- 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
- Carrington (Coraopolis, PA)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... identified during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure Loss Specialist provides corrections as… 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
- UPMC (Bridgeville, PA)
- UPMC Rx Partners is looking for a full time Pharmacy Clinical Review Specialist to join their dedicated team! This position provides prescription data entry and ... adjudication of claims under the supervision of a licensed pharmacist. This...Partners Skilled nursing and Hospice clients. The clinical review specialist at Rx Partners works hand in hand with… 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
- 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
- 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
- UPMC (Pittsburgh, PA)
- …training? Then you may be the perfect fit for our Scheduling Services Scheduling Specialist , Associate role! This role is based out of the Quantum One Building in ... serve as the first line of contact for the patient. The Scheduling Specialist , Associate acts as an advocate for patients by providing guidance, interpretation, and… more
- Aston Carter (Imperial, PA)
- Job Title: Procurement Specialist Job Description The Sourcing and Procurement Specialist is responsible for evaluating and enhancing purchasing activities ... budget, year-over-year deflation, payment terms, cost of failure, and liquidated damage claims due to supplier delays. + Develop reports, analyze spend, and apply… 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
- Carrington (Coraopolis, PA)
- …Bankruptcy Ledger Experience Required to be Considered!** The Bankruptcy Ledger Specialist will be responsible for completing and monitoring ledgers through the ... high degree of accuracy, for all Bankruptcy processes including Acquisitions, Proof of Claims , Notice of Final Cures, Motions for Relief, Agreed Orders, Notices of… more
- Philips (New Kensington, 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