- City of New York (New York, NY)
- …New York employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE ... to gather information relevant to the investigation of the claim ; 11) Investigate, identify, and report fraudulent claims...in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this… more
- City National Bank (Los Angeles, CA)
- * PAYMENTS CLAIM SPECIALIST * WHAT IS THE OPPORTUNITY? The Payment Claims Specialist is responsible for the investigation and processing of ... payment fraud claims and disputes with precision...reviews, identification of miss/near miss opportunities etc. A successful Payment Claim Specialist will be… more
- Travelers Insurance Company (Bismarck, ND)
- …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B … more
- Travelers Insurance Company (Cleveland, OH)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file… more
- Travelers Insurance Company (Orlando, FL)
- …and processes out-going mail. Orders, receives and distributes supplies and/or equipment. + CLAIM PAYMENTS AND EXPENSE PROCESSING: Ensures the proper handling of ... Triage and route callers to the appropriate department; Answers claim status and payment questions. + ...financial transactions to include: Processes and issues claim payments including outside vendor invoices, attorney… more
- CenterLight Health System (NY)
- JOB PURPOSE: The Claim Appeals and Audit Specialist will play a pivotal role in enhancing the efficiency and effectiveness of the claims department by timely ... accurate processing of claims appeals and performing claims audit, ensuring payment integrity and compliance...to determine if system or procedural changes could enhance claim workflow and efficiency. + Analyze patient and medical… more
- CVS Health (St. Paul, MN)
- …handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- AON (MA)
- Aon is looking for a Property Claims Specialist to fill a virtual role! This position is responsible for managing Enel's Property Claims Management Program. ... claim reporting, investigation, claim preparation, claim submission, and claim payments ....policies. #li-kd1 2560987 Aon is looking for a Property Claims Specialist to fill a virtual role!… 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
- Colorado State University (Fort Collins, CO)
- …HIPAA guidelines when discussing payments /adjustments/denials. + Contact insurance companies if claims are paid inaccurately and determine if claim can be ... liaison between student/parents and their insurance company to decipher contracting status and claim payment disputes. Our department follows the status of … more
- AIG (Atlanta, GA)
- …the way we help customers to manage risk. Join us as a General Aviation Claims Specialist III to play your part in that transformation. It's an opportunity ... Claim adjustment ensuring proper posting of reserves and payments within granted authority and referring over authority ...and accurate reporting of individually handled significant NA Aerospace claims to NA Aerospace Claim leadership +… more
- Axis (New York, NY)
- …upon request for candidates taking part in the selection process. Reinsurance Senior Claim Specialist - Job Description Job Family Grouping: Reinsurance ... in person orientation, provided performance is satisfactory. The Reinsurance Claims Specialist is a key contributor to...claims function goals of providing quality and efficient claim service in addition to delivering internal and external… more
- HCA Healthcare (Austin, TX)
- …want to join an organization that invests in you as a Workers Compensation Claims Resolution Specialist ? At Parallon, you come first. HCA Healthcare has ... difference. We are looking for a dedicated Workers Compensation Claims Resolution Specialist like you to be...Summary and Qualifications** The Revenue Cycle Representative will process claim files for payment from Health plans… more
- Magellan Health Services (Maryland Heights, MO)
- …to be required, acting within established parameters, this role makes the appropriate payment adjustment into the claims system. Must complete duties with a ... + Completes data entry for tracking and reporting of claim disputes. + Adjudicates claims and adjustments....time). Comfortable adapting to change. General Job Information Title Claims Resolution Specialist Grade 20 Work Experience… more
- Axis (Red Bank, NJ)
- …analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion Set accurate and timely claim reserves and make referrals ... necessary Obtain relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising Prepare coverage positions to be reviewed… more
- Lincoln Financial (Atlanta, GA)
- …and applying knowledge. You will analyze and manage a caseload of appeals claims . You will review, investigate, and make claim determinations regarding coverage, ... 74565 **The Role at a Glance** As an Appeals Specialist you will be responsible for being a product...You will provide technical information and detailed guidance to Claims management & teams regarding products, claims … more
- Illumination Foundation (Santa Ana, CA)
- …understanding, reading EOB's and Remittance Advice + Posting payment accurately to claims and continuing with the claim close out process. + Assist ... Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of...keeping up to date accounts receivable for both CalAIM, claim follow-up, and must have knowledge of Billing codes.… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …claims edits, "front end "edits, as well as claims edits from secondary claims . In the event a claim edit does not pass, the Follow-Up Representative must ... standards and performance measures for this position **Job Title: Claims Processing Specialist ** **Location: Pearland Administrative Office** **Department:**… more
- USAA (Tampa, FL)
- …include reviewing complicated medical histories, assessing medical testing results, and ensuring claims payment accuracy in accordance with Centers for Medicare ... us special and impactful. **The Opportunity** USAA Life Company's Claim Team is seeking a talented **Medical Specialist...play a crucial role in advising the Medicare Supplement Claims Department on the morbidity and claims … more
- Lincoln Financial (Harrisburg, PA)
- …to staff our ever-growing claims organization. As a Short Term Disability Claims Specialist , you will be responsible for conducting initial and ongoing ... home, then please read on! Click the following link Claims Specialist Job Preview (https://marketingmedia.lfg.com/lfg/DOCS/lfd/emailMarketing/Video/6369162297112.html) to see… more