- BrightSpring Health Services (Taunton, MA)
- …excellence and top-quality care come join our team and apply today! Responsibilities TheClaims Specialist - 3rd Party : + Manages and identifies a portfolio ... resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer… more
- Insight Global (Downers Grove, IL)
- Job Description Insight Global is looking for a Claims Specialist to join a third party workers compensation organization headquartered in Chicago, IL. ... The Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within… more
- Billings Clinic (Billings, MT)
- …maximum and appropriate reimbursement for all claims from government and third - party payers. The Claims Specialist is responsible for preparing and ... submitting timely and accurate insurance claims to government and third - party payers, assisting in the implementation of payer regulations and ensuring… more
- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The Third - Party Liability Specialist is a crucial member of our team, focusing ... on managing and facilitating Martin's Point's third party liability operations process in accordance...party insurer billing + System analysis and/or manual claims pricing skills + Excellent judgment, initiative and problem-solving… more
- Hartford HealthCare (Farmington, CT)
- …The AR Follow Up & Denials Specialist is responsible for resolving unpaid third party balances on $550 million in active inventory and $70 million in ... **Job:** **Finance / Patient Accounts* **Organization:** **Hartford HealthCare Corp.* **Title:** *Collections Specialist / PA Third Party Follow Up*… more
- Beth Israel Lahey Health (Boston, MA)
- …or more years of customer service experience and/or basic knowledge of third party coverage, registration and billing. **Competencies:** + **Decision Making:** ... rejections and makes corrections to ensure payer acceptance of claims . + Follows up with the payers regarding ...claims . + Follows up with the payers regarding claims that have not been paid and escalates as… more
- Aveanna (Atlanta, GA)
- …administrator. This role will require investigation of claims and insurance that our third party administrator is managing the claims in an effect ... Workers Compensation Claims Specialist ApplyRefer a FriendBack Job...agency resumes, and will not pay fees to any third - party agency or company that does not… more
- City of New York (New York, NY)
- …and pro se personal injury claims against the City that involve third - party City contractors. Under the general supervision of the Division Chief, ... initiative and judgement, the duties and responsibilities for the Claims Specialist , Level II, Affirmative Claims...insurance takeovers for represented and pro se personal injury claims involving third - party contractors that… more
- Community Clinic Inc. (Silver Spring, MD)
- …or false claims . + Maintain productive and efficient communication with third - party payers which achieves expeditious claim adjudication and payment. + ... system for everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial...Maintains consistent and timely follow-up with third - party payers and patients (as applicable) in… more
- Baystate Health (Springfield, MA)
- …including patient contact information and insurance information. **7)** Current knowledge of third party billing requirements to ensure compliance with the ... **The Physician Billing Claim Support Specialist is responsible for ensuring accurate and complete...calculator, copiers, fax machine, etc) **2)** Knowledge of current third party billing guidelines and requirements **3)**… 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 ... Claims Account Specialist will be responsible for...+ Recognize and investigate subrogation opportunity for recovery of third - party funds + Work with the policyholder… more
- Kelly Services (Mason, OH)
- …great, new opportunity. Join the Kelly(R) Professional & Industrial team as a ** Claims Specialist ** with a world-class equipment and services company that ... construction workers. **Why you should apply to be a** ** Claims Specialist ** + Pay Rate: $18per hour...of software programs, specifically Excel and Access + Understands third party benefits and administrationStrong customer service… more
- Zurich NA (Rocky Hill, CT)
- Claims Specialist I, General Liability 112465 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... our General Liability team. As a General Liability (GL) Claims Specialist , you will work with a...such as slip/trip and falls, product liability, and other third - party injuries resulting from premises liability exposures.… more
- Crawford & Company (Hauppauge, NY)
- …guidelines and prepares written updates for supervisor to review. + Develops subrogation/ third party recovery potential and follows recovery procedures. + ... Bonus Program! + Multiple Employee Discounts! Administers and resolves non-complex short term claims of low monetary amounts, including Fast Track and Incident Only … more
- Crawford & Company (Philadelphia, PA)
- …of edjuster's content claims handling operations: + Acting/operating as a third party , intermediary between the Insurance Company's property adjusters, and ... Everything We Touch Position Summary The role of Content Claims Specialists is a multi-faceted role, which focuses primarily...Focusing on the accurate and timely processing of content claims , via the use of edjuster's claims … more
- Crawford & Company (Portland, OR)
- …of edjuster's content claims handling operations: + Acting/operating as a third party , intermediary between the Insurance Company's property adjusters, and ... Everything We Touch Position Summary The role of Content Claims Specialists is a multi-faceted role, which focuses primarily...Focusing on the accurate and timely processing of content claims , via the use of edjuster's claims … more
- Insight Global (Columbus, OH)
- … claims (physical damage and liability) by working directly with the third - party administrator claims management team, employees, and branch locations. ... Point of contact for company branch locations concerning auto claims . . Maintain auto claim files. . Assist with.... Participate in claim review meetings with insurance broker, third - party administrator, and carrier. . Over-night travel… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …to join our team. Summary - Investigate, evaluate and settle more complex first and third party insurance claims . A typical day will include the following: ... appropriate. Investigates circumstances of routine as well as complex claims to determine if and to what extent coverage...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii,… more
- Santander US (East Providence, RI)
- …claims involving ACH, Pre-authorized drafts, altered check, forged endorsements, unauthorized third party transfers, elder fraud, identity theft or other ... Specialist , Claims & Fraud Operations East Providence, United States of America USA Job Family Description: Responsible for the day-to-day operations of the… more
- BrightSpring Health Services (Oklahoma City, OK)
- …of pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims , resolution of third - party rejections, and coordination of benefits. ... Paid Time Off & Holidays Responsibilities + Processes pharmacy and medical claims accurately and efficiently, ensuring compliance with payer policies and guidelines.… more