- UPMC (Pittsburgh, PA)
- UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II! This role will predominantly work remotely, Monday - Friday daylight hours. The selected ... comp adjuster license. The UPMC WorkPartners Workers Compensation Lost Time Claims Specialist II reports to the Workers Compensation Claims Supervisor.… more
- Zurich NA (Harrisburg, PA)
- Marine Claims Senior Claims Specialist 126574 We are excicted to share that Zurich North America is hiring a Marine Claims Senior Claims ... and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor...and 2 or more years of experience in the Claims and/ or Litigation Management area.OR + Zurich Certified… more
- Amentum (Harrisburg, PA)
- …approximately 80 countries across all 7 continents. **Defense Base Act (DBA) Claims Specialist :** Responsible for reporting Foreign (DBA), and Maritime ... activities/projects as assigned including the preparation and distribution of computer reports. ** Claims Specialist Requirements:** + 3-5 years of experience as… more
- BrightView (Blue Bell, PA)
- …team where you can grow to be your brightest. We're looking for a Senior Claims Specialist . Can you picture yourself here? **Hybrid Schedule:** 4 Days Onsite in ... Bell, PA No Agency Resumes At This Time **Here's what you'd do:** The Senior Claims Specialist is a key member of the risk management team and plays a strategic… more
- Henderson Brothers Inc. (Pittsburgh, PA)
- Position Details + Job Title: Claims Specialist + Department: Commercial Lines + Division: Risk Control/ Claims + Reports To: Claims Supervisor + ... Contract: No + FLSA status: Exempt Position Description The Claims Specialist will provide heroic claims service by assisting with the management of all … more
- Insight Global (Norristown, PA)
- Job Description Insight Global is seeking a Large Loss Senior Claims Specialist to join our client's team. Responsibilities will include managing complex ... workers' compensation claims , ensuring fair and efficient resolution while maintaining compliance...The ideal candidate will have extensive experience handling indemnity claims , negotiating settlements, and structure annuities. This candidate will… more
- Philadelphia Insurance Companies (Harrisburg, PA)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr. Claims Specialist - G/L to join our team! Summary: Investigate, evaluate and settle more ... complex first and third party insurance claims . A typical day will include the following: Communicates...investigation. Investigates circumstances of routine as well as complex claims to determine if and to what extent coverage… more
- Select Medical (Camp Hill, PA)
- **Overview** ** Claims Resolution Specialist ** **Starting at $18.50 per hour** **ON-SITE** 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 Select Medical! Our dynamic team has the responsibility of resolving outstanding… more
- Carrington (Coraopolis, PA)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... identified during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure Loss Specialist provides corrections as… more
- Insight Global (Norristown, PA)
- …client's team. Responsibilities will include managing complex workers' compensation claims , ensuring fair and efficient resolution while maintaining compliance with ... The ideal candidate will have extensive experience handling indemnity claims , negotiating settlements, and collaborating with medical and legal...only have a small amount of med only files. Claims total would be around 135. We are a… more
- Geisinger (Danville, PA)
- …identified. + Leads internal development, testing, maintenance, and expansion of internal claims edits. + Leads the development of the ClaimsXten Policy Management ... Module . + Mentors less experienced staff and new hires. + Compiles and coordinates routine performance reporting for various vendor initiatives and supports various report out meetings. Work is typically performed in an office environment. Accountable for… more
- Select Medical (Camp Hill, PA)
- …quarterly bonus after 90-day probation. **Patient Account Representative / Claims Resolution Specialist ** Research-focused role requiring independence and ... persistence to resolve outstanding insurance claims and advocate for patients. Strong computer skills and...+ Proficiency in Windows-based computer systems + Experience with claims processing + Previous phone or call center experience… more
- Sedgwick (Harrisburg, PA)
- …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims ... and RESPONSIBILITIES** + Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and sufficient information… more
- Guthrie (Towanda, PA)
- …to insurance payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy, ie diagnosis and ... invoice is correct. Follows up with payers on unresponded claims . Works denied claims by following correct...in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects,… more
- St. Luke's University Health Network (Allentown, PA)
- …Medicaid (MA)/ MA Managed Care. Medicare /Medicaid Follow Up The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts ... practitioner services for the St. Luke's Physician Group. The Accounts Receivable Specialist I is responsible for accurate and timely submission of claims… more
- Travelers Insurance Company (Wyomissing, PA)
- …a Sr Technical Specialist , you are responsible for handling complex, high-exposure claims . In this technical role, you will leverage your background in claims ... guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating...negotiation to ensure timely, fair, and cost-effective resolution of claims . You will serve as a technical resource to… more
- Zurich NA (Pittsburgh, PA)
- Underwriting Specialist OR Executive Underwriter - Excess Casualty 128381 Zurich is currently looking to hire an experienced Underwriting Specialist OR Executive ... and/or Construction. This role will be filled at either an Underwriting Specialist OR Executive Underwriter. The hiring manager will determine the appropriate level… more
- Zurich NA (Pittsburgh, PA)
- Underwriting Specialist OR Executive Underwriter- MM Complex Property 129315 Zurich is seeking a Underwriting Specialist OR Executive Underwriter- MM Complex ... This role will be filled at either the Underwriting Specialist OR Executive Underwriter- MM Complex Property Level. The...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Cardinal Health (Harrisburg, PA)
- …- 4:30 PM EST (or based on business need)** **_What Accounts Receivable Specialist contributes to Cardinal Health_** Account Receivable Specialist is responsible ... for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following...and submitting claims to payers, correcting rejected claims , following up on unpaid and denied claims… 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