- AAOS (Rosemont, IL)
- …outside counsel on compliance with HIPAA/HITECH/CARES Act. Assists Compliance Specialist with processing trademark, copyright, and permissions requests. Prepares and ... of Directors. Collaborating on the day-to-day work of the Compliance Specialist , including: Conducting administrative review of all submitted grievances. Reviewing… more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after ... training. The Complex Claim Specialist will be responsible for contacting...policyholder's reporting practices + Prepare, attend, and participate in Claim Reviews as needed with the Claims … more
- CVS Health (San Antonio, TX)
- …measures to assist in the claim adjudication process. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or ... related to claim processing issues. - Routes and triages complex claims to Senior Claim Benefits Specialist . - Proofs claim or referral submission… more
- MetLife (Tampa, FL)
- …demands, financial information, and any other information that may be pertinent to the Claims Specialist 's evaluation of the claim . Once telephone calls are ... of our customers and our communities. The IDI Senior Claims Specialist evaluates individual disability income insurance...care providers, attorneys, brokers, and family members during the Claim Specialist 's claim evaluation. *… more
- Travelers Insurance Company (Pittsburgh, PA)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file… more
- CVS Health (Hartford, CT)
- …and Training Hours: + Training 8:00am-4:30pm + Shift: 8am-4:30pm Claim Benefit Specialist Reviews and adjudicates claims in accordance with claim ... Efficiently use multiple systems and screens to obtain and record claim information + Review claims information to determine the nature of a member's illness or… more
- Travelers Insurance Company (Wyomissing, PA)
- …negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...**What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file… more
- City of New York (New York, NY)
- …New York employees serving in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent civil service title on ... Law & Adjustment is responsible for investigating and adjusting claims filed for and against the City of New...in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent… more
- Travelers Insurance Company (Houston, TX)
- …for a motivated and enthusiastic team player to join our Strategic Resolution Group Claim team as a Technical Specialist handling complex toxic tort, latent ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...injury, sexual misconduct and/or environmental claims that may present significant financial exposures. With general… more
- Axis (Red Bank, NJ)
- …request for candidates taking part in the selection process. Grade H Senior Claims Specialist , Property Salary range: Alph: $95K-130K Job Summary: Under limited ... of claim and to make recommendation regarding settlement/disposition of claims . Develop and maintain relationships with internal and external partners. Ideal… more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a hybrid schedule after training. The ... evaluate the claim and implement an action plan to manage the claim . The Claims Account Specialist will work with and communicate to NJM policyholders,… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined to... Claim Specialist is the highest claim handling designation within the Complex Claims Unit ... to manage, and can involve higher exposures. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to...timely manage all aspects of the most complex, high-value claims exhibiting a detailed knowledge of each claim… more
- CVS Health (Pittsburgh, PA)
- …written correspondence related to claim processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim ... and affordable. Position Summary * Reviews and adjudicates routine claims in accordance with claim processing guidelines....and adjudicates routine claims in accordance with claim processing guidelines. * Analyzes and approves routine … more
- City National Bank (Los Angeles, CA)
- **PAYMENTS CLAIM SPECIALIST ** **WHAT IS THE OPPORTUNITY?** The Payment Claims Specialist is responsible for the investigation and processing of payment ... identification of miss/near miss opportunities etc. A successful Payment Claim Specialist will be able to navigate...of actions as needed. + Perform quality checks of claims for accuracy and feedback for the claim… more
- The Hartford (Penn, PA)
- Specialist Claims - CH07DE We're determined to... Claim Specialist is the highest claim handling designation within the Complex Claims Unit ... to manage and can involve higher exposures. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to...claims while exhibiting a detailed knowledge of the claim , a well-reasoned analytical focus, and a clear strategy… 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 ... investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and timely… more
- CVS Health (Columbus, OH)
- … claims in accordance with plan processing guidelines. - Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... discrepancies, and applies all cost containment. measures to assist in the claim adjudication process.- Insures all compliance requirements are satisfied and all… more
- CVS Health (Columbus, OH)
- …personal, convenient and affordable. Position Summary Reviews and adjudicates routine Medicare claims on HRP system in accordance with claim processing ... CMS and Aetna compliance and business requirements.Analyzes and approves routine claims that cannot be auto adjudicated.- Applies medical necessity guidelines,… more
- CVS Health (Tallahassee, FL)
- …make health care more personal, convenient and affordable. Position Summary This is a Claim Benefit Specialist position and will be trained for 20 weeks ... starting at 9am will be offered after training. + Reviews and adjudicates claims in accordance with claim processing guidelines. + Applies medical necessity… more
- CRC Insurance Services, Inc. (Brewster, NY)
- …and makes recommendation for additional activity as appropriate. 3. Determine where new loss claims should be reported. 4. Manage all claim documentation. 5. Use ... information and/or correspondence to the Agent or Insurer to process claims appropriately. 6. Analyze claim coverage with insurance carriers to ensure claims … more
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