- BroadPath Healthcare Solutions (Tucson, AZ)
- …**Work from Home Appeals and Grievance Specialists** . The Appeals and Grievance Specialist plays a key role in helping members navigate and understand their ... support and information through both verbal and written communication throughout the resolution journey. **Compensation Highlights:** + Base Pay: Up to $22 an hour… more
- Compass Minerals America Inc. (Overland Park, KS)
- …changes. + Partner with vendors to manage day-to-day operations, including escalated claims resolution , eligibility audits, and system updates. + Support annual ... about the company and its products. **Summary** The Total Rewards Specialist supports the design, administration, and execution of the company's compensation… more
- Kerry (Beloit, WI)
- …with our customers. + Navigates internally within Kerry to ensure timely proactive resolution of issues, queries, claims and complaints providing a seamless ... responsible for all internal and external (customer) order management engagement, resolution & communication. + Coordinating with the wider CC team, operating… more
- Stony Brook University (East Setauket, NY)
- …following, but are not limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new staff regarding ... Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the...+ Assists in maintaining and creating payer report cards, claims tracking and management reporting as requested. + Assists… more
- Curia (Springfield, MO)
- Position overview The Quality Assurance (QA) Specialist is responsible for maintaining Quality databases and providing an on-the-floor QA presence and oversight to ... in order to provide traceability and substantiation of any claims to be made in the investigation. This position...and to initiate and assist in the initiation and resolution of deviations. To perform this job successfully, an… more
- Whirlpool Corporation (Benton Harbor, MI)
- …found at WhirlpoolCorp.com . **This role in summary** Accounts Receivable Specialist will foster relationships with trade customers supporting Whirlpool's vision to ... and customer relations for a portfolio of accounts. Accounts Receivable Specialist will collect trade customer accounts receivable payments and take action… more
- Stanford Health Care (Palo Alto, CA)
- …a Stanford Health Care job.** **A Brief Overview** The Pharmacy Billing Specialist supports accurate and compliant billing for pharmacy services by reviewing data, ... identifying areas for improvement. This role ensures consistency in charge capture, claims submission, and reimbursement to safeguard revenue and minimize risk. The … more
- HSBC (Miami, FL)
- High Net Worth and Ultra High Net Worth Insurance Specialist /Producer Brand: HSBC Area of Interest: Insurance Location: Miami, FL, US, 33131 Work style: Hybrid ... High Net Worth / Ultra High Net Worth Insurance Specialist /Producer will be accountable for sales revenue within assigned...clients and ensures the proper handling of any subsequent claims + Required to be client-service orientated and proactively… more
- Dickinson Financial Corporation (Kansas City, MO)
- …timely processing of Automated Clearing House (ACH) exceptions, and Regulation E Claims . Meticulous attention to detail and strong understanding of ACH regulations ... compliance, and client satisfaction. **Responsibilities** + Process and investigate Regulation E claims related to ACH transactions. + Track volume for month end… more
- Commonwealth Care Alliance (Boston, MA)
- …Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening relationships with ... a primary resource for resolving provider inquiries and supporting issue resolution . + Collaborate in the implementation of CCA's enterprise-wide provider engagement… more
- Commonwealth Care Alliance (Boston, MA)
- …provider community. In this highly visible field position, the provider relations specialist acts as the primary liaison between CCA and its providers including ... with key providers; orient providers on CCA's policies related to: Claims and service recovery; Program benefits; Clinical initiatives; Referral and authorization;… more
- Morley (Lansing, MI)
- …from beginning to end by researching and assisting customers until case resolution + Offer timely and accurate solutions through inbound and outbound conversations ... Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist ( careers.morleycompanies.com | chat hours: M-F 8 am...Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will)… more
- Select Medical (Camp Hill, PA)
- **Overview** ** Claims Resolution Specialist ** **Starting at $18.50 per hour** **ON-SITE** Do you enjoy puzzles and research? Are you results-oriented? If so, ... our Claims Resolution Specialist position may be a phenomenal career for you within Select Medical! Our dynamic team has the responsibility of resolving… more
- C&S Wholesale Grocers, Inc. (Lathrop, CA)
- **Position Overview** As a Claims Investigator, you will be researching shortage claims based on calls received from our customer locations. These investigations ... Description** **Description** + This position will report directly to the Claims Manager and conduct detailed investigations by recovering all documentation… more
- TEKsystems (Delavan, WI)
- About the Role We are seeking a detail-oriented and customer-focused Claims Resolution Specialist to join our team. This role is responsible for managing and ... resolving claims submitted by customers, transportation, and credit departments. Using...customer satisfaction with company interests, ensuring timely and accurate resolution of issues while supporting healthy accounts receivable aging.… more
- Select Medical (Camp Hill, PA)
- …potential quarterly bonus after 90-day probation. **Patient Account Representative / Claims Resolution Specialist ** Research-focused role requiring ... at $16.00/hr + potential quarterly bonus after 90-day probation. **Billing Specialist ** Seeking candidates with strong typing and computer skills, attention to… more
- The Hartford (Scottsdale, AZ)
- Specialist Claims - CH07DE We're determined...a well-reasoned analytical focus, and a clear strategy for resolution . The Claim Specialist must also be ... team as we help shape the future. The Claim Specialist is the highest claim handling designation within the...to customers and business partners in the management and resolution of claims + Respond to inquiries… more
- AIG (Atlanta, GA)
- Claims Specialist III, Auto & General Liability Join us as a Claims Specialist III to take on key responsibilities within a world-class claims ... function. Make your mark in Auto/General Liability Our Claims teams are the proven problem solvers of choice...commitment to bring assigned cases to a timely, proper resolution . This requires accurate and thorough documentation, as well… more
- 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 ... Virginia workers comp adjuster license. The UPMC WorkPartners Workers Compensation Lost Time Claims Specialist II reports to the Workers Compensation Claims … more
- Falvey Insurance Group (Phoenix, AZ)
- Summary of Position At Falvey Insurance Group, the Senior Claims Specialist plays a critical part in supporting our Transportation & Logistics solution; a ... value through best-in-class claims operations. Position Functions The Senior Claims Specialist duties will include: + Manage complex transportation and… more
