- Acosta Group (Hillsborough County, FL)
- **DESCRIPTION** The Claims Resolution Specialist is responsible for validating and clearing claims against promotional offers, analyzing claims to ... in accordance with Acosta, client and customer policies and procedures. The Claims Resolution Specialist will communicate with internal and external business… more
- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift schedule. The Claims Resolution Specialist is responsible...in use at Prairie Ridge Health. Shift: Monday-Friday, days. Hybrid work available after training. FTE: 1.0 Powered by… more
- 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 (Penn, PA)
- 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
- Zurich NA (New York, NY)
- Claims Specialist II, General Liability 110492 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing...should be expected. Zurich is currently looking for a ** Claims Specialist II** to report out of… more
- Zurich NA (Addison, TX)
- Auto Litigation Claims Specialist 113285 Zurich is currently seeking an Auto Litigation Claims Specialist II. At Zurich North America Claims , we ... balance and flexibility in your career choice. Our ZNA Claims hybrid work model is designed with...Hills. Job Responsibilities: Under moderate direction, the Auto Litigation Claims Specialist II handles single and multi-party… more
- 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 ... an action plan to manage the claim to final resolution . The Complex Claim Specialist will work...manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This role can be… more
- Randstad US (Howell, MI)
- …Hanover Insurance offers a collaborative environment that fosters development and growth. As an claims resolution specialist , you will play a vital role in ... insurance claims adjuster - hybrid . + howell...insurance claims adjuster - hybrid . + howell , michigan + posted 9...and its customers. As a member of the Auto Claims team, you will work in a dynamic and… more
- St. Luke's University Health Network (Allentown, PA)
- …with optimal goal of receiving accurate payments and maximum reimbursement. + Statuses claims resolution , appeals and corrected claims via payer websites ... ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection...I is responsible for accurate and timely submission of claims to third-party payers, intermediaries and guarantors in accordance… more
- Houston Methodist (Katy, TX)
- …is required** Medicare experience is preferred** Epic experience is preferred** Hybrid position-location: 701 S Fry Rd 77450 (Katy)** At Houston Methodist, ... the Accounts Receivable Specialist position is responsible for billing and follow up...insurance or institutional accounts. Duties include preparing and processing claims , clearing billing edits, claim validation and submittal, and… more
- Acosta Group (Hillsborough, FL)
- …of Acosta uses technology solutions (Order-to-Cash & EDI - Order Management, Invoice Claims Resolution , Data Management) to help our clients achieve financial ... Payment Recovery Specialist provides a client support functionto the BPS Claims Team and is responsible for researching retailer trade and non-trade related… more
- US Foods (Rosemont, IL)
- …and performance resolutions as necessary + Assist with carrier claims resolution / collection where necessary. **QUALIFICATIONS:** **Education/Training:** ... below market benchmarks. **Flexible Work Policy: The Carrier Development Specialist position has been segmented as Hybrid ,...Development Specialist position has been segmented as Hybrid , meaning the work is a combination of onsite… more
- Martin's Point Health Care (Portland, ME)
- …Work" since 2015. Position Summary Job Description Position Summary: The Appeals Specialist (Medicare or US Family Health Plan) is responsible for ensuring ... provider pre-service appeals in a timely and compliant manner. The Specialist communicates and collaborates with Case Managers, Medical Directors and Compliance… more
- ConEdison (New York, NY)
- …personnel responsible for the review, evaluation, processing, investigation, preparation, and resolution of personal injury and property damage claims /lawsuits ... Section Manager 3L - Practice Operations Investigations and Claims Job Info 112459 Posting Expiration Date:Jun 21, 2024 Schedule Type:Full-Time Minimum… more
- ManpowerGroup (Ontario, CA)
- …**Job Title: Claims Team Lead** **Location: Los Angeles, CA** **Contract** ** Hybrid ** **Pay Range: $45.56 HR** We are seeking a highly experienced Workers ... Compensation Specialist to join our dynamic team. While County of...workers compensation from diverse backgrounds. This position offers a hybrid work model, with the flexibility of two days… more
- Truist (Houston, TX)
- …on the needs of the internal team and clients. 13. Assist clients with claims resolution . 14. Participate in company sponsored seminars, training workshops and ... sales and service teams. This role will be a hybrid working schedule allowing the successful candidate to work...of marketing, as needed. 10. Take report and monitor claims (if applicable). 11. Document member and client communications… more
- Houston Methodist (Katy, TX)
- …our Continuing Care Hospital:** **701 S. Fry Rd. Katy, TX 77450** **. ( Hybrid position)** At Houston Methodist, the CBO Regulatory Compliance Specialist position ... events as well as the accountability of ensuring completion with corrected claims , and/or data extraction in preparation of audits. **PEOPLE ESSENTIAL FUNCTIONS** +… more
- Fallon Health (Worcester, MA)
- …ancillary provider inquiries and requests for services associated with the resolution of provider complaints relating to operational concerns, policy and procedures ... and resolve issues. + Monitor status of QNXT cases thru to resolution status. Maintain detailed documentation within QNXT cases. Conduct proactive follow-up… more
- Acosta Group (Jacksonville, FL)
- …Customer Service Supervisor, Business Managers, and Customer Managers. + Perform resolution procedures outlined in static help file. + Investigate rules engine ... (Word, Excel, and Outlook). + Proficient in document management software. + Proficient in claims management software. + Type a minimum of 60 wpm. Acosta Sales &… more
- Medical Mutual of Ohio (Dublin, OH)
- **_Note: This position will be hybrid (in-office & work from home)._** **_The Provider Contract Support Specialist position allows you the flexibility to work at ... contract management files and documentation **Responsibilities** **Provider Contract Support Specialist ** . Follows up and tracks agreements and amendments in… more