- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after ... training. The Complex Claim Specialist will be responsible for contacting...policyholder's reporting practices + Prepare, attend, and participate in Claim Reviews as needed with the Claims … more
- CVS Health (San Antonio, TX)
- …the claim adjudication process. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or referral submission to ... personal, convenient and affordable. Position Summary: This is a Claim Benefit Specialist will be...Routes and triages complex claims to Senior Claim Benefits Specialist . - Proofs… more
- CVS Health (Hartford, CT)
- …Shift and Training Hours: + Training 8:00am-4:30pm + Shift: 8am-4:30pm Claim Benefit Specialist Reviews and adjudicates claims in accordance with ... make health care more personal, convenient and affordable. This Claims Benefits position is Onsite at our...claim processing guidelines. Claim Benefit Specialists have the opportunity to… more
- CVS Health (Pittsburgh, PA)
- …to claim processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or referral submission to ... and affordable. Position Summary * Reviews and adjudicates routine claims in accordance with claim processing guidelines....offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k)… more
- CVS Health (Columbus, OH)
- … claims in accordance with plan processing guidelines. - Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... discrepancies, and applies all cost containment. measures to assist in the claim adjudication process.- Insures all compliance requirements are satisfied and all… more
- CVS Health (Columbus, OH)
- …personal, convenient and affordable. Position Summary Reviews and adjudicates routine Medicare claims on HRP system in accordance with claim processing ... CMS and Aetna compliance and business requirements.Analyzes and approves routine claims that cannot be auto adjudicated.- Applies medical necessity guidelines,… more
- CVS Health (Bismarck, ND)
- …Training is 12 weeks 9am-5:30pmEST + Shift: flex schedule Reviews and adjudicates routine claims on HRP system in accordance with claim processing guidelines. ... CMS and Aetna compliance and business requirements.Analyzes and approves routine claims that cannot be auto adjudicated.- Applies medical necessity guidelines,… more
- Travelers Insurance Company (Indianapolis, IN)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- Travelers Insurance Company (Wyomissing, PA)
- …negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- Travelers Insurance Company (Houston, TX)
- …for a motivated and enthusiastic team player to join our Strategic Resolution Group Claim team as a Technical Specialist handling complex toxic tort, latent ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- Samsung SDS America (Plano, TX)
- …Account Group and its Settlement subpart as well as the company's Management/Finance Group. Claims Specialist will work on a resolution of logistics claims , ... or issues that arise. + Notify involved parties of claim filings and/or rejected claims and work...common goal and to delegate workload to maximize efficiency. Benefits Samsung SDSA offers a comprehensive suite of programs… more
- MetLife (Cary, NC)
- STD / LTD Claim Specialist Location(s) + Posting Location:Cary, North Carolina + Posting Location:Bloomfield, Connecticut + Posting Location:Tampa, Florida + ... render appropriate claim decisions on STD, LTD, PML and state claims . Clarify functional capacity through independent problem solving measures and discretion… more
- City National Bank (Los Angeles, CA)
- **PAYMENTS CLAIM SPECIALIST ** **WHAT IS THE OPPORTUNITY?** The Payment Claims Specialist is responsible for the investigation and processing of payment ... identification of miss/near miss opportunities etc. A successful Payment Claim Specialist will be able to navigate...of actions as needed. + Perform quality checks of claims for accuracy and feedback for the claim… more
- CVS Health (Lansing, MI)
- … and customer service representative. Reviews and adjudicates routine Flexible Spending claims in accordance with claim processing guidelines and IRS guidelines. ... members to assist with inquiries. * Process flexible spending claims via electronic image. * Determine if submissions are...offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k)… 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 ... and/or correspondence to the Agent or Insurer to process claims appropriately. 6. Analyze claim coverage with...and paid holidays. For more details on Truist's generous benefit plans, please visit our Benefits site… more
- Travelers Insurance Company (Rancho Cordova, CA)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- MetLife (Oriskany, NY)
- AMS Claim Specialist Location(s) + Posting Location:Oriskany, New York Country United States Working Schedule Full-Time Commutable Distance Required Yes ... 15-May-2024 Job ID 2672 **Description and Requirements** **Absence Management Solutions** ** Claims Specialist ** **Location** **:** Virtual but MUST be commutable… more
- CVS Health (Tallahassee, FL)
- …Position SummaryReviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Required Qualifications ... - 2+ years medical claim processing experience.- Experience in a production environment. Demonstrated...EducationAssociate's Degree or in lieu require 2 years medical claims processing. Pay Range The typical pay range for… 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 ...delivery of timely, appropriate, and accurate indemnity and medical benefits + Provide a high level of customer service… more
- The Hartford (Hartford, CT)
- …we help shape the future. The Claim Specialist is the highest claim handling designation within the Complex Claims Unit - Construction (CCU-CD) and is a ... Specialist Claims - CH07DE We're determined...to manage, and can involve higher exposures. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to… more