- Merck & Co. (Rahway, NJ)
- Job DescriptionThe Data Science & Analytics Specialist role will work within Human Health Digital, Data and Analytics area to use and apply data to produce ... across the organization and be more relevant to the customer. - The preferred candidate will have an entrepreneurial spirit, comprehension of healthcare & technology… more
- City of New York (New York, NY)
- …current City of New York employees serving in a permanent civil service title of Claim Specialist . PREFERRED SKILLS IN ADDITION TO MINIMUM REQUIREMENTS - ... employees serving in a permanent civil service title of CLAIMS SPECIALIST . The Bureau of Law &...preparing an objective, concise, and accurate evaluation of the claim ; - Maintain accurate and complete claim … more
- City of New York (New York, NY)
- …current City of New York employees serving in a permanent civil service title of Claim Specialist . PREFERRED SKILLS IN ADDITION TO MINIMUM REQUIREMENTS - ... employees serving in a permanent civil service title of Claim Specialist are eligible to apply. The...& Adjustment (BLA) is responsible for investigating and adjusting claims filed for and against the City of New… more
- University of Rochester (Rochester, NY)
- …Researches claims , identifies problems and takes appropriate action to assure claim resolution. **10%** Mails paper claims with appropriate attachments when ... claims thru ePaces. Ensures additional documentation and/or information is provided for claims processed thru iHCFA, Claim Logic, CBAS, ePaces, etc. ensuring … more
- Kaleida Health (Buffalo, NY)
- …(RHIT) or Reg Health Info Admin (RHIA)required. Certified Clinical Documentation Specialist (CCDS) preferred . Certified Professional Coder- Certified Evaluation ... Patient Financial Services **Job Description:** The Outpatient Clinical Documentation Specialist (CDS) will perform concurrent and retrospective compliance reviews… more
- Ephraim McDowell Regional Medical Center (Danville, KY)
- …resources. + Licenses, Certifications, and/or Registrations + Certified Provider Credentialing Specialist (CPSC) preferred but not required. + Key benefits ... and work directly with Westlake Benefits Group to ensure proper claims processing when questions arise regarding non-network providers/facilities; responsible for… more
- CVS Health (San Antonio, TX)
- …measures to assist in the claim adjudication process. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or ... claim processing issues. - Routes and triages complex claims to Senior Claim Benefits Specialist...multiple systems at once to resolve complex issues. - Claim processing experience preferred but not required.… more
- Medical Mutual of Ohio (OH)
- …Microsoft Office skills. . Basic proficiency with Power BI, Tableau, SQL tools preferred . **Business Systems Specialist II** . Bachelor's Degree in Business ... Office skills. . Intermediate proficiency with Power BI, Tableau, SQL tools preferred . **Senior Business Systems Specialist ** . Bachelor's Degree in Business… more
- Sedgwick (Columbus, OH)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Life Science Claim Specialist (REMOTE US) **PRIMARY PURPOSE** **:** To analyze complex ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- Travelers Insurance Company (Wyomissing, PA)
- …negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... duties as assigned. **What Will Our Ideal Candidate Have?** + Bachelor's Degree preferred . + 3 years bodily injury liability claim handling and/or litigation… more
- CVS Health (Hartford, CT)
- …and Training Hours: + Training 8:00am-4:30pm + Shift: 8am-4:30pm Claim Benefit Specialist Reviews and adjudicates claims in accordance with claim ... use multiple systems and screens to obtain and record claim information + Review claims information to...be required based on business needs. Education Associate's degree preferred ; High School diploma required Pay Range The typical… more
- Zurich NA (Atlanta, GA)
- Senior Claim Specialist Construction Defect 112105 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when ... Dallas, Irvine, Overland Park, Parsippany, Rancho Cordova or Schaumburg. As a Senior Claim Specialist Construction Defect you will handle single and multi-party… more
- CVS Health (Pittsburgh, PA)
- …written correspondence related to claim processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim ... personal, convenient and affordable. Position Summary * Reviews and adjudicates routine claims in accordance with claim processing guidelines. * Analyzes and… more
- CVS Health (St. Paul, MN)
- …to complex issues. May handle customer service inquiries and problems. Reviews pre-specified claims or claims that exceed specialist adjudication authority ... affordable. Position Summary Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- CVS Health (Albany, NY)
- …handle customer service inquiries and problems. Required Qualifications - Reviews pre-specified claims or claims that exceed specialist adjudication ... claim benefit specialists.- Makes outbound calls to obtain required information for claim or reconsideration. Preferred Qualifications - 1+ years claim … more
- CRC Insurance Services, Inc. (Brewster, NY)
- …and makes recommendation for additional activity as appropriate. 3. Determine where new loss claims should be reported. 4. Manage all claim documentation. 5. Use ... and/or correspondence to the Agent or Insurer to process claims appropriately. 6. Analyze claim coverage with...when necessary 13. Extensive Experience handling NY Labor Law Claims ** Preferred Qualifications:** 1. Adjusting experience The… more
- CVS Health (Bismarck, ND)
- …Training is 12 weeks 9am-5:30pmEST + Shift: flex schedule Reviews and adjudicates routine claims on HRP system in accordance with claim processing guidelines. ... and work within several computer applications simultaneously Microsoft Outlook Preferred Qualifications Claim processing experience Computer Navigation… more
- Loretto Management Corporation (Syracuse, NY)
- …experience necessary. A combination of outpatient and inpatient (hospital setting) preferred . + Certified Coding Specialist (CCS/CCS-P), Certified Procedural ... supervision of the Health Information Director/Designee, the Compliance Reimbursement Specialist is responsible for analyzing documented clinical data to identify… more
- The Hartford (Hartford, CT)
- …we help shape the future. The Claim Specialist is the highest claim handling designation within the Complex Claims Unit - Construction (CCU-CD) and is a ... Specialist Claims - CH07DE We're determined... Specialist Claims - CH07DE We're determined to make a...Excel* Active Property & Casualty State Insurance Adjuster license PREFERRED QUALIFICATIONS: * 10+ years construction defect claim… more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a hybrid schedule after training. The ... and implement an action plan to manage the claim . The Claims Account Specialist ...to travel for business purposes, approximately less than 10% Preferred : + Multi-state experience and/or licensing (including NJ, MD,… more
