- MAG Industries LTD (Tyrone, PA)
- Job DescriptionJob Description Credit and Returns Specialist About MAG Industries If you think you are the right match for the following opportunity, apply after ... MAG Industries is seeking a detail oriented and organized Credit and Returns Specialist to join our finance and customer operations team. This position is… more
- Harbor Health Services, Inc. (Mattapan, MA)
- …Grievance and Appeals, inpatient and outpatient services, medical policy, and clinical claims review In-depth experience of Mass Health and CMS requirements ... Ensures timely responses to all requests related to medical review decisions and authorization issues from EOHHS, CMS and...with UM RNs and Senior Medical Director to deny claims when appropriate. Attends IDT meetings on routine basis.… more
- Johns Hopkins University (Chicago, IL)
- …illnesses, medication, treatments, etc. Work collaboratively with patients and their PCP/ Specialist to facilitate early diagnosis and management of acute and chronic ... and wellness events and initiatives. To manage workers' compensation claims . To expand clinic services and reach. Provide crisis...University. In accordance with applicable law, the university will review , on an individual basis, the date of a… more
- Aerotek (Hanover, MD)
- …daily activities of the Workers Compensation department. This includes direct supervision of the Claims Review Specialist , Return to Work Specialist and ... effectively and efficiently. + Oversees large loss, settlements, and reserves over Claims Review Specialist authority + Leads and manages special projects as… more
- UPMC (Pittsburgh, PA)
- UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II! This role will predominantly work remotely, Monday - Friday daylight hours. The selected ... adjuster license. The UPMC WorkPartners Workers Compensation Lost Time Claims Specialist II reports to the Workers...line of business litigation guidelines to include budget, bill review and payment under limited direction of supervisor. +… more
- City of New York (New York, NY)
- …Office of the Corporation Counsel and other City agencies to investigate and resolve claims pre-litigation. The Claim Specialist II - Personal Injury Liability ... employees serving in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent civil service title on your resume… more
- The Hartford (Scottsdale, AZ)
- 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 ... team as we help shape the future. The Claim Specialist is the highest claim handling designation within the...is the highest claim handling designation within the Complex Claims Unit - Construction (CCU-CD) and is a visible… more
- City of New York (New York, NY)
- …employees serving in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent civil service title on your resume ... Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York....with applicable laws. BLA furthers this goal in its review , evaluation, and authorization of requests to settle litigated… more
- MTA (New York, NY)
- Claims Specialist Job ID: 12936 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: Office of Insurance ... Mgt Date Posted: Sep 4, 2025 Description JOB TITLE: Claims Specialist DEPT/DIV: Risk & Insurance Management...brokers, self-insure, and defense counsel. + Demonstrated ability to review a case file in order to analyze liability,… more
- AON (NY)
- Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your ... a hybrid or 100% remote work schedule. Responsibilities: + Review and service claims in accordance with...and policies. #LI-AM4 2563784 Aon is looking for a Claims Specialist II Do you have experience… more
- HCA Healthcare (Dallas, TX)
- …Do you want to join an organization that invests in you as a Claims Resolution Specialist ? At Parallon, you come first. HCA Healthcare has committed ... make a difference. We are looking for a dedicated Claims Resolution Specialist like you to be...Identify potential claim issues and escalate to management + Review , identify, and resolve payor denials + Update patient… more
- Billings Clinic (Billings, MT)
- …Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Claims Specialist I/Government (Full-time) ... claims from government and third-party payers. The Claims Specialist is responsible for preparing and...reviewing errors and other prebilling insurance reports/worklists. Analyzes and review claims to ensure that payer specific… more
- Zurich NA (Dover, DE)
- Sr. Claims Specialist (Workers Compensation, NE Region) 129546 Zurich is looking for an accomplished Workers Compensation Sr. Claims Specialist for or ... York, Pennsylvania, Rhode Island, or Vermont. The Senior Workers Compensation Claims Specialist will handle multi-party commercial line Workman's Compensation… more
- Zurich NA (Springfield, IL)
- RCIS Crop Claims Specialist 129020 Zurich is currently looking for a to join our Rural Community Insurance Services (RCIS) team. RCIS is one of the leading crop ... and ranchers. Zurich is looking for an RCIS Crop Claims Specialist to work out of Illinois...policies with the ability to change unit structure pending review outcome + Completes claims on specialty… more
- AIG (Atlanta, GA)
- Claims , Quality Assurance Specialist - Worker's Compensation Join us as a Claims QA Specialist 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, delivering consistent technical excellence and… more
- Zurich NA (Schaumburg, IL)
- Workers' Compensation Litigated Claims Specialist (IN/IL) 129136 Zurich North America is seeking a sharp, solutions-driven Workers' Compensation Litigated ... Claims Specialist II to join our high-performing...Claims Specialist II to join our high-performing team. This is...as appropriate. + Establish timely reserves and perform ongoing review throughout claims cycle within authority limit… more
- AIG (Lenexa, KS)
- …reimagining the way we help customers to manage risk. Join us as a Casualty Claims Specialist III to play your part in that transformation. It's an opportunity ... and efficiency. How you will create an impact The Claims Specialist III will handle auto and...evaluate coverage issues; prepare comprehensive coverage letters with supervisory review and analysis; retain and provide direction to coverage… more
- Zurich NA (Maitland, FL)
- Sr. Claims Specialist (Workers Compensation) 128797 Zurich North America is looking for an exceptional Senior Workers' Compensation Claims Specialist to ... issues as appropriate. + Establish timely reserves and perform ongoing review throughout claims cycle within authority limit by estimating and validating value… more
- AIG (Atlanta, GA)
- Claims Specialist III, Auto & General...loss and expense reserves with documented rationale. On going review of reserves required through life of file. + ... Liability Join us as a Claims Specialist III to take on key responsibilities within a world-class claims function. Make your mark in Auto/General Liability… more
- BrightView (Blue Bell, PA)
- …team where you can grow to be your brightest. We're looking for a Senior Claims Specialist . Can you picture yourself here? **Hybrid Schedule:** 4 Days Onsite in ... At This Time **Here's what you'd do:** The Senior Claims Specialist is a key member of...TPAs, legal counsel, brokers, and other external partners. + Review and approve TPA reserve recommendations to ensure reserve… more
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