- NJM Insurance (Trenton, NJ)
- NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/ II /Sr.) . This is a full-time position and offers a hybrid schedule after training with a ... another day in our West Trenton office. The WC Claims Specialist will be responsible for contacting...and WC regulations for PA, CT, MD and/or DE claims . + Level II - 3-5 years'… more
- Insight Global (Nashville, TN)
- …Description . Specialist performs pre- and post-payment audits of external claims ; ensures that the company rigorously manages claims for external services; ... are otherwise appropriate and correct; reviews and responds to claims submitted on appeal. . Support a remote ...claims submitted on appeal. . Support a remote claims processing team, including coordination with an offshore team… more
- Citizens (Irving, TX)
- Description The FNMA(Fannie Mae)/FHLMC(Freddie Mac) Claims Specialist performs all tasks associated with reimbursement claims filed with FNMA and FHLMC. The ... of the business unit's product(s) and system application(s) such as LoanSphere Claims . Qualified candidate will need to be efficient with property preservation… more
- City of New York (New York, NY)
- …employees serving in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent civil service title on your resume ... Law & Adjustment is responsible for investigating and adjusting claims filed for and against the City of New...Performing related assignments and special projects as required. CLAIM SPECIALIST - 30726 Qualifications 1. A baccalaureate degree from… more
- Baylor Scott & White Health (Dallas, TX)
- …level **Job Summary** + Under the Safe Choice Claims Manager, the Safe Choice Claims Specialist II reviews, studies, and processes assigned claims ... prompt, efficient service while protecting the organization's assets. + The Claims Specialist II 's main duty involves using discretion and independent… more
- General Dynamics Information Technology (Menands, NY)
- …and help the providers with their Medicaid claims . **HOW A CUSTOMER SERVICE SPECIALIST II WILL MAKE AN IMPACT** + Takes and processes transactions by ... **Experience:** 2 + years of related experience **Job Description:** **CUSTOMER SERVICE SPECIALIST II ** Seize your opportunity to make a personal impact… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization ... and related health plan functions such as member services, claims , and the referral process. As well as functions...+ Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) + Prioritizes… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist II - Patient Financial Services Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4940099) Apply Medical Billing ... Specialist II - Patient Financial Services Salary...direction, the incumbent is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance… more
- Methodist Health System (Dallas, TX)
- …resolve no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a crucial role in optimizing revenue flow by ... Job** : We are seeking an experienced Accounts Receivable II (AR II ) Specialist specializing...follow up for family and specialty claims , able to identify, address, and… more
- The County of Los Angeles (Los Angeles, CA)
- ENVIRONMENTAL HEALTH SPECIALIST II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1240253) Apply ENVIRONMENTAL HEALTH SPECIALIST ... is to be completed by all applicants for the Environmental Health Specialist II examination. This Supplemental Questionnaire requires you to document… more
- Nebraska Public Power District (Columbus, NE)
- …when employee restrictions exist. Incumbent will assist FMLA/ADA & Worker's Compensation Specialist II with ongoing program development needs, the Employee ... **FMLA/ADA & Worker's Compensation Specialist I or II ** Columbus, NE,...ensures timely processing of the District's Self-Insured Workers' Compensation claims . The incumbent processes leave requests and accommodations, particularly… more
- Mass Markets (Killeen, TX)
- …in the industry. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong critical thinking skills, ... hear from you. This role involves handling inbound communications, evaluating warranty claims , and working closely with customers and service partners to ensure… more
- Elevance Health (AL)
- …and prevent unnecessary medical-expense spending. **Title** : Financial Operations Recovery Specialist II **Location:** This role enables associates to work ... granted as required by law. The **Financial Operations Recovery Specialist II ** is responsible for the discovery,...responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the… more
- NC Department of Transportation (Forsyth County, NC)
- Administrative Specialist II Print (https://www.governmentjobs.com/careers/northcarolina/jobs/newprint/5074204) Apply Administrative Specialist II ... 09/10/2025 Closing Date 9/16/2025 11:59 PM Eastern Job Class Title Administrative Specialist II Position Number 60020657 Section 9/Division Maintenance Salary… more
- MyFlorida (Orlando, FL)
- ELIGIBILITY SPECIALIST II - 60065070 Date: Sep 11, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 860890 Agency: Children and Families Working Title: ELIGIBILITY SPECIALIST II - 60065070 Pay Plan: Career Service Position Number:… more
- MyFlorida (Largo, FL)
- ELIGIBILITY SPECIALIST II - 60065685 Date: Sep 11, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 860801 Agency: Children and Families Working Title: ELIGIBILITY SPECIALIST II - 60065685 Pay Plan: Career...or collecting accounts, checking credit, processing insurance policies or claims or providing customer service. + OR An Associate's… more
- MyFlorida (Tallahassee, FL)
- ELIGIBILITY SPECIALIST II - 60025669 Date: Sep 10, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 858602 Agency: Children and Families Working Title: ELIGIBILITY SPECIALIST II - 60025669 Pay Plan: Career...or collecting accounts, checking credit, processing insurance policies or claims or providing customer service. + OR have an… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training...additional service needs according to specific program guidelines. Uses claims processing and care management software to look up… more
- City of New York (New York, NY)
- …employees serving in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent civil service title on your resume ... Law & Adjustment is responsible for investigating and adjusting claims filed for and against the City of New...a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent civil service title… more
- MyFlorida (Fort Myers, FL)
- ELIGIBILITY SPECIALIST II - 60040415 Date: Sep 3, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 860103 Agency: Children and Families Working Title: ELIGIBILITY SPECIALIST II - 60040415 Pay Plan: Career...or collecting accounts, checking credit, processing insurance policies or claims or providing customer service. + OR An Associate's… more