- CVS Health (San Antonio, TX)
- …the claim adjudication process. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or referral submission to ... personal, convenient and affordable. Position Summary: This is a Claim Benefit Specialist will be...Routes and triages complex claims to Senior Claim Benefits Specialist . - Proofs… more
- CVS Health (Hartford, CT)
- …Shift and Training Hours: + Training 8:00am-4:30pm + Shift: 8am-4:30pm Claim Benefit Specialist Reviews and adjudicates claims in accordance with ... make health care more personal, convenient and affordable. This Claims Benefits position is Onsite at our...claim processing guidelines. Claim Benefit Specialists have the opportunity to… more
- CVS Health (Pittsburgh, PA)
- …to claim processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or referral submission to ... and affordable. Position Summary * Reviews and adjudicates routine claims in accordance with claim processing guidelines....offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k)… more
- CVS Health (Albany, NY)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. Required Qualifications - Reviews pre-specified claims or claims that exceed specialist adjudication… more
- CVS Health (St. Paul, MN)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... May handle customer service inquiries and problems. Reviews pre-specified claims or claims that exceed specialist...applies all cost containment. measures to assist in the claim adjudication process. - Handles phone and written inquiries… 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
- CVS Health (Bismarck, ND)
- …Training is 12 weeks 9am-5:30pmEST + Shift: flex schedule Reviews and adjudicates routine claims on HRP system in accordance with claim processing guidelines. ... CMS and Aetna compliance and business requirements.Analyzes and approves routine claims that cannot be auto adjudicated.- Applies medical necessity guidelines,… more
- Sedgwick (Columbus, OH)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Life Science Claim Specialist (REMOTE US) **PRIMARY PURPOSE** **:** To analyze complex ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...pay for this role is_ **_$100,000- $115,000._** _A comprehensive benefits package is offered including but not limited to,… 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 ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- CVS Health (Phoenix, AZ)
- …make health care more personal, convenient and affordable. Position Summary The Senior Claim Benefit Specialist (OPS) reviews, researches and adjudicates ... processing guidelines. May be required to learn multiple Medicaid plans. Medical claims processing experience is a basic requirement. * Works to research and… 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 , ... or issues that arise. + Notify involved parties of claim filings and/or rejected claims and work...common goal and to delegate workload to maximize efficiency. Benefits Samsung SDSA offers a comprehensive suite of programs… more
- MassMutual (Springfield, MA)
- **DI Claim Specialist , DI Claims ** **Springfield Office, Fulltime (Hybrid)** **Job Description** We're growing and our clients deserve the best. As a DI ... of Premium claims of varying complexity. **The Opportunity** As a Claim Examiner, you will collaborate with subject matter experts; you will proactively… more
- Zurich NA (Rancho Cordova, CA)
- Senior Claim Specialist Construction Defect 112105 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when ... Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims...Park, Parsippany, Rancho Cordova or Schaumburg. As a Senior Claim Specialist Construction Defect you will handle… more
- CVS Health (Lansing, MI)
- … and customer service representative. Reviews and adjudicates routine Flexible Spending claims in accordance with claim processing guidelines and IRS guidelines. ... members to assist with inquiries. * Process flexible spending claims via electronic image. * Determine if submissions are...offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k)… more
- CRC Insurance Services, Inc. (Brewster, NY)
- …and makes recommendation for additional activity as appropriate. 3. Determine where new loss claims should be reported. 4. Manage all claim documentation. 5. Use ... and/or correspondence to the Agent or Insurer to process claims appropriately. 6. Analyze claim coverage with...and paid holidays. For more details on Truist's generous benefit plans, please visit our Benefits site… more
- Travelers Insurance Company (Rancho Cordova, CA)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a hybrid schedule after training. The ... and implement an action plan to manage the claim . The Claims Account Specialist ...delivery of timely, appropriate, and accurate indemnity and medical benefits + Provide a high level of customer service… more
- The Hartford (Hartford, CT)
- …we help shape the future. The Claim Specialist is the highest claim handling designation within the Complex Claims Unit - Construction (CCU-CD) and is a ... Specialist Claims - CH07DE We're determined...to manage, and can involve higher exposures. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to… more
- The Hartford (Penn, PA)
- …as we help shape the future. The Claim Specialist is the highest claim handling designation within the Complex Claims Unit - Bodily Injury (CCU BI) and ... Specialist Claims - CH07DE We're determined...to manage and can involve higher exposures. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to… more
- NJM Insurance (Hammonton, NJ)
- Job Description The Claim Resolution Specialist 1 will be responsible for contacting all parties involved in the claim , gathering, and securing all necessary ... and implement an action plan to manage the claim . The Claim Resolution Specialist ...a timely fashion + Prepare, attend, and participate in Claim Reviews as needed with the Claims … more