- Sedgwick (Harrisburg, PA)
- …meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing ... of field investigations and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim settlement up to designated… more
- Sedgwick (Harrisburg, PA)
- …meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing ... statutory limits. + Follows best practice standards in contested claims including outside legal representation. + Coordinates...Ensures claims files are properly documented and claims coding is correct. + Maintains professional … more
- Highmark Health (Camp Hill, PA)
- …by the company in lieu of bachelor's degree. + 4 or more years of professional exempt level experience in a corporate financial or public accounting environment ... Health **Job Description :** **GENERAL OVERVIEW:** The Supervisor Shared Financial Services supervises a staff of both exempt and...and the insurance industry including the process flow of claims payment data from the various claims … more
- UIC Government Services and the Bowhead Family of Companies (Belcamp, MD)
- **Overview** FINANCIAL ANALYST (S&ITFA-2024-21354): This position is Hybrid and only candidates within commutable distance to Bowhead locations will be considered. ... Bowhead seeks a Financial Analyst (FA) who will complete and assist in...locations will be considered. + One plus (1+) year professional finance or account experience + Bachelors degree from… more
- Deloitte (Mechanicsburg, PA)
- Deloitte Government & Public Services Risk & Financial Advisory Solution Analyst - US Delivery Center - Data Management Solutions Ready for an exciting, fast-paced ... our Discovery practice, you'll have the opportunity to assist clients and their legal counsel, collect, preserve and analyze large and disparate data sets. Analysis… more
- Veterans Affairs, Veterans Health Administration (Lebanon, PA)
- …Lebanon VA Medical Center and is organizationally aligned under the Chief Financial Officer in the Accounts Management department located in Lebanon, PA. ... and Specialty Services) Collections (First and Third Party) Pharmacy Claims Processing Accounts Receivable Management (Denials Management, Open Account Follow-up)… more
- Sedgwick (Harrisburg, PA)
- …meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing ... PURPOSE** **:** To manage claim caseload of basic to highly complex claims within granted authority level including related financial implications, along… more
- Zurich NA (Owings Mills, MD)
- …you empowerment over your own activities and decisions. + Use your financial /credit/accounting acumen along with your analytical and customer focus to support our ... and 2 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of the...areaAND + Knowledge of the insurance industry and the legal and regulatory environment + Knowledge of underwriting philosophy,… more
- Sedgwick (Harrisburg, PA)
- …meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing ... have a Hawaii License **PRIMARY PURPOSE** : To handle losses and claims for property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines… more
- Sedgwick (Harrisburg, PA)
- …meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing ... Adjuster - French Speaking **PRIMARY PURPOSE** : To handle losses and claims for property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** +… more
- Highmark Health (Harrisburg, PA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... appropriate enrollment or manage existing membership. Analyzes data such as financial conditions of the organization, participation percentage, type of industry,… more
- Sedgwick (Harrisburg, PA)
- …meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing ... monitoring the department quality outcomes. + Creates and operates within the financial budget for operations units. + Partners with key management team members… more
- Emerson (Harrisburg, PA)
- …safer, smarter, and more sustainable. If you are a Field Service Engineering professional looking for an opportunity to grow your career, Emerson has an exciting ... and effectively. + Analyze, investigate, and resolve customer warranty and policy claims . This requires an in-depth knowledge of the obligations and restrictions set… more
- Highmark Health (Harrisburg, PA)
- …ancillary services, activities in accordance with Stark requirements, physician professional fees or post-acute care services including homecare, outpatient hospice, ... detail summary spreadsheets and reports to address any coding, documentation, or financial discrepancies. (20%) + Conducts presentations of final audit findings to… more
- Walgreens (York, PA)
- …ways to further promote productivity. + Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows up with ... supports the pharmacy manager in analyzing performance data including pharmacy financial , customer service, and implementation of procedures for pharmacy asset… more
- Sutherland Global Services (Harrisburg, PA)
- …in reviewing coding-related denials from payors and making recommendations to resolve claims based on payer guidelines. These are **full-time, work from home** ... ICD-10, CPT, HCPCS coding systems and modifier usage + 3-5 years of professional coding experience required; preferably with 2 years of outpatient coding experience… more
- Defense Commissary Agency (Aberdeen Proving Ground, MD)
- …(eg, Peace Corps, AmeriCorps) and other organizations (eg, professional ; philanthropic; religious; spiritual; community, student, social). Additional Requirements ... You MUST provide transcripts and/or other documentation to support your educational claims . Transcripts. REQUIRED when using education to meet qualifications or when… more