- University of California Agriculture and Natural Resources (Davis, CA)
- Environment Health & Safety Specialist - Davis, CA, Job ID 80411 All the relevant skills, qualifications and experience that a successful applicant will need are ... and program participants. This requires consultation, communication, training, auditing, claims management, risk assessment and mitigation support for all programs… more
- Molina Healthcare (Kearney, NE)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and ... Standard Operating Procedures (SOPs). * Responds to provider correspondence related to claims recovery requests and provider remittances where recovery … more
- Carrington (Boston, MA)
- **Come join our amazing team and work remote from home!** The Sr Claims & Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred ... identified during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure Loss Specialist provides corrections as… more
- City of New York (New York, NY)
- … Claims and Insurance Takeover procedures; - Follow stated timelines for handling all claims ; - Settle outcomes for the maximum recovery for the City on ... employees serving in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent civil service title on your resume… more
- MTA (New York, NY)
- Claims Specialist Job ID: 12936 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: Office of Insurance ... Mgt Date Posted: Sep 4, 2025 Description JOB TITLE: Claims Specialist DEPT/DIV: Risk & Insurance Management...MTA and its subsidiaries and affiliates to ensure timely recovery of settlement funds from liable adverse carriers. +… more
- NJM Insurance (NJ)
- NJM's WC Claims Department is seeking an experienced Claims Specialist , Sr. who lives in Western or Central PA to provide on-site service to our ... This is a 100% remote position which includes virtual claims handling for customers in any area of PA...subrogation opportunity and refer to NJM subrogation staff for recovery of third-party funds + Initiate and provide excellent… more
- Sedgwick (Los Angeles, CA)
- …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 injury claims ;… 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 ... RESPONSIBILITIES** + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on… more
- St. Luke's Health System (Boise, ID)
- …is truly a great place to work. **What You Can Expect:** The Billing and Recovery Audit Specialist is responsible for supporting various aspects of the Revenue ... Cycle, including Billing, Reimbursement, and Insurance Recovery . This role ensures adherence to company policies, procedures, and related government regulations. Key… more
- Elevance Health (Mason, OH)
- …the Possibilities. Make an Extraordinary Impact.** **Title** : Financial Operations Recovery Specialist I **Location(s):** Columbus, GA, Atlanta, GA, Mason, ... is granted as required by law._** The **Financial Operations Recovery Specialist I** is responsible for setting... I** is responsible for setting up and adjusting claims overpayments that have been previously identified. May do… more
- TEKsystems (Addison, TX)
- Description The Claims Reconciliation Specialist is responsible for comprehensive billing procedures and verification prior to coding for anesthesia services. ... provider verification, and compliance with medical direction requirements to maximize revenue recovery . This is a full-time position based at our corporate office in… more
- The Hertz Corporation (Oklahoma City, OK)
- **A Day in the Life:** The Recovery Specialist is responsible for managing claims including billing, collections, and adjustments. This role partners with ... and works with customers and insurance carriers to resolve claims over the phone and through email. We expect...**What You'll Do:** + Contact accounts to resolve outstanding claims quickly and accurately. + Research and document collection… more
- Queen's Health System (Honolulu, HI)
- …JOB SUMMARY/RESPONSIBILITIES: * Responsible for analysis of denied reimbursement claims , including conducting payment audits, creating reports and implementing ... process changes, to minimize and/or prevent denials. * Follows up on insurance claims with outstanding balances; leads meetings with payors to resolve payment and… more
- Avera (Sioux Falls, SD)
- …the patient, appropriate third party payers as well as following up on outstanding claims . This position will serve as a liaison with patients and other third party ... proficient in billing and collections using an automated system and electronic claims processing. This position requires the ability to work with minimal… more
- Allied Solutions (Plano, TX)
- …policy; + Determine the appropriate application of coverage and damage to identify those claims with the highest amount of recovery potential for EZ Claim Total ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...other adjusting tools; + Meet and exceed all established recovery and claim service standards and benchmarks for a… more
- Baylor Scott & White Health (Dallas, TX)
- …to a reduced loss ratio 4. Assign surveillance on appropriate claims5. Identifying claims with possible recovery from third parties Maintains communication with ... SUMMARY** Under the direct supervision of the Safe Choice Claims Manager the Claims Adjuster is responsible...doctors, attorneys, safety specialist , and nurse specialist and outside vendors… more
- Commonwealth of Pennsylvania (PA)
- …liable for reimbursement of medical/cash assistance relating to personal injury and estate recovery claims , or if there is pending litigation, a lawsuit ... for reimbursement of medical/cash assistance relating to personal injury and estate recovery claims , pending litigation, or lawsuit settlements or awards as… more
- State of Minnesota (St. Paul, MN)
- …action, and homeowners' claims . + Reviews and evaluates merit of potential recovery in these cases using MMIS, MAXIS and other systems to legally establish DHS' ... **Working Title: Tort Specialist ** **Job Class: Human Services Program Specialist...Health Care Administration / Integrity and Accountability - Tort Recovery + **Work Shift/Work Hours** : Day Shift /… more
- MyFlorida (Orlando, FL)
- …this position. INVESTIGATION SPECIALIST I - 60046295 - ESS OPBI Benefit Recovery Program THIS IS NOT A TELEWORK POSITION. The selected candidate will be required ... INVESTIGATION SPECIALIST I - 60060474 Date: Dec 15, 2025...Sufficiency Program that is responsible for investigation, calculation and recovery of overpayment claims for public assistance… more
- Travelers Insurance Company (Indianapolis, IN)
- …with business partners to achieve and sustain quality results. + Evaluates all claims for recovery potential; directly handles recovery efforts and/or ... resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...engages and directs Company resources for recovery efforts. + In order to perform the essential… more
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