- Providence (Anaheim, CA)
- **Description** Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for ... accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative… more
- MetLife (Tampa, FL)
- …to make a meaningful impact in the lives of our customers and our communities. The Lead LTD Claims Specialist manages a caseload of long term disability ... plan provisions and within prescribed time service standards. In this role, the Lead LTD Claims Specialist will be a technical expert and emerging leader who… more
- AON (Garden City, NY)
- Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your ... with customers through verbal and written communication. Skills that lead to success: + Claims adjudication experience....and policies. #li-am4 2544710 Aon is looking for a Claims Specialist II Do you have experience… more
- Subaru of America (Camden, NJ)
- SUMMARY Provides direct, day-to-day supervision of a team of Retailer Claims Specialists, including prioritizing workload, performance review and coaching, and ... checks through phone observations and claim reviews. Works together with Retailer Claims management on department operations and solutions. Serves as liaison to… more
- Alight (IL)
- …of Be Alight. Learn more at careers.alight.com. About the Role The Client Specialist manages claims , appeals, and ERISA deadlines. They also handle urgent ... participates in internal and external meetings. . In this role, you will co- lead external client acceptance testing sessions and support key client contacts. Your… more
- Zurich NA (Des Moines, IA)
- … Crop Field Adjuster II 111063 Zurich is currently looking for a RCIS Crop Claims Specialist to join our Rural Community Insurance Services (RCIS) team. RCIS is ... opportunity to serve the agricultural community. As a Crop Claims Specialist , your primary accountabilities will include:...with claims that may require subrogation and/or claims that may lead to litigation +… more
- AIG (Cincinnati, OH)
- …insurance experience and to develop the staff into AIG's next generation of claims adjusters, underwriters, operations specialist , etc. You must have a strong ... of products to customers through a diversified, multichannel distribution network. Our Claims professionals support AIG policyholders through some of the most trying… more
- Trinity Health (Farmington Hills, MI)
- …draws conclusions, and reviews findings with all levels of Payment Resolution Specialist for further review. Serve as a resource to Payment Resolution Specialists ... way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4534112) Apply Property Claims Manager ... information about this posting, please contact: Erica R. Gay HR Specialist Division of Administration/Office of Human Resources email: ###@la.gov Minimum… more
- Beth Israel Lahey Health (Danvers, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The Billing Specialist role specializes in high dollar claims , aged claims and ... claims to ensure successful initial submission. The Billing Specialist will be responsible for charge and claim review...Home Health Billing Teams when identifying trends that can lead to inappropriate billing to the customer. 8. Working… more
- Access Dubuque (Dubuque, IA)
- …Date 20240719 Featured Job TH Ad TH Comments **Similar Jobs** Insurance Configuration Specialist Medical Associates TPA Team Lead - Remote (Must have commercial ... prope Sedgwick CAT Repair Team Solution Part Coordinator Sedgwick Assistant Team Lead Sedgwick Managed Network Services Specialist Managed Solutions Group… more
- CareOregon (Portland, OR)
- Job Title Provider Relations Specialist Lead - Behavorial Health Department 116-Provider Relations Exemption Status Exempt Requisition # 24293 Direct Reports n/a ... and maintaining accurate documentation of policies and procedures. The Lead serves as the example of acting as a...partners. + Perform the functions of a Provider Relations Specialist , as needed. Internal Liaison + Participate in interdepartmental… more
- Modernizing Medicine (Boca Raton, FL)
- …with team members across the US. ModMed (https://www.modmed.com/company/) is hiring a driven Lead Patient Services Specialist who will play a pivotal role in ... for inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections + Review training… more
- HCA Healthcare (Miramar, FL)
- …Do you want to join an organization that invests in you as a Lead Collections Specialist -CBO? At Surgery Ventures powered by HCA Healthcare, you ... make a difference. We are looking for a dedicated Lead Collections Specialist - CBO like you to...work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims… more
- Travelers Insurance Company (Metairie, LA)
- …to join our Strategic Resolution Group Claim team as a Major Case Specialist handling complex toxic tort, latent injury, sexual misconduct, environmental claims ... will independently manage our most challenging high frequency and high severity claims and accounts which routinely present unique, complex liability and coverage… more
- MCG Health System (Augusta, GA)
- Lead Collections Specialist Work Location: Augusta University Medical Center Req Number: 34106 Department Name: 5200 Patient Accounts Shift: Days/No Weekends ... the Search Results or Job Cart. Position Description The Lead Collections Specialist plays a pivotal role...payment of outstanding balances, payment variances, denied, and appealed claims . Position Requirements High School Diploma or GED and… more
- UnCruise Adventures (Seattle, WA)
- …our team, you become an important part of our uniqueness. Job Summary The Lead Adventure Specialist directly oversees the Adventure Specialist team, ... skills as well as advanced sales training and reservations management abilities. The Lead Adventure Specialist assumes responsibility for the active phone, live… more
- Universal Health Services (Wayne, PA)
- …Independence Physician Management - UHS (https://uhs.com/about-uhs/physician-services/?redirect=www.uhsinc.com) The Lead Accounts Receivable Specialist is ... responsible for handling complex, escalated, and high dollar claims that were billed to insurance and remain unpaid....were billed to insurance and remain unpaid. The Team Lead is the subject matter expert for all insurance… more
- Trinity Health (Farmington Hills, MI)
- …resolves payment delays and/or variances resulting from rejected and/or denied claims and/or overpayments and underpayments with direction from the Supervisor ... potential liabilities are paid in a timely and accurate fashion. Resolves claims , conducts formal account reviews, identifies lost charge recovery, analyzes and… more
- Cedar Rapids Community School District (Cedar Rapids, IA)
- Lead Benefits Specialist JobID: 12594 + Position Type: Specialist /Supervisor/Technician/ Specialist + Date Posted: 4/24/2024 + Location: ELSC + Date ... Available: ASAP LEAD BENEFITS SPECIALIST Cedar Rapids Community School...Process weekly funding for flexible spending account and dental claims + Calculate and balance monthly premiums for medical,… more