- MyFlorida (Tallahassee, FL)
- CLAIMS PROCESSING SPECIALIST - 36000116 Date: Jun 19, 2024 Location: TALLAHASSEE, FL, US, 32301 The State Personnel System is an E-Verify employer. For more ... . Requisition No: 822431 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SPECIALIST - 36000116 Pay Plan: Lottery Exempt Serv… more
- CGI Technologies and Solutions, Inc. (Walnut Creek, CA)
- **Business Claims Processing Specialist - Walnut Creek** **Category:** Administration **Main location:** United States, California, Walnut Creek **Position ... assist in the provision of affordable housing has an opening for a Business Claims Processing Specialist in Walnut Creek, CA. Under the direction of the… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …and Medicaid Innovation (CMMI), Business Services Group (BSG). As a Health Insurance Specialist ( Claims Processing & Systems), GS-0107-13, you will perform ... claims processing and systems work related to national health insurance...the development, evaluation, and implementation of policies related to claims processing and system work. Perform Medicare… more
- Providence (Mission Hills, CA)
- …best people, we must empower them. **Required qualifications:** + 2 years HMO claims processing experience in a managed care environment, preferably PMG/IPA ... Full time **Job Shift:** Day **Career Track:** Admin Support **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills 11165… more
- Providence (Anaheim, CA)
- …+ Bachelor's Degree or equivalent education/experience. + 10 or more years HMO claims processing and/or auditing experience in a managed care environment, ... Full time **Job Shift:** Day **Career Track:** Admin Support **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Anaheim 200 W… more
- NJM Insurance (Trenton, NJ)
- …including basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II - 3-5 years' experience as a ... Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a...WC Law, medical terminology, and utilization of an automatic claims processing system. + Sr Level -… more
- Community Clinic Inc. (Silver Spring, MD)
- …a more equitable health care system for everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial resource in support of the clinical ... services provided. The Claims Specialist will assure that services are...center personnel in maintaining accuracy in data elements and processing crucial to effective claims processing… more
- Acosta Group (Jacksonville, FL)
- …to provide high quality service to clients and make continuous improvements in claims processing . "/> **RESPONSIBILITIES** + Trains and mentors Claim associates ... **DESCRIPTION** The Claims Resolution Specialist is responsible for...procedures for assigned clients and adheres to them when processing claims + Makes the final decisionon… more
- Concentrix (Greenville, SC)
- Job Title: Customer Service Representative ( Claims Specialist ) On-Site Job Description The Customer Service Representative ( Claims Specialist ) On-Site ... for Career Growth** " awards every year? Then a Claims Specialist /Customer Service Representative position at Concentrix...and deadlineswith extreme attention to detail and ownership + Claims Processing experience ( **preferred** **)** +… more
- Entergy (Reserve, LA)
- Customer Service Specialist - Claims **Date:** Jun 25, 2024 **Location:** Reserve, Louisiana, United States **Company:** Entergy **Work Place Flexibility:** ... This position may be filled as a Customer Service Specialist I, II or Senior** **based on the qualifications...external stakeholders in order to thoroughly and fairly resolve claims . **JOB DUTIES/RESPONSIBILITIES** + Handles claims in… more
- City of New York (New York, NY)
- …is recruiting for four (4) Eligibility Specialists level II to function as a Claims Review Specialist , who will: - Review, process, determine and/or establish ... Job Description YOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST TITLE… more
- Magellan Health Services (Maryland Heights, MO)
- …2+ years of claims processing experience. General Job Information Title Claims Systems Specialist I Grade 20 Work Experience - Required Claims ... Claims Operations by investigating and resolving systemic issues relative to claims processing system files and interfaces for membership, authorizations,… more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... difficult surety and surety bond claims ; to provide resolution of highly complex nature and/or...trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. +… more
- HCA Healthcare (Asheville, NC)
- …where diversity and inclusion thrive? Submit your application for our Insurance and Claims Specialist (Program of All Inclusive Care for the Elderly) Program ... may vary by location._** We are seeking Insurance and Claims Specialist PACE Program, for our team...works with contracted, new, and potential network vendors regarding claims processing and payment concerns and appeals… more
- NJM Insurance (Trenton, NJ)
- …Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after training. ... The Complex Claim Specialist will be responsible for contacting all parties involved...manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This role can be… more
- Crawford & Company (Boston, MA)
- …edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim. + Operating ... with the Company's productivity and performance standards. + Work with Central Claims Processing to organize/direct the resources ( claims assistants,… more
- Crawford & Company (Portland, OR)
- …edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim. + Operating ... with the Company's productivity and performance standards. + Work with Central Claims Processing to organize/direct the resources ( claims assistants,… more
- Crawford & Company (New Orleans, LA)
- …members of the medical profession and other persons pertinent to the investigation and processing of claims . + Verifies policy coverage for submitted claims ... In Everything We Touch Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including Fast Track and Incident Only … more
- Lincoln Financial Group (Columbus, OH)
- …our ever-growing claims organization. As a Voluntary Claims Specialist you will be responsible for administering, processing , and adjudicating Accident, ... excited to bring on highly motivated Voluntary Claims Specialist I to staff...Critical Illness, and Hospital Indemnity claims for our members. You'll complete a thorough training… more
- Providence (Salem, OR)
- …best people, we must empower them._** **Providence Health Plan is calling an Associate Claims Specialist , Medicaid who will:** + Process claims for members, ... inquires + Resolve member issues or concerns + Correctly analyze and adjudicate claims to reflect financial, check, and processing accuracy **_Please note the… more