- UPMC (Pittsburgh, PA)
- UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II! This role will predominantly work remotely, Monday - Friday daylight hours. The selected ... comp adjuster license. The UPMC WorkPartners Workers Compensation Lost Time Claims Specialist II reports to the Workers Compensation Claims Supervisor.… more
- Henderson Brothers Inc. (Pittsburgh, PA)
- Position Details + Job Title: Claims Specialist + Department: Commercial Lines + Division: Risk Control/ Claims + Reports To: Claims Supervisor + ... Contract: No + FLSA status: Exempt Position Description The Claims Specialist will provide heroic claims service by assisting with the management of all … more
- Deloitte (Pittsburgh, PA)
- …environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist , you will have the ability to share new ideas and collaborate ... on projects without the extensive demands of travel. The Project Delivery Talent Model is designed for professionals with specialized skills that align to a current client need. Team members focus on delivering services to clients, without additional… more
- Zurich NA (Pittsburgh, PA)
- Underwriting Specialist OR Executive Underwriter - Excess Casualty 128381 Zurich is currently looking to hire an experienced Underwriting Specialist OR Executive ... and/or Construction. This role will be filled at either an Underwriting Specialist OR Executive Underwriter. The hiring manager will determine the appropriate level… more
- Zurich NA (Pittsburgh, PA)
- Underwriting Specialist OR Executive Underwriter- MM Complex Property 129315 Zurich is seeking a Underwriting Specialist OR Executive Underwriter- MM Complex ... This role will be filled at either the Underwriting Specialist OR Executive Underwriter- MM Complex Property Level. The...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Sedgwick (Pittsburgh, PA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Housing Specialist **PRIMARY PURPOSE:** Booking and extending Airbnb reservations in a quick and ... or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of education… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is looking for Pharmacy Clinical Review Specialist I positions in the Pharmacy Services department. This is a full time position working Monday ... 11:30am to 8:00pm and weekend rotations. The Clinical Review Specialist will oversee administrative and system processes that relate...NCQA laws and standards. + HS diploma and pharmacy claims , pharmacy tech, and/or other related experience in a… more
- CDM Smith (Pittsburgh, PA)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- US Tech Solutions (Monroeville, PA)
- **Job Description:** Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Copay assistance programs. Individual must work ... document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing… more
- US Tech Solutions (Monroeville, PA)
- **Position Summary:** + Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. ... document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing… more
- Citizens (Pittsburgh, PA)
- …continuously learn, consider a career at Citizens as a Fraud Customer Support Sr. Specialist . In this role, you'll play a crucial part in safeguarding our customers ... the customer's consent on a resolution. + Provide accurate complete claims processing, and records management using established procedures in moving/placing… more
- ZOLL Medical Corporation (Pittsburgh, PA)
- …to build your career.Job SummaryThis position the Senior Strategic Sourcing Specialist is responsible for leading the sourcing, procurement, risk reduction, and ... examine and learn about products, services, and prices. + Reviewing purchase order claims and contracts for conformance to company policy. + Negotiate and administer… more
- Philips (Murrysville, PA)
- The Principal Regulatory Affairs Specialist will develop and execute the regulatory strategy for new product development, design changes, and field safety ... CAPAs as a regulatory SME. + Review labeling, marketing materials, and claims substantiation evidence to maintain compliance with global requirements. + Identify… more
- ATI (Natrona Heights, PA)
- …our products. Join us. ATI is seeking to hire a Supply Chain Specialist (Domestic/Export Shipping) to support our Specialty Rolled Products business unit. This role ... related issues. + Monitor carrier activity and performance, review and resolve transit claims . + Work closely with sales and production to respond to expedited… more
- UPMC (Pittsburgh, PA)
- …study-related costs that should be covered by the study sponsor. The specialist collaborates with clinical research teams, finance departments, and compliance to ... billable items in the coverage analysis in order to assist in the management of claims review, as well as identifying items that are to be billed to the sponsor… more
- UPMC (Pittsburgh, PA)
- UPMC Mercy is hiring a Full Time Patient Safety Specialist to support our hospital! This position will work Monday-Friday during business hours. Purpose: Responsible ... cases during litigation processes. + Communicates significant events, potential or actual claims , through established mechanisms in a timely manner. + Participate in… more
- Acosta Group (Monroeville, PA)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you ... incur to your direct supervisor as soon as possible following an incident resulting in an injury. **QUALIFICATIONS** _Education/Experience:_ High school diploma or general education degree (GED); or one to three months' related experience and/or training; or… more
- CDM Smith (Pittsburgh, PA)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical ... in evaluating and analyzing financial data related to disaster-related claims , including property damage, business interruption, and other loss categories. The … more
- CVS Health (Monroeville, PA)
- …area has an opportunity for a full-time Medical Benefit Credit and Refund Specialist Coordinator to handle insurance credit balance follow up. The Medical Benefit ... Credit and Refund Specialist Coordinator will ensure timely and accurate credit balance...department managing healthcare accounts receivable. + Initiate refunds, reverse claims , request payer offsets, and post adjustment transactions. +… more
- Carnegie Mellon University (Pittsburgh, PA)
- …the Tuition Benefit program including the determination of eligibility, processing of claims , and addressing of employee questions and concerns. + **Invoicing** : ... procedures for assigned benefit processes + **Unemployment Compensation (UC)** : Reviews claims , maintains UC database to audit charges and reconcile monthly UC… more