• Claims Specialist *Remote

    Providence (OR)
    claims for members, providers, and employers. In addition to claims processing the claims specialist provides and interpret detailed benefit, ... Claims Specialist processes ...Qualifications:** + 1 year - Experience in a Associate Claims Specialist position **Preferred Qualifications:** + Bachelor's… more
    Providence (01/23/25)
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  • Claims Account Specialist (I/II/Sr.)

    NJM Insurance (Parsippany, 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
    NJM Insurance (01/24/25)
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  • Commercial General Liability Claims

    Artera (Atlanta, GA)
    Commercial General Liability Claims Specialist Summary Title:Commercial General Liability Claims Specialist ID:1712 Location:Atlanta, GA Department:Legal ... More about this job > Description Commercial General Liability Claims Specialist Job Purpose: Manage all 3rd party dig in damage claims under $5K, 1st party… more
    Artera (01/23/25)
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  • Claim Specialist III - 1st Party No Fault…

    City of New York (New York, NY)
    …employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE YOUR CURRENT ... Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York....Set up No-fault claim files which includes issuing and processing NF2 application, confirming the City's involvement on the… more
    City of New York (11/16/24)
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  • Medical Insurance Claims Specialist

    Robert Half Accountemps (St. Louis, MO)
    …with a strong background in healthcare AR follow-up, insurance claim collection, and claims processing . This role is critical in understanding the complexities ... insurance claims , ensuring accuracy and completeness. Execute comprehensive claims processing , proactively addressing potential denial factors. Demonstrate… more
    Robert Half Accountemps (01/25/25)
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  • Claims Specialist (Remote)

    Insight Global (Nashville, TN)
    …to work from 9 AM to 5 PM EST / 8 AM to 4 PM CST. Claims Processing : 75% of the role involves processing claims within our proprietary claims ... of contact at correctional facilities or account managers for verification before processing claims . We are a company committed to creating diverse and inclusive… more
    Insight Global (01/24/25)
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  • Sr. Claims Specialist , Professional…

    Sedgwick (Columbus, OH)
    …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Professional Liability (Cyber) **PRIMARY PURPOSE** **:** To ... while providing high levels of customer service. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** Claims Management and Processing : + Handle a diverse portfolio of… more
    Sedgwick (01/01/25)
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  • Environmental Claims Specialist

    Sedgwick (Columbus, OH)
    …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...trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. +… more
    Sedgwick (10/29/24)
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  • Claims Coding Specialist

    Whitney Young Health Center (Albany, NY)
    …date . Four (4) years of progressive experience in medical billing and claims processing in a multi-specialty healthcare setting. Professional coding experience ... Claims Coding Specialist (Req 100825) Albany, NY (http://maps.google.com/maps?q=526+Central+Ave+Albany+NY+USA+12206) Apply Description GENERAL RESPONSIBILITIES:… more
    Whitney Young Health Center (11/09/24)
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  • Claims Administration Specialist

    Danfoss (Van Wert, OH)
    …will also be involved in the Creation of Case and complaint using CRM and ERP ( claims processing ) systems. Direct path processing less complex claims ... Claims Administration Specialist Requisition ID: 41807...processing . **Job Responsibilities** + Defect Claim Creation -Receive claims from customers. Must be able to proficiently work… more
    Danfoss (01/17/25)
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  • Property Damage Claims Specialist

    Robert Half Accountemps (Allentown, PA)
    …are offering a long term contract employment opportunity for a Property Damage Claims Specialist based in Allentown, Pennsylvania. The role involves handling and ... processing customer property damage claims related to electric service operations, ensuring compliance with state regulations and company policies.… more
    Robert Half Accountemps (01/16/25)
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  • Medical Claims Specialist

    Kelly Services (Glastonbury, CT)
    **Now Hiring: Claims Specialist - Medical Claims (Bilingual)** **Position:** Claims Specialist - Medical Claims (Bilingual) **Salary:** $22 - ... Spanish Speaking **Job Summary:** We are seeking a dedicated and detail-oriented Claims Specialist to join our fast-paced environment. The ideal candidate… more
    Kelly Services (01/18/25)
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  • Medical Coder - Claims Resolution…

    Prairie Ridge Health (Columbus, WI)
    Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift. The Claims Resolution Specialist is responsible for researching...as a part of a team + Basic word processing proficiency. This includes the ability to: insert tables… more
    Prairie Ridge Health (01/12/25)
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  • Cyber Claims Specialist , North…

    Axis (New York, NY)
    …payments, ensuring these are processed accurately and promptly, including monitoring and processing of claims bordereaux and ISO searches and reporting Ensure ... for candidates taking part in the selection process. Claim Specialist - Salary Grade I This is your opportunity...exposure, determine the proper course of action, and pursue claims to conclusion Set accurate and timely claim reserves… more
    Axis (01/15/25)
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  • Specialist , Config Oversight - Remote…

    Molina Healthcare (MI)
    …communicate written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims ... incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for claims specific positions only_ )… more
    Molina Healthcare (01/23/25)
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  • Claims Specialist

    Kelly Services (Tulsa, OK)
    …always easy. That's where Kelly (R) Professional & Industrial comes in. We're seeking ** Claims Specialist ** to work in a temporary to hire opportunity with a ... at home to do this position **Job Duties:** + Processing complex claims requiring investigation and coding...so let's get to work. Apply to be a Claims Specialist today! \#CB \#PI As part… more
    Kelly Services (01/25/25)
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  • Medical Claims Follow-Up Specialist

    Atrius Health (Chelmsford, MA)
    …for denied claims including writing medical necessity appeals, reviewing claims for coding corrections, processing requests for insurance payment ... welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Medical Claims Follow-Up Specialist * **Location:** *Chelmsford MA -… more
    Atrius Health (01/24/25)
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  • Claims Review Specialist

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST ... TITLE YOU MUST TAKE AND PASS THE ELIGIBILITY SPECIALIST CIVIL SERVICE EXAM WHEN IT BECOMES AVAILABLE TO...data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and… more
    City of New York (11/09/24)
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  • Healthcare Claims Denials Specialist

    CenterWell (Jefferson City, MO)
    …and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing . + Prepare input data forms to update computer ... help us put health first** As an **Accounts Receivable Specialist ** , you will: + Ensure the coordination of...or the equivalent + Minimum of two years medical claims processing experience preferred + Knowledge of… more
    CenterWell (01/17/25)
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  • Recovery Specialist (Accountant I - Medical…

    TEKsystems (Murray, UT)
    …checks from providers, insured members, and third parties. Accurate correction of claims history and medical expense accounts. + Researches and accurately applies ... checks, credit cards, and other sources of payment for pharmacy and medical claims . + Accurately evaluates the correct adjustments for medical, historical, regular … more
    TEKsystems (01/18/25)
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