- Travelers Insurance Company (Wyomissing, PA)
- …This position is intended to develop skills for investigating, evaluating, negotiating and resolving First Party Medical claims on losses of lesser ... level position that requires satisfactory completion of a formal training program to advance to Claim Representative - Auto First Party Medical position.… more
- Travelers Insurance Company (Wyomissing, PA)
- …position is responsible for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of loss through resolution/settlement and ... include interpreting and applying laws and statutes for multiple state jurisdictions. Claim types include moderate complexity Bodily Injury claims . Provides… more
- Select Medical (Camp Hill, PA)
- …Equivalent + One year of experience (2+ years for remote candidates) within a medical billing, medical collecting or claims processing role. **Preferred:** + ... discretion and secure information management. **Additional Data** **Your benefits as a Claims Resolution Specialist:** Select Medical strives to provide our… more
- Sedgwick (Harrisburg, PA)
- …assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total ... + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Sedgwick (Harrisburg, PA)
- …assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Auto Claims Representative **PRIMARY PURPOSE** : To analyze and process low to mid-level… more
- Select Medical (Camp Hill, PA)
- …Account Representative position may be a phenomenal career for you within Select Medical ! Our dynamic team has the responsibility of resolving outstanding insurance ... claims so that our patients are not impacted. We...paid training, and advancement opportunities. Our team offers flexible, first shift, Monday through Friday schedules. This would include… more
- Highmark Health (Harrisburg, PA)
- …requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and ... ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to the health plan's… more
- Performance Contracting, Inc. (Exton, PA)
- …of a signed fee agreement AND proper resume submission, PCG does not recognize any claim on a candidate by a third party , will consider unsolicited resumes the ... employees are our greatest asset. We put our people first and are proud to provide a comprehensive benefits...(ESOP) + 401(k) retirement savings plan with match + Medical , prescription drug, dental and vision insurance plans with… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first ** At Humana, we are leading the industry in payer-to-provider interoperability and driving ... or greater experience in Risk Adjustment, Stars and Quality and/or Claim Administration/Payment Integrity support + Strong knowledge of Microsoft Office products… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first ** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive ... Qualifications** + Bachelor's degree in Accounting, Criminal Justice, Finance, Medical Professional, Economics, Operations Management or related field or equivalent.… more
- Cardinal Health (Harrisburg, PA)
- …and pharmacy insurance benefit practices, preferred * 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience * 1-2 years' experience ... but not limited to Word, Outlook, and preferred Excel capabilities * Previous medical experience, preferred * Bilingual is preferred **_What is expected of you and… more