- Sentry (Stevens Point, WI)
- …and/or expertise in specified jurisdictional areas.What You ll Do:As a Subrogation Claims Representative Sr, you ll provide prompt subrogation investigation, ... subrogation claim which may involve coordinating arbitration filings on claims involving unresolved damages and/or liability.What it Takes: Bachelor s Degree or… more
- LHH Recruitment Solutions (Alcoa, TN)
- …Medicare, Managed Care, and Commercial insurances) . Collecting payer information for claim rejections . Directing rejected claims to other departments, as ... Medical Denials Specialist - Onsite in Alcoa TN LHH is...needed . Flagging non-uniform claims including unusual adjustments, denials, fee schedules, etc. Minimum… more
- LHH Recruitment Solutions (Phoenix, AZ)
- …in Phoenix, AZ, on a contract-to-hire basis. The client requires a representative for insurance collections, reviewing and interpreting EOBs, and someone to make ... phone calls and speak to claim status. This position is located in Phoenix, AZ and is onsite. Key Responsibilities: Oversee day-to-day billing and collections… more
- ICONMA (Portland, OR)
- . The main function of a call center/customer service specialist is to interact with customers to provide information in response to inquiries about products and ... handle and resolve complaints. . A typical customer service specialist is responsible for determining the client's issue, offer...to respond to inquiries or to notify them of claim investigation results and any planned adjustments. . Refer… more
- Concentrix (Greenville, SC)
- Job Title: Customer Service Representative ( Claims Specialist ) On-Site Job Description The Customer Service Representative ( Claims Specialist ) ... " **Best Companies for Career Growth** " awards every year? Then a Claims Specialist /Customer Service Representative position at Concentrix + Webhelp is just… more
- Veterans Benefits Administration (Indianapolis, IN)
- Summary The Veterans Service Representative (Authorization Quality Review Specialist ) is an integral part of the VSC quality assurance program and is a key ... Specialized Experience: GS-12: To qualify for the Veterans Service Representative (Authorization Quality Review Specialist ), GS-0996-12 position, applicants… more
- Intermountain Health (St. George, UT)
- …in the health insurance industry (Commercial Insurances, Medicare, and Medicaid); health claims billing or Third Party contracts. + EMR experience + Bi-lingual - ... Spanish speaking + Knowledge of medical terminology + Versed in CPT/ICD codes **Physical Requirements:** Physical Requirements + Interact with others requiring the employee to listen and understand verbal communication and be able to effectively communicate… more
- Adecco US, Inc. (Swannanoa, NC)
- …find the job description. **Summary:** The main function of a customer service representative specialist is to interact with customers to provide information in ... We are in need of a Custer Service Representative for our manufacturing company located in the...to respond to inquiries or to notify them of claim investigation results and any planned adjustments.* Refer unresolved… more
- Spectrum Billing Solutions (Skokie, IL)
- …Manager | Business Office Manager | Billing Specialist |Billing Coordinator | Claims Specialist | Billing Representative | Collections Specialist ... filing information + Research, resolve and resubmit any rejected claims in a timely manner + Check claim...| Revenue Cycle Billing Specialist | Insurance Specialist | Revenue Cycle Claims Specialist… more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a hybrid schedule after training. The ... and implement an action plan to manage the claim . The Claims Account Specialist ...I - 0-3 years' experience as a Workers' Comp Claim Representative , or comparable knowledge and experience… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …**What Will You Do?** + CUSTOMER ENGAGEMENT: Serves as a customer service representative for the claim department by promptly and professionally addressing ... multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim ...of claims , which may include: Properly documents claim files, including notes and diaries, Requests reports and… more
- CRC Insurance Services, Inc. (Brewster, NY)
- …and makes recommendation for additional activity as appropriate. 3. Determine where new loss claims should be reported. 4. Manage all claim documentation. 5. Use ... the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 6. Analyze claim coverage with insurance carriers to… more
- NJM Insurance (Hammonton, NJ)
- …Qualifications and Experience: + 3-5 years' work experience as a NJ Workers' Comp Claim Representative with an emphasis on legal knowledge + Basic knowledge of ... Job Description The Claim Resolution Specialist 1 will be...a timely fashion + Prepare, attend, and participate in Claim Reviews as needed with the Claims … more
- Magellan Health Services (Maryland Heights, MO)
- …including authorization issues. + Completes data entry for tracking and reporting of claim disputes. + Adjudicates claims and adjustments. + Assists in providing ... is responsible for accurate and timely research of all claim dispute types, timely processing of adjustments and acts...time). Comfortable adapting to change. General Job Information Title Claims Resolution Specialist Grade 20 Work Experience… more
- City of New York (New York, NY)
- …also implements and lifts SNAP sanctions. SNAP-CR is recruiting for (2) two Eligibility Specialist IIs to function as a Claims Review Specialists, who will: - ... Job Description YOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR IF YOU ARE HIRED...data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and… more
- Spire Energy (St. Louis, MO)
- …MO, US, 63101 Company: Spire Inc. Summary Spire is seeking a Workers' Compensation Claims Specialist to work in St. Louis. This position will be responsible ... Specialist , Workers Compensation Claims Apply now...claims ; ensure timely and appropriate closure of all claims assigned. + Enter appropriate claim information… more
- Crawford & Company (Portland, OR)
- …Content Claims Specialists are consistently (daily/weekly basis) assigned new claim files. + Operating from their home-based offices, edjuster's Content ... detailed work/time logs on a daily basis, for all claims processed. + Maintain claim related notes...Physical Requirements + The physical demands described here are representative of those that must be met by an… more
- CVS Health (Lansing, MI)
- …customer service representative . Reviews and adjudicates routine Flexible Spending claims in accordance with claim processing guidelines and IRS guidelines. ... with our members to assist with inquiries. * Process flexible spending claims via electronic image. * Determine if submissions are eligible for reimbursement… more
- Robert Half Accountemps (Fort Wayne, IN)
- …are offering a contract to permanent employment opportunity for an Insurance Follow-Up Specialist in FORT WAYNE, Indiana. This role is in the healthcare industry and ... will involve follow-ups on medical claims . The workplace environment is business casual and requires...handle Medical Appeals. * Leverage expertise in Insurance Follow-up, Claim Denials, Denial Management, and Claim Adjudication.… more
- Guardian Life (Pittsfield, MA)
- …for you to grow and enrich your career and future as a Disability Claims Specialist . We believe in your aspirations for purpose, leadership, and achievement ... competencies you will need to be a successful Disability Claims Specialist . In your first year, we...service making timely, but thoughtful decisions to achieve a claim determination + Analyze policy language, medical, financial and… more
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