- AAOS (Rosemont, IL)
- …with outside counsel on compliance with HIPAA/HITECH/CARES Act. Assists Compliance Specialist with processing trademark, copyright, and permissions requests. ... of Directors. Collaborating on the day-to-day work of the Compliance Specialist , including: Conducting administrative review of all submitted grievances. Reviewing… more
- Providence (Mission Hills, CA)
- **Description** The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, ... adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance...have knowledge of compliance issues as they relate to claims processing and ability to identify and… more
- Providence (Mission Hills, CA)
- …best people, we must empower them. **Required qualifications:** + 2 years HMO claims processing experience in a managed care environment, preferably PMG/IPA ... Full time **Job Shift:** Day **Career Track:** Admin Support **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills 11165… more
- CGI Technologies and Solutions, Inc. (Albany, NY)
- ** Claims Processing Specialist ** **Category:** Administration **Main location:** United States, New York, Albany **Position ID:** J0524-1401 **Employment ... (HUD) to assist in the provision of affordable housing has an opening for a Claims Processing Specialist in Albany, NY. This is an opportunity to join an… more
- NJM Insurance (Trenton, NJ)
- …including basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II - 3-5 years' experience as a ... Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a...WC Law, medical terminology, and utilization of an automatic claims processing system. + Sr Level -… more
- MetLife (Tampa, FL)
- Long Term Disability Claims Specialist II Location(s) + Posting Location:Tampa, Florida + Posting Location:Oriskany, New York Country United States Working ... Job ID 2617 **Description and Requirements** **Long Term Disability Claims Specialist II** **Job Title: Long Term...and Technical Skills:** **Required:** + 1-3 years of LTD claims processing experience with prior experience with… more
- Community Clinic Inc. (Silver Spring, MD)
- …a more equitable health care system for everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial resource in support of the clinical ... services provided. The Claims Specialist will assure that services are...center personnel in maintaining accuracy in data elements and processing crucial to effective claims processing… more
- Kelly Services (Mason, OH)
- …great, new opportunity. Join the Kelly(R) Professional & Industrial team as a ** Claims Specialist ** with a world-class equipment and services company that ... construction workers. **Why you should apply to be a** ** Claims Specialist ** + Pay Rate: $18per hour...Training 100% on site. Must-haves + 0-1 years of claims processing /data entry experience. Knowledge of PCs… more
- Pike Corporation (Mount Airy, NC)
- Position Overview: The primary purposed of Claims Specialist is to manage various claims made related to auto, general liability, property damage and ... worker's compensation. This Specialist will be responsible to successfully process and/ or...base. + Handles multiple functions related to business operations, claims processing , and office workflows. + Recognizes… more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... difficult surety and surety bond claims ; to provide resolution of highly complex nature and/or...trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. +… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Claims Resolution Specialist - Agency Only Augusta , Maine , United States | Workers' Compensation | Full-time Apply by: June 12, 2024 Apply with Linkedin Apply ... technical expertise to employees, employers, and their representatives in processing and settling benefit/compensation claims . Responsibilities include initial… more
- Kelly Services (Mason, OH)
- …door with great company! **What a typical day as a** ** Claims Specialist ** **might look like:** + Processing - Efficiently and accurately processes standard ... Join the Kelly(R) Professional & Industrial team as a ** Claims Specialist ** with one of the world's...School Diploma or GED required + 0-1 year of Claims Processing /Data Entry experience + Knowledge of… more
- Crawford & Company (Portland, OR)
- …edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim. + Operating ... with the Company's productivity and performance standards. + Work with Central Claims Processing to organize/direct the resources ( claims assistants,… more
- Crawford & Company (Philadelphia, PA)
- …edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim. + Operating ... with the Company's productivity and performance standards. + Work with Central Claims Processing to organize/direct the resources ( claims assistants,… more
- Concentrix (Greenville, SC)
- Job Title: Customer Service Representative ( Claims Specialist ) On-Site Job Description The Customer Service Representative ( Claims Specialist ) On-Site ... for Career Growth** " awards every year? Then a Claims Specialist /Customer Service Representative position at Concentrix...and deadlineswith extreme attention to detail and ownership + Claims Processing experience ( **preferred** **)** +… more
- Crawford & Company (VA)
- …members of the medical profession and other persons pertinent to the investigation and processing of claims . + Verifies policy coverage for submitted claims ... In Everything We Touch Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents… more
- Crawford & Company (Hauppauge, NY)
- …members of the medical profession and other persons pertinent to the investigation and processing of claims . + Verifies policy coverage for submitted claims ... Bonus Program! + Multiple Employee Discounts! Administers and resolves non-complex short term claims of low monetary amounts, including Fast Track and Incident Only … more
- Magellan Health Services (Maryland Heights, MO)
- …2+ years of claims processing experience. General Job Information Title Claims Systems Specialist I Grade 20 Work Experience - Required Claims ... Claims Operations by investigating and resolving systemic issues relative to claims processing system files and interfaces for membership, authorizations,… more
- TEKsystems (Waco, TX)
- … specialists to support a growing healthcare company in the Waco area! As a claims follow up specialist on our team you will be verifying insurance information, ... you have experience working within medical insurance roles handling claims , payer portals, appeals, AR follow up, denials or...position is highly focused on the resolution of insurance processing errors and denials. + Payers include but are… more
- Pike Corporation (Mount Airy, NC)
- Position Overview: The primary purpose of the Assistant Claims Specialist is to support the Claims dept. and work closely with the Claims Specialists in ... + Supports organization and specialists with maintenance of internal database and claims processing . + Handles multiple functions related to business operations,… more
