- Merck & Co. (North Wales, PA)
- Job Description Overview : - The Sr. Specialist ( SR ) will be an integral part of the Human Health Digital and Data Analytics (HHDDA) group. In this role, the SR ... / analytical techniques in the role - - Experience working with pharmaceutical/healthcare claims , personal & non personal promotional data. - Minimum of 3 years of… 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...annually based on experience and credentials Benefits Offered: + Medical Insurance (Blue Cross Blue Shield) +… 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...handling and/or process including basic knowledge of WC Law, medical terminology, and utilization of an automatic claims… more
- Robert Half Accountemps (Tucson, AZ)
- …client, in the healthcare industry focused in Behavioral Health, is in need for a Medical Billing/ Claims specialist near downtown Tucson! You will be tasked ... with managing medical claims and ensuring accurate billing and...United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance… more
- CRC Insurance Services, Inc. (TX)
- …gathering information and drawing conclusions. Acts as a liaison between insured and insurance carrier to report, track and manage claims process. Provides ... and/or correspondence to the Agent or Insurer to process claims appropriately. 7. Analyze claim coverage with insurance...benefits may be determined by the division of TIH Insurance offering the position. TIH offers medical ,… more
- Select Medical (Camp Hill, PA)
- …discretion and secure information management. **Additional Data** **Your benefits as a Claims Resolution Specialist :** Select Medical strives to provide ... Medical is an EOE Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/305850/ claims -resolution-- specialist /job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share this job **Job ID** _305850_… more
- Billings Clinic (Billings, MT)
- …four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more! Claims Specialist I (Full-time) PATIENT FINANCIAL SERVICES ... claims from government and third party payers. The Claims Specialist is responsible for preparing and...is responsible for preparing and submitting timely and accurate insurance claims to government and third party… more
- Vail Resorts (Broomfield, CO)
- …(whichever is first). **Job Summary:** The Claims team is looking for a Sr. Guest Claims Specialist to join our talented group. The Claims team is a fun, ... needed. **Job Qualifications:** + Minimum 3 years of civil claims litigation management and/or insurance claims...roles are eligible for the above, plus: + Health Insurance ; Medical Insurance , Dental … 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 ... and third party insurance claims . A typical day will include...apply online. Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …Top 50 and rated A++ by AM Best. Duties: We are looking for a Claims Specialist - Professional Liability to join our team. JOB SUMMARY: Investigate, evaluate ... and settle more complex first and third party insurance claims . JOB RESPONSIBILITIES: Evaluates each claim in light of facts; Affirm or deny coverage;… more
- Axis (Chicago, IL)
- …request for candidates taking part in the selection process. **Job Title: Senior Claims Specialist ** **BRIEF DESCRIPTION:** AXIS is seeking a **_Senior Claims ... Claims . The selected candidate will work closely with colleagues across AXIS Insurance including North American Claims and International Claims as well… more
- Whitney Young Health Center (Watervliet, NY)
- …Apply Description GENERAL RESPONSIBILITIES: Responsible for reviewing medical claims prior to submission and ... Claims Coding Specialist (Req 100825) Watervliet,...following up on more complex or problem claims or insurance types as designated by...date . Four (4) years of progressive experience in medical billing and claims processing in a… more
- Sedgwick (Columbus, OH)
- …line-of-business + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist , Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES**… more
- Sedgwick (San Diego, CA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Senior Claims Specialist - Professional Liability **PRIMARY PURPOSE** **:** To ... analyze complex or technically difficult long term care and medical malpractice claims ; to provide resolution of...+ In-depth knowledge of appropriate long term care and medical malpractice insurance principles and laws for… more
- 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...CPT, HCPCs, and ICD-10 coding experience. + Experience with medical terminology. + Previous experience with health insurance… more
- CenterLight Health System (Flushing, NY)
- JOB PURPOSE: The Claims Specialist will support department operations related to provider communication, pended claim review, reporting, auditing, and oversight ... with all applicable State, Federal, and contractual guidelines. JOB RESPONSIBILITIES: + The Claims Specialist will be responsible for reviewing claims … more
- ICW Group (Pleasanton, CA)
- …order to drive claims to an equitable resolution within Company standards. The Claims Specialist works with a sense of urgency, understands insurance ... develop solutions. Our mission is to create the best insurance experience possible. Headquartered in San Diego with regional...JOB** This role will be responsible for handling complex claims with a focus on providing exceptional service for… more
- Axis (Chicago, IL)
- …to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk ... the selection process. AXIS is seeking a _Senior Claim Specialist -_ _Construction_ _Claims_ to join our North America... -_ _Construction_ _Claims_ to join our North America Claims team and will report to the Head of… more
- Integra Partners (Troy, MI)
- …Claims Resolution Specialist role is responsible for reviewing Durable Medical Equipment (DME) claims for billing accuracy while maintaining appropriate ... and procedures, including HIPAA compliance. If you have previous medical billing or claims experience, this role...will build your knowledge base in relation to the insurance plans one plan at a time, so that… more
- MetLife (Bloomfield, CT)
- …customers and our communities. The Senior Long Term Disability (LTD) Claims Specialist evaluates long term disability insurance claims in accordance with ... time service standards. In this role, the Senior LTD Claims Specialist is required to exercise independent...and Technical Skills: Required: * 3+ years of LTD Insurance Claims experience * Creative problem-solving abilities… more
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