- BrightSpring Health Services (Taunton, MA)
- …excellence and top-quality care come join our team and apply today! Responsibilities TheClaims Specialist - 3rd Party : + Manages and identifies a portfolio ... resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer… more
- Billings Clinic (Billings, MT)
- …maximum and appropriate reimbursement for all claims from government and third - party payers. The Claims Specialist is responsible for preparing and ... submitting timely and accurate insurance claims to government and third - party payers, assisting in the implementation of payer regulations and ensuring… more
- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The Third - Party Liability Specialist is a crucial member of our team, focusing ... on managing and facilitating Martin's Point's third party liability operations process in accordance...party insurer billing + System analysis and/or manual claims pricing skills + Excellent judgment, initiative and problem-solving… more
- Hartford HealthCare (Farmington, CT)
- …The AR Follow Up & Denials Specialist is responsible for resolving unpaid third party balances on $550 million in active inventory and $70 million in ... **Job:** **Finance / Patient Accounts* **Organization:** **Hartford HealthCare Corp.* **Title:** *Collections Specialist / PA Third Party Follow Up*… more
- Entergy (Reserve, LA)
- …subrogation claims adjusting experience with property & casualty insurer, third - party administrator, or self-insured employer group. **Customer Service Spec ... Customer Service Specialist - Claims **Date:** Jun 25,...claims adjusting experience with property & casualty insurer, third - party administrator, or self-insured employer group. **Customer… more
- Aveanna (Atlanta, GA)
- …administrator. This role will require investigation of claims and insurance that our third party administrator is managing the claims in an effect ... Workers Compensation Claims Specialist ApplyRefer a FriendBack Job...agency resumes, and will not pay fees to any third - party agency or company that does not… more
- Community Clinic Inc. (Silver Spring, MD)
- …or false claims . + Maintain productive and efficient communication with third - party payers which achieves expeditious claim adjudication and payment. + ... system for everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial...Maintains consistent and timely follow-up with third - party payers and patients (as applicable) in… more
- Zurich NA (Rancho Cordova, CA)
- Claims Specialist I, General Liability 112465 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... our General Liability team. As a General Liability (GL) Claims Specialist , you will work with a...such as slip/trip and falls, product liability, and other third - party injuries resulting from premises liability exposures.… more
- AIG (Parsippany, NJ)
- …requirements. What you need to know: + Analyze and process bodily injury and third - party property damage claims by investigating and gathering information to ... and the ever-evolving legal and regulatory environment. About the role The Claims Specialist III will handle and analyze general liability claims under… more
- HCA Healthcare (Asheville, NC)
- …This position is responsible for ensuring timely and accurate processing and payment of claims by the Third - Party Administrator through competent review of ... diversity and inclusion thrive? Submit your application for our Insurance and Claims Specialist (Program of All Inclusive Care for the Elderly) Program opening… more
- Crawford & Company (New Orleans, LA)
- …guidelines and prepares written updates for supervisor to review. + Develops subrogation/ third party recovery potential and follows recovery procedures. + ... 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
- Crawford & Company (Boston, MA)
- …of edjuster's content claims handling operations: + Acting/operating as a third party , intermediary between the Insurance Company's property adjusters, and ... Everything We Touch Position Summary The role of Content Claims Specialists is a multi-faceted role, which focuses primarily...Focusing on the accurate and timely processing of content claims , via the use of edjuster's claims … more
- Crawford & Company (Portland, OR)
- …of edjuster's content claims handling operations: + Acting/operating as a third party , intermediary between the Insurance Company's property adjusters, and ... Everything We Touch Position Summary The role of Content Claims Specialists is a multi-faceted role, which focuses primarily...Focusing on the accurate and timely processing of content claims , via the use of edjuster's claims … more
- Zurich NA (Overland Park, KS)
- Claims Recovery Salvage Specialist 113284 Zurich North America is seeking a dedicated and detail-oriented Claims Recovery Salvage Specialist to join our ... to inquiries and following customer protocols with customers, brokers and third - party vehicle/property owners to facilitate salvage process. Basic… more
- Further Enterprise Solutions (Ridgefield Park, NJ)
- Job Title: Business Professional - Claims Specialist 3 Expected duration: 12 months Location: Ridgefield Park, NJ. M-TH In office, F - WFH Job Description: Top ... the Product Safety department, PL Insurance Carrier, outside law firm and 3rd Party administrators. Generate daily/weekly/monthly reports, with analysis and… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …to join our team. Summary - Investigate, evaluate and settle more complex first and third party insurance claims . A typical day will include the following: ... appropriate. Investigates circumstances of routine as well as complex claims to determine if and to what extent coverage...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii,… more
- BrightSpring Health Services (Oklahoma City, OK)
- …of pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims , resolution of third - party rejections, and coordination of benefits. ... Paid Time Off & Holidays Responsibilities + Processes pharmacy and medical claims accurately and efficiently, ensuring compliance with payer policies and guidelines.… more
- CVS Health (Monroeville, PA)
- …ensures timely credit balance resolution via refunds to patients, governmental agencies, and other third party payers. As part of the Refund team, you will work ... in a fast paced and team focused environment to resolve credit balances for insurance and patient balances. We will support you by offering all the tools and resources you need to be successful in a collaborative team based environment. Located in the… more
- TEKsystems (Erie, PA)
- …phones, filing, copying/imaging, faxing, processing and distributing mail and supporting third party vendor relationships and processes. Orders supplies and ... calls and other claim file support as needed. Top Skills Details: Claims Support Customer service Additional Skills & Qualifications: Customer Service skills.… more
- Trinity Health (Farmington Hills, MI)
- …pre-certification, or other clinical reasons. Must possess in-depth familiarity with third party billing requirements and regulations, and writing appeals. ... draws conclusions, and reviews findings with all levels of Payment Resolution Specialist for further review. Serve as a resource to Payment Resolution Specialists… more