- Hallmark Financial (Dallas, TX)
- Job Description: Job Summary The Compliance Specialist : Accurately processes monthly compliance review ensuring regulatory compliance . Essential ... the following. Other duties may be assigned. Process monthly and quarterly SOX compliance control testing. Assist with internal and external compliance audits.… more
- vaco (Fullerton, CA)
- …AdministrationAssist with open enrollment and renewal discussions.Audit invoices, resolve claims , and ensure ACA compliance .Communicate benefits to employees ... Payroll Specialist /HR Generalist We are looking for a motivated Payroll Specialist /HR Generalist to join our team in Fullerton. This role will focus primarily on… more
- Neighborhood Health Plan of Rhode Island (Smithfield, RI)
- …Shift Daytime Job Category Professional / Experienced Description The Policy and Claims Research Specialist is responsible for supporting the Payment Integrity ... of contact for claim related research. Serves as a claims subject matter expert (SME) and handles incoming inquiries...units to ensure timely resolution of open issues. The Specialist assumes ownership and accountability for the timely and… more
- Greenfield Rehabilitation Agency/Rehab Resources (Brookfield, WI)
- … claims for therapy services provided to residents, ensuring compliance with insurance regulations and requirements. Insurance Verification: Work with insurance ... Growing Team at Greenfield Rehabilitation Agency as a Billing Specialist ! Are you ready to make an impact? Greenfield...to verify coverage and resolve any issues related to claims or payments. Billing Queries: Address inquiries from patients,… more
- Accessia Health (Midlothian, VA)
- POSITION TITLE : Case Management Specialist REPORTS TO : Patient Services Supervisor POSITIONS MANAGED : None STATUS : Non-Exempt SUMMARY: The Case Management ... Specialist is responsible for acting as a bridge between...restrictions while maintaining high quality customer service standards in compliance with federal and state regulations Maintain a repository… more
- ELECTRICAL COMPONENTS INTERNATIONALHOLDINGS COMPANY (Southfield, MI)
- …Location Southfield Michigan - Southfield, MI Job Category Finance B2B Collections Specialist Electrical Components International (ECI) is seeking a B2B Collections ... Specialist to join our team. Who We Are Founded...investigate and resolve billing disputes, delivery discrepancies, or contract compliance issues impacting payment. Dispute Resolution Expertise: Efficiently handle… more
- Aftermath Billing (Port Saint Lucie, FL)
- …system. Collaborate with other departments gather necessary documentation and support for claims . Ensure compliance with HIPAA and all federal, state, and ... Collector is responsible for managing accounts receivable for behavioral health claims , including follow-up with insurance payers and patients. This role plays… more
- unifyCX (San Antonio, TX)
- …with Microsoft Office Suite and a knack for learning new tools quickly. Claims experience in the insurance industry (preferred but not required). What Will You ... Do? Take ownership of appeals and claims , investigating and analyzing each case to determine the...maintain seamless case management. Balance customer satisfaction with policy compliance , ensuring a fair resolution for all. Maintain accuracy,… more
- Express Employment (Brainerd, MN)
- …Resources Professional Express Employment Professionals is hiring an Experienced Human Resources Specialist for a well-established company in Grand Rapids, MN . This ... audits Administer and maintain 401(k) retirement plan , including compliance testing, contribution tracking, and fiduciary coordination Respond to unemployment… more
- PharmaCord (Cincinnati, OH)
- …PharmaCord Lynk system, maintaining detailed records of reimbursement activities, including claims status, payments, and appeals. Generate reports and analysis as ... in relevant field. Certification examples include PACS (Prior Authorization Certified Specialist ), CHES (Certified Health Education Specialist ) or CCM in… more
- Data Facts, Inc. (Cordova, TN)
- …following the applicable Reportability Guidelines to ensure state and FCRA compliance . Process Employment Verifications, to confirm historical employment dates and ... positions. Some Employment Verifications may require the specialist to inquire about specific items, such as accident...appropriate state agency to find a history of previous claims . Process and distribute E-Verify and CBSV reports. Process… more
- MTA (New York, NY)
- Claims Specialist Job ID: 12936 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: Office of Insurance ... Mgt Date Posted: Sep 4, 2025 Description JOB TITLE: Claims Specialist DEPT/DIV: Risk & Insurance Management...agency, and the contract construction manager to ensure timely compliance with discovery demands and court ordered depositions, to… more
- Billings Clinic (Billings, MT)
- …four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more! Claims Specialist I (Full-time) PATIENT FINANCIAL SERVICES ... claims from government and third party payers. The Claims Specialist is responsible for preparing and...assisting in the implementation of payer regulations and ensuring compliance to the regulatory requirements, and verifying payments and… more
- Zurich NA (Springfield, IL)
- RCIS Crop Claims Specialist 127491 Zurich is looking for an RCIS Crop Claims Specialist to work out of Illinois state. This incumbent will work from a ... opportunity to serve the agricultural community. As a Crop Claims Specialist , your primary accountabilities will include:...location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a… more
- NJM Insurance (Trenton, NJ)
- NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/II/Sr.) . This is a full-time position and offers a hybrid schedule after training with a ... another day in our West Trenton office. The WC Claims Specialist will be responsible for contacting...of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards, and laws applicable to… more
- Axis (Alpharetta, GA)
- …upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior Claims Specialist ... and severe loss as defined by escalation criteria and claims guidelines. + Ensuring TPA compliance with...criteria and claims guidelines. + Ensuring TPA compliance with reportable criteria via regular auditing and stewardship… more
- Zurich NA (Maitland, FL)
- WC Senior Claims Specialist 126746 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to ... expected. Zurich is seeking an experienced Workman's Compensation Sr. Claims Specialist to join our team! This... claims file by accurately capturing and updating claims data/information in compliance with best practices… more
- Zurich NA (Addison, TX)
- General Liability Litigated Claims Specialist 126205 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when ... At Zurich North America, we are seeking a Litigated Claims Specialist to join our high-performing **Commercial...location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a… more
- ICW Group (Sacramento, CA)
- …everyday! Learn more about why you want to be here! **PURPOSE OF THE JOB** This Claims Specialist is responsible for handling complex claims with a focus on ... to an equitable resolution within Company standards. The Claims Specialist works with a sense of...industry's best practices. + Ensures accuracy of data in claims system for compliance with applicable regulatory… more
- Zurich NA (Montgomery, AL)
- Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor...location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a… more
