- 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 for researching and resolving complex facility and professional insurance… 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 ... an action plan to manage the claim. The Claim Resolution Specialist 1 will work with and...NJM Legal to control legal expenses and assure effective resolution of claims to reduce aged inventory… more
- Randstad US (Worcester, MA)
- …Hanover Insurance offers a collaborative environment that fosters development and growth. As an claims resolution specialist , you will play a vital role in ... and its customers. As a member of the Auto Claims team, you will work in a dynamic and...goals and metrics that drive the success of the claims organization. You will take part in an accelerated… 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
- University of Rochester (Rochester, NY)
- … claims , identifies problems and takes appropriate action to assure claim resolution . **10%** Mails paper claims with appropriate attachments when needed ... Responsibilities **Job Summary** The Physician Billing specialist is responsible for resolving unpaid or rejected...determining the best collection technique, resulting in payment or resolution of the outstanding claim. This role will efficiently… more
- Aston Carter (Earth City, MO)
- Claims Specialist St. Louis, MO HYBRID Description: The Claims Specialist is expected to work independently and will be responsible for effectively ... confirmed to be invalid and pursuing cash recovery. The Claims Specialist will work closely with the...claims processed offshore for validation and accuracy before resolution . * Research and pursue invalid claims … more
- Axis (Red Bank, NJ)
- … claims professional to join our Design Professional & Environmental (DP&E) claims team as a Claims Specialist . This position will ... investigations to determine liability, damages, and coverage.** **Makes recommendations regarding resolution strategy for such claims including reserve adequacy;… 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...in the program to ensure high quality and timely resolution + Prepare complete and accurate work including appropriately… more
- Travelers Insurance Company (Orlando, FL)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Aveanna (Atlanta, GA)
- Workers Compensation Claims Specialist ApplyRefer a FriendBack Job Details Requisition #: 195090 Location: Atlanta, GA 30339 Category: Compliance Salary: $45,000 ... - $55,000 per year Position Details Position Overview The Workers Compensation Claims Specialist is responsible for the being the liaison between the Aveanna… 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...accuracy in data elements and processing crucial to effective claims processing and account resolution . + Must… more
- Zurich NA (Schaumburg, IL)
- Sr. Mass Litigation Claims Specialist 111708 Zurich is currently seeking a Sr. Claims Professional to join our Latent & Environmental team in Schaumburg. ... member of our Mass Litigation team, you will manage a claims caseload from assignment through resolution , with moderate direction from your team manager and … more
- Banner Health (AZ)
- …service to all Banner Health entities, costumers and communities. As a Senior Claims Litigation Management Specialist you will have the opportunity to cultivate ... leverages knowledge and experience for customer enrichment and strong team performance. The Claims & Litigation Management team prides itself on the ability to value… more
- NJM Insurance (Trenton, NJ)
- …Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after training. ... 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
- Utilities Service, LLC (Durham, NC)
- ** Claims Specialist ** With limited supervision, the claims specialist promptly and effectively evaluates general liability property damages within ... his/her authority. The individual receives claims from multiple sources such as third-party ...ULCS crews as well as local utility companies. The specialist investigates and determines liability and negotiates settlement if… more
- NJ Transit (Newark, NJ)
- Claims Specialist (TC) Finance Job Description: Move forward with us! At NJ TRANSIT, you'll join us in transforming the third-largest transportation agency in ... Roles and Responsibilities : + Conducts thorough investigation of all assigned claims by analyzing information and evidence with maximum accuracy and efficiency from… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Maine Breast & Cervical Health Claims Specialist Augusta , Maine , United States | Community & Social Services | Full-time Apply by: May 8, 2024 Apply with ... process. + Perform data entry. + Coordinate multiple MBCHP reports. + Coordinate claims resolution and payment authorizations for breast and cervical services. +… more
- First Student (Cincinnati, OH)
- …million students in 21,000 schools daily. Proactively investigate, evaluate, and negotiate resolution of assigned Liability claims in accordance with established ... best practices and assure claims are handled within granted autonomy limits. The adjuster...within granted autonomy limits. The adjuster will primarily manage claims valued under $500k, including claims that… more
- Axis (New York, NY)
- …jurisdictions in which the claims arise * Monitor and investigate assigned claims and develop resolution strategy * Attend mediation, arbitration and other ... exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim...relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising * Prepare coverage… more
- Axis (Alpharetta, GA)
- …to determine liability, damages, and coverage. * Timely makes recommendations regarding resolution strategy for such claims including reserve adequacy; executes ... issues and timely draft coverage letters * Collaborates in the defense and resolution of claims * Evaluates full pending of claims in connection with the… more