- The Travelers Companies, Inc. (Hunt Valley, MD)
- …are looking for a motivated and enthusiastic team player to join our Strategic Resolution Group Claim team. As a Claim Representative Trainee, you will start ... how to apply that knowledge to the handling and resolution of complex liability claims . We provide...with supervisor and peer mentors for guidance and feedback.Coverage Research and Analysis - Learn how to research… more
- CornerStone Staffing (Irving, TX)
- …network and contract status to callers Provide information to callers concerning claims questions, research as necessary to assist in resolving issues ... field and providing great customer service!! Job Title: Member Services Representative Location: Irving, TX (75038) Pay: 18.00-19.00/hr. (based on experience)… more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... settlements both for and against the organization. The Claims Research & Resolution Representative 2 performs varied activities and moderately complex… more
- Concentrix (Greenville, SC)
- Job Title: Customer Service Representative ( Claims Specialist) On-Site Job Description The Customer Service Representative ( Claims Specialist) On-Site ... for Career Growth** " awards every year? Then a Claims Specialist/Customer Service Representative position at Concentrix...Utilize standard procedures when dealing with problems or performing research ; may need to use judgment to select from… more
- Travelers Insurance Company (Hunt Valley, MD)
- …We are looking for a motivated and enthusiastic team player to join our Strategic Resolution Group Claim team. As a Claim Representative Trainee, you will start ... how to apply that knowledge to the handling and resolution of complex liability claims . We provide...and peer mentors for guidance and feedback. + Coverage Research and Analysis - Learn how to research… more
- Travelers Insurance Company (Hunt Valley, MD)
- …We are looking for a motivated and enthusiastic team player to join our Strategic Resolution Group Claim team. As a Claim Representative , you will help navigate ... Will You Do?** + In the handling of small to mostly moderate exposure claims , your responsibilities may include: + Coverage Research and Analysis - Responsible… more
- Magellan Health Services (Hodge, LA)
- …BS. 5-7 years' claims experience. Minimum 1 year experience of complex claims research and/or issue resolution or analysis of reimbursement methodologies ... The Claims Internal Resolution Analyst is responsible...It has come to our attention that a false representative is contacting potential candidates and offering them work… more
- Truist (Fort Lauderdale, FL)
- …matters for clients and prospects. May also provide support for solving complex claims or leading claim consulting teams in specialized industry verticals. Must be ... enterprise wide. 2. Manage workflow of the claim teams including Claim Representatives, Claims Consultants, and Claims Account Executives. 3. Resolve unique or… more
- Fiserv (Coral Springs, FL)
- …to have:** + 2+ years of experience in a back-office administrative environment involving research and issue resolution , claims , and/or disputes + 2+ years ... come make a difference at Fiserv. **Job Title** Onsite Claims Customer Service Associate **What does a successful ...and clients by answering questions and driving issues to resolution to clients' satisfaction + Help our clients to… more
- State of Colorado (Denver, CO)
- Industrial Claims & Appeals Office: Administrative Law Judge II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4501115) Apply Industrial ... Claims & Appeals Office: Administrative Law Judge II Salary...which includes review of the transcript of hearings; legal research into the specific issues involved. + Draft a… more
- University of Rochester (Rochester, NY)
- …payment date from the payer. + Research and calculate under or overpaid claims ; determine final resolution + Re-calculate claim based on fee schedule, APC or ... companies and other third party payers to obtain payments, research and resubmit rejected claims to primary...status on appropriate payer system or contact an insurance representative to obtain information as to why claims… more
- UNC Health Care (Rocky Mount, NC)
- …related denials. Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims . Timely resolution of credit balances. ... and well-being of the unique communities we serve. Summary: The Revenue Cycle Representative is responsible for performing a variety of complex duties, including but… more
- Travelers Insurance Company (Diamond Bar, CA)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... resolving, assigned Auto and Homeowner related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Kepro (Tallahassee, FL)
- …a vital partner for health Acentra Health is currently looking for Adjustment & Resolution Representative with experience in Claims /Billings to join our ... Tallahassee team! The Adjustment & Resolutions Representative will assist with bill-specific research to...of bills. + Make appropriate bill adjustment into the claims system according to contractual requirements and timelines +… more
- UNC Health Care (Chapel Hill, NC)
- …a variety of complex duties, including but not limited to, working outstanding insurance claims follow up for no response from payors, and/or claim denials. + Works ... physician claims ("professional billing"). + Maintains A/R at acceptable aging...through charge corrections, payment corrections, write-offs, other methods. + Research medical records to gather information and substantiate medical… more
- Children's Hospital Boston (Boston, MA)
- …and denial reports in an effective and timely manner. Ensures prompt resolution of outstanding insurance claims . Identifies trends, denials, issues impacting ... Accept, reject, and reconcile claim runs daily. Ensure prompt resolution of outstanding insurance claims + Effectively...insurance issues when needed + Provide documentation to have claims processed and paid. Research , prepare, and… more
- UNC Health Care (Chapel Hill, NC)
- …of complex duties, including but not limited to, working outstanding insurance claims having no response from payors, having claim edits, and/or having received ... denials. Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims . Review credit balances for possible reallocation or… more
- Surgery Care Affiliates (Boise, ID)
- …Accounts Representative Billing Office demonstrates the ability to process claims using multiple systems; organize and handle details with ease; ability to ... representatives, co-workers, other hospital personnel and patients; answer telephones; research information; ability to update and input data into computer;… more
- Covenant Health (Lubbock, TX)
- **Description** This is a combined posting for Associate Billing and Collections Representative , Billing and Collections Representative and Senior Billing and ... supervision of the Manager and/or Supervisor, the Associate Billing and Collections Representative is responsible for ensuring correct coding initiatives are met for… more
- University of Virginia (Charlottesville, VA)
- …processed and followed up to meet the CBO Revenue Cycle performance metrics & representative Facility specific goals. They will also research and answer all ... The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing...from insurance companies. They are responsible of ensuring all claims billed are in compliance with all federal and… more
