• Claims Resolution Specialist

    Centers for Independence (Milwaukee, WI)
    ** Claims Resolution Specialist ** **Job Details** **Job Location** iLIFE Main - Milwaukee, WI **Description** **_Job Purpose_** : The Claims Resolution ... with all contractual and regulatory requirements. **_Essential Job Functions_** **:** 1 . Provide courteous and professional service in any inquiries via email,… more
    Centers for Independence (05/13/24)
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  • Construction Defect Claims

    The Hartford (Hartford, CT)
    Specialist Claims - CH07DE We're determined...a well-reasoned analytical focus, and a clear strategy for resolution . The Claim Specialist must also be ... team as we help shape the future. The Claim Specialist is the highest claim handling designation within the...to customers and business partners in the management and resolution of claims * Respond to inquiries… more
    The Hartford (05/17/24)
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  • Medical Claims Refund Specialist

    CVS Health (Monroeville, PA)
    …has an opportunity available for a full time Medical Claims Refund Specialist . This role ensures timely credit balance resolution via refunds to patients, ... medical billing or insurance collections, and/or account reconciliation/ account review/ account resolution . + 1 + years' experience in Microsoft Office Suite,… more
    CVS Health (06/15/24)
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  • Healthcare Claims Specialist

    BrightSpring Health Services (Oklahoma City, OK)
    …pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims , resolution of third-party rejections, and coordination of benefits. WORK ... Paid Time Off & Holidays Responsibilities + Processes pharmacy and medical claims accurately and efficiently, ensuring compliance with payer policies and guidelines.… more
    BrightSpring Health Services (06/08/24)
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  • Major Case Specialist - Strategic…

    Travelers Insurance Company (Hunt Valley, MD)
    …join our Strategic Resolution Group Claim team as a Major Case Specialist handling complex toxic tort, latent injury, sexual misconduct, environmental claims ... claims and accounts with full damage values that often greatly exceed $ 1 ,000,000. Claims typically involve complex trigger, allocation, limits, and exclusion… more
    Travelers Insurance Company (05/11/24)
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  • Workers' Compensation Dispute Resolution

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    WORKERS' COMPENSATION DISPUTE RESOLUTION SPECIALIST 1 /2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4543846) Apply  WORKERS' ... COMPENSATION DISPUTE RESOLUTION SPECIALIST 1 /2 Salary $2,602.00 - $4,682.00 Monthly...the state's Workers' Compensation procedures as they relate to resolution of disputed claims . Researches, examines, and… more
    Louisiana Department of State Civil Service (06/14/24)
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  • Sr. Technical Specialist , Strategic…

    Travelers Insurance Company (Hunt Valley, MD)
    …our Strategic Resolution Group Claim team as a Sr. Technical Specialist handling complex toxic tort, latent injury, sexual misconduct, environmental claims ... performance-based cash incentive awards. **Salary Range** $89,000.00 - $146,800.00 **Target Openings** 1 **What Is the Opportunity?** We are looking for a motivated… more
    Travelers Insurance Company (05/11/24)
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  • Coding Payment Resolution Specialist

    Trinity Health (Farmington Hills, MI)
    …data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review. Takes initiative to continuously learn ... and CPT-4 procedural codes for UB-04 outpatient or inpatient claims , or other coding reasons and processing charge corrections...all aspects of Payment Resolution Specialist role to support progressive responsibility.… more
    Trinity Health (06/14/24)
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  • Claims Analyst

    Ramsey County (St. Paul, MN)
    …hire other vacancies in the department or County. To perform the daily claims management function for resolution of tort, auto, property/casualty, and subrogated ... , gathering relevant information, and coordinating with stakeholders to ensure timely resolution . + Update and maintain claims management workflows to align… more
    Ramsey County (06/08/24)
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  • Claims Auto Adjuster - Hybrid

    Randstad US (Itasca, IL)
    …Hanover Insurance offers a collaborative environment that fosters development and growth. As an claims resolution specialist , you will play a vital role in ... + Organizational Skills + Multi-tasking + Technical Support + Claims Processing Qualifications: + Years of experience: 1... Claims Processing Qualifications: + Years of experience: 1 year + Experience level: Experienced Randstad is a… more
    Randstad US (06/13/24)
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  • Denial Specialist 1

    Beth Israel Lahey Health (Charlestown, MA)
    …helps to resolve callers' issues, retrieving critical information that impacts the resolution of current or potential future claims . 4. Establishes relationships ... **Essential Duties & Responsibilities** including but not limited to: 1 . Monitors days in A/R and ensures that they...Billing Office. 16. Assists the Billing Supervisor with the resolution of complex claims issues, denials, appeals… more
    Beth Israel Lahey Health (03/28/24)
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  • Admission Registration Specialist 1

    Rush University Medical Center (Chicago, IL)
    …veteran status, and other legally protected characteristics.** **Position** Admission Registration Specialist 1 **Location** US:IL:Chicago **Req ID** 2759 ... .0) **Shift:** **Shift 1 ** **Work Schedule:** 8 Hr (5:00:00 AM - 1 :30:00 PM) **Summary:** The Admissions Registration Specialist I is responsible for… more
    Rush University Medical Center (04/17/24)
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  • Advocacy Coordination Team Specialist

    Access Dubuque (Dubuque, IA)
    Advocacy Coordination Team Specialist **Sedgwick** 1 Positions ID: R51387 Posted On 06/19/2024 **Job Overview** Taking care of people is at the heart of ... Most Loved Workplace(R) Forbes Best-in-State Employer Advocacy Coordination Team Specialist **PRIMARY PURPOSE** **:** To actively research, resolve, and administer… more
    Access Dubuque (06/20/24)
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  • Customer Experience Specialist 1

    Allegion (CO)
    …which recognizes the most engaged workplace cultures in the world._ **Customer Experience Specialist 1 - Remote Colorado** **(Preferred candidate would be within ... 1 -hour radius of our Colorado Springs Facility for training purposes)** **Customer Experience Specialist 1 ** The Customer Experience Specialist 1 is… more
    Allegion (06/12/24)
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  • Patient access specialist 1

    Trinity Health (Howell, MI)
    …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
    Trinity Health (05/30/24)
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  • Patient Access Specialist 1

    Trinity Health (Howell, MI)
    …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
    Trinity Health (05/02/24)
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  • Property Adjuster Specialist (Field)

    USAA (Atlanta, GA)
    …+ Partners with vendors and internal business partners to facilitate complex claims resolution . May also involve external regulatory coordination to ensure ... us so special! **The Opportunity** We are seeking a dedicated Property Adjuster Specialist Currently located in **Fayetteville, GA** to join our field Team. As a… more
    USAA (06/19/24)
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  • Property Adjuster Specialist - Field

    USAA (San Jose, CA)
    …+ Partners with vendors and internal business partners to facilitate complex claims resolution . May also involve external regulatory coordination to ensure ... special! USAA is seeking an experienced Field Property Adjuster Specialist in the San Jose, CA area. Relocation assistance...travel outside of their local territory to respond to claims in other regions when needed. This is an… more
    USAA (04/03/24)
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  • Insurance Configuration Specialist

    Access Dubuque (Dubuque, IA)
    Insurance Configuration Specialist **Medical Associates** 1 Positions ID: oDo5sfwi Posted On 06/19/2024 **Job Overview** **Description** Are you someone with a ... background in claims processing, medical billing or coding looking to advance...career? Medical Associates Health Plans is hiring a **Configuration Specialist ** to join their team! This position will configure… more
    Access Dubuque (05/31/24)
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  • Revenue Specialist 1

    TEKsystems (Federal Way, WA)
    …one of multiple roles noted: (MUST BE FLEXIBLE WILL BE CROSS TRAINED) + 1 . Provider Web: This position is responsible for granting and maintaining provider web ... portals. This setup will allow other users to process claims and register new patients. + 2. Cash Application:...correct customer accounts. The duties of a cash applications specialist are to manually review all remittance from customers… more
    TEKsystems (06/20/24)
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