- US Tech Solutions (Columbia, SC)
- …errors to the appropriate departments. **Experience:** + 1 year of experience in a claims /appeals processing, customer service , or other related support area ... of work experience. **Skills:** + Good verbal and written communication skills. Strong customer service skills. + Good spelling, punctuation and grammar skills.… more
- TEKsystems (Florence, SC)
- … claims following organizational policies and procedures. Ensures effective customer relations by responding accurately, timely, and courteously to telephone, ... Job Description: Responsible for responding to customer inquiries. Inquiries may be non-routine and require...research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny… more
- State of Massachusetts (Boston, MA)
- …mission-driven, effective communicators, and detail-oriented, withexperience providing exceptional customer service , following multi-step processes, and ... **Organization:** **Victim & Witness Asst Board* **Title:** *Victim Compensation Claims Advocate * **Location:** *Massachusetts-Boston-1 Ashburton Place* **Requisition… more
- HUB International (Fresno, CA)
- …the insurance community. **THE OPPORTUNITY:** We are seeking a Property & Casualty Claims Advocate to facilitate a smooth interaction between the client and ... the carrier regarding property & casualty issues The Claims Advocate monitors ongoing property & casualty...Ability to respond to customer needs, solicit customer feedback to improve service , and handle… more
- HUB International (Berkeley Heights, NJ)
- …leading success in mergers and acquisitions. Hub International Northeast is seeking a Claims Advocate for our Specialty Lines and Healthcare Divisions. The ideal ... candidate should have 3+ years of experience in handling claims . Specialty clams such as E&O, D&O Cyber and...of HUB clients. + Consistent conveyance of an exceptional customer experience to clients, customers, and business partners. Adhering… more
- State of Massachusetts (Boston, MA)
- …and cultivating relationships with diverse stakeholders, and providing exceptional customer service . *_Responsibilities_* * Provide primary oversight and ... for underserved and marginalized communities. *_Job Overview_* MOVA is seeking a mission-driven advocate with direct service or social service and… more
- Pacific Medical Centers (Renton, WA)
- … production and quality. This role will assist in responding to Customer Service requests and the resolution of problem claims situations. Assists the ... **Description** Must be an accomplished claims adjudicator with at least 3 years prior...areas of specialty claim processing (COB, Adjustments, Point of Service , Home Health, Home Infusion, Kidney Dialysis Centers, Encounters).… more
- HUB International (Irving, TX)
- …able to handle claims under multiple loss types simultaneously. + Provide excellent customer service to all our clients. + Review and audit files regularly. ... for each client and portfolio. The role of the ** Claims Adjuster** is to handle the complete adjudication of...and the representative and/or end client; be a strong advocate for the client; be a consultant to the… more
- Pacific Medical Centers (Seattle, WA)
- …Adjusts complex claims for advanced processing needs. Responds to Customer Service Requests and resolves problem claim situations. Providence caregivers ... **Description** Adjudicates claims submitted by outside purchased services for PMC's...areas of specialty claim processing (COB, Adjustments, Point of Service , Home Health and Encounters). + Information systems supporting… more
- State of Michigan (Detroit, MI)
- Civil Rights Claims Examiner - Departmental Technician 7-E9 Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4879009) Apply Civil Rights ... Claims Examiner - Departmental Technician 7-E9 Salary $22.55 -...Process includes all of the tasks performed when a customer interacts with MDCR about a civil rights-related need… more
- TEKsystems (Columbia, SC)
- …Education: High School Diploma or equivalent Required Work Experience: 1 year of claims processing or customer service experience OR Bachelor's Degree ... TEKsystems is looking for Customer Service / Call Center professionals...support experience + call center experience + health insurance claims + claims Additional Skills & Qualifications… more
- CareFirst (Baltimore, MD)
- …of products and the contractual provisions that govern administration to provide customer service and education, to interpret contractual language to the ... **Education Level:** High School Diploma or GED. **Experience:** Less than one year customer service experience. **Preferred Qualifications:** + Less than 1 year… more
- MetLife (Holly Springs, NC)
- …NC. Summary of Responsibilities Our Customer Care Advocates handle inbound customer service inquiries via the telephone and/or email and resolves complex ... Job Title Customer Care Advocate Job Location Cary,...The candidates selected for this position will be providing customer service to inbound customers calling our… more
- MetLife (Bridgewater, NJ)
- …analysis to the customer and MetLife team with recommendations * Act as a customer advocate for the customer 's employees - Investigate and resolve ... NJ. * Responsible for the expedient management and resolution of customer -initiated claim escalations, inquiries, or claim processing questions while ensuring the… more
- TEKsystems (Columbia, SC)
- …Required Education: High School Diploma or equivalent Required Work Experience: 2 Years Customer service or claims processing experience OR Bachelor's Degree ... experience. Preferred Education: Associate Degree-Any Major Preferred Work Experience: 3 Years- Customer service or claims processing experience. #TEKsystems… more
- System One (Dayton, OH)
- …levels of the organization + Excellent written and verbal communication skill + Customer service oriented + Ability to proactively, effectively and efficiently ... This person must have a strong domain expertise in Claims and Facets experience. The Project Manager II is...Track, compile and report project metrics and budget + Advocate for and adhere to IMO standards, tools and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …with MTM, Corporate Service strategy, NCQA, and legislative requirements. The Customer Care Advocate provides service for customers and business ... will receive a Video Assessment from ###@jobalerts.excellusbcbs.com. Summary The Customer Care (CC) Advocate resolves customer...I: + High School diploma or equivalent required. + Customer service experience preferred. + Entry level… more
- CNO Financial Group (Carmel, IN)
- …provide excellent service to members through case resolution. + Excellent customer service and problem-solving techniques to identify issues, root causes and ... **Salary Range** : $20.97 - $31.45 Hourly **Job Details** **TITLE:** ** Advocate - Evening Shift 11:30am-8:00pm CT 12:30pm-9:00pm ET** **LOCATION:** REMOTE from any US… more
- Zelis (FL)
- …Excellent attention to detail, time management and decision-making skills. + Excellent customer service skills with the ability to maintain professionalism, ... Advocate is a vital role in ensuring service excellence to Zelis clients and their members. The...+ Generate the Qualified Payment Amount (QPA) for the claims in Negotiations. + Upon direction and within parameters… more
- Sharecare (Columbus, OH)
- …or healthcare institution + Experience in successful resolution of high level/sensitive customer service issues. Sharecare and its subsidiaries are Equal ... **Job Description:** **Job Summary:** The role of the Family Health Advocate Lead is an exciting and innovative remote role newly created to provide meaningful… more