- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift schedule. The Claims Resolution Specialist is responsible...in use at Prairie Ridge Health. Shift: Monday-Friday, days. Hybrid work available after training. FTE: 1.0 Powered by… more
- CVS Health (Monroeville, PA)
- …has an opportunity available for a full time Medical Claims Refund Specialist . This role ensures timely credit balance resolution via refunds to patients, ... parking. Role Overview + Schedule: Monday-Friday 8:00AM-4:30PM (Flex Start after training) + Hybrid Role What you will do + Responsible for reviewing the validity of… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined...a well-reasoned analytical focus, and a clear strategy for resolution . The Claim Specialist must also be ... team as we help shape the future. The Claim Specialist is the highest claim handling designation within the...to customers and business partners in the management and resolution of claims * Respond to inquiries… more
- The Hartford (Penn, PA)
- Specialist Claims - CH07DE We're determined...a well-reasoned analytical focus, and a clear strategy for resolution . The Claim Specialist must also be ... team as we help shape the future. The Claim Specialist is the highest claim handling designation within the...to customers and business partners in the management and resolution of claims ; + Respond to inquiries… more
- Zurich NA (Rancho Cordova, CA)
- Claims Specialist II, General Liability 110492 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing...should be expected. Zurich is currently looking for a ** Claims Specialist II** to report out of… more
- Zurich NA (Addison, TX)
- Auto Litigation Claims Specialist 113285 Zurich is currently seeking an Auto Litigation Claims Specialist II. At Zurich North America Claims , we ... balance and flexibility in your career choice. Our ZNA Claims hybrid work model is designed with...Hills. Job Responsibilities: Under moderate direction, the Auto Litigation Claims Specialist II handles single and multi-party… more
- Axis (Red Bank, NJ)
- …to join our Design Professional Environmental (DP&E) claims team as a Senior Claims Specialist working in a Hybrid Environment (3 days in office/2 ... nature of loss, coverage provided, scope of claim, and make recommendations considering resolution of claims . Key Duties and Responsibilities: * Excels in best… 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 ... an action plan to manage the claim to final resolution . The Complex Claim Specialist will work...manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This role can be… more
- Randstad US (Howell, MI)
- …Hanover Insurance offers a collaborative environment that fosters development and growth. As an claims resolution specialist , you will play a vital role in ... insurance claims adjuster - hybrid . + howell...insurance claims adjuster - hybrid . + howell , michigan + posted may...and its customers. As a member of the Auto Claims team, you will work in a dynamic and… more
- Randstad US (Malvern, PA)
- claims specialist . + malvern , pennsylvania +...thru Thursday in office Please Note: This is a hybrid role, combining work from home and office presence. You ... download speed (1000mbps) and at least 30 Mbps upload speed + Great Problem Resolution and Time Management skills + Tech-Savvy The essential functions of this role… more
- St. Luke's University Health Network (Allentown, PA)
- …with optimal goal of receiving accurate payments and maximum reimbursement. + Statuses claims resolution , appeals and corrected claims via payer websites ... ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection...I is responsible for accurate and timely submission of claims to third-party payers, intermediaries and guarantors in accordance… more
- Houston Methodist (Katy, TX)
- …is required** Medicare experience is preferred** Epic experience is preferred** Hybrid position-location: 701 S Fry Rd 77450 (Katy)** At Houston Methodist, ... the Accounts Receivable Specialist position is responsible for billing and follow up...insurance or institutional accounts. Duties include preparing and processing claims , clearing billing edits, claim validation and submittal, and… more
- State of Indiana (Indianapolis, IN)
- Resolution Specialist Date Posted: Jun 6, 2024...of this role could include: + Serves as a claims specialist and subject matter expert for specific ... thrive in a changing economy. Role Overview: As the Resolution Specialist , you will review and determine...applicant's entitlement to benefits related to UI and TRA claims . Communicates and collaborates with claimants, employers, federal and… more
- US Foods (Rosemont, IL)
- …and performance resolutions as necessary + Assist with carrier claims resolution / collection where necessary. **QUALIFICATIONS:** **Education/Training:** ... below market benchmarks. **Flexible Work Policy: The Carrier Development Specialist position has been segmented as Hybrid ,...Development Specialist position has been segmented as Hybrid , meaning the work is a combination of onsite… more
- Ramsey County (St. Paul, MN)
- …hire other vacancies in the department or County. To perform the daily claims management function for resolution of tort, auto, property/casualty, and subrogated ... , gathering relevant information, and coordinating with stakeholders to ensure timely resolution . + Update and maintain claims management workflows to align… more
- Martin's Point Health Care (Portland, ME)
- …Work" since 2015. Position Summary Job Description Position Summary: The Appeals Specialist (Medicare or US Family Health Plan) is responsible for ensuring ... provider pre-service appeals in a timely and compliant manner. The Specialist communicates and collaborates with Case Managers, Medical Directors and Compliance… more
- AIG (Cincinnati, OH)
- …+ Accurate and consistent policy interpretation. What we're looking for + Basic specialist knowledge in (LoB) technical claims topics; + Policy language skills ... This is a hybrid role in Cincinnati Ohio requiring 3 to...About the role Will handle a portfolio of Liability claims of lower complexity claims from coverage… more
- Truist (Houston, TX)
- …on the needs of the internal team and clients. 13. Assist clients with claims resolution . 14. Participate in company sponsored seminars, training workshops and ... sales and service teams. This role will be a hybrid working schedule allowing the successful candidate to work...of marketing, as needed. 10. Take report and monitor claims (if applicable). 11. Document member and client communications… more
- Houston Methodist (Katy, TX)
- …our Continuing Care Hospital:** **701 S. Fry Rd. Katy, TX 77450** **. ( Hybrid position)** At Houston Methodist, the CBO Regulatory Compliance Specialist position ... events as well as the accountability of ensuring completion with corrected claims , and/or data extraction in preparation of audits. **PEOPLE ESSENTIAL FUNCTIONS** +… more
- New York State Civil Service (Buffalo, NY)
- NY HELP Yes Agency Workers' Compensation Board Title Compensation Claims Referee (NY HELPS), WCB Items #2928 #2929 Occupational Category Legal Salary Grade 28 ... making temporary appointments. When the Civil Service commission adopts the NY HELPS resolution , if a temporary NY HELPS employee is satisfactorily performing in the… more