- Zurich NA (Jefferson City, MO)
- …or Specialist - Southwest MO 113181 Zurich is currently looking for a Crop Claims Field Adjuster orCrop Claims Specialist to join our Rural Community ... Area Claims Managers either as a local claims specialist in the facilitation of general...CAT team and/or provide remote assistance for the CROP Claims Care Center calls and/or CCP … more
- Community Clinic Inc. (Silver Spring, MD)
- …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...claims are adjudicated in a timely manner, and customer 's needs are met in a professional and courteous… more
- CGI Technologies and Solutions, Inc. (Latham, NY)
- ** Claims Processing Specialist ** **Category:** Administration **Main location:** United States, New York, Latham **Position ID:** J0424-0975 **Employment Type:** ... provision of affordable housing has an opening for a Claims Processing Specialist in Albany, NY. Under...interpret and apply written policies and procedures. * Strong customer service skills. * Learn from past experiences and… 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 ... Taking care of people is at the heart of everything...difficult surety and surety bond claims ; to provide resolution of highly complex nature and/or high… 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
- Providence (Salem, OR)
- …best people, we must empower them._** **Providence Health Plan is calling an Associate Claims Specialist , Medicaid who will:** + Process claims for members, ... team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your...this position include:** + 2+ years of experience with claims or customer service or accounting **Preferred… more
- Travelers Insurance Company (Alpharetta, GA)
- …field and our business partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file quality and ... **Who Are We?** Taking care of our customers, our communities and each...assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life… more
- BrightSpring Health Services (Taunton, MA)
- …you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization ... Non-retail/Closed-door environment Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation… more
- TEKsystems (Fresno, CA)
- …as requested. Skills: Claim, Customer service, medical billing, administration, Claims processing, Insurance, Health insurance, Health care Top Skills ... Description: 1. Maintain multiple groups 2. Process CMS-1500 claims 3. Process UB-04 claims 4. Process high dollar claims 5. Process JAA / BlueCard claims… more
- Robert Half Accountemps (Costa Mesa, CA)
- Description We are looking for a Medical Collections Specialist to join our team in Costa Mesa, California. The role will focus on working with insurance companies, ... and accounts. The successful candidate will be responsible for evaluating claims , initiating appeals for underpayments, reviewing and completing payor and patient… more
- Pacific Medical Centers (Renton, WA)
- …for PMC's enrolled capitated population and communicates those actions. Adjusts complex claims for advanced processing needs. Responds to Customer Service ... in Health Care Business Administration + 2 years In Managed Care operations + 1 year Claims processing experience, in a TPA, MSO, HMO, PHO or large group… more
- Modernizing Medicine (Boca Raton, FL)
- …on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where ... across the US. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient… more
- TEKsystems (Deerfield, IL)
- Description: Claims Specialist 's work one on one, via...irate customers - Thinking outside the box - Situational customer care approach - Out of the box ... care - Manage your customers as you wish Skills: Bachelors Degree, Customer care , Computer Skills, Data entry, Microsoft office, Customer service Top… more
- TEKsystems (Lincolnshire, IL)
- …- Experience in social work or as a teacher - Previous case work exp Description: Claims Specialist 's work one on one, via phone, with travelers who travel with ... with upset customers, possibly irate customers - Thinking outside the box - Situational customer care approach - Out of the box critical thinking skills to take … more
- Crawford & Company (Phoenix, AZ)
- …and/or licensing in field; continuing education courses when required. For Claims trainers, a professional designation is preferred (AIC, ARM, CPCU, SCLA ... or other equivalent claims related professional designation). + Position requires some travel....to design and deliver training About Us People taking care of people. It's that simple. At Crawford &… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …and according to established JSH policies and procedures the HIM Charge Specialist is responsible for reviewing medical record documentation to determine appropriate ... for a clean and quiet patient environment to maintain a positive patient care experience. + Maintains competency and knowledge of current standards of practice,… more
- TEKsystems (Waco, TX)
- …specialists to support a growing healthcare company in the Waco area! As a specialist on our team you will be verifying insurance information, following up, doing ... our clients. If you have experience working within medical insurance roles handling claims , payer portals, appeals, AR follow up, denials or anything within revenue… 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 ... net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills...additional service needs according to specific program guidelines. Uses claims processing and care management software to… more
- Baptist Memorial (Memphis, TN)
- …assistance/continuing education + Employee referral program Job Summary: Position: 11867 - Specialist - Customer Care II Facility: BMH - Central Business ... Summary Responsible for daily customer inquiries from internal and external customers to...to completion. Responsible for the daily completion of both claims edit, denial, and no response billing functions for… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist...provider complaint and appeals issues, including eligibility, access to care , claims , benefit, and quality of … more