- Dialysis Clinic, Inc. (Sacramento, CA)
- …for assigned patients by staying in contact with clinical staff and social workers, calling insurance companies and providing online verification. Responsible ... with a lower caregiver-to-patient ratio than other providers.The AR Specialist will provide continual and accurate documentation regarding eligibility,… more
- Social Security Administration (Sherwood, AR)
- …reviewing caseloads (eg, income maintenance, benefits, pension plans, health insurance , etc.); adjudicating, authorizing, investigating or reconsidering claims ; ... II and/or Title XVI cases and on public fraud issues in specific claims and post-entitlement cases. Provides lead role in technical training and mentoring other… more
- MAPFRE Insurance (Webster, MA)
- Claim Specialist , Casualty (Hybrid) Date: Aug 20, 2024 Location: Webster, MA, US Company: MAPFRE Bring your passion and enthusiasm for Claims to our TEAM! At ... new losses to determine coverage exposures, thoroughly investigating liability, evaluate claim values, negotiate final disposition of claims with appropriate… more
- 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...concerning eligibility for public assistance or unemployment, health benefits, social security, insurance , or participation in … more
- Sedgwick (Columbus, OH)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist Professional Liability, Public Entity **PRIMARY PURPOSE** **:** ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- City of New York (New York, NY)
- …making recommendations concerning eligibility for public assistance or unemployment, health benefits, social security, insurance , or participation in social ... Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED...Office (DSS-AO) is responsible for protecting the integrity of social services programs administered by the New York City… more
- Entergy (New Orleans, LA)
- …Campaign Foundation - Corporate Equality Index This position may be filled as a Claims Specialist I, II or Senior** **based on the qualifications and experience ... Administration. Master's degree a plus. **Minimum experience required of the position** + ** Claims Specialist I:** 3-5 years of liability and/or subrogation … more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- …targets and improve systems. 4. The ability to work independently. 5. Background in insurance claim processing. 6. Knowledge of (HIPAA) Health Insurance ... MEDICAL SUPPORT SPECIALIST - CLAIMS Augusta , Maine , United States | Community & Social Services | Full-time Apply by: Sept. 11, 2024 Apply with Linkedin… more
- Lincoln Financial Group (Columbus, OH)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short...and reviewing medical records, and making timely and ethical claim determinations. You'll complete a thorough training to develop… 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
- 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: ... **Work Experience** + 6 months of experience in medical claims or health insurance -related customer service or...necessary and accurate information for the establishment of sound claim records. This may include, but is not limited… more
- MetLife (Cary, NC)
- …Business Experience and Technical Skills: Required: * 5+ years of LTD/IDI Insurance Claims experience with excellent customer service skills proven through ... * Independently manage an assigned caseload of the most complex claims which consists of pending, ongoing/active and appeal reviews. Provides timely,… more
- CenterWell (Atlanta, GA)
- …time position scheduled 20 hrs per week. As a **Part Time** **Accounts Receivable Specialist /RCM Healthcare Claims Denials Specialist ** , you will: + Ensure ... the coordination of claim activities and designated agencies, and the timely reimbursement...Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing. + Prepare… more
- Lincoln Financial Group (Columbus, OH)
- …73468 **The Role at a Glance** We are excited to bring on highly motivated Voluntary Claims Specialist I to staff our ever-growing claims organization. As a ... claim information for payment. + Applying core knowledge of voluntary insurance products and claims processes to review questions/concerns and provide… more
- BrightSpring Health Services (Arlington, TX)
- 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...office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician… more
- BrightSpring Health Services (Vancouver, WA)
- … processing and payer subject matter expert* Provide support to 3rd Party Claims Specialist I answering operational questions* Support supervisory team by ... from a retail to office environment for those who are willing to learn claims , billing and insurance processing. Remote position. Applicants can reside anywhere… more
- Providence (Mission Hills, CA)
- **Description** Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for ... accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative… more
- BrightSpring Health Services (Uniondale, NY)
- …a retail to office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician experience and/or knowledge of ... 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. Pharmacy Technician… more
- BrightSpring Health Services (Oklahoma City, OK)
- …Adjudication Specialistwill be responsible for all aspects of pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims , resolution of ... Accounts* Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance * 401(k) Retirement Plan with Employer Match* Company paid Life and… more
- US Marine Corps (Quantico, VA)
- …Skills to accurately prepare, verify, and validate documents involving medical/dental/life insurance claims . Knowledge of procedures, regulations, precedents and ... keep the organization functioning smoothly and effectively. Responsibilities Serves as claims and portability specialist for Non-appropriated Fund (NAF)… more
