- Eisai, Inc (Pittsburgh, PA)
- …with internal cross functional partners including but not limited to Associate Director Regional Marketing, Oncology Field Reimbursement Managers, and other ... (eg, PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state… more
- City of New York (New York, NY)
- …available sources to gather information relevant to the investigation of the claim ; 13) Investigate, identify, and report fraudulent claims , utilize statistical ... in a permanent (not provisional) Civil Service title of Claim Specialist. To be considered for this position, PLEASE...Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York.… more
- City of New York (New York, NY)
- …available sources to gather information relevant to the investigation of the claim ; 11) Investigate, identify, and report fraudulent claims , utilize statistical ... in a permanent (not provisional) Civil Service title of Claim Specialist. To be considered for this position, PLEASE...Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York.… more
- Travelers Insurance Company (Charleston, WV)
- …Imagine loving what you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range provided for this position ... must be served and filed + Inputs and maintains information into case management system and ensure data integrity + Assists with projects as requested + May include… more
- Travelers Insurance Company (Syracuse, NY)
- …Imagine loving what you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range provided for this position ... where you can be the best you. As an Associate Counsel with Travelers you'll be responsible for high...the supervision of experienced counsel. + Learn and understand Claim customer's expectations and key department business goals and… more
- City of New York (New York, NY)
- …million people in Upstate New York, and has a wastewater conveyance and treatment system capable of processing over 1.3 billion gallons of wastewater per day to ... is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office....BLA is seeking qualified candidates for the position of Claim Specialist 2 in the Litigation Support Unit. This… more
- City of New York (New York, NY)
- Job Description PLEASE NOTE ALL CANDIDATES MUST BE PERMANENT IN THE CLAIM SPECIALIST CIVIL SERVICE TITLE IN ORDER TO BE CONSIDERED. The NYC Department of ... the country, with nearly 6,000 employees. DEP's water supply system is comprised of 19 reservoirs and 3 controlled...is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office.… more
- MAPFRE Insurance (Webster, MA)
- Auto Damage Insurance Claim Rep (Hybrid or Remote) Date: May 30, 2025 Location: Webster MA or Work from Home, MA, US Company: MAPFRE **Job Summary** **Position is ... hour based on experience.** Excellent opportunity to join our Claims , Physical Damage Department. In this role as Auto...Physical Damage Department. In this role as Auto Damage Claim Rep, you will be responsible for adjusting 1st… more
- Trinity Health (Livonia, MI)
- …codes and Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes. Uses encoder software and coding abstracting ... system edit features to resolve edits prior to completing coding. Interprets, researches and resolves claim edits that occur after coding to support timely final … more
- Staples (Framingham, MA)
- …Document all activity in RMIS system + RMIS Support including management of claims data and tracking of claim KPI's + Automobile and General Liability ... want to develop your career. Join Staples as a Claims Associate and be a part of...including job offers, pay, documentation of status in RMIS system + Documentation for Reasonable Accommodation requests + Track… more
- Sedgwick (Southfield, MI)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Services Associate (Hybrid) As a Claims Services Associate ... identifying trends in audit exceptions. + Reviews and updates notes/diaries in claims management system as instructed. + Coordinates jurisdictional training on… more
- Allied Solutions (Plano, TX)
- Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. ... claims per day. This position ensures that all claim documentation is thoroughly reviewed and assessed for coverage...This position will also review database information found in systems such as Unitrac, insurance company websites, Lexis Nexis,… more
- BrightSpring Health Services (Louisville, KY)
- …with available resources and tools. This includes researching both denied and paid claim transactions, understanding root cause for denied claims or under ... are looking for career progression! Step Into a Rewarding Role as a Claims Analystwith PharMerica! The3rd Party Claims Analystis responsible for configuring… more
- NJM Insurance (Trenton, NJ)
- …the claim , and outlining and recommending an action plan to manage the claim . The WC Claims Specialist will work with and communicate to all internal ... guidance and collaborative engagement during the life of a claim . The WC Claims Department takes pride...sound decision-making capabilities + Working knowledge utilizing an automated claim processing system and Microsoft Office tools… more
- Trinity Health (Livonia, MI)
- …Shift **Description:** The Remote Coding Specialist I - Ancillary Coding & Claim Edits is responsible for coding outpatient facility clinic and diagnostic healthcare ... codes for procedures. This position also is responsible for Claim Edits and will review and respond to NCCI,...AHIMA-approved coding program or an AAPC-approved coding program, or Associate 's degree in Health Information Technology or a related… more
- Molina Healthcare (IA)
- …or configuration during warranty period. **KNOWLEDGE/SKILLS/ABILITIES** + Knowledge of healthcare claims and claim processing from receipt through encounter ... analysis + Writes complex ad-hoc reports + Understanding of Healthcare EDI Claims transactions preferred + Understanding of complex claim payment methodologies… more
- Travelers Insurance Company (Chicago, IL)
- …Imagine loving what you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range provided for this position ... legal writing and presentation skills. + Supervise research projects delegated to Associate Counsel and paralegals. + Draft pleadings, motions, briefs, discovery and… more
- Travelers Insurance Company (Downers Grove, IL)
- …Imagine loving what you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range provided for this position ... and external training, seminars and legal updates to insured clients and Claim partners. + Provide in-depth, substantive analysis and quality reporting to insured… more
- Allied Universal (Fargo, ND)
- …as needed to ensure a full schedule** Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss for Insurance ... (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud ...Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property… more
- Sedgwick (Seven Hills, OH)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Claims Associate **Our teams connect! We collaborate in the office Monday ... follows up to ensure timely payment. + Processes recoveries into various claims systems to ensure the recovery dollars are applied to appropriate claims… more
