- Medical Mutual of Ohio (Centerville, OH)
- **_The SDC - Claims /Customer Care Specialist - TPA position allows you the flexibility to work at home as long as you reside within a 50-mile radius of an Ohio ... Medical Mutual office._** Founded in 1934, Medical ...performance expectations, service philosophy, and service level agreements. **Responsibilities** **SDC- Claims /Customer Care Specialist I** . Utilizing multiple… more
- Kelly Services (Glastonbury, CT)
- We are looking to hire a **Lead Medical Claims Specialist ** to support our client in Glastonbury, CT. **Hours:** 11:30 am to 8 pm Monday to Friday **Pay:** ... customer service and/or claims team. 2. Provides customer service and will processes medical claims for specific programs. 3. Processes or adjust medical … more
- NJM Insurance (Trenton, NJ)
- … Specialist . This is a full-time position and offers a hybrid schedule after training . The Claims Account Specialist will be responsible for contacting ... implement an action plan to manage the claim. The Claims Account Specialist will work with and...and participate in Claim Reviews as needed with the Claims Supervisor + Participate in training programs… more
- Kelly Services (Glastonbury, CT)
- …(Spanish)** Customer Service Specialist to support our client in Glastonbury, CT. **Title:** Medical Claims Specialist / CSR **Hours:** 11:30 am to 8 pm ... **Requirements:** **Bilingual (** **English/Spanish** **) Required** **Certificates and Licenses:** Medical coding/billing or insurance claims processing required… more
- Robert Half Accountemps (Glen Allen, VA)
- … collections work. Responsibilities: * Assist the collections team in managing and processing medical bills * Handle medical claims with accuracy and ... Description We are seeking a Medical Billing Specialist in the Healthcare...Process customer credit applications efficiently * Use skills in Medical Billing, Medical Claims , and… more
- Aerotek (Tempe, AZ)
- **Overview:** **Aerotek has an immediate opening for a Claims Review Specialist - Workers Compensation at the corporate office in Tempe, AZ.** **Job Summary:** ... Compensation Compliance Supervisor and Workers Compensation Compliance Manager, the Claims Review Specialist will assist in the...to be made by the TPA + Effectively monitors medical and disability claim authorizations and payments to ensure… 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...self-insured program. This involves interaction with injured employees; supervisors; medical providers and nursing staff for claims … more
- Lincoln Financial Group (Columbus, OH)
- …You will effectively utilize and implement policies & procedures regarding medical terminology, duration, functionality documentation, and overall claims ... Glance** We are excited to bring on an Appeals Specialist to join our Appeal Review Department in a...of Long-Term Disability appeals and Life Waiver of Premium claims . The role is responsible for interpreting and applying… more
- Robert Half Accountemps (Glen Allen, VA)
- …payments * Resolve customer credit inquiries efficiently and professionally * Utilize skills in Medical Billing, Medical Claims , and Medical Collections ... Description We are seeking a Medical Billing Specialist in the Healthcare/NHS...of Medical Billing. * Proficient in handling Medical Claims . * Demonstrated experience in … more
- Robert Half Accountemps (Norfolk, VA)
- …opportunity in the higher education sector located in Norfolk, Virginia for a Medical Billing/ Claims /Collections specialist . This role offers a contract to ... opportunity and involves working closely with third-party insurance providers to manage medical claims for the institution. Responsibilities: * Submit medical… more
- Axis (Red Bank, NJ)
- …for candidates taking part in the selection process. Job Description: AXIS is seeking a Senior Claims Specialist - Excess Claims to join our North America ... Claims team and will report to the Claims Manager. Under limited direction, the candidate should act...investigative, and negotiating skills * Technical knowledge, skills, and training within the field to include: o Complex coverage… 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...HCPCs, and ICD-10 coding experience required. + Experience with medical terminology required. + Previous experience with health insurance… more
- NJM Insurance (Hammonton, NJ)
- …fashion + Prepare, attend, and participate in Claim Reviews as needed with the Claims Supervisor + Participate in training programs to keep current on relevant ... Job Description The Claim Resolution Specialist 1 will be responsible for contacting all...work with and communicate to NJM policyholders, injured workers, medical providers, the NJM Medical Services Administration… more
- Lowe's (Mooresville, NC)
- **Job Summary:** The primary purpose of the Claims Support Specialist is to provide support and coordinate the administration of general liability claims in ... order to successfully resolve personal injury and property damage claims against the company and its subsidiaries in an efficient and appropriate manner ensuring… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Maine Breast & Cervical Health Claims Specialist Augusta , Maine , United States | Community & Social Services | Full-time Apply by: May 8, 2024 Apply with ... submissions, work to resolve errors and discrepancies in medical claims , and provide assistance to ...acquired through, BUT ARE NOT LIMITED TO the following coursework/ training and/or experience). A four (4) year combination of… more
- Crawford & Company (FL)
- …the processing of the claim. + Identifies wage loss expenses and wage exposures on medical claims . + Documents receipt and contents of medical reports. ... up to, but not exceeding, $2,500 after compensability has been determined. + Evaluates medical claims for potential fraud issues, loss control and recovery in… more
- Lincoln Financial Group (Boise, ID)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short...requests relating to Short Term Disability, the Family and Medical Leave Act (FMLA), the Americans with Disabilities Act… more
- MetLife (Oriskany, NY)
- Long Term Disability Claims Specialist I City/Cities Oriskany, Tampa State(s) Florida, New York Country United States Working Schedule Full-Time Commutable ... but must be commutable to **Oriskany, New York** or **Tampa, Florida** offices. ** TRAINING WILL BE IN PERSON.** **Role Value Proposition:** At MetLife, we seek to… more
- Kelly Services (Wichita Falls, TX)
- …always easy. That's where Kelly (R) Professional & Industrial comes in. We're seeking ** Claims Specialist ** to work in a temporary to hire opportunity with a ... average: 7,000+ keystrokes/hour + 6+ months of office clerical, medical , or insurance claims experience + Clear...so let's get to work. Apply to be a Claims Specialist today! \#CB \#PI As part… 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