- 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
- Sedgwick (Pittsburgh, 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
- 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
- Henderson Brothers Inc. (Pittsburgh, PA)
- POSITION SNAPSHOT + Title: Senior Claims Specialist + Department: Property & Casualty + Location: Pittsburgh, PA + Responsibilities: Manage claim process, ... holidays, matching 401(k) POSITION DETAILS Expect your typical day as a Senior Claims Specialist to be focused on the following initiatives: + Claims … 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
- Lincoln Financial Group (Harrisburg, PA)
- …for this opportunity. **Requisition #:** 74082 **The Role at a Glance** As an **LTD Claims Specialist ** , you will manage a workload of Long-Term Disability ... claims independently in accordance with established procedures and guidelines....and e-mail to gather information regarding Long Term Disability Claims and state and federal benefits when applicable +… more
- Carrington (Coraopolis, PA)
- **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
- UPMC (Pittsburgh, PA)
- The DMR Claims Service Specialist I is responsible for the resolution of Health Plan Subscriber submitted claims . In this role you will validate the ... information on all medical claims submitted by UPMC Health Plan members seeking out...seeking out of network reimbursement. You will thoroughly review claims to ensure there is no missing or incomplete… more
- Select Medical (Camp Hill, PA)
- **Overview** ** Claims Resolution Specialist ** **Starting at $18.50 per hour** **On-Site** **(Hybrid Schedule Possible After 90 Day Probationary Period)** 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!… more
- Beemac Logistics (Pittsburgh, PA)
- This individual will be responsible for handling freight claims filed by the owner of the goods, investigating and settling claims in accordance with carrier ... needed, reviewing and analyzing reports, and related bills. + Create and manage claims SOP. + Complete freight claim paperwork with transportation provider, paper or… more
- MetLife (Clarks Summit, PA)
- …pending, ongoing and appeal reviews. . Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and ... proofs are needed to make a reasonable and logical claims determination based off the information available. . Collaborates...conduct information gathering to be able to articulate the claims decision upon the completion of an evaluation, as… more
- Select Medical (Camp Hill, PA)
- …bonus after 90 day probationary period._ **Patient Account Representatives** and ** Claims Resolution Specialist ** candidates need to be more **research-focused, ... Qualifications + **Computer proficiency** and experience in windows based technologies + Claims processing experience + Phone or call center experience. + This job… more
- USAA (Pittsburgh, PA)
- …what makes us so special! **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate, ... evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will...in compliance with all state regulatory requirements. Property Adjuster Specialist focus on using technology and desk adjusting for… 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
- Guthrie (Sayre, 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
- 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 (Pittsburgh, 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
- 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