- Usaa (Virginia Beach, VA)
- …us special and impactful. The Opportunity As a dedicated 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...in compliance with all state regulatory requirements. Property Adjuster Specialist focus on using technology and desk adjusting for… more
- Usaa (Los Angeles, CA)
- …and provide an objective subject matter expert (SME) knowledge to the Property Claims community and Third-Party vendors. You will drive USAAs financial strength by ... measuring and reporting estimate accuracy for Property Claims and Third-Party vendors. Find out more about the daily tasks, overall responsibilities, and required… more
- Usaa (Phoenix, AZ)
- …As a dedicated Sr Auto Adjuster, you will adjust highly complex auto insurance claims presented by or against our members to include the end-to-end claims ... physical damage including total loss settlements for highly complex auto claims . Negotiates liability for comparative negligence (claimant or adverse carrier).… more
- Usaa (Columbus, OH)
- …Columbus Metro, Ohioare encouraged to apply. As a dedicated Physical Damage Specialist , you will within defined guidelines and framework, responsible for building ... their physical, financial, and emotional wellness. These benefits include comprehensive medical , dental and vision plans, 401(k), pension, life insurance, parental… more
- Usaa (Washington, DC)
- …guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance ... investigation strategies on any questionable or suspect first or third part claims . Participates in the development of fraud prevention strategies. Applies knowledge… more
- MAG Industries LTD (Tyrone, PA)
- Job DescriptionJob Description Credit and Returns Specialist About MAG Industries If you think you are the right match for the following opportunity, apply after ... MAG Industries is seeking a detail oriented and organized Credit and Returns Specialist to join our finance and customer operations team. This position is… more
- Usaa (Colorado Springs, CO)
- …assistance is not available for this position. These positions will support Claims Litigations. What you'll do: Develop and implement strategic customer specific ... systems to collect and analyze data. What sets you apart: P&C Litigation Claims Operations and/or Optimization experience. 2+ years Manager, Claims Operations… more
- Usaa (Charlotte, NC)
- …and appraise low complexity (drivable, material loss, auto physical damage) auto claims in accordance with the terms and conditions of the contract, corporate ... when appropriate. Maintains accurate and current claim file documentation throughout the claims process for low complexity claims . Explains coverage, assists… more
- Johns Hopkins University (Chicago, IL)
- …illnesses, medication, treatments, etc. Work collaboratively with patients and their PCP/ Specialist to facilitate early diagnosis and management of acute and chronic ... of Health/CLIA required for lab testing provided on-site. Maintain patient medical records. Work collaboratively with the Benefits and Safety teams Coordinate… more
- Harbor Health Services, Inc. (Mattapan, MA)
- …upon request of utilization or finance department. Works with UM RNs and Senior Medical Director to deny claims when appropriate. Attends IDT meetings on routine ... management including UM/CM, Grievance and Appeals, inpatient and outpatient services, medical policy, and clinical claims review In-depth experience of Mass… more
- UPMC (Pittsburgh, PA)
- UPMC WorkPartners is hiring a full-time Medical Only Claims Specialist II to join the Workers Comp Claims team. This role follows a standard Monday ... locally in the Pittsburgh area. The UPMC WorkPartners Workers' Compensation Medical Only Claims Specialist 2 reports to the Workers' Compensation Supervisor.… more
- Insight Global (Dallas, TX)
- Job Description Insight Global is seeking a Medical Only Claims Specialist to join our client's team. This candidate will be responsible for managing ... non-complex and non-problematic, medical only claims and minor lost-time workers' compensation claims under close supervision. We are a company committed to… more
- Sedgwick (Los Angeles, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice | Professional Liability | California ... **PRIMARY PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury… more
- TEKsystems (Addison, TX)
- Description The Claims Reconciliation Specialist is responsible for comprehensive billing procedures and verification prior to coding for anesthesia services. ... during regular business hours. Skills Customer service, medical , medical billing, medical records, intake, claims , Tricare, Medicare, Medicaid Job Type… more
- Geisinger (Danville, PA)
- …identified. + Leads internal development, testing, maintenance, and expansion of internal claims edits. + Leads the development of the ClaimsXten Policy Management ... Module . + Mentors less experienced staff and new hires. + Compiles and coordinates routine performance reporting for various vendor initiatives and supports various report out meetings. Work is typically performed in an office environment. Accountable for… more
- Select Medical (Camp Hill, PA)
- …discretion and secure information management. **Additional Data** **Your benefits as a Claims Resolution Specialist :** Select Medical strives to provide ... **Overview** ** Claims Resolution Specialist ** **Starting at $18.50...of experience (2+ years for remote candidates) within a medical billing, medical collecting or claims… more
- Scripps Health (San Diego, CA)
- …in a fast-paced environment and has a passion for insurance and medical claims . As a Patient Account Specialist , you will be responsible for the following: ... one of the most respected healthcare organizations nationwide. As a Patient Account Specialist , you will be supporting the Billing Services department at our 4S… more
- UPMC (Pittsburgh, PA)
- UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II! This role will predominantly work remotely, Monday - Friday daylight hours. The selected ... adjuster license. The UPMC WorkPartners Workers Compensation Lost Time Claims Specialist II reports to the Workers...effectively and efficiently manage loss exposures. Responsibilities: + Assign medical or other experts to case and arrange for… more
- City of New York (New York, NY)
- …Office of the Corporation Counsel and other City agencies to investigate and resolve claims pre-litigation. The Claim Specialist II - Personal Injury Liability ... employees serving in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent civil service title on your resume… more
- Intermountain Health (Murray, UT)
- **Job Description:** The Claims Solution Specialist plays a crucial role in the professional revenue cycle by performing final validation and resolving ... Key responsibilities include manual charge entry and collaborating with Claims Solution Specialist -Coders to enhance the efficiency...+ ICD Coding + Medical Billing + Medical Terminology + Claims Analysis + Healthcare… more
