- World Insurance Associates, LLC. (Cedarhurst, NY)
- …work from one of our multiple offices throughout the region. Position Overview The Claims Specialist is responsible for managing claims filed with the insurance ... company, ensuring thorough investigation, and seeing claims through to closure. Primary Responsibilities + Initial contact with injured workers or insured to gather… more
- US Tech Solutions (Columbia, SC)
- …procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay ... claims following organizational policies and procedures. Ensures effective customer...of response or extensive research. + Identifies incorrectly processed claims and processes adjustments and reprocessing actions according to… more
- TEKsystems (Columbia, SC)
- …procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay ... claims following organizational policies and procedures. *45% Ensures effective...adaptation of response or extensive research. Identifies incorrectly processed claims and processes adjustments and reprocessing actions according to… more
- Kelly Services (Columbia, SC)
- **Job Title: Customer Service Advocate II - Call Center Position** **Job Summary:** Join our dynamic team as a Customer Service Advocate II , where you ... for work experience. - Minimum of 1 year of claims processing or customer service experience. - Excellent verbal...you to enhance your skills in customer service and claims processing. With dedication and performance, you can advance… more
- TEKsystems (Columbia, SC)
- …goal and can walk our customers through the details of their benefit plan, claims processes, and their rights as customers of our plan. Additionally, our Customer ... - easy. During a typical day, a Customer Service Advocate may assist one customer with scheduling a doctor...Diploma or equivalent Required Work Experience: 1 year of claims processing or customer service experience OR Bachelor's Degree… more
- Centene Corporation (Austin, TX)
- …policy changes, directory audits, monthly provider satisfaction surveys, and basic claims related outreach with providers + Maintains performance and quality ... standards based on established contact center metrics + Expands knowledge on primary market and/or plan, and may expand to cover additional markets and/or plans that may require minor research (eg, benefits eligibility) + Documents information including… more
- TEKsystems (Columbia, SC)
- …Education: High School Diploma or equivalent Required Work Experience: 1 year of claims processing or customer service experience OR Bachelor's Degree in lieu of ... work experience. Preferred Education: Associate Degree Preferred Work Experience: 3 years-of customer service or call center experience. Please list out the top 2-4 PREFERRED/NICE TO HAVE skill sets/qualities: Customer Service skills, Adaptability, effective… more
- US Tech Solutions (Columbia, SC)
- …cross training of coworkers. **Experience:** + 1 Year Customer service or claims processing experience + **Skills:** Strong oral and written communication skills. ... Proficient in spelling, punctuation, and grammar. Strong organizational, analytical, and customer service skills. Ability to handle high stress situations. Basic business math proficiency. Ability to handle confidential or sensitive information with… more
- Zurich NA (Parsippany, NJ)
- Excess Casualty Underwriter II 124278 Zurich is currently looking to hire an experienced Excess Casualty Underwriter (Level I or II ) to join our growing E&S ... role will be filled at either an Excess Casualty Underwriter Level I or II . The hiring manager will determine the appropriate level based upon the selected… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …a Video Assessment from ###@jobalerts.excellusbcbs.com. Summary The Customer Care (CC) Advocate resolves customer inquiries via telephone, walk in, mail, fax, web ... Corporate Service strategy, NCQA, and legislative requirements. The Customer Care Advocate provides service for customers and business partners while responding in… more
- Zurich NA (Addison, TX)
- Construction Casualty Underwriter (Level I or II ) 123985 Zurich is currently hiring an experienced Construction Casualty Underwriter (Level I or Level II ) to ... filled at either the Underwriter (Level I or Level II ). The hiring manager will determine the appropriate level...is responsible for: + Serving as a customer industry advocate with a focus on improving the customer experience… more
- Avera (Pierre, SD)
- …eligibility requirements and current laws governing government programs. A successful advocate will communicate with patients, families, case managers, and providers ... and complex insurance authorizations directly. Responsible for the coordination of level II appeals with oversight from the appropriate medical staff. + Work with… more
- Zurich NA (Chicago, IL)
- Construction Property Underwriter I or II 123692 Zurich is currently hiring a Construction Property Underwriter to join the Construction team in the Midwest. As a ... will be filled at Construction Property Underwriter I or Construction Property Underwriter II . The hiring manager will determine the appropriate level based upon the… more
- The County of Los Angeles (Los Angeles, CA)
- CHILDREN'S SOCIAL WORKER II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2768491) Apply CHILDREN'S SOCIAL WORKER II Salary $76,804.32 - ... a Critical Shortage Recruitment Rate is authorized for Children's Social Worker II permanently assigned to and working in the Antelope Valley, which consists… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II (MCLA) Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential functions of care… more
- Maxim Healthcare Services (Columbia, MD)
- Maxim Healthcare Corporate Services is currently seeking a Compliance Analyst II . The Compliance Analyst II must maintain a comprehensive understanding of ... ethical principles and independence in their work. The Compliance Analyst II maintains the highest level of personal and professional conduct, duty, and… more
- University of Utah Health (Salt Lake City, UT)
- …**Responsibilities** + Performs insurance follow-up and denial resolution on outstanding claims . + Performs contract compliance on outstanding claims , ensuring ... review and coordination with UR and/or attending physician. + Acts as patient advocate in the resolution of balances. + Prepares and monitors high dollar… more
- Sartorius (Ann Arbor, MI)
- …data in SAP/GP + Maintain contracts/agreements in file + Handle orders related to claims What will convince us: + HS Diploma and/or GED. Associate degree preferred + ... Life Insurance, AD&D, EAP, Family Planning & Women's Health, Health Advocate Additional/Optional: Supplemental Life Insurance (employee, spouse & dependents), Legal… more
- Zurich NA (Chicago, IL)
- …programs. This role will be filled at either the Middle Markets Underwriter Level II or Level III. The hiring manager will determine the appropriate level based upon ... for this position. As a Middle Markets Underwriter (Level II or Level III) you will handle complex new...is responsible for: + Serving as a customer industry advocate with a focus on improving the customer experience… more
- Zurich NA (New York, NY)
- …Underwriter 119744 Zurich is currently hiring for an experienced Private Equity Underwriter (Level II or III) for our Middle Markets team in New York City! Middle ... This role will be filled at either the level II or III. The hiring manager will determine the...is responsible for: + Serving as a customer industry advocate with a focus on improving the customer experience… more