- Morley (Lansing, MI)
- …**_Location: Remote_** **_-_** **_Michigan residents_** In this remote Customer Service Representative position at Morley, you'll be trained as an important liaison ... and the like + Use your computer skills to research requests and accurately record the details of your...to end by researching and assisting customers until case resolution + Offer timely and accurate solutions through inbound… more
- Basin Electric Power Cooperative (Bismarck, ND)
- …and close-out. This includes the negotiation of change orders, payment approval, resolution of claims , solving performance and warranty issues, enforcement of ... labor and materials required to support the Cooperative's facilities. + Include research and selection of capable suppliers, development of Request for Proposal,… more
- Hartford Steam Boiler Inspection and Insurance Company (Hartford, CT)
- …price segmentation & detection of leading loss trends. This includes analyzing claims , engineering, expenses, exposure data/profile shifts, pure premium trends & 3rd ... for a book a business + Demonstrated experience with negotiation and conflict resolution + Exhibited ability to develop creative and unique solutions + HSB Product… more
- Humana (Cheyenne, WY)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... the resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and… more
- Dragonfly Health (Mesa, AZ)
- …discrepancies as needed. 5. Collaborate with the Customer Service team on complex claims research and resolution . 6. Understand Enclara Pharmacia's standard ... and correct authorizations in dispensing and PBM systems to ensure timely claims submission. Research and resolve rejected claims by contacting hospices for… more
- NTT DATA North America (TX)
- …as part of an overall sourcing strategy. NTT DATA currently seeks a Remote **Medical Claims Representative ** to join our team in **for a remote position** . This ... complete compliance training of NTT Data/Client -Work independently to research , review and act on the claims ...above 98.5% PA and 99.75% FA. -Timely response and resolution of claims received via emails as… more
- State of Massachusetts (Boston, MA)
- *Lead Claims Examiner/Job Service Representative II| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service ... processes within the Department of Family Medical Leave (DFML). The Lead Claims Examiner/Job Service Representative II will review, analyze and evaluate… more
- Safran (Atlanta, GA)
- …to meet the needs of our customers with timely, accurate, and professional resolution of customer claims . This function supports and manages customer complaints ... Claims Analyst **Job details** **General information** **Entity** Safran...primary point of contact for the customer for claim resolution ; coordinating communication with the customer, front/back office, suppliers,… more
- Penske (Reading, PA)
- **Position Summary:** The Liability Claims Examiner is responsible for investigating, documenting, managing, directing, and resolving a variety of claims ... claim data to determine legal responsibility and ensure timely and effective resolution in alignment with company goals **Major Responsibilities:** + Investigate and… more
- Travelers Insurance Company (Diamond Bar, CA)
- …employs creative resolution strategies. + Promptly and properly disposition all claims within delegated authority. + Negotiates disposition of claims with ... or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff… more
- Travelers Insurance Company (Irvine, CA)
- …employs creative resolution strategies. + Promptly and properly disposition all claims within delegated authority. + Negotiates disposition of claims with ... or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff… more
- University of Virginia (Charlottesville, VA)
- …processed and followed up to meet the CBO Revenue Cycle performance metrics & representative Facility specific goals. They will also research and answer all ... The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing...from insurance companies. They are responsible of ensuring all claims billed are in compliance with all federal and… more
- CHS (Clearwater, FL)
- …call resolution and satisfaction. The Member and Provider Service Representative (MPSR) is critical to PAS' success, effectively and efficiently handling calls ... **Overview** ** ** **Medical Insurance Call Center Representative | Member and Provider Services Representative...Supervisor. + For any calls or correspondence where additional research is necessary, clearly explaining to the caller the… more
- University of Rochester (Rochester, NY)
- …insurance or contracted service accounts in order to bring about prompt account resolution and revenue collection from complex claims , high dollar claims ... to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve… more
- US Tech Solutions (Myrtle Beach, SC)
- …Handles situations which may require adaptation of response or extensive research . Identifies incorrectly processed claims and processes adjustments and ... + Required Work Experience: 2 years of customer service experience including 1-year claims or appeals processing OR Bachelor's Degree in lieu of work experience. C2… more
- Martin's Point Health Care (Portland, ME)
- …or resolution . This should be completed within the timeframes outlined in Representative Expectations document. + Collaborates with PI Research team and or ... + Ability to work efficiently and independently. + Analytical skills in research and problem resolution . + Strong computer skills (keyboard proficient,… more
- Mass Markets (Dallas, TX)
- POSITION OVERVIEW TECHNICAL SUPPORT REPRESENTATIVE (FULL-TIME) As a technical support representative , you will handle blended inbound phone interactions with ... contacts in a courteous, timely, and professional manner + Ensure first call resolution through problems solving and effective call handling + Research systems… more
- Mass Markets (Wichita, KS)
- POSITION OVERVIEW CALL CENTER REPRESENTATIVE (FULL-TIME) We are looking for full-time call center representatives to support inbound and outbound customer service ... wide variety of clients. In this role, you will identify customers' needs, research every issue, provide solutions, and upsell customers on new products and… more
- Mass Markets (Dallas, TX)
- POSITION OVERVIEW CALL CENTER REPRESENTATIVE (FULL-TIME) We are looking for full-time call center representatives to support inbound and outbound customer service ... wide variety of clients. In this role, you will identify customers' needs, research every issue, provide solutions, and upsell customers on new products and… more
- Cardinal Health (Doral, FL)
- …and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution **Hybrid position** **Schedule:** Monday - ... Insurance Collector is responsible for the timely follow-up and resolution of insurance claims . This role ensures...the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of… more
