- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …50 and rated A++ by AM Best. Duties We are looking for a Senior Claims Specialist - Professional Liability to join our team. Summary - Investigate, ... Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been… more
- Axis (Los Angeles, CA)
- … Claims and Underwriting. * Makes effective recommendations for settlement/disposition of claims ; works successfully with senior Claims and Underwriting ... identifying issues and preparing coverage correspondence. * Experience handling Complex Professional Liability claims , including Public Company or Executive Risk… more
- Axis (Red Bank, NJ)
- …Heights, NJ, Princeton, NJ * Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim ... for the timely evaluation, reserving and disposition of assigned claims * Documents coverage, investigation, damages, reserve rationale, negotiations, etc.… more
- Entergy (Reserve, LA)
- Customer Service Specialist - Claims **Date:** Jun 25,...This position may be filled as a Customer Service Specialist I, II or Senior ** **based on ... internal and external stakeholders in order to thoroughly and fairly resolve claims . **JOB DUTIES/RESPONSIBILITIES** + Handles claims in assigned territories… more
- Zelis (Atlanta, GA)
- Position Overview: The Claims Support Specialist position provides comprehensive administrative support as a part of the Client Experience. The Claims ... according to department guidelines. + Performs other related responsibilities as assigned. Professional Experience: + 1+ years of medical claim payment review. +… more
- Axis (New York, NY)
- …analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim reserves and make referrals ... to senior members of the team where necessary * Obtain...relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising * Prepare coverage… more
- MetLife (Tampa, FL)
- …meaningful impact in the lives of our customers and our communities. The IDI Senior Claims Specialist evaluates individual disability income insurance ... prescribed time service standards. In this role, the IDI Senior Claims Specialist is required...timely manner utilizing the appropriate level of detail and professional writing skills. * Interacts and communicates effectively with… more
- Savannah River Mission Completion (Aiken, SC)
- …& Reporting (STAR) application. + Other duties as assigned. **Additional responsibilities for a Senior Safety & Health Specialist Senior A:** + Incorporates ... **Overview** Savannah River Mission Completion (SRMC) is seeking a ** Senior Safety & Health Specialist ( Senior A or Principal)** to be based in our Aiken, SC… more
- UTMB Health (Galveston, TX)
- Senior Patient Account Specialist - Revenue Cycle HB Billing & Denials **Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health ... through a claims processing vendor and/or for appeal of denied professional and/or hospital claims . Identifies billing issues affecting hospital and/or… more
- UTMB Health (Galveston, TX)
- (Remote) Senior Patient Account Specialist - Revenue Cycle HB Billing & Denials **Galveston, Texas, United States** Business, Managerial & Finance UTMB Health ... through a claims processing vendor and/or for appeal of denied professional and/or hospital claims . Identifies billing issues affecting hospital and/or… more
- Baptist Memorial (Jackson, MS)
- …education + Employee referral program Job Summary: Position: 11997 - Specialist -Billing Senior Facility: BMG - Central Business Office Jackson ... objective of this position is to ensure correct processing of all insurance claims of all hospitals. Able to interpret & implement specified insurance billing… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Qualifications MINIMUM QUALIFICATIONS: A baccalaureate degree plus four years of professional level experience in insurance claims adjusting, nursing, allied ... Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4534112) Apply Property Claims Manager… more
- Allied Solutions (Plano, TX)
- …inquiries in a professional manner. + Answer incoming calls to the claims department and handle or direct as necessary; + Complete other special projects and ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...Total Losses ; refer timely and accurately to more senior level adjusting staff for adjudication and collection; +… more
- Baptist Memorial (Jackson, MS)
- …education + Employee referral program Job Summary: Position: 14583 - Specialist -Billing Senior Facility: BMHS - Regional Business Office Jackson ... Summary Responsible for the daily completion of both claims edit, denial, and no response billing functions...skills - knowledge of insurance billing (both hospital and professional settings) and collections - knowledge of insurance guidelines… more
- CRC Insurance Services, Inc. (Brewster, NY)
- …of America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison ... between insured and insurance carrier to report, track and manage claims process. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a summary of the essential… more
- UIC Government Services and the Bowhead Family of Companies (California, MD)
- **Overview** ** Senior Subject Matter Specialist ** Bowhead seeks a Senior Subject Matter Specialist for a proposal effort in California, MD to conduct ... and management consultants **Responsibilities** Essential functions will include: + Senior expert with extensive knowledge and experience developing and applying… more
- Immigration and Customs Enforcement (IN)
- …application with others in DHS for similar positions. Responsibilities As a Contract Specialist ( Senior ), at the full performance level, you will perform the ... under Paragraph D. OR D. Waiver: When filling a specific vacant position, the senior procurement executive of the selecting agency, at his or her discretion, may… more
- CareOregon (Portland, OR)
- …a federal contractor and must comply with all federal laws. Job Title Senior Provider Relations Specialist - Behavorial Health Department Provider Relations ... + Conduct provider site visits to maintain ongoing effective and professional relationships. + Track, research, and resolve provider questions; ensure appropriate… more
- R1 RCM (Salt Lake City, UT)
- …accounts to maximize reimbursement. **Here's what you will experience working as a Senior Insurance Services Specialist :** + Assists with training and mentoring ... + Identify contractual and administrative adjustments + Review all problems claims to determine reasons for, and resolution of, problems and delegates… more
- NJ Transit (Newark, NJ)
- Senior Contract Specialist Procurement & Support Services Job Description: Move forward with us! At NJ TRANSIT, you'll join us in transforming the third-largest ... timely manner. + Reviews, analyzes, and appraises contract changes, disputes, and claims in accordance with Federal, State and NJTRANSIT procurement rules and… more