- CGI Technologies and Solutions, Inc. (Albany, NY)
- ** Claims Processing Specialist ** **Category:** Administration **Main location:** United States, New York, Albany **Position ID:** J0524-1401 **Employment ... (HUD) to assist in the provision of affordable housing has an opening for a Claims Processing Specialist in Albany, NY. This is an opportunity to join an… more
- Providence (Mission Hills, CA)
- …best people, we must empower them. **Required qualifications:** + 2 years HMO claims processing experience in a managed care environment, preferably PMG/IPA ... Full time **Job Shift:** Day **Career Track:** Admin Support **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills 11165… more
- TEKsystems (Cary, NC)
- Job Posting: Claims Processing and Pharmacy Reimbursement Specialist Location: Cary, NC (Onsite Only) Schedule: Monday-Friday, 11am-8pm Job Description: We ... are seeking a dedicated Claims Processing and Pharmacy Reimbursement Specialist to join our team in Cary, NC. This is a fantastic opportunity for individuals… more
- HCA Healthcare (Overland Park, KS)
- …or other documents that are required to be attached to the claims for processing . + Assists EDI Specialist as directed by the EDI Manager in reviewing edit ... care like family! Jump-start your career as a(an) Billing Specialist Non ECW WFH today with College Park Family...are sent out according to departmental schedule. Responsible for processing paper claims to primary insurance and… more
- Kelly Services (Mason, OH)
- …great, new opportunity. Join the Kelly(R) Professional & Industrial team as a ** Claims Specialist ** with a world-class equipment and services company that ... construction workers. **Why you should apply to be a** ** Claims Specialist ** + Pay Rate: $18per hour...Training 100% on site. Must-haves + 0-1 years of claims processing /data entry experience. Knowledge of PCs… more
- Community Clinic Inc. (Silver Spring, MD)
- …a more equitable health care system for everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial resource in support of the clinical ... services provided. The Claims Specialist will assure that services are...center personnel in maintaining accuracy in data elements and processing crucial to effective claims processing… more
- CVS Health (Columbus, OH)
- … claims in accordance with plan processing guidelines. - Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... information for claim or reconsideration. Required QualificationsRequired 2+ years of Medical claims processing experience Familiar with ICD and CPT coding… more
- Concentrix (Greenville, SC)
- Job Title: Customer Service Representative ( Claims Specialist ) On-Site Job Description The Customer Service Representative ( Claims Specialist ) On-Site ... for Career Growth** " awards every year? Then a Claims Specialist /Customer Service Representative position at Concentrix...and deadlineswith extreme attention to detail and ownership + Claims Processing experience ( **preferred** **)** +… more
- Pike Corporation (Mount Airy, NC)
- Position Overview: The primary purposed of Claims Specialist is to manage various claims made related to auto, general liability, property damage and ... worker's compensation. This Specialist will be responsible to successfully process and/ or...base. + Handles multiple functions related to business operations, claims processing , and office workflows. + Recognizes… more
- MetLife (Tampa, FL)
- Job Title: Long Term Disability Claims Specialist II Location: Virtual but must be commutable to Tampa, FL and Oriskany, NY offices. TRAINING WILL BE IN PERSON ... lives of our customers and our communities. The LTD Claims Specialist evaluates long term disability insurance...and Technical Skills: Required: * 1-3 years of LTD claims processing experience with prior experience with… more
- Magellan Health Services (Maryland Heights, MO)
- …2+ years of claims processing experience. General Job Information Title Claims Systems Specialist I Grade 20 Work Experience - Required Claims ... Claims Operations by investigating and resolving systemic issues relative to claims processing system files and interfaces for membership, authorizations,… 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 ... difficult surety and surety bond claims ; to provide resolution of highly complex nature and/or...trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. +… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Claims Resolution Specialist - Agency Only Augusta , Maine , United States | Workers' Compensation | Full-time Apply by: June 12, 2024 Apply with Linkedin Apply ... technical expertise to employees, employers, and their representatives in processing and settling benefit/compensation claims . Responsibilities include initial… more
- HCA Healthcare (Asheville, NC)
- …where diversity and inclusion thrive? Submit your application for our Insurance and Claims Specialist (Program of All Inclusive Care for the Elderly) Program ... may vary by location._** We are seeking Insurance and Claims Specialist PACE Program, for our team...works with contracted, new, and potential network vendors regarding claims processing and payment concerns and appeals… more
- NJM Insurance (Trenton, NJ)
- …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 all parties involved...manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This role can be… more
- Crawford & Company (Boston, MA)
- …edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim. + Operating ... with the Company's productivity and performance standards. + Work with Central Claims Processing to organize/direct the resources ( claims assistants,… more
- Crawford & Company (Portland, OR)
- …edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim. + Operating ... with the Company's productivity and performance standards. + Work with Central Claims Processing to organize/direct the resources ( claims assistants,… more
- TEKsystems (Atlanta, GA)
- … specialists to support a growing healthcare company in the Waco area! As a claims follow up specialist on our team you will be verifying insurance information, ... you have experience working within medical insurance roles handling claims , payer portals, appeals, AR follow up, denials or...position is highly focused on the resolution of insurance processing errors and denials. + Payers include but are… more
- Pike Corporation (Mount Airy, NC)
- Position Overview: The primary purpose of the Assistant Claims Specialist is to support the Claims dept. and work closely with the Claims Specialists in ... + Supports organization and specialists with maintenance of internal database and claims processing . + Handles multiple functions related to business operations,… more
- Crawford & Company (VA)
- …members of the medical profession and other persons pertinent to the investigation and processing of claims . + Verifies policy coverage for submitted claims ... In Everything We Touch Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents… more