- Select Medical (Camp Hill, PA)
- **Overview** ** Claims Resolution Specialist ** **Starting at $17.50 per hour** **ON-SITE** **BONUS ELIGIBLE** **(Hybrid Schedule Possible After 90 Day ... Do you enjoy puzzles and research? Are you results-oriented? If so, our Claims Resolution Specialist position may be a phenomenal career for you within… more
- Select Medical (Camp Hill, PA)
- …quarterly bonus after 90 day probationary period._ **Patient Account Representatives** and ** Claims Resolution Specialist ** candidates need to be more ... Qualifications + **Computer proficiency** and experience in windows based technologies + Claims processing experience + Phone or call center experience. + This job… more
- Sedgwick (Harrisburg, 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 severe injury claims ; to coordinate case management within… more
- Sedgwick (Harrisburg, PA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Professional Liability (Cyber) **PRIMARY PURPOSE** **:** To ... analyze complex or technically difficult Cyber and other Professional Liability claims ; to provide resolution of medium to highly complex nature claims ; to… more
- Sedgwick (Harrisburg, PA)
- …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
- Travelers Insurance Company (Harrisburg, PA)
- …proper indemnity and expense reserves. + Recognize and implement alternate means of resolution . + Manages litigated claims . + Develop litigation plan with staff ... serious and complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O… more
- Sedgwick (Harrisburg, PA)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Service Center Specialist - Background in Auto Insurance Required **PRIMARY PURPOSE** : To assist ... customer service representatives in expediting the application by providing claims general information; to track trends; to investigate client feedback both… more
- CVS Health (Harrisburg, PA)
- …to enhance and improve member satisfaction and retention by providing accurate and timely resolution in processing medical claims . You will be a key link in ... good standing will move to $18.50. Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit...screens to obtain and record claim information + Review claims information to determine the nature of a member's… more
- Zurich NA (Harrisburg, PA)
- National Livestock Specialist 119945 We are currently looking for a National Livestock Specialist to sell, service and train Livestock products nationwide for ... in all aspects of Zurich Crop livestock software (quoting, processing and claims ) to provide agent training and support. + Has excellent virtual communications… more
- Travelers Insurance Company (Harrisburg, PA)
- …and providing expertise in adjusting large, complex Boiler and Machinery first party claims both in the United States and on occasion, internationally. In addition, ... prices with contractors for repairs and finally, evaluating and negotiating the final resolution of any claim. + Co-adjusts Boiler Machinery losses with junior staff… more
- Prime Therapeutics (Harrisburg, PA)
- …enrollment and claims point of sale for research and problem resolution . + Assists in data collection and reporting. + Completes bi-weekly checkwrite production ... drives every decision we make. **Job Posting Title** Senior Enrollment Specialist **Job Description** + Effectively supports Magellan's SBU program operations… more
- Sedgwick (Harrisburg, PA)
- …Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer IT Software Development Specialist **PRIMARY PURPOSE** **:** To develop, maintain, test and debug ... history of development and changes. + Assists in investigating issues and developing resolution in a timely manner with a technical author. + Follows pre-established… more
- Sedgwick (Harrisburg, PA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer IT Development Specialist Sr **PRIMARY PURPOSE** : To develop, maintain, test and debug ... history of development and changes. + Assists in investigating issues and developing resolution in a timely manner with a technical author. + Follows pre-established… more
- WellSpan Health (York, PA)
- …preferred). + Working knowledge of medical terms to help interpret edit resolution , claims remittance advice, medical record documentation and payer ... Cycle functions including, submitting electronic and / or manual insurance claims , resolves claim edits, performs insurance account follow-up, researches claim… more
- CVS Health (Harrisburg, PA)
- …or responding to complex issues regarding Medicaid policies and procedures, service, claims or compensation issues, and provider education needs. + Specialize in ... assigned provider questions or inquires, and if necessary, ensures prompt resolution to provider issues with appropriate enterprise business teams, including those… more
- Prime Therapeutics (Harrisburg, PA)
- …The Sr Health Plan Account Manager serves as a line of business specialist for their assigned account/s and provides information, analyses, and consulting to the ... in the market. **Responsibilities** + Serve as a line of business specialist responsible for managing client relationships within assigned health plan/s; effectively… more
- Highmark Health (Harrisburg, PA)
- …of the change or problems and takes appropriate steps to effect resolution . (10%) + Reviews and interprets medical information, classifies that information into ... or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder… more