- Zurich NA (Columbia, SC)
- Property Claims Specialist II 117992 Zurich is currently seeking a Property Claims Specialist II to join our Commercial Property Claims team. If you ... within authority limits. + Meeting quality standards by following best practices Claims Specialist II Basic Qualifications: + Bachelor's Degree and 3 or more… more
- Zurich NA (Columbia, SC)
- Sr. Claims Specialist - Complex Construction Claims 117562 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join ... is essential in managing complex, high-exposure construction, and litigation claims , while supporting the New York Labor team to...while supporting the New York Labor team to ensure claims are handled efficiently and effectively, with a focus… more
- Sedgwick (Columbia, SC)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist Sr - Professional Liability **PRIMARY PURPOSE** : To ... analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate… more
- Sedgwick (Columbia, SC)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist , Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** ... + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages… more
- BCA Financial Services, Inc. (Columbia, SC)
- …insurance claims , insurance claims resolution, insurance collector, claims follow up, revenue cycle specialist , revenue cycle representative Powered ... Insurance Claim Collectors with a minimum of 2 years medical insurance billing and claims follow up experience. Benefits we offer: + Monday through Friday schedule +… more
- ManpowerGroup (Columbia, SC)
- …States and in the state of hire. **Job Description:** As a Medical Claims Reviewer/Utilization Management Specialist , you will be responsible for conducting ... **Job Title: Medical Claims Reviewer** **Pay Rate:23/Hr (REMOTE opportunity after training)**...Ensure thorough documentation of each determination for utilization or claims review. + Review first-level appeals and provide accurate… more
- Zurich NA (Columbia, SC)
- Senior Design/Construction Management Consulting Specialist 113183 Zurich is looking for a highly skilled **Senior Design/Construction Management Consulting ... Specialist ** within Risk Engineering and our Zurich Resilience Solutions...prospect/existing customer base. + Providing periodic support to the Claims Department with technical assessment of complex claims… more
- Walgreens (Chapin, SC)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Wellpath (Columbia, SC)
- …care support. **How you make a difference** As a Human Resources Specialist , you will offer adept para-professional administrative assistance within various Human ... records, including personnel transactions and payroll matters. + Manage unemployment claims and representation at hearings, while overseeing worker's compensation … more
- Army National Guard Units (Columbia, SC)
- Summary This National Guard position is for a CONTRACT SPECIALIST , Position Description Number T0047000 and is part of the SC USPFO, South Carolina Army National ... APPOINTMENT. As a condition of employment, if the contract specialist is directed by his or her respective Contract...You must provide your diploma to support your Educational claims . To receive credit for Education, you must provide… more
- Fujifilm (Columbia, SC)
- …_healthcaresolutions-us.fujifilm.com_ _._ **External US** **Job Title:** **Senior Compliance Specialist ** **Job purpose** The accomplished Senior Compliance ... to healthcare Anti-bribery/Anti-corruption laws, Foreign Corrupt Practices Act (FCPA), False Claims Statute, Anti Money Laundering and other applicable US laws and… more
- Sutherland Global Services (Columbia, SC)
- …sent to Legal. This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or ... PPO, IPA and Capitation and how these payers process claims + Knowledge of Managed Care contracts, Contract Language...billing form requirements (UB04) and HCFA 1500 + Medical claims and/or hospital collections experience + Minimum high school… more
- Travelers Insurance Company (Columbia, SC)
- …of the scene and to provide technical advice and consultation to attorneys and claims staff associated with the loss. + Conduct research and testing, prepare reports ... (verbal and written), and to aid the claims and legal staff with the scientific aspects of...needed to support the overall functions of Risk Control, Claims Services, and Underwriting. Such materials may include newsletters,… more
- Republic Finance, LLC (Irmo, SC)
- …in the financial services industry for you, apply today! As a Consumer Loan Specialist , you will be a key team member in the branch. Your primary responsibility ... to quickly and efficiently resolve any customer issues. Processes insurance claims , follow-ups and payments daily and maintains insurance log. Provides excellent… more
- Cardinal Health (Columbia, SC)
- …support to Cardinal Health pharmacy solutions teams. **_Job Summary_** The Sr Specialist , Product and Solutions Marketing will support the Medicine Shoppe Franchise ... and how to manage and protect PHI + Basic understanding of operations and claims processing in a pharmacy or operations of a pharmacy management system experience is… more
- TEKsystems (Columbia, SC)
- …policyholders. + Assist customers via calls to address cancellations, product benefits, and claims issues. + Match products to client needs. + Help collect current ... and past due premiums. + Offer detailed policy status updates. + Troubleshoot basic website/app issues. + Meet or exceed departmental quality and performance KPIs. + Support organizational goals and provide feedback for process improvements. + Perform… more
- Highmark Health (Columbia, SC)
- …with a basic understanding of various payer billing requirements and claims processing or experience with payer credentialing/enrollment requirements + Advanced ... computer skills using word, excel, adobe and web-based applications + Excellent customer service, follow-up, and communication skills Preferred + Associate's degree + Certified Provider Credentialing Support (CPCS) by the National Association Medical Staff… more
- ManpowerGroup (Columbia, SC)
- …one of our Fortune 500 clients. **Job Summary** The Clinical Review Specialist assesses and evaluates medical or behavioral eligibility for health benefits, ensuring ... and ensure members receive quality, cost-effective care. The Clinical Review Specialist will review medical necessity, support care management plans, and guide… more
- HealthEdge Software Inc (Columbia, SC)
- **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits ... that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for...responsible for taking a senior level role in analyzing claims data, as well as translating contract terms, policies,… more
- UIC Government Services and the Bowhead Family of Companies (Columbia, SC)
- …the IARPC Secretariat, particularly the Indigenous Engagement and Communication Specialist , Program Manager, and Coordinator of IARPC Collaboration Team Activities. ... workshops/trainings + Work with the Indigenous Engagement & Communication Specialist to develop meaningful relationships with Indigenous communities IARPC… more