- MultiPlan (Atlanta, GA)
- …solutions. We are MultiPlan and we are where bright people come to shine! The Senior Medical Coding Specialist provides analysis of the highest dollar and most ... complex claims by applying research, coding standards, industry knowledge and...process efficiencies. Uses independent decision making skills to review claims after business hours to meet deadlines. Apply national… more
- Valmont Industries, Inc. (Claremore, OK)
- …Health and Safety Playbook and Environmental and Sustainability Playbook for the site. The Senior EHS Specialist must be able to align the site's EHS activities ... and division leadership teams. It is critical that the Senior EHS Specialist assists others in their...health and safety events such as injuries, workers compensation claims , near miss incidents and internal and external inspections.Manages… more
- Reynolds Consumer Products Inc. (Lake Forest, IL)
- …Then we have an opportunity for you! We are searching for a Regulatory Specialist (Temporary) to join our team located at our headquarters in Lake Forest, IL. ... Your Role: The Regulatory Specialist will support the Regulatory Department with implementing and...and regulation of consumer-packaged goods and the environment.Assist the Senior Regulatory Counsel and Senior Regulatory Manager… more
- Creative Financial Staffing (Raleigh, NC)
- …Payroll and Benefits Specialist to support its growthReporting to a Senior Specialist , the role involves payroll processing, benefits administration, and ... and local employment laws- Administer leave of absence programs and disability claims - Manage approval of timesheets and payroll changes; raises, bonuses,… more
- Staffing Now (Philadelphia, PA)
- A non- profit in the Philadelphia area is looking to hire a Senior Project ManagerThe mission of the organization is to empower adults, children, and families to ... to play in making this a more just and compassionate society. The Senior Property Manager provides leadership, innovation, and vision in the management of… more
- Providence (Anaheim, CA)
- **Description** The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, ... case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate… more
- Axis (Red Bank, NJ)
- …request for candidates taking part in the selection process. Job Description: AXIS is seeking a Senior Claims Specialist - Excess Claims to join our ... as well as reporting and presenting about same to senior management * In-depth knowledge of claims ,...to senior management * In-depth knowledge of claims , litigation, arbitration, and trial processes as well as… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …of Ward's Top 50 and rated A++ by AM Best. Duties We are looking for a Senior Claims Specialist - Professional Liability to join our team. Summary - ... and settle more complex first and third party insurance claims . A typical day will include the following: Evaluates...appropriate. Investigates circumstances of routine as well as complex claims to determine if and to what extent coverage… more
- Axis (New York, NY)
- …Heights, NJ, Princeton, NJ * Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim ... for the timely evaluation, reserving and disposition of assigned claims * Documents coverage, investigation, damages, reserve rationale, negotiations, etc.… more
- CRC Insurance Services, Inc. (Norfolk, VA)
- …of America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison ... between insured and insurance carrier to report, track and manage claims process. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a summary of the essential… more
- Axis (Red Bank, NJ)
- …available upon request for candidates taking part in the selection process. Grade H Senior Claims Specialist , Property Salary range: Alph: $95K-130K Job ... Summary: Under limited direction, acts as highest-level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of… more
- CVS Health (San Antonio, TX)
- …containment measures to assist in the claim adjudication process. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or ... correspondence related to claim processing issues. - Routes and triages complex claims to Senior Claim Benefits Specialist . - Proofs claim or referral… more
- CVS Health (Pittsburgh, PA)
- …and written correspondence related to claim processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or ... convenient and affordable. Position Summary * Reviews and adjudicates routine claims in accordance with claim processing guidelines. * Analyzes and approves… 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
- Zelis (Atlanta, GA)
- Position Overview: The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement ... based on Zelis data points. During this call, the Claims Settlement Specialist must understand: (1) the...people who could be pretending to be recruiters or senior professionals at Zelis. As the leading healthcare payments… more
- Zurich NA (Columbus, OH)
- RCIS CROP Claims Employee Development Specialist 112483 We are excited to announce an opening in our Rural Community Insurance Services (RCIS) Crop organization. ... for this exciting opportunity will engage leaders and executive stakeholders in Crop Claims and the RCIS organization to lead the planning, execution and measurement… more
- BrightSpring Health Services (Taunton, MA)
- …focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh ... come join our team and apply today! Responsibilities TheClaims Specialist - 3rd Party: + Manages and identifies a...+ Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing… more
- Axis (New York, NY)
- …analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim reserves and make referrals ... to senior members of the team where necessary * Obtain...relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising * Prepare coverage… more
- Randstad US (Salt Lake City, UT)
- senior claims specialists. + salt lake...send your resume to ###@randstadusa.com with the subject "Sr Claims Specialist -Salt Lake City, UT" for ... support occupations + referenceAB_4526188 job details Randstad is looking to hire Senior Claims Specialists for a large financial institution in Salt Lake City!… more
- Tucson Electric Power (Tucson, AZ)
- **Services Procurement--Associate, Specialist , or Senior ** Company **Tucson Electric Power** Location **Tucson, AZ** Requisition ID **5551** **About Us** UNS ... (https://youtu.be/hpknvJPLuoc) andhere (https://youtu.be/7BECywu-Re4) . **Job Description - Services Procurement--Associate, Specialist , or Senior ** Check us out. We… more
