- CVS Health (Franklin, TN)
- …claim processing. + Advises team members in resolving complex or escalated claims issues by providing guidance on claim handling procedures, policy ... of team by providing strategic leadership and overseeing the operations of the claims processing team(s). Directs work flow to ensure the efficient and accurate… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Sr Claims Supervisor ? At HCA Healthcare, you come first. HCA Healthcare has committed up ... a difference. We are looking for a dedicated Sr Claims Supervisor like you to be a...and appropriate documentation within, and maintenance of, the electronic claims system for caseload, including reviewing daily… more
- Travelers Insurance Company (Reading, 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...by adhering to quality standards. + Utilizes diary management system to ensure that all claims are… more
- Mount Sinai Health System (New York, NY)
- …Description** Supervisor IV-Patient Financial Services (Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days Responsible for the supervision and ... **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where everyone...System is one of the largest academic medical systems in the New York metro area, with more… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …a member of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Supervisor II - G/L to join our team! Summary: Supervises claims adjusters ... technical support staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents, making payments, tracking trends and… more
- Kemper (Henderson, NV)
- …skills and the ability to handle increasing responsibility. + Ability to review and handle claims via on-line claims system . + Must apply for and possess, ... that delivers on our promises._ **Position Summary:** Our Express Supervisor is responsible for supervision of a unit of...requires management signature, within authority. + Maintains a diary system and ensures that diary systems are… more
- Mount Sinai Health System (New York, NY)
- …schedule that is assigned. + Prepares all downloads of billing files from Mainframe System to Clearing House. Transmits all clean claims daily to Clearing House ... preferred) + Edits unbilled/unprocessed accounts (billing) using PFS HIS Systems , Clearing House Claim Scrubber and/or any...Claim Scrubber and/or any payer websites available for claim correction of billed accounts. + Bill claims… more
- NJM Insurance (Trenton, NJ)
- …the claim , and outlining and recommending an action plan to manage the claim . The WC Claims Specialist will work with and communicate to all internal ... guidance and collaborative engagement during the life of a claim . The WC Claims Department takes pride... Reviews; attend and participate as needed with the Claims Team and Supervisor + Participate in… more
- TYLin (Philadelphia, PA)
- …and complexity. Together, we enhance conventional designs with smarter, more resilient systems . We provide people with better mobility. We steward precious resources ... Our Construction Management team is seeking an experienced Senior Delay and Claims Analyst to support various infrastructure, rail, water, airport, and transit… more
- Amrize (Nashville, TN)
- …by reviewing data from all available resources to efficiently respond to warranty claim issues. The Warranty Claims Investigator will be responsible for ... determining necessary repairs, communicating to all relevant parties, and negotiating claim resolution. In reaching resolution, the Claims Investigator will… more
- Raphael and Associates (Rutherford, NJ)
- …appropriate adjuster and supervisor . + Set adjuster diaries with new claim notifications and necessary actions. + Claims Acknowledgement Letters: + Generate ... , ensuring all information is accurately entered into the claims management system . You will play a...included (claimant info, loss date, incident description). + Enter claim details into the system , including policy… more
- Allied Universal (Las Vegas, NV)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic...Off and Paid Holidays (FT only)** + **Will** **require** ** Claims and Surveillance investigations as needed to ensure a… more
- Central Maine Medical Center (Lewiston, ME)
- …flow for the regional healthcare system . The use of multiple patient accounting systems and claims processing and scrubbing systems are used. Education ... other every day. Central Maine Healthcare is seeking a Claims Processing Rep to join our Team. This is...with enhanced Tier 1 benefits provided within the CMH system . + Dental plan + Vision plan + Health… more
- GAF (Parsippany, NJ)
- …workmanship concerns. The successful candidate will report to the Residential Warranty Claims Supervisor for Enhanced Warranties. The Residential Warranty ... this roof, we protect what matters most. **Job Summary** The Residential Warranty Claims Examiner position is a critical member of our Residential Warranty Claims… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** Under the supervision of the Business Services Supervisor , the Claim Edit Follow-Up Representative is responsible for processing the ... as well as claims edits from secondary claims . In the event a claim edit...laws and regulations governing Medicare billing practices, medical billing systems , and claims processing. Preferred: IDX/EPIC, PC… more
- Carnival Cruise Line (Miami, FL)
- …for 5 direct report claims adjusters, 1 coordinator direct report, and 1 supervisor for financial systems and litigation support. Ensures compliance of all ... is based in our Miami office. Oversees the guest claims team of 7 adjusters and the supervisor...passage contracts, maritime law as it relates to guest claims + Skilled in systems used by… more
- MyFlorida (Tallahassee, FL)
- VICTIM COMPENSATION CLAIMS ANALYST - 41000639 Date: Jul 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Office of the Attorney General Working Title: VICTIM COMPENSATION CLAIMS ANALYST - 41000639 Pay Plan: Career Service Position...in this position serves the primary role of processing claim and payment determinations in the Bureau of Victim… more
- CHS (Clearwater, FL)
- …and financial accuracy percentages. * Coordinating escalations from other Departments with the Claims Supervisor to ensure that timely and complete actions and ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...Establishing production requirements for Examiners, and along with the Supervisor monitoring performance against the requirements. * Establishing and… more
- UPMC (Pittsburgh, PA)
- …both external and internal inquiries in a timely manner. + Perform system demonstrations for prospective/existing clients. + Process claims and/or adjustments. ... + Assume supervisory responsibility in the absence of the supervisor . + Identify and participate in the training needs...+ Minimum of five years of health insurance, medical claims processing, claim adjustment; coordination of benefits,… more
- Belcan (Mason, OH)
- …* Has a working knowledge of interface systems that include the EyeMed claims system , Metastorm, Exclaim and EyeNet * Some basic working knowledge of ... Claims Processor Job Number: 356324 Category: Finance/Accounting Description:...benefit designs. * Drive client satisfaction - Works with supervisor and co-workers to provide strong customer service and… more