- 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 ... training. The Complex Claim Specialist will be responsible for contacting...policyholder's reporting practices + Prepare, attend, and participate in Claim Reviews as needed with the Claims … more
- City National Bank (Los Angeles, CA)
- ** PAYMENTS CLAIM SPECIALIST ** **WHAT IS THE OPPORTUNITY?** The Payment Claims Specialist is responsible for the investigation and processing of ... payment fraud claims and disputes with precision...reviews, identification of miss/near miss opportunities etc. A successful Payment Claim Specialist will be… more
- Samsung SDS America (Plano, TX)
- …Account Group and its Settlement subpart as well as the company's Management/Finance Group. Claims Specialist will work on a resolution of logistics claims , ... Assist with claim closure and collections of claim payments from the claimed carriers. +...or issues that arise. + Notify involved parties of claim filings and/or rejected claims and work… more
- Travelers Insurance Company (Indianapolis, IN)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file… more
- CVS Health (Hartford, CT)
- … cost management opportunities and refer claims for follow up + Make claim payment decisions + Process claims accurately to enhance customer satisfaction ... + Training 8:00am-4:30pm + Shift: 8am-4:30pm Claim Benefit Specialist Reviews and adjudicates claims in accordance with claim processing guidelines. … more
- Travelers Insurance Company (Wyomissing, PA)
- …negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...**What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file… more
- MetLife (Cary, NC)
- STD / LTD Claim Specialist Location(s) + Posting Location:Cary, North Carolina + Posting Location:Bloomfield, Connecticut + Posting Location:Tampa, Florida + ... claim decisions on STD, LTD, PML and state claims . Clarify functional capacity through independent problem solving...discuss terms of the certificate, and the basis for payment /non- payment . . Communicate with a variety of… more
- Travelers Insurance Company (Houston, TX)
- …for a motivated and enthusiastic team player to join our Strategic Resolution Group Claim team as a Technical Specialist handling complex toxic tort, latent ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...injury, sexual misconduct and/or environmental claims that may present significant financial exposures. With general… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …and processes out-going mail. Orders, receives and distributes supplies and/or equipment. + CLAIM PAYMENTS AND EXPENSE PROCESSING: Ensures the proper handling of ... Triage and route callers to the appropriate department; Answers claim status and payment questions. + ...financial transactions to include: Processes and issues claim payments including outside vendor invoices, attorney… more
- Zelis (Atlanta, GA)
- Position Overview: The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement ... based on Zelis data points. During this call, the Claims Settlement Specialist must understand: (1) the...better way to determine the cost of a healthcare claim , manage payment -related data, and make the… more
- CVS Health (Columbus, OH)
- … claims in accordance with plan processing guidelines. - Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... discrepancies, and applies all cost containment. measures to assist in the claim adjudication process.- Insures all compliance requirements are satisfied and all … more
- Crawford & Company (Brea, CA)
- …and/or clients. + Approves payments of medical bills on lost time disability claims within area of payment authority up to, but not exceeding, $2,500 after ... We Touch We are always searching for Workers Compensation Claim Examiners in the California region to join our...post. Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only … 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...and efficient communication with third-party payers which achieves expeditious claim adjudication and payment . + Maintains consistent… more
- Crawford & Company (Hauppauge, NY)
- …from the team members, and/or clients. + Approves payments within scope of payment authority. + Evaluates claims for potential fraud issues, loss control and ... Bonus Program! + Multiple Employee Discounts! Administers and resolves non-complex short term claims of low monetary amounts, including Fast Track and Incident Only … more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As an Electronic Claim /Remit Specialist at LogixHealth, you will work with internal teams to provide services that ... files + Review the Insurance Carrier Reports to resolve discrepancies or incomplete claims + Reconcile electronic payments by retrieving electronic bank files… more
- ManpowerGroup (Livingston, NJ)
- …NJ **Pay : $** 75,000 - $80,000 **What's the Job?** The Claim Specialist will be responsible for managing the claims process for clients from start ... Our client is seeking a Claims Specialist to join their team....closely with management and producers on the delivery of claim service to meet clientexpectations. + Effectively communicate with… more
- Axis (New York, NY)
- …of action, and pursue claims to conclusion * Set accurate and timely claim reserves and make referrals to senior members of the team where necessary * Obtain ... proper judgment and decision making in a best practices claim environment to promptly analyze the claim ...relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising * Prepare coverage… more
- MetLife (Oriskany, NY)
- 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 Rehab Return to Work benefits, and other non-routine payments . + Provides timely, balanced and accurate claims… more
- Billings Clinic (Billings, MT)
- …Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Claims Specialist I (Full-time/Billings) PATIENT ... hours (Non-Exempt) Starting Wage DOE: $17.00 - 21.25 The Claim Specialist 's main focus is to obtain... claims from government and third-party payers. The Claims Specialist is responsible for preparing and… more
- MetLife (Bloomfield, CT)
- Short Term Disability Claims Specialist Location(s) + Posting Location:Bloomfield, Connecticut + Posting Location:Oriskany, New York Country United States ... Date 02-May-2024 Job ID 2567 **Description and Requirements** Short Term Disability Claims Specialist **Job Location:** **Virtual (AFTER TRAINING), but must be… more