- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a ... corrective actions to improve overall claims accuracy and efficiency. The Claims Quality Specialist will work closely with the Claims Research… more
- AIG (Atlanta, GA)
- Claims , Quality Assurance Specialist - Worker's Compensation Join us as a Claims QA Specialist to make more of your specialist expertise and ... experience. Make your mark in Claims . Our Claims teams are the proven problem solvers of choice...efficiency. How you will create an impact + Complete quality reviews on all files within program guidelines while… 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 ... This is a great opportunity to serve the agricultural community. As a Crop Claims Specialist , your primary accountabilities will include: + Work the most complex… more
- BrightSpring Health Services (Louisville, KY)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key...Focused on Service Excellence: Our mission is to provide top- quality care and outstanding customer service to hospitals, rehabilitation… 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 ... You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a...claims from government and third party payers. The Claims Specialist is responsible for preparing and… 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...can vary depending on start time). Responsibilities: + Ensure quality management of claims in accordance with… 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 ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management...of internal Severity and Coverage resources. + Compliance & Quality Assurance - Comply with best practices measured by… 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 ... attendance should be expected. Zurich is seeking an experienced Workman's Compensation Sr. Claims Specialist to join our team! This position is located in… more
- Zurich NA (Maitland, FL)
- 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... from start to finish with a focus on quality , efficiency, and service excellence. + Partner closely with… more
- The Hartford (San Antonio, TX)
- Specialist Claims - CH07DESpecialist Claims CA - CH07DN We're determined to make a difference and are proud to be an insurance company that goes well beyond ... Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist...+ Developing and implementing resolution strategies to achieve high quality outcomes. + Proactively managing litigation and counsel, inclusive… 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...+ Ability to leverage trend and relationships to provide high- quality customer service + Well-versed in identifying, understanding and… more
- Providence (Mission Hills, CA)
- **Description** The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, per ... case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate to… more
- Sedgwick (Honolulu, HI)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist , General Liability (Property) **PRIMARY PURPOSE** : To analyze ... complex or technically difficult general liability claims to determine benefits due; to work with high...Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATION** **Education &… more
- Integra Partners (Troy, MI)
- JOB OVERVIEW Our Claims Resolution Specialist role is responsible for reviewing Durable Medical Equipment (DME) claims for billing accuracy while maintaining ... HIPAA compliance. If you have previous medical billing or claims experience, this role may be of interest as...and punctuality + Meet all daily productivity and weekly quality goals Benefits Offered + Competitive compensation and annual… more
- Sedgwick (Annapolis, MD)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Professional Liability **PRIMARY PURPOSE** **:** To analyze complex ... or technically difficult miscellaneous professional liability claims ; to coordinate case management within Company standards, industry best practices and specific… more
- Rising Medical Solutions (Tampa, FL)
- The Claims Specialist will assist in reviewing, processing, and coordinating claims accurately in accordance with the program requirements while ensuring ... + Maintain ongoing knowledge of program requirements + Analyze and process claims for accuracy, eligibility, and benefits coverage + Retain and strengthen… more
- Commonwealth Care Alliance (Boston, MA)
- …will not be considered at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst ... Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the end-to-end review,… more
- NTT DATA North America (Decatur, IL)
- …for NTT DATA Services and for the people who work here. NTT DATA seeks a ** Claims Refund Specialist ** on a **project** basis to work **remote, from home** . This ... the right people on board, anything is possible. The quality , integrity, and commitment of our employees are key...equipment** **90 Day temp to hire opportunity** The Refund Specialist reports to the Claims Manager. This… more
- Pilgrim's (Greeley, CO)
- **Description** Claims /Deductions Specialist Purpose and Scope/General Summary: We are looking for a Claims /Deductions Specialist for Pilgrim's who ... reps, customer service, etc. These notifications may be in regard to product integrity, quality , damage, and/or count discrepancies. In this role, you will act as a… more
- Select Medical (Camp Hill, PA)
- **Overview** **Senior Claims Resolution Specialist ** **Starting at $18.50.00/hr but flexible for experienced candidates** Do you enjoy puzzles and research? Are ... you results-oriented? If so, our Claims Resolution Specialist position may be a...skills. + Previous experience in metrics based role, where production/ quality standards are upheld. + Time management and organizational… more