- 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 promptly and accurately processed in accordance with all applicable Federal, State, and… more
- Sedgwick (Washington, DC)
- …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...resolution of highly complex nature and/or high exposure surety claims ; to coordinate case management within Company standards, industry… more
- Office of Personnel Management (Washington, DC)
- Summary As a Legal Administrative Specialist ( Claims Examiner) at the GS-0901-9, you will be part of Healthcare and Insurance, Office of Personnel Management. If ... which demonstrates ALL of the following: reviewing disputed health benefits claims and appeals; responding to general inquiries concerning disputed claim… more
- Office of Personnel Management (Washington, DC)
- Summary As a Legal Administrative Specialist (Insurance Benefits Claims Examiner), you will be part of Healthcare and Insurance, Office of Personnel Management. ... representatives, including responses on appeals of disputed health benefit claims , benefits regulations, and other program related inquiries. Prepares written… more
- Social Security Administration (Silver Spring, MD)
- …II and/or Title XVI cases and on public fraud issues in specific claims and post-entitlement cases, provides lead role in technical training and mentoring other ... most effective use of software/systems to process specific complex claims and post-entitlement actions. Requirements Conditions of Employment Qualifications… more
- Lincoln Financial Group (Washington, DC)
- …**The Role at a Glance** We are excited to bring on an Appeals Specialist to join our Appeal Review Department in a fully remote environment. Appeal Specialists ... management and appeal procedures to each claim. _Background Details_ As an Appeals Specialist you will be responsible for being a product subject matter expert to… more
- Travelers Insurance Company (Chantilly, VA)
- …resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... and our business partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file quality and timely coverage… more
- Serco (Washington, DC)
- **Position Description** Serco is seekinga motivated Policy Specialist for Medical Claims Review to join our talented and fast-paced Public Sector Solutions team ... of corrective actions based on review findings. The Policy Specialist for Medical Claims Review position would support the medical reviews, ensuring updated… more
- Zurich NA (Washington, DC)
- … Specialist 112560 Zurich is currently looking for a CROP Design and Development Specialist for our Crop Claims division. This position may work out of one ... of the following North American offices: 100% Virtual Develops support and supplemental material (user guides, tip sheets, self-support/on-the-job guides, release notes) for larger learning solutions and initiatives. Works with Program Managers and more… more
- USAA (Washington, DC)
- …makes us so special! **The Opportunity** We are seeking a dedicated Property Adjuster Specialist located in **Prince George's County, MD** to join our field Team. As ... a Insurance Property Adjuster Specialist , you will work within established guidelines and framework...to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will… more
- Children's Evaluation & Therapy Center (Lanham, MD)
- Billing Specialist (Full-time, part-time) CETC is seeking a billing specialist to provide medical billing services such as the processing, submission, and ... patient demographic information, to send, edit, receive, and resubmit claims within billing system and assure correct balance of...charge and payment batches, and proper reconciliation. . Submit claims to payers via SFTP and CMS-1500 claim forms… more
- Travelers Insurance Company (Rockville, MD)
- …supervision, this position is responsible for handling first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal ... claim resolution for personal or business claims of high severity and complexity. Provides quality claim...**What Will You Do?** + Handles 1st party property claims of high severity and complexity as assigned. +… more
- Rapid Finance (Bethesda, MD)
- …Opportunity Rapid Finance is seeking a knowledgeable and well-organized Benefit Specialist . The right individual will have strong interpersonal, communication, and ... 2024. A day in the life of the Benefit Specialist includes, but not limited to: + Responding to...and resolves complex benefits issues involving eligibility, enrollment, and claims . + Collaborate with third-party benefit vendors, to review,… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- Human Rights Specialist II Print (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/4504200) Apply Human Rights Specialist II Salary ... face-to-face intake interviews as needed. + Evaluates the nature of the alleged claims , refers the individual to the appropriate county, state, federal or private… more
- Prime Therapeutics (Washington, DC)
- …and drives every decision we make. **Job Posting Title** SIU Pharmacy Intake Specialist - Remote - Must Reside in CA **Job Description Summary** Responsible for ... + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned. + Successfully complete required… more
- UIC Government Services and the Bowhead Family of Companies (Washington, DC)
- **Overview** CUSTOMER TECHNICAL SUPPORT SPECIALIST (HELP DESK) (DOS) Bowhead is seeking a Customer Technical Support Specialist (Help Desk) to provide customer ... for our Department of State (DOS) contract in Washington DC The Help Desk Specialist will be responsible for providing basic entry-level support via phone, email and… more
- UIC Government Services and the Bowhead Family of Companies (Washington, DC)
- **Overview** Graphic Designer - Multi-Media Specialist (Video) (NPAO): Bowhead is seeking a Graphic Designer - Multi-Media Specialist (Video) for an upcoming ... at the Navy Yard in Washington, DC. The Graphic Designer - Multi-Media Specialist (Video) will provide technical expertise and support for the creation of multimedia… more
- Maxim Healthcare Services (Columbia, MD)
- The Reimbursement Specialist I reviews branch sales for appropriate documentation, generate and bill claims and/or invoices, follows up on unpaid accounts, and ... purchase order, and other payer requirements as appropriate + Accurately generates claims and/or invoices of sales and bills a variety of payer sources… more
- Amergis (Columbia, MD)
- …staffing experiences to deliver the best workforce solutions. The Reimbursement Specialist I reviews branch sales for appropriate documentation, generate and bill ... claims and/or invoices, follows up on unpaid accounts, and...and other payer requirements as appropriate + Accurately generates claims and/or invoices of sales and bills a variety… more
- J&J Family of Companies (Washington, DC)
- Technical Documentation Specialist - Abiomed - 2406181920W **Description** Abiomed, part of Johnson & Johnson MedTech, is recruiting for a Technical Documentation ... Specialist located in Danvers, MA. This role is open...per software and country. + Assist in managing product Claims matrixes and Clinical Publication Library for promotional and… more