- Social Security Administration (Xenia, OH)
- …| Alternate work schedules may be available. Responsibilities Once selected for the Claims Specialist position in SSA, you will contribute to the Agency's ... Summary LOCATION: This position is located in the Xenia Social Security Field Office located at 80 N. Progress...claims under a program for SSA benefits, health insurance , pension plan, income maintenance or related programs. SELECTIVE… more
- Social Security Administration (Redford, MI)
- …reviewing caseloads (eg, income maintenance, benefits, pension plans, health insurance , etc.); adjudicating, authorizing, investigating or reconsidering claims ; ... II and/or Title XVI cases and on public fraud issues in specific claims and post-entitlement cases. Provides lead role in technical training and mentoring other… more
- Washington County (Stillwater, MN)
- …/ claims or labor relations. This positions working title is Claims Specialist and will have a focus on insurance / claims , safety, risk, and ... Claims Specialist - Safety/Risk Print (https://www.governmentjobs.com/careers/washingtonmn/jobs/newprint/4691026) Apply Claims Specialist - Safety/Risk… more
- BrightSpring Health Services (Taunton, MA)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key...office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician… 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...insurance prior to billing + Following up on claims that were denied, rejected, or held in the… 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...concerning eligibility for public assistance or unemployment, health benefits, social security, insurance , or participation in … 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: ... **Work Experience** + 6 months of experience in medical claims or health insurance -related customer service or...checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county… 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 III must be in contact with personnel in other ... Duties may include the following responsibilities or functions required to support the claims unit. Accurate processing of claims edits, determining primacy for… more
- MetLife (Bloomfield, CT)
- …customers and our communities. The Senior Long Term Disability (LTD) Claims Specialist evaluates long term disability insurance claims in accordance with ... time service standards. In this role, the Senior LTD Claims Specialist is required to exercise independent...and Technical Skills: Required: * 3+ years of LTD Insurance Claims experience * Creative problem-solving abilities… more
- City of New York (New York, NY)
- …making recommendations concerning eligibility for public assistance or unemployment, health benefits, social security, insurance , or participation in social ... Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED...Office (DSS-AO) is responsible for protecting the integrity of social services programs administered by the New York City… more
- CenterWell (Atlanta, GA)
- …of our caring community and help us put health first** As an **Accounts Receivable Specialist /Healthcare Claims Denials Specialist ** , you will: + Ensure the ... action. + Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing. + Prepare input data forms… more
- Lincoln Financial Group (Columbus, OH)
- …a Glance** We are excited to bring on a highly motivated Long-Term Disability (LTD) Claims Specialist to our claims organization. **What you'll be doing** As ... an LTD Claims Specialist , you will manage a workload...and solutions across four core businesses - annuities, life insurance , group protection and retirement plan services. As of… more
- BrightSpring Health Services (Uniondale, NY)
- …a retail to office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician experience and/or knowledge of ... come join our team and apply today! Responsibilities TheClaims Specialist - 3rd Party: + Manages and identifies a...office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician… more
- Providence (Mission Hills, CA)
- **Description** Responsible for processing medical claims . Resolves complex, difficult or non-routine claims requiring special handling in accordance with ... policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...and vision, 401(k), PTO, paid holidays, life and disability insurance , on-site fitness center and company-wide social … more
- Providence (Mission Hills, CA)
- **Description** Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for ... accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans,...1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon,… more
- Office of Personnel Management (Washington, DC)
- Summary As a Supervisory Legal Administrative Specialist ( Claims Examiner) at the GS-0901-13 with a full performance level of GS-13, you will be part of ... Healthcare and Insurance (HI), Federal Employee Insurance Operations, Office...Administrative Specialists in the review of disputed health benefits claims . Responsibilities Leads a team of people who review… more
- MetLife (Cary, NC)
- …Business Experience and Technical Skills: Required: * 5+ years of LTD/IDI Insurance Claims experience with excellent customer service skills proven through ... * Independently manage an assigned caseload of the most complex claims which consists of pending, ongoing/active and appeal reviews. Provides timely,… more
- BrightSpring Health Services (Oklahoma City, OK)
- …Adjudication Specialistwill be responsible for all aspects of pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims , resolution of ... Accounts* Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance * 401(k) Retirement Plan with Employer Match* Company paid Life and… more
- State of Massachusetts (Springfield, MA)
- …Office of Housing and Livable Communities (EOHLC)is seeking a Homeless Hearings Specialist /Benefit Eligibility & Referral Social Worker in the Division of ... regulations that affect eligibility for financial assistance, such as: worker's compensation, social security and unemployment insurance . 9. Ability to gather… more