- AAOS (Rosemont, IL)
- …Board of Directors. Collaborating on the day-to-day work of the Compliance Specialist , including: Conducting administrative review of all submitted grievances. ... the General Counsel, the Associate General Counsel provides corporate legal advice and review , research, and analysis on a wide variety of topics. Administers the… more
- City of New York (New York, NY)
- …is recruiting for (2) two Eligibility Specialist IIs to function as a Claims Review Specialists, who will: - Review , process, determine and/or establish ... 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… more
- Aerotek (Tempe, AZ)
- …to the Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager, the Claims Review Specialist will assist in the monitoring and ... **Overview:** **Aerotek has an immediate opening for a Junior Workers Compensation Specialist at the corporate office in Tempe, AZ.** **Job Summary:** Reporting… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... team as we help shape the future. The Claim Specialist is the highest claim handling designation within the...is the highest claim handling designation within the Complex Claims Unit - Construction (CCU-CD) and is a visible… more
- The Hartford (Penn, PA)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... team as we help shape the future. The Claim Specialist is the highest claim handling designation within the Complex Claims Unit - Bodily Injury (CCU BI) and is a… more
- ManpowerGroup (Livingston, NJ)
- Our client is seeking a Claims Specialist to join their team. The ideal candidate will have excellent interpersonal, written, and oral communication skills which ... will align successfully in the organization. **Job Title:** Claims Specialist **Location:** Livingston, NJ **Pay :... information and preparing information for underwriting and/or client review . + Manage claims status and prompts… more
- Lincoln Financial Group (Columbus, OH)
- …73193 **The Role at a Glance** We are excited to bring on a highly motivated Life Claims Specialist to staff our ever-growing claims organization. As a Life ... for the investigation, evaluation, interpretation, and payment or denial of life claims . You will leverage sound and impartial claim judgments by following… more
- Billings Clinic (Billings, MT)
- …Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Claims Specialist I (Full-time/Billings) PATIENT ... claims from government and third-party payers. The Claims Specialist is responsible for preparing and...reviewing errors and other prebilling insurance reports/worklists. Analyzes and review claims to ensure that payer specific… more
- Illumination Foundation (Santa Ana, CA)
- …across Orange County, Los Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims submission, ... eligibility verification, accuracy of client information. In addition, the Claims Specialist is also responsible for keeping...Billing and Follow up + Reviewing data and creating Claims for services rendered + Review client… more
- Concentrix (Greenville, SC)
- Job Title: Customer Service Representative ( Claims Specialist ) On-Site Job Description The Customer Service Representative ( Claims Specialist ) On-Site ... and " **Best Companies for Career Growth** " awards every year? Then a Claims Specialist /Customer Service Representative position at Concentrix is just the right… more
- Community Clinic Inc. (Silver Spring, MD)
- …a more 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...professional and courteous manner. Key Functions & Responsibilities + Review and analyze encounters to ensure completeness, accuracy, adherence… more
- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift schedule. The Claims Resolution Specialist is responsible for researching...other teams on various types of errors to resolve claims needing additional review . They independently … more
- TEKsystems (Waco, TX)
- … specialists to support a growing healthcare company in the Waco area! As a claims follow up specialist on our team you will be verifying insurance information, ... 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
- HCA Healthcare (Asheville, NC)
- …where diversity and inclusion thrive? Submit your application for our Insurance and Claims Specialist (Program of All Inclusive Care for the Elderly) Program ... may vary by location._** We are seeking Insurance and Claims Specialist PACE Program, for our team...for ensuring timely and accurate processing and payment of claims by the Third-Party Administrator through competent review… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Senior Medicare Claims Specialist - Remote **Job Description** The Claims Specialist ... member satisfaction + Serve as the escalation point for Claims Specialist ; provide guidance and mentoring to...may vary by 8% depending on applicant location. To review our Benefits, Incentives and Additional Compensation, visit our… more
- CRC Insurance Services, Inc. (Norfolk, VA)
- …**Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison between ... insured and insurance carrier to report, track and manage claims process. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a summary of the essential functions… more
- Citizens (Medford, MA)
- …await you inside our department and within other business areas. Primary Responsibilities + Review Claims - Responsible for reviewing claims filed by ... Description As a Fraud Claims Sr. Specialist , you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at… more
- Crawford & Company (Hauppauge, NY)
- …Bonus Program! + Multiple Employee Discounts! Administers and resolves non-complex short term claims of low monetary amounts, including Fast Track and Incident Only ... claims . Documents and monitors open case inventory to ensure...carrier guidelines and prepares written updates for supervisor to review . + Develops subrogation/third party recovery potential and follows… more
- Crawford & Company (Brea, CA)
- …is not a job post. Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents and ... and ensures proper and timely closing of files. Makes decisions on claims within delegated limited authority. Responsibilities + Conducts investigations of claims… more
- Lincoln Financial Group (Columbus, OH)
- …to staff our ever-growing claims organization. As a Short Term Disability Claims Specialist , you will be responsible for conducting initial and ongoing ... more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII&feature=youtu.be) of a Claims Specialist at Lincoln Financial Group! **What you'll be… more
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