- Sedgwick (Philadelphia, PA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or...provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within company standards, industry… more
- Sedgwick (Trenton, NJ)
- …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
- Robert Half Accountemps (Allentown, PA)
- Description We are offering a contract to hire employment opportunity for a Claims Specialist in Allentown, Pennsylvania, United States. This role is primarily ... in the handling and processing of customer property damage claims that may arise from the operations or provision...chosen candidate will ensure the accurate, timely processing of claims in compliance with state regulations and company policies… more
- Guardian Life (Bethlehem, PA)
- …for you to grow and enrich your career and future as a Life Claims Specialist . We believe in your aspirations for purpose, leadership, and achievement ... help build the core proficiencies you will need to be a successful Life Claims Specialist . In your first year, we will provide extensive training in a highly… more
- Carrington (Cherry Hill, NJ)
- **Come join our amazing team and work from home!** The Loss Mitigation FHA Claims Specialist will be responsible for preparing, filing, and following up on all ... FHA home retention claims timely and accurately according to investor/insurer guidelines. Perform...**What you'll do:** + Prepare and file all HUD claims timely and accurately according to investor/insurer/CMS guidelines and… more
- Zurich NA (Trenton, NJ)
- Managed Care, Claims Vendor Management Sr Specialist 118916 Zurich North America is seeking a Managed Care, Claims Vendor Management Senior Specialist to ... anywhere in the United States. **About the Role** As a Senior Specialist in Managed Care and Claims Vendor Management, you will play a key role in administering… more
- Zurich NA (Trenton, NJ)
- … Specialist 118919 Zurich is currently looking for a CROP Design and Development Specialist for our Crop Claims division. This position may work out of one ... of the following North American offices: 100% Virtual. Develops support and supplemental material (user guides, tip sheets, self-support/on-the-job guides, release notes) for larger learning solutions and initiatives. Works with Program Managers and more… more
- St. Luke's University Health Network (Allentown, PA)
- …collaboration with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor/Educator. Demonstrate the ability to formulate an appeal rationale ... based on clinical documentation, application of LCD, relative carrier policy and published Academy or Societal guidance + Provide coding guidance to providers and charge entry staff for single or low volume errors. Report high volume coding denial trends to… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Accounts Receivable Specialist is responsible for the day to day operations of accounts receivable for ... account resolution, credits workflow and processes. The Accounts Receivable Specialist II is focused on the accurate and timely...is focused on the accurate and timely submission of claims to third party payers, intermediaries, and guarantors in… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- Job Summary The Patient Account Specialist is responsible for accurate and timely billing of all services delivered as well as ensuring all revenue is collected. Job ... Duties + Ensure accurate and timely billing of claims to payers. Verify all services delivered are billed...Work all pre-billing/post-billing reports to ensure correct data on claims . Identify and resolve claim issues. Guarantee timely secondary… more
- Travelers Insurance Company (Blue Bell, PA)
- …reserving, negotiating and resolving assigned Construction Defect and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... designed to support flexibility. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file quality and timely… more
- Hunterdon Health Care System (Flemington, NJ)
- Position Summary + The Accounts Receivable Specialist role and responsibilities include: monitoring all aspects of the collection of outstanding debts owed to the ... drafting and submitting technical appeals. In addition, the AR specialist is the subject matter expert for all billing...with payers to ensure timely resolution of all outstanding claims via phone, emails, fax, or payer portals. Responsible… more
- Deloitte (Philadelphia, PA)
- Manager/ Specialist Master, Operations & Technology Transformation, Insurance, Guidewire Integration & Configuration What we do Operations and Technology ... contributing to the development of junior staff. Your role As a Manager/ Specialist Master you will bring considerable technical expertise to deliver effective… more
- The Salvation Army (Philadelphia, PA)
- Overview TITLE:Leave Specialist , In-House Expert LOCATION/DEPARTMENT: Divisional Headquarters, Human Resources Department REPORTS TO: Directly:Divisional HR ... importantly - a job with a good purpose! Position Overview: The Leave Specialist (LS) is responsible for the in-house expert for the divisional communication of,… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …AM Best. Philadelphia Insurance Companies is looking to add a Product Development Specialist to join our Compliance team. Product Development Specialist - ... and endorsements, and rate rule pages. Collaborate with Underwriting, Actuarial, Claims and Information Technology departments on Product Development projects. Be… more
- Elevance Health (Wilmington, DE)
- **Senior Implementation Specialist ** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within ... CT, Grand Prairie, TX or Louisville, KY. The **Senior** **Implementation Specialist ** will be responsible for implementing payment integrity concepts and executing… more
- Merck (North Wales, PA)
- **Job Description** Overview: The Data Science & Analytics Senior Specialist role will collaborate with the Human Health Digital, Data and Analytics area to utilize ... + Analyze data using advanced analytical/statistical techniques from various databases/sources ( claims data/EMR data and other sources) to optimize and improve… more
- Robert Half Accountemps (Philadelphia, PA)
- Description Robert Half is seeking a detail-oriented Collections Specialist to join the team of well-known company in the Financial Services industry, located in ... Philadelphia, Pennsylvania. As a Collections Specialist , your primary role will be in account recovery...for account recovery * Employ Epic Software for efficient claims administration * Ensure accurate and efficient processing of… more
- Robert Half Finance & Accounting (Wilmington, DE)
- …has partnered with a successful client on their search for a Billing Specialist /Accounts Receivable Clerk with proven knowledge of medical compliance and HIPAA. As ... the Billing Specialist /Accounts Receivable Clerk, you will oversee client invoicing, assist...and maintain client accounts . Review and analyze returned claims . Monitor A/R aged reports . Email follow-up… more
- HNTB (King Of Prussia, PA)
- …management, document control and project management information systems. The Project Controls Specialist I assists with reporting on cost controls and schedules for ... databases + Consults with the project team or client/owner related to potential claims , claims avoidance, and claims support. + Supports the preparation of… more