- Neighborhood Health Plan of Rhode Island (Smithfield, RI)
- …Shift Daytime Job Category Professional / Experienced Description The Policy and Claims Research Specialist is responsible for supporting the Payment Integrity ... closely with business and operational units to ensure timely resolution of open issues. The Specialist assumes...and accountability for the timely and accurate identification and resolution of claims issues through thorough research… more
- unifyCX (San Antonio, TX)
- UnifyCX is looking for extraordinary Resolution Specialists to join our motivated and ambitious team in San Antonio, Texas. Base Pay: $19.50/hr Additional Benefits : ... You Are: A track record of success in customer resolution or dispute management. Exceptional written and verbal communication...Suite and a knack for learning new tools quickly. Claims experience in the insurance industry (preferred but not… more
- Aequor (Golden Valley, MN)
- …Certifications Specialist is responsible for assuring compliance of third-party claims and certifications. This Certifications Specialist position is a ... globally to support business needs. Key Accountabilities: Provide global claims and certification expertise and collaborate cross-functionally to leverage… more
- ELECTRICAL COMPONENTS INTERNATIONALHOLDINGS COMPANY (Southfield, MI)
- …Location Southfield Michigan - Southfield, MI Job Category Finance B2B Collections Specialist Electrical Components International (ECI) is seeking a B2B Collections ... Specialist to join our team. Who We Are Founded...delivery discrepancies, or contract compliance issues impacting payment. Dispute Resolution Expertise: Efficiently handle common industry-specific disputes such as… more
- PharmaCord (Lexington, KY)
- …/ denial appeals, and assisting patients or other callers/stakeholders through resolution (via email, inbound/outbound calls and using our patented technology, ... PharmaCord Lynk system, maintaining detailed records of reimbursement activities, including claims status, payments, and appeals. Generate reports and analysis as… 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 phenomenal career for you within Select Medical! Our dynamic team has the… more
- Aston Carter (Naperville, IL)
- …+ Arrange with appropriate network and non-network providers to complete claims that cannot be automatically dispatched. + Process provider inquiries and ... assist with special handling claims and service follow-up. + Handle both inbound and...procedures for daily tasks. + Find providers to service claims when no in-network provider is available. + Respond… more
- Kemper (Dallas, TX)
- …involves reviewing subrogation demands, and moving claims to successful resolution . Additionally, the specialist will respond to arbitration cases and ... productive. **Position Summary** : The Adverse Subrogation and Arbitration Specialist at Kemper plays a critical role in resolving...and other expenses. + Handle multiple systems (E-Subro Hub, Claims Center) to resolve claims efficiently. +… more
- Select Medical (Camp Hill, PA)
- …quarterly bonus after 90 day probationary period._ **Patient Account Representatives** and ** Claims Resolution Specialist ** candidates need to be more ... Qualifications + **Computer proficiency** and experience in windows based technologies + Claims processing experience + Phone or call center experience. + This job… more
- The Hartford (Lake Mary, FL)
- Specialist Claims - CH07DEConsultant Claims - CH08CE We're determined to make a difference and are proud to be an insurance company that goes well beyond ... knowledge of the claim, a well-reasoned analytical focus and a clear strategy for resolution . The Claim Consultant would handle claims of similar complexity, but… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... our team as we help shape the future. The Specialist role of Workers Compensation, Major Case Unit will...Use organizational and communication skills to effectively manage the resolution of assigned claims , manage claim deadlines,… more
- Axis (Red Bank, NJ)
- …is available upon request for candidates taking part in the selection process. Senior Claims Specialist , Deign Professional Claims We are seeking a highly ... skilled and experienced Senior Claims Specialist to...defense counsel, and experts to ensure timely and effective resolution of claims . + Maintain accurate and… more
- Sedgwick (Indianapolis, IN)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
- Alight (TX)
- …. **About the Role** This role provides leadership and guidance to a team of Claims Specialist who work to resolve billing inquiries & discrepancies . Oversee ... to meet production & quality targets. Enhance operational routines, improve claims resolution methods. Support product delivery while meeting business… more
- Sedgwick (Orlando, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist , Sr. Medical Malpractice (Professional Liability) **PRIMARY PURPOSE** ... : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
- Zurich NA (Maitland, FL)
- WC Senior Claims Specialist 126746 At Zurich North...within the coverage. + Work to have a timely resolution to claims by developing case strategy; ... should be expected. Zurich is seeking an experienced Workman's Compensation Sr. Claims Specialist to join our team! This position is located in Maitland, FL… more
- Zurich NA (Parsippany, NJ)
- Claims Specialist , Auto BI 127125 Zurich North America is seeking a motivated individual to advance their claims career as part of our Commercial Auto team. ... As an Auto Claims Specialist , you will work alongside a...concepts + Strong negotiation skills, including alternative approaches to resolution + Excellent organizational and time management skills +… more
- Zurich NA (Schaumburg, IL)
- Litigated Claims Specialist , General Liability 126146 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority ... should be expected. At Zurich North America, we are seeking a Litigated Claims Specialist to join our high-performing **Commercial General Liability team** .… more
- Axis (Alpharetta, GA)
- …available upon request for candidates taking part in the selection process. **Senior Claims Specialist - Management Liability (Hybrid)** **About AXIS** This is ... various social and environmental causes **Job Description** AXIS is seeking a **_Senior Claims Specialist - Management Liability_** to join our North America … more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this ... time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring… more
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