- 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
- UPMC (Pittsburgh, PA)
- UPMC WorkPartners is hiring a full-time Medical Only Claims Specialist II to join the Workers Comp Claims team. This role follows a standard Monday through ... in the Pittsburgh area. The UPMC WorkPartners Workers' Compensation Medical Only Claims Specialist 2 reports to the Workers' Compensation Supervisor. This… 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
- 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
- Carrington (Coraopolis, PA)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- Deloitte (Pittsburgh, PA)
- …environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist , you will have the ability to share new ideas and collaborate ... on projects without the extensive demands of travel. The Project Delivery Talent Model is designed for professionals with specialized skills that align to a current client need. Team members focus on delivering services to clients, without additional… 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
- UPMC (Bridgeville, PA)
- UPMC Rx Partners is looking for a full time Pharmacy Clinical Review Specialist to join their dedicated team! This position provides prescription data entry and ... adjudication of claims under the supervision of a licensed pharmacist. This...Partners Skilled nursing and Hospice clients. The clinical review specialist at Rx Partners works hand in hand with… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …Under direct supervision of the department manager or supervisor, the Specialist , Pharmacovigilance is focused on meeting ConnectiveRx's obligations for Drug Safety ... and Reporting as required by the pharmaceutical manufacturers we support. The Specialist ensures that ConnectiveRx operates in a constant state of compliance with… more
- Sedgwick (Pittsburgh, PA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Housing Specialist **PRIMARY PURPOSE:** Booking and extending Airbnb reservations in a quick and ... or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of education… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is looking for Pharmacy Clinical Review Specialist I positions in the Pharmacy Services department. This is a full time position working Monday ... 11:30am to 8:00pm and weekend rotations. The Clinical Review Specialist will oversee administrative and system processes that relate...NCQA laws and standards. + HS diploma and pharmacy claims , pharmacy tech, and/or other related experience in a… more
- CDM Smith (Pittsburgh, PA)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- US Tech Solutions (Monroeville, PA)
- **Job Description:** Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Copay assistance programs. Individual must work ... document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing… more
- US Tech Solutions (Monroeville, PA)
- **Position Summary:** + Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. ... document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing… more
- Citizens (Pittsburgh, PA)
- …continuously learn, consider a career at Citizens as a Fraud Customer Support Sr. Specialist . In this role, you'll play a crucial part in safeguarding our customers ... the customer's consent on a resolution. + Provide accurate complete claims processing, and records management using established procedures in moving/placing… more
- Walgreens (Pittsburgh, PA)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- ZOLL Medical Corporation (Pittsburgh, PA)
- …to build your career.Job SummaryThis position the Senior Strategic Sourcing Specialist is responsible for leading the sourcing, procurement, risk reduction, and ... examine and learn about products, services, and prices. + Reviewing purchase order claims and contracts for conformance to company policy. + Negotiate and administer… more
- Philips (New Kensington, PA)
- The Principal Regulatory Affairs Specialist will develop and execute the regulatory strategy for new product development, design changes, and field safety ... CAPAs as a regulatory SME. + Review labeling, marketing materials, and claims substantiation evidence to maintain compliance with global requirements. + Identify… more
- ATI (Natrona Heights, PA)
- …our products. Join us. ATI is seeking to hire a Supply Chain Specialist (Domestic/Export Shipping) to support our Specialty Rolled Products business unit. This role ... related issues. + Monitor carrier activity and performance, review and resolve transit claims . + Work closely with sales and production to respond to expedited… more