- 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...Previous experience with health insurance and collection techniques. + Must possess the ability to work both independently and… more
- Trinity Health (Farmington Hills, MI)
- …, Interprets data, draws conclusions, and reviews findings with all levels of Payment Resolution Specialist for further review. Serve as a resource to Payment ... Services (PBS) center. Serves as part of a team of clinical payment resolution colleagues at an assigned PBS location responsible for identifying and determining… more
- TEKsystems (Jacksonville, FL)
- Work outpatient, mainly ED claims will be reviewing the accounts, reviewing the charges and making sure it is correct -adding modifiers if necessary Correcting ... this backlog out of a work que in EPIC Certification not required but must have 2+ years of coding experience Will mostly work outpatient coding Understanding of… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined...a well-reasoned analytical focus, and a clear strategy for resolution . The Claim Specialist must ... manage, and can involve higher exposures. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to independently...to customers and business partners in the management and resolution of claims * Respond to inquiries… more
- Zurich NA (Columbus, OH)
- Commercial Property Claims Specialist 116043 Zurich North America is hiring an Commercial Property Claims Specialist to join our team!This position will ... within the coverage. + Work to have a timely resolution to claims by developing case strategy;...and 5 or more years of experience in the Claims or Insurance areaAND + Must obtain… more
- AIG (Atlanta, GA)
- …reimagining the way we help customers to manage risk. Join us as a Casualty Claims Specialist II to play your part in that transformation. It's an opportunity ... you will create an impact The role of a Claims Specialist II is to investigate, evaluate...This requires accurate and thorough documentation, as well as, resolution action plans based upon the applicable law, coverage… more
- Zurich NA (New York, NY)
- General Liability Litigation Claims Specialist 110492 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority ... should be expected. Zurich is currently looking for a ** Claims Specialist II** to report out of...and 5 or more years of experience in the Claims or Insurance areaAND + Must obtain… more
- Zurich NA (Sacramento, CA)
- Workman's Compensation Sr. Claims Specialist 115802 Zurich is seeking an experienced Workman's Compensation Claims Specialist to join our team! We are ... in the state of California. The Senior Workers Compensation Claims Specialist will handle single and multi-party...within the coverage. + Work to have a timely resolution to claims by developing case strategy;… more
- Zurich NA (Maitland, FL)
- Litigated Claims Specialist II, General Liability 114800...Diploma or Equivalent with 5+ years of experience in Claims or Insurance + Must obtain and ... Unlock Your Potential with Zurich North America Claims : Become a Litigated Claims ...and business partner interactions + Proficiency in presenting claim resolution information to stakeholders Join us at Zurich North… more
- Aveanna (Atlanta, GA)
- Workers Compensation Claims Specialist ApplyRefer a FriendBack Job Details Requisition #: 195090 Location: Atlanta, GA 30339 Category: Compliance Salary: ... $45,000.00 - $55,000.00 per year Position Details Position Overview The Workers Compensation Claims Specialist is responsible for the being the liaison between… more
- Topgolf (Dallas, TX)
- **Sr. Claims Specialist ** Topgolf has an exciting opportunity for an exceptional individual for the role of Sr. Claims Specialist - Workers' Compensation ... & Auto. **Role:** The Sr. Claims Specialist is the primary subject matter...thrives in a fast-paced, growing, dynamic environment. This person must be proficient in workers' compensation, and have exceptional… more
- Community Clinic Inc. (Silver Spring, MD)
- …data elements and processing crucial to effective claims processing and account resolution . + Must ensure adherence with all HIPAA Regulations and Compliance ... system for everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial...payment plans or eligibility for Sliding Scale consideration. + Must ensure open and constructive coordination with health center… more
- City of New York (New York, NY)
- …; 3) Handle the division's participation in AAA American Arbitration Association dispute resolution on 1st party No-Fault claims and address 3rd Party No-Fault ... Job Description All applicants must be current City of New York employees...a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY… 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...Bachelor's degree from an accredited college or university required. Must have current adjuster license, multiple states preferred. Professional… 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. ... an action plan to manage the claim to final resolution . The Complex Claim Specialist will work...manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This role can be… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …Solve; Thinks critically, and problem-solves issues to resolution Submit a Referral (https://careers-connectiverx.icims.com/jobs/2261/ claims - specialist ... Overview Onsite Only The Claims Specialist , under the direction of...pharmacy benefits, health care insurance, and/or medical billing a must + Health care or pharmaceutical experience, particularly in… more
- University of Utah Health (Salt Lake City, UT)
- …medical advancement, and overall patient outcomes. **Responsibilities** + Performs denial resolution on outstanding claims . + Performs billing compliance on ... ensuring timely and appropriate reimbursement based on regulatory guidance. + Escalates claims and issues for resolution . + Performs appropriate actions based… more
- Molina Healthcare (Nicholasville, KY)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... audits and communicates with Core Operations Functional Business Partners to ensure resolution within 30 days of error issuance. * Evaluates the adjudication of… more
- Robert Half Accountemps (Glen Allen, VA)
- …an understanding of billing and claims . Understanding of: -Medical Billing and Claims Resolution -Medical DME Claims -Durable Medical Equipment - ... -Email and Phone Outreach/Correspondence -Data Entry Requirements Medical Billing, Medical Claims , Medical Collections Robert Half is the world's first and largest… more
- Trinity Health (Farmington Hills, MI)
- …as they relate to contracts and the appeals process. Assists in training Payment Resolution Specialist I colleagues upon hire and as new systems and processes ... Work Remote Position (Pay Range: $21.0971-$31.6457) Performs day-to- day payment resolution activities within the Hospital and/or Medical Group revenue operations… more