accountemps (Fort Wayne, IN)
- Description As a Warranty Claims Specialist , you will be responsible for processing, analyzing, and resolving warranty claims while providing an excellent ... and ensure compliance with audit standards Monitor claim statuses and drive timely resolution of open issues Analyze claims trends to identify potential product… more
- Woodlands Senior Living LLC (Augusta, ME)
- Provider Practice Billing & Claims Specialist Augusta, ME (http://maps.google.com/maps?q=108+Anthony+Avenue+Augusta+ME+USA+04330) * Consulting Office Job Type ... Part-time Description Do you have experience with medical billing and coding? Do you have a keen...small office team as a Provider Practice Billing & Claims Specialist and play a vital role… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Technical Specialist Claims Location: Remote Career Area: Customer Service/Operations About ... Will Have This position serves as a resource to claims staff in resolving complex issues. Through this process,...policies. * Provides guidance to staff while assisting in resolution of difficult and/or sensitive issues. * Provides written… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... experience, specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims ,… more
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