- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer… more
- Sedgwick (Harrisburg, PA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and...and commercial lines policies and endorsements + Ability to review and assess Property Damage estimates, total loss evaluations,… more
- Ryder System (Philadelphia, PA)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position handles worker's compensation claims under Ryder's self-insured, self administered worker's comp program....to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Ryder System (Harrisburg, PA)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... Director Claims directs...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Donegal Insurance Group (Marietta, PA)
- …it matters most. Job Summary Donegal Insurance Group has an opening for a Claim Representative on our Casualty Claims team handling Bodily Injury Claims . As ... team, this position is responsible for the handling casualty claims in compliance with established company standards and guidelines....you reside in one of the listed states, please review the "Notice of E-Verify Participation" and the "Right… more
- Select Medical (Canonsburg, PA)
- …not required! **Responsibilities** As a **Correspondence Representative ** , you will: + Review and follow up on outstanding insurance claims older than 120 ... **Overview** **Correspondence Representative - Start Your Career with Select Medical!**...player in our Accounts Receivable team. Help resolve insurance claims and ensure patients are billed accurately-all while growing… more
- Select Medical (Canonsburg, PA)
- **Overview** **Patient Account Representative - Central Business Office - Canonsburg, PA** **Starting Pay:** $17.00 per Hour (DOE) **Work Schedule:** Monday - ... to grow your career? If so, the **Patient Account Representative ** role at Select Medical could be the perfect...part of our team, you'll help resolve outstanding insurance claims , ensuring our patients are billed accurately and without… more
- Select Medical (Camp Hill, PA)
- **Overview** **Patient Account Representative ** **Starting at $17.00 per hour** **Why work for Select?** We are committed to your growth and success! -Career ... research? Are you results-oriented? If so, our Patient Account Representative position may be a phenomenal career for you...dynamic team has the responsibility of resolving outstanding insurance claims so that our patients are not impacted. We… more
- UPMC (Pittsburgh, PA)
- Purpose: The Account Representative , Senior is responsible for all fiscal functions necessary to ensure the prompt and correct payment to the hospital of all monies ... insurers and patients. Account Representatives, Senior are responsible to: ensure claims are submitted accurately and timely; communicate with insurance companies,… more
- Travelers Insurance Company (Wyomissing, PA)
- …Compensation Claim Professional Trainee, you will handle all aspects of a workers compensation claims . In this role, you will learn how to help our customers and ... needed for quality claim handling including investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity and provide claim… more
- Robert Half Finance & Accounting (Manheim, PA)
- Description We are looking for a dedicated Personal Lines Customer Service Representative to join our client in the Lancaster, Pennsylvania area. This role involves ... * Assist clients with filing auto and home insurance claims and address billing inquiries. * Update payment plans...to ensure compliance with agency processes. * Write and review policies for existing clients, adhering to underwriting guidelines… more
- Highmark Health (Harrisburg, PA)
- …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
- Ryder System (Harrisburg, PA)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- St. Luke's University Health Network (Allentown, PA)
- …RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure ... care for appropriate reimbursement. + Work with the physician advisor in review of patient medical records identified by RAC/MIC/QIO and other governmental or… more
- Highmark Health (Harrisburg, PA)
- …for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- Stantec (Philadelphia, PA)
- …System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. - Oversee and approve development and management of the Project ... Development and maintenance of the Project Risk Register, based on review of contract conditions, project-specific delivery requirements, client characteristics, and… more
- CVS Health (Harrisburg, PA)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
- …maintain the effectiveness of Quality Systems for managing the batch record review and release process Quality Management Activities supporting all phases of ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...above. + Improves supplier quality performance for batch record review and release process for OAPI GMP release of… more
- ZOLL Medical Corporation (Pittsburgh, PA)
- …and implement purchasing and contract management instructions, policies, and procedures. + Review purchase order terms, claims , and contracts to ensure favorable ... about products, services, and prices. + Reviewing purchase order claims and contracts for conformance to company policy. +...value and conformance to company policy. + Review , evaluate, and approve specifications for issuing and awarding… more
- Pfizer (Collegeville, PA)
- …with the following teams: + Work directly with agency partners to review , and translate media optimization reporting to business objectives + Implement the ... industry and healthcare environment, specifically with an understanding of healthcare claims data and its application to marketing optimization + We look… more