- Social Security Administration (Gallatin, TN)
- …level in the federal service in developing, examining, investigating or authorizing of claims under a program for benefits, health insurance , pension plan, ... Full-time Responsibilities Conduct interviews and help claimants develop their claims for retirement, survivors and disability benefits and/or supplemental security… more
- Social Security Administration (Rio Rancho, NM)
- …of claims under a program for SSA benefits, health insurance , pension plan, income maintenance or related programs. The following time-in-grade requirement ... to exceed 1 year. May be extended. Will not become permanent. Responsibilities Claims Specialists conduct interviews with the public to obtain, clarify, and verify… more
- Social Security Administration (Kansas City, MO)
- …public aid, insurance , taxes, etc.); (2) adjudicate, authorize or reconsider claims ; (3) explain benefit (eg, retirement, disability, public aid, insurance , ... the general public; (4) evaluate benefit (eg, retirement, disability, public aid, insurance , taxes, etc.) program operations to assess the integrity and quality; or… more
- MetLife (Tampa, FL)
- …LTD Claims Specialist manages a caseload of long term disability insurance claims in accordance with plan provisions and within prescribed time service ... standards. In this role, the Lead LTD Claims Specialist will be a technical expert...and Technical Skills: Required: * 5+ years of LTD/IDI Insurance Claims experience with excellent customer service… 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...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
- City of New York (New York, NY)
- …also implements and lifts SNAP sanctions. SNAP-CR is recruiting for (2) two Eligibility Specialist IIs to function as a Claims Review Specialists, who will: - ... 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
- Lincoln Financial Group (Columbus, OH)
- …73278 **The Role at a Glance** We are excited to bring on highly motivated Voluntary Claims Specialist I to staff our ever-growing claims organization. As a ... information for payment. * Applying core knowledge of voluntary insurance products and claims processes to review...letters. Lincoln will not ask applicants to provide their social security numbers, date of birth, bank account information… more
- Providence (Salem, OR)
- …best people, we must empower them._** **Providence Health Plan is calling an Associate Claims Specialist , Medicaid who will:** + Process claims for members, ... Insurance Support, Etc.) + 2+ years' experience processing insurance claims + 2+ years' experience in...1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon,… 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
- LogixHealth (Bedford, MA)
- Location: Bedford, MA; Hybrid in Bedford, MA This Role: As a Medical Claims Data Specialist at LogixHealth, you will work both independently and with internal ... will bring your expertise to ensure timely filing of insurance carrier claims , bank file retrieval, statement...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** 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 (Anaheim, 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
- 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
- Trinity Health (Farmington Hills, MI)
- …draws conclusions, and reviews findings with all levels of Payment Resolution Specialist for further review. Serve as a resource to Payment Resolution Specialists ... and experience in case management and utilization management. Knowledge of insurance and governmental programs, regulations and billing processes (eg, Medicare,… more
- State of Massachusetts (Brockton, MA)
- …Office of Housing and Livable Communities (EOHLC)is seeking a Homeless Hearings Specialist /Benefit Eligibility & Referral Social Worker C in the Division ... regulations that affect eligibility for financial assistance, such as: worker's compensation, social security and unemployment insurance . 9. Ability to gather… more
- Lincoln Financial Group (Radnor, PA)
- …for this opportunity. **Requisition #:** 73243 **The Role at a Glance** The Social & Media Listening Specialist will collaborate with content and marketing ... market research and data analysis. **What you'll be doing** Own social /media listening, developing queries, building dashboards, and conducting research to inform… more
- New York State Civil Service (White Plains, NY)
- …Benefit Law, Volunteer Ambulance Workers' Benefit Law, Personal Injury Law, or Insurance Claims Law. Qualifying experience includes: experience as an attorney ... NY HELP Yes Agency Workers' Compensation Board Title Compensation Claims Referee (NY HELPS), WCB Item #3625 Occupational Category...representing claimants, workers' compensation insurance carriers, self-insured employers, State Insurance Fund,… more