- City of New York (New York, NY)
- …York City Comptroller's Office. BLA is seeking qualified candidates for the position of Claim Specialist 2 in the Litigation Support Unit. This position, with ... legal needs are addressed. Given DEP's extensive infrastructure and operations , DEP is involved in a significant amount of...data entry, indexing, reserving conference rooms, and managing calendars. CLAIM SPECIALIST - 30726 Qualifications 1. A… 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 ... legal needs are addressed. Given DEP's extensive infrastructure and operations , DEP is involved in a significant amount of...BLA is seeking qualified candidates for the position of Claim Specialist in the Litigation Support Unit.… more
- CVS Health (Austin, TX)
- …we do it all with heart, each and every day. **Position Summary** The Senior Claim Benefit Specialist serves as a quality champion and advocate for the business ... by conducting routine audits and claim testing related to PPO network creation. This role supports the continuous improvement of work processes that impact customer… more
- NJM Insurance (Trenton, NJ)
- …evaluate the claim , and outlining and recommending an action plan to manage the claim . The WC Claims Specialist will work with and communicate to all ... NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/II/Sr.) . This is...guidance and collaborative engagement during the life of a claim . The WC Claims Department takes pride… more
- MetLife (Oriskany, NY)
- …knowledge/working knowledge of FMLA/Disability/Leave procedures preferred Business Category Operations - Claims Equal Employment Opportunity/Disability/Veterans ... administer Family & Medical Leave Act standalone/ADA (as well as other leave) claims and adhere to federal and state regulatory and/or company plan requirements and… more
- Transdev (Lombard, IL)
- …or watch an overview video athttps://youtu.be/ilO5cv0G4mQ About the Role: The Claims Specialist will assist the Director of Workers Compensation ... the operational excellence of the Workers' Compensation Program. The Claims Specialist will play a critical role...operations and look at opportunities and gaps in claim service, handling SOPs, protocols, and processes. Requirements +… more
- Artera (Milwaukee, WI)
- Claims Specialist Summary Title: Claims ... reviews with the insurance carrier. + Provide Quarterly claim updates to Regional Operations . + Attend ... Track the receipt of the appropriate paperwork for all claims , set up claim files, and enter...Return to Work program for injured workers. + Prepare operations and risk reports for management analysis. Provide benchmarking… more
- TEKsystems (San Bernardino, CA)
- The Collector 1 performs telephone calls and website checks for claim status from insurance companies, government payers, third party payers, worker's compensation ... other duties as needed. Will work with follow up on commercial claims and overpayments/underpayments, refunds, auditing, and contract review. Pay and Benefits The… more
- AIG (Atlanta, GA)
- …to make more of your specialist expertise and experience. Make your mark in Claims . Our Claims teams are the proven problem solvers of choice for clients, ... adjuster licensing process and leading efforts on various Global Claim initiatives. You will have oversight of Claims...working in close collaboration with the Technical Business lines, Operations and Claim Legal. + Align and… more
- Robert Half Office Team (Lombard, IL)
- Description We are looking for a skilled Workers Compensation Claims Specialist to manage and enhance the operational aspects of our Workers' Compensation ... Program. This role requires a proactive individual who can ensure high-quality claim management by collaborating with internal teams and external partners. The ideal… more
- Commonwealth Care Alliance (Boston, MA)
- …Knowledge, Skills & Abilities (must have):** + Knowledge and experience of claim operations , health care reimbursement, public health care programs and ... claims management, coding rules and guidelines, and evaluating/analyzing claim outcome results for accurate industry standard coding logic and policies… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 167353 Claims Management Specialist Are you a seasoned medical insurance professional with a passion for leadership and operational excellence? ... FlexStaff is seeking a dynamic Claims Management Specialist for our client to...client to oversee their Medicare, Medicaid, and Out-of-Network Insurance operations in beautiful Chappaqua, NY. If you thrive in… more
- MetLife (Aurora, IL)
- …Organizational and time management skills Preferred: * Bachelor's degree Business Category Operations - Claims At MetLife, we're leading the global ... meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and… more
- Commonwealth Care Alliance (Boston, MA)
- …will not be considered at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst ... of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the… more
- Select Medical (Camp Hill, PA)
- **Overview** **Senior Claims Resolution Specialist ** **Starting at $18.50.00/hr but flexible for experienced candidates** Do you enjoy puzzles and research? Are ... you results-oriented? If so, our Claims Resolution Specialist position may be a...outgoing calls to patients, insurance companies and attorneys regarding claim status in order to reduce both outstanding receivables.… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist to join our team! Summary: Investigate, evaluate and settle more complex first ... insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a...and third party commercial auto insurance claims . A typical day will include the following: Thoroughly… more
- Philadelphia Insurance Companies (Plano, TX)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr. Claims Specialist - G/L to join our team! Summary: Investigate, evaluate and settle more ... insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a...complex first and third party insurance claims . A typical day will include the following: Communicates… more
- Pacific Medical Centers (Seattle, WA)
- …or equivalent experience in Health Care Business Administration. + 2 years in Managed Care operations . + 1 year of Claims processing experience, in a TPA, MSO, ... **Description** Adjudicates claims submitted by outside purchased services for PMC's...needs. Responds to Customer Service Requests and resolves problem claim situations. Providence caregivers are not simply valued -… more
- DoorDash (Tempe, AZ)
- …the company's bottom line. The team is divided into three separate subgroups: Actuarial, Claims Operations , and Risk Management & Mitigation. We are looking for ... partners at DoorDash. About the Role We are seeking an experienced claims specialist who will be a member of DoorDash's Corporate Risk & Insurance… 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