- Acosta Group (Issaquah, WA)
- …some clients, this position will be responsible for creating promotions within client systems . The Claims Resolution Specialist will communicate with ... **DESCRIPTION** The Claims Resolution Specialist is responsible for...in Microsoft Office suite + Ability to learn client systems to be able to resolve claims … more
- Publix (Lakeland, FL)
- **30338BR** **Position Title:** General Liability Attorney Rep Claims Specialist , Risk Mgmt - Lakeland **Department:** Risk Management **Location:** Lakeland, FL ... the supermarket industry. In Risk Management, the General Liability Claims Specialist is responsible for a variety...skills in Microsoft PowerPoint + Experience with Risk Management Claims Systems and/or Medicare Reporting Systems… more
- HCA Healthcare (Brentwood, TN)
- …purpose and integrity. We care like family! Jump-start your career as a EDI Claims Filing Specialist today with Parallon. **Benefits** Parallon, offers a total ... by location._** Come join our team as a EDI Claims Filing Specialist . We care for our...production and quality + Maintain working knowledge of workflow, systems , and tools used in the department **What qualifications… more
- AIG (Atlanta, GA)
- …are reimagining the way we help customers to manage risk. Join us as a Recovery Specialist , Large Loss - Claims to play your part in that transformation. It's an ... guidelines and authority, indemnity and legal payments through the appropriate Claims Processing Systems . + Forecasts potential recoveries and updates… more
- AIG (Atlanta, GA)
- …are reimagining the way we help customers to manage risk. Join us as a Claims Recovery Specialist to play your part in that transformation. It's an opportunity ... guidelines and authority, indemnity and legal payments through the appropriate Claims Processing Systems . + Forecasts potential recoveries and updates… more
- Illumination Foundation (Riverside, CA)
- …across Orange County, Los Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims submission, ... eligibility verification, accuracy of client information. In addition, the Claims Specialist is also responsible for keeping...Prior experience work in Electronic Billing Platforms and EHR systems + Prior experience working with claims … more
- Illumination Foundation (Santa Ana, CA)
- …across Orange County, Los Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims submission, ... eligibility verification, accuracy of client information. In addition, the Claims Specialist is also responsible for keeping...Prior experience work in Electronic Billing Platforms and EHR systems + Prior experience working with claims … more
- Community Clinic Inc. (Silver Spring, MD)
- …a more equitable health care system for everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial resource in support of the clinical ... services provided. The Claims Specialist will assure that services are...be assertive and goal oriented. + Familiarity with computerized systems is required. + Must be a willing participant… more
- BrightView (Blue Bell, PA)
- Job Summary + The AL/GL Claims Specialist is a key member of the risk management team and has responsibility for directly investigating and settling in-house ... Risk Management's team goals, objectives, and results. + Be familiar with Claims Management Systems which manages in - house claims and generate information… more
- 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...payors to insure proper and maximum reimbursement. Uses multiple systems to resolve outstanding claims according to… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …CLAIMS OPERATIONS Necessary Contacts: In order to effectively fulfill this position, the Claims Specialist I must be in contact with personnel in other Units: ... Duties may include the following responsibilities or functions required to support the claims unit. Accurate processing of claims edits, determining primacy for… more
- Whitney Young Health Center (Watervliet, NY)
- Claims Coding Specialist (Req 100825) Watervliet, NY (http://maps.google.com/maps?q=1601+Broadway+Watervliet+NY+USA+12189) Apply Description GENERAL ... RESPONSIBILITIES: Responsible for reviewing medical claims prior to submission and following up on more complex or problem claims or insurance types as… more
- City of New York (New York, NY)
- …is recruiting for four (4) Eligibility Specialists level II to function as a Claims Review Specialist , who will: - Review, process, determine and/or establish ... Job Description YOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST TITLE… more
- Axis (Red Bank, NJ)
- …candidates taking part in the selection process. AXIS is seeking a Senior Renewable Energy Claims Specialist to join our North America Claims team. Reporting ... to the manager of Property Claims , handles claims to determine nature of loss, coverage provided, and scope of claim and to make recommendation regarding… more
- JBS USA (Greeley, CO)
- **Description** Claims Specialist Purpose and Scope/General Summary: The JBS Pork team is looking for a Claims & Deductions Specialist . This person will ... count discrepancies. It is the role of the Claim Specialist to act as mediator between outside parties and...via phone and email. + Investigate root cause of claims (transportation, plant, sales, customer error etc.) + Acquire… more
- 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
- M&T Bank (Buffalo, NY)
- …**Primary Responsibilities:** + Assist manager with Property and Casualty Claims including Workers Compensation lost time and files in litigation. ... Project lead for Risk Management System implementation **Assist with Property claims as needed** **Develop and produce departmental reports, spreadsheets and project… more
- MetLife (Cary, NC)
- …* Independently manage an assigned caseload of the most complex claims which consists of pending, ongoing/active and appeal reviews. Provides timely, ... balanced and accurate claims reviews, documentation and recommended decisions in a time...thinking while having the ability to effectively manage multiple systems and technology resources/Organizational and time management skills. Preferred:… more
- JPMorgan Chase (San Antonio, TX)
- …+ Primary training lead in collaboration with Training Organization for delivery of specialist new hire content. + Perform as a subject matter expert in and ... for new specialists. + Assists Performance Development Manager in testing and acquiring systems access for new hires. + Delivers upskilling, multi skilling and cross… more
- Zelis (NJ)
- …innovative changes effectively. + Strong working knowledge of MS Excel, computer systems , applications and operating systems . + Strong analytical skills to ... be able to provide insights from gathering requirements to presenting outputs + Excellent communication skills both verbal and written, and skilled at developing and maintaining effective working relationships. + Excellent skills in critical thinking and… more