- Magellan Health Services (Maryland Heights, MO)
- …abandonment rate, talk time). Comfortable adapting to change. General Job Information Title Claims Resolution Specialist Grade 20 Work Experience - Required ... all pertinent information is recorded both for ease of resolution by the Claims Department and service...It has come to our attention that a false representative is contacting potential candidates and offering them work… more
- US Tech Solutions (Bridgewater, NJ)
- …on Medicaid rules and regulation established for final processing. o Resolves claims resolution and/or adjustments/voids. o Processes claim adjustments through ... Reversal/Replacement requests submitted by providers. o Prices claims manually as required by Medicaid rules and system...knowledge of PC o Good working knowledge of medical claims systems o Knowledge of CPT/HCPCS and ICD9 coding… more
- Centers for Independence (Milwaukee, WI)
- ** Claims Resolution Specialist** **Job Details** **Job Location** iLIFE Main - Milwaukee, WI **Description** **_Job Purpose_** : The Claims Resolution ... and Physical Requirements_** The work environment and physical demands described here are representative of those that an employee may experience or must do to… more
- Regional Transit Service (Rochester, NY)
- Senior Claims Representative - Workers' Compensation / Automobile Apply Now! Back to search Location: Rochester, NY Posted: 06/19/2024 Location Name: RTS Monroe ... + Manages the litigation process; ensures timely and cost-effective claims resolution . + Coordinates vendor referrals for...& WORK ENVIRONMENT: The physical demands described here are representative of those that must be met by an… more
- Access Dubuque (Dubuque, IA)
- …limits. + Manages the litigation process; ensures timely and cost effective claims resolution . + Coordinates vendor referrals for additional investigation and/or ... claims through well-developed action plans to an appropriate and timely resolution . + Assesses liability and resolves claims within evaluation. + Negotiates… more
- USAA (Colorado Springs, CO)
- …of what makes us so special! It is all about learning and growing. Our Associate Auto Claims Representative role may be a new career for you. There's a lot to ... highly encouraged to apply. As a Customer Service Auto Claims representative your work will focus on...expectations with external and internal business partners to facilitate claims resolution . + Support members, business partners,… more
- BCA Financial Services, Inc. (Houston, TX)
- … claims , insurance claims resolution , insurance collector, claims follow up, revenue cycle specialist, revenue cycle representative Powered by JazzHR ... Insurance Claim Collectors with a minimum of 2 years medical insurance billing and claims follow up experience. Benefits we offer: + Monday through Friday schedule +… more
- University of Rochester (Rochester, NY)
- …to ensure that the process conforms to federal and state regulations. The Claim Resolution Rep III will represent the department and Strong Memorial Hospital ... all times. **Supervision and Direction Exercised** **:** The Claim Resolution Rep III is responsible for self-monitoring...status on appropriate payer system or contact an insurance representative to obtain information as to why claims… more
- Sedgwick (Charlotte, NC)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Workers Compensation **PRIMARY PURPOSE** : To process ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Sedgwick (Sun Prairie, WI)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Liability **PRIMARY PURPOSE** **:** To process low ... up to designated authority level. + Develops and coordinates auto liability claims ' action plans to resolution , return-to-work efforts, and approves claim… more
- University of Rochester (Rochester, NY)
- Responsibilities **General Purpose:** The Claims Resolution Representative III is responsible for working across the professional fee organization, handling ... and routine action to resolve unpaid claims . The Claims Resolution Representative III reports to Accounts Receivable Management. **Responsibilities:**… more
- University of Rochester (Rochester, NY)
- …which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as to the processes ... the attention of billing Manager and Supervisor. The Claim Resolution Rep III will represent the department...Insurance Coverage tab), review payer website, or contact payer representative as to why claims are not… more
- Access Dubuque (Dubuque, IA)
- …Start Date 20240619 End Date 20240806 Featured Job TH Ad TH Comments **Similar Jobs** Claims Representative - Auto Sedgwick Claims Examiner - Auto Liability ... use independent judgment in the investigation, evaluation, negotiation, and resolution of assigned claims . **Strengths and skills...Sedgwick Claims Representative - Auto Sedgwick Litigated Claims Examiner… more
- Randstad US (Worcester, MA)
- …America's Top Employers (Forbes) and A Best Places to Work (Business Insurance) As an claims resolution specialist, you will play a vital role in the auto ... customer service representative - hybrid. + worcester , massachusetts +...and its customers. As a member of the Auto Claims team, you will work in a dynamic and… more
- Travelers Insurance Company (Indianapolis, IN)
- …We are looking for a motivated and enthusiastic team player to join our Strategic Resolution Group Claim team. As a Claim Representative Trainee, you will start ... and how to apply that knowledge to the handling and resolution of complex liability claims . We provide a comprehensive training program to assist you in… more
- Montana State University (Bozeman, MT)
- …programs, including processing workers' compensation claims , reporting, participating in claims meetings and associated claims resolution strategies, SAW ... liability for interns. + Ensure compliance with insurance, financial reporting and claims management rules and regulations. + Special event insurance program. +… more
- USAA (Roanoke, VA)
- …Partner with vendors and internal business partners to facilitate highest complexity claims resolution . May also involve external regulatory coordination to ... method of inspection. + May serve as a subject matter expert representative for disputed claims or trials. Serves as a resource to team members on escalated… more
- USAA (Greenville, NC)
- …Partners with vendors and internal business partners to facilitate highest complexity claims resolution . May also involve external regulatory coordination to ... method of inspection. + May serve as a subject matter expert representative for disputed claims or trials. Serves as a resource to team members on escalated… more
- HUB International (Gulfport, MS)
- …insurance experience required; at least 3 years of work experience ( claims resolution , benefits administration, employee benefit customer service, etc.). ... as a liaison with insurance carriers, providers, and clients to resolve claims (including assistance in the appeals process), enrollment, termination, and billing… more
- University of Rochester (Rochester, NY)
- …unpaid accounts, check claim status on appropriate payer systems or contact an insurance representative to obtain information as to why claims are not paid and ... date from the payer. + Research and calculate underpaid or overpaid claims ; determine final resolution . + Re-calculate claim based on fee schedule, APC or APG… more