- Liberty Mutual Insurance (Butte, MT)
- …factors set forth in the compensation plan for the role. Description The Workers Compensation Claims Specialist works within a Claims Team, using the latest ... our office in Plano, TX. This position may be filled as a Workers Compensation Associate Claims Specialist , Workers Compensation Claims Specialist I or a… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Claims Resolution Specialist -...determine exact nature of controversy. + Gathers and analyzes medical information related to claims in order ... regulations. An important role of these positions is to independently facilitate a resolution of disputed claims at the earliest possible juncture and thereby… more
- TEKsystems (Atlanta, GA)
- We are hiring for Health Insurance/ Medical Claims specialists to support a growing healthcare company in the Waco area! As a claims follow up specialist ... support our clients. If you have experience working within medical insurance roles handling claims , payer portals,...must. + This position is highly focused on the resolution of insurance processing errors and denials. + Payers… more
- Axis (Red Bank, NJ)
- …to join our Design Professional Environmental (DP&E) claims team as a Senior Claims Specialist working in a Hybrid Environment (3 days in office/2 days ... nature of loss, coverage provided, scope of claim, and make recommendations considering resolution of claims . Key Duties and Responsibilities: * Excels in best… more
- Concentrix (Greenville, SC)
- Job Title: Customer Service Representative ( Claims Specialist ) On-Site Job Description The Customer Service Representative ( Claims Specialist ) On-Site ... for Career Growth** " awards every year? Then a Claims Specialist /Customer Service Representative position at Concentrix...in the program to ensure high quality and timely resolution + Prepare complete and accurate work including appropriately… more
- Aveanna (Atlanta, GA)
- Workers Compensation Claims Specialist ApplyRefer a FriendBack Job Details Requisition #: 195090 Location: Atlanta, GA 30339 Category: Compliance Salary: $45,000 ... - $55,000 per year Position Details Position Overview The Workers Compensation Claims Specialist is responsible for the being the liaison between the Aveanna… 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...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… 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 the technical aspects of complex and high severity medical and CAT claims for quality outcomes… more
- NJ Transit (Newark, NJ)
- Claims Specialist (TC) Finance Job Description: Move forward with us! At NJ TRANSIT, you'll join us in transforming the third-largest transportation agency in ... all facets of trial preparation to affect a successful resolution of litigated cases. + Utilizes knowledge, experience and...TRANSIT's assets. + Analyzes, audits and approves payment of medical bills and expenses associated with claims … more
- CVS Health (Monroeville, PA)
- …an opportunity available for a full time Medical Claims Refund Specialist . This role ensures timely credit balance resolution via refunds to patients, ... Qualifications + 1+ years' experience performing health care reimbursement, medical billing or insurance collections, and/or account reconciliation/ account review/… more
- Axis (New York, NY)
- …jurisdictions in which the claims arise * Monitor and investigate assigned claims and develop resolution strategy * Attend mediation, arbitration and other ... exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim...offer a comprehensive and competitive benefits package which includes medical plans for employees and their families, health and… more
- BrightSpring Health Services (Oklahoma City, OK)
- …pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims , resolution of third-party rejections, and coordination of ... Reimbursement* Paid Time Off & Holidays Responsibilities + Processes pharmacy and medical claims accurately and efficiently, ensuring compliance with payer… more
- Trinity Health (Farmington Hills, MI)
- …further review. Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility. Other duties as ... care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or… more
- Trinity Health (Farmington Hills, MI)
- …data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review. Takes initiative to continuously learn ... all aspects of Payment Resolution Specialist role to support progressive responsibility....organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance,… more
- State of Indiana (Indianapolis, IN)
- Resolution Specialist Date Posted: Jun 6, 2024...of this role could include: + Serves as a claims specialist and subject matter expert for specific ... thrive in a changing economy. Role Overview: As the Resolution Specialist , you will review and determine...applicant's entitlement to benefits related to UI and TRA claims . Communicates and collaborates with claimants, employers, federal and… more
- Penn Medicine (Radnor, PA)
- …our future each day. Are you living your life's work? Job Title: Accounts Resolution Specialist I Department: Oral Surgery Location: Centre Square West Tower- ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and...Market Street Hours: Full Time Summary: + The Account Resolution Specialist I reports to the Supervisor… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist II **Department:** OTO Admin **Entity:** CPUP **Location:** Hospital ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and...St **Hours:** Full time regular **Summary:** + The Accounts Resolution Specialist II reports to the Supervisor… more
- University of Virginia (Charlottesville, VA)
- The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities ... from insurance companies. They are responsible of ensuring all claims billed are in compliance with all federal and...and payer websites as well as the knowledge of medical billing and coding guidelines to resolve insurance denials… more
- TEKsystems (Waco, TX)
- …terminology, insurance coverage, patient registration, insurance billing, insurance follow up, appeals, medical record, claims resolution , denied claims , ... Skills: claims , insurance, data entry, Insurance verification, Health care, Medical billing, Health insurance, medicare, claim, insurance companies, medical … more
- New York State Civil Service (Buffalo, NY)
- NY HELP Yes Agency Workers' Compensation Board Title Compensation Claims Referee (NY HELPS), WCB Items #2928 #2929 Occupational Category Legal Salary Grade 28 ... making temporary appointments. When the Civil Service commission adopts the NY HELPS resolution , if a temporary NY HELPS employee is satisfactorily performing in the… more
