- CLevelCrossing (Scotts Valley, CA)
- …Thorough knowledge of healthcare information technology, including systems supporting claims processing , clinical program management, health plan operations, ... Services, and Technology Services Departments.Provides executive leadership related to new business plans, policies, programs and projects to ensure high quality… 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...WC Law, medical terminology, and utilization of an automatic claims processing system. + Sr Level -… more
- BrightSpring Health Services (Taunton, MA)
- 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...position will be posted for a minimum of 7 business days. Responsibilities TheClaims Specialist - 3rd… more
- Acosta Group (Issaquah, WA)
- …responsible for creating promotions within client systems. The Claims Resolution Specialist will communicate with internal and external business partners and ... **DESCRIPTION** The Claims Resolution Specialist is responsible for...quality service to clients and make continuous improvements in claims processing . **RESPONSIBILITIES** **Duties and Responsibilities** +… more
- 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...the recoverable amount as needed. + Complete focused claims reviews for all lines of business … more
- 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...claim recovery cases covering multiple commercial insurance lines of business within the North American region. This role regularly… more
- 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
- 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** **:** ... preferred. Licenses as required. Professional certification as applicable to line of business preferred. **Experience** Six (6) years of claims management… 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...as a part of a team + Basic word processing proficiency. This includes the ability to: insert tables… more
- Crawford & Company (Atlanta, GA)
- …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 (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 (Brea, CA)
- …members of the medical profession and other persons pertinent to the investigation and processing of claims . + Verifies policy coverage for submitted claims ... is not a job post. Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents and… 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
- Montana State University (Bozeman, MT)
- …### Classification Title Occup Safety/Health Spec II Working Title Claims Coordinator/Insurance Specialist Brief Position Overview The Occupational ... * Manage the workers' compensation and SAW / RTW programs including processing workers' compensation claims ; reporting; participating in claims … more
- Modivcare (AZ)
- …payment, and discrepancies. + Enters claim information and relevant details into the claims processing system. + Reviews company policies to determine coverage ... to detail and proficient data entry skills for accurate claims processing . + Working knowledge of Microsoft...will reach out to you within the next 48 business hours. We appreciate your interest in joining Modivcare!… more
- UT Health (Houston, TX)
- Project Specialist - Texas All-Payor Claims Database - Hybrid **Location:** Texas Medical Center-Houston, Texas **Hot** **Category:** Engineering UTHealth ... come in. **We are looking for a Full-Time Project Specialist to join the UTHealth School of Public Health...Houston, TX. This position will support the Texas All-Payor Claims Database (TX-APCD) project, which collects administrative data for… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly ... management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for… more
- M&T Bank (Buffalo, NY)
- …the maintenance of M&T Bank's insurance program, including monthly reporting, invoice processing , and claims management. Operational Risk Loss and Measurement: ... quantification, documentation, escalation, reporting, and communication of unmitigated risks within the business . The position has a base level understanding of the … more
- Modernizing Medicine (Boca Raton, FL)
- …for all inbound and outbound patient calls regarding patient balance inquiries, claims processing , insurance updates, and payment collections + Initiate outbound ... positive impact on healthcare. Join Us! + South Florida Business Journal, Best Places to Work 2024 + Inc....US. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping… more
- CGI Technologies and Solutions, Inc. (Cleveland, OH)
- ** Business Processing Specialist ** **Category:** Administration **Main location:** United States, Ohio, Cleveland **Position ID:** J0824-1967 **Employment ... provision of affordable housing has an opening for a Business Processing Specialist . The successful...annual contract rent adjustments * Evaluate and approve owner's claims for reimbursement due to unpaid rent, tenant damages… more
