- Donegal Insurance Group (PA)
- Job Summary Donegal Insurance Group has an opening for a Bodily Injury Claim Representative. As a member of our Claims team, this position is responsible for the ... claim handling procedures. Responsibilities and Duties + Investigate, evaluate, and settle claims as assigned by the Supervisor + Monitor and direct file… more
- HomeSafe Alliance (King Of Prussia, PA)
- … service. **About the Role** The Assistant Claims Manager role is a remote opportunity responsible for ensuring the claim settlements meet or exceed customer ... adjusting experience preferred + Prior experience in a Supervisor or leadership role. + Prior experience assessing employee...claim expenses. + Work with the Director of Claims and Claims Managers to ensure any… more
- Carrington (Coraopolis, PA)
- Come join our amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all ... advances once the GSE or Government Mortgage Insured "expense" claim has been paid. + Maintain updates in LoanServ...manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …hub-svcs/job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834382591) LocationUS-PA-Pittsburgh ID2024-2187 Category Customer Service Position Type Full Time Remote ... Overview The Supervisor , Patient Support is responsible for direct supervision...for a degree. + Minimum three years leading a claim /customer service or related team in a production or… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …%2c-operations-qa/job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834382591) LocationUS-PA-Pittsburgh ID2024-2306 Category Customer Service Position Type Full Time ... Overview T he Operations QA Supervisor reports to the Operations QA Manager and...data generation and analysis principles. Knowledge of benefit investigations, claim payments, operations management in call center, claim… more
- Mathematica (Harrisburg, PA)
- …predictions with a large multiyear sample of Medicare beneficiaries with detailed claims data about millions of people. Mathematica's team reached the second round ... involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data sources...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- PPL Corporation (Allentown, PA)
- …work not in scope, or changes to scope of work. Participates in claims dispute and resolution sessions. Verifies contractor invoices, ensuring work invoiced has been ... Assigned work location may change. In the case of remote work, physical presence in the office/on-site may be...scope, or changes to scope of work. Participates in claims dispute and resolution sessions. Verifies contractor invoices, ensuring… more
- CVS Health (Harrisburg, PA)
- …make health care more personal, convenient and affordable. This is a full-time remote role open to candidates throughout the United States located in EST. External ... + Conducts assessments that consider information from various sources, such as claims , to address all conditions including co-morbid and multiple diagnoses that… more
- Wolters Kluwer (Harrisburg, PA)
- …increase operational efficiency and reduce costs. Corporate legal and insurance claims departments trust our innovative technology and end-to-end customer experience ... and impact. **Other Duties** Performs other duties as assigned by supervisor . **Job Qualifications** **Education** : Bachelor's Degree or equivalent experience… more
- Mass Markets (PA)
- POSITION OVERVIEW REMOTE LICENSED PROPERTY & CASUALTY INSURANCE AGENT We are hiring licensed insurance agents who are positive, persuasive, and have the drive to ... you are sure to succeed. We offer many advancement opportunities, including Supervisor , Trainer, Talent Acquisition, and Operations Management. To be considered for… more
- IQVIA (Philadelphia, PA)
- …+ Five years of relevant work experience. + Call center management/ supervisor experience. + Strong analytical mind with problem-solving aptitude. + Exceptional ... insurance and adjudication processes + Understanding pharmacy and medical co-pay claims processing + Proficient in cross training in various departments, knowledge… more
- Option Care Health (Pittsburgh, PA)
- …assistance program). + Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing). + ... Assist Patient Registration Supervisor and Manager with special assignments as needed. **Supervisory Responsibilities** Does this position have supervisory… more
- Healthfirst (PA)
- This position is Remote ** **Duties & Responsibilities** : + Conducts independent assessments of current claims edits to ensure comprehensive and defensible ... all Healthfirst product lines + Participate in special projects and advanced Claims Coding activities + Proactively identifies areas of opportunity with respect to… more
- Penn Medicine (Philadelphia, PA)
- …the reprocessing of claims and maximize opportunities to enhance front end claim edits to facilitate a first pass resolution. They may assist with training and ... Accounts Resolution Specialist II **Department:** Penn Cardiology PAH **Location:** Remote after training. **Entity:** CPUP **Hours:** Mon-Fri office hours per… more
- Commonwealth of Pennsylvania (PA)
- …an Outpatient Program to individuals of all ages. Under guidance of the Supervisor , the therapist will establish a written goal-specific treatment plan, serve as a ... services for the community. Under the guidance of a supervisor , the School Based Counseling (SBC) duties will include:...may be eligible for a hybrid of on-site and remote work after 3-months of employment. + You will… more
- Sedgwick (Harrisburg, PA)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor . + Identifies ... career making an impact on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in your daily work, your location,… more
- CVS Health (Harrisburg, PA)
- …and affordable. **Position Summary** This Case Manager RN position is a fully remote position. Candidates from any state are welcome to apply, however, preference is ... including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility.… more
- Commonwealth of Pennsylvania (PA)
- …you will have the option to report to the headquarters office in Ridgway, PA. Remote work option subject to approval from supervisor as proficiency in job ... questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are… more
- Veterans Affairs, Veterans Health Administration (Lebanon, PA)
- …or other Tour of Duty may be considered upon approval by supervisor . Financial Disclosure Report: Not required Recruitment Incentive: Not Authorized Requirements ... claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm...medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If… more
- Guardian Life (Bethlehem, PA)
- …Simon, Excel, SharePoint, etc.). **Reporting Relationships** This position reports to the Supervisor , Rating and Quoting who, in turn, reports to the Manager, Rating ... Group Insurance experience, preferably in a fast-paced operational area such as claims , call center, or within the sales support organization with experience dealing… more