- CRC Insurance Services, Inc. (NC)
- …the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 5. Analyze claim coverage. 6. Anticipate and meets all ... of America) **Please review the following job description:** Analyzes and processes claims by gathering information, drawing conclusions. tracking and managing the … more
- Fairview Health Services (Minneapolis, MN)
- …members to join us in making an impact in the Pharmacy world. **Job Info:** Remote , 1.0 FTE (80 hrs/2 weeks) Monday-Friday; Day Shift - this role will require you ... activity. Ensure accurate and timely billing, collections, appeal of home infusion claims . Perform collection tasks to obtain payments. Generate and monitor aging… more
- The Hartford (Naperville, IL)
- …theirs, too. Join our team as we help shape the future. The Claim Specialist role is crucial for handling claims within the Major Case team, specifically for ... Specialist Claims - CH07DE We're determined...initiatives + Prepare comprehensive reports and deliver presentations to senior claim leadership on: case developments, policy… more
- The Hartford (Lake Mary, FL)
- Specialist Claims - CH07DESpecialist Claims CA - CH07DN We're determined to make a difference and are proud to be an insurance company that goes well beyond ... Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist...initiatives. + Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy… 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. This dynamic Claim Specialist role will be part of...initiatives + Prepare comprehensive reports and deliver presentations to senior claim leadership on case developments, policy… more
- Axis (Red Bank, NJ)
- …course of action, and pursue claims to conclusion Set accurate and timely claim reserves and make referrals to senior members of the team where necessary ... proper judgment and decision making in a best practices claim environment to promptly analyze the claim ...relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising Prepare coverage positions… more
- CenterWell (Topeka, KS)
- …of our caring community and help us put health first** As an **RCM Healthcare Claims Denials Specialist /Accounts Receivable Specialist ** , you will: + Ensure ... the coordination of claim activities and designated agencies, and the timely reimbursement...timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily.… more
- Stryker (Portage, MI)
- Stryker is hiring a ** Senior ** **Staff Clinical Evaluation Specialist ,** this position is ** Remote ** , supporting our **Instruments Division** . Preference ... in the Eastern and Central locations of the United States. As a Senior Staff Clinical Evaluation Specialist , you will work closely with cross-functional… more
- BrightSpring Health Services (Louisville, KY)
- …, giving you the freedom to work from anywhere! What You'll Do:As a dynamic Claims Specialist , you will: + Leverage yourPharmacy Claims experienceto manage ... with available resources and tools. This includes researching both denied and paid claim transactions, understanding root cause for denied claims or under… more
- Movn Health (CA)
- …Health is seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts receivable recovery. ... This is a hands-on, senior -level role focused on accelerating cash flow, reducing outstanding...self-starter with a proven track record in A/R recovery, claim appeals, and payer follow-ups. Experience in startup environments… more
- J&J Family of Companies (Santa Clara, CA)
- …pressure waves for the treatment of calcified plaque. **Position Overview** The Senior Regulatory Affairs Specialist assisting with Advertising and Promotion ... join our team located in **Santa Clara, CA or Remote ** . At Johnson & Johnson, we believe health...effectively meet assigned regulatory requirements for Shockwave Medical. The Senior Regulatory Affairs Specialist combines knowledge of… more
- Independent Health (Buffalo, NY)
- …that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist - Senior will be responsible for reviewing coding and clinical ... audit tips across the team. The Clinical & Coding Specialist - Senior will support the leadership in Hospital...Ability to ensure that clinical information translates correctly into claim coding compliance with requested data set. Ability to… more
- Prime Therapeutics (Tallahassee, FL)
- …fuels our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Remote in the California market **Job Description** Responsible for ... Provide backup support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of...Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
- Trinity Health (Livonia, MI)
- …knowledge & expertise in the program, services & applications. Trinity Health Senior Coding Compliance Specialist Assists management in conducting annual, ... certification required, eg, Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technologist (RHIT), or Registered… more
- ENFRA (Houston, TX)
- …**Job Locations** _US-TX-Houston_ **ID** _2025-7711_ **Category** _Engineering/Designers_ **Position Type** _Full-Time_ ** Remote ... are the pillars of our continued success. **Overview** The Senior Project Controls Specialist is responsible for...with the Contracts Manager) + Support the development of claims including back charges against subcontractors and vendors. +… more
- ENFRA (Houston, TX)
- …**Job Locations** _US-TX-Houston_ **ID** _2025-6953_ **Category** _Engineering/Designers_ **Position Type** _Full-Time_ ** Remote ... OR OUR HOUSTON OFFICE 25% travel to projects The Senior Project Controls Specialist is responsible for...with the Contracts Manager) * Support the development of claims including back charges against subcontractors and vendors. RISK… more
- Molina Healthcare (Grand Rapids, MI)
- **_ Remote and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting/re-contracting of standard deals,… more
- Komatsu (Cartersville, GA)
- Senior EHS Specialist - Cartersville, GA Date: Jun 7, 2025 Location: Cartersville, GA, US, 30121 Req ID: 33030 Onsite or Remote : Onsite Position Komatsu is an ... Communication, Rigging/Crane Operator Safety Training. + Knowledge of Workers' Compensation Claims Management and best management practices. + Capability to maintain… more
- Alight (IL)
- …training. + Working collaboratively with stakeholders to identify trends in service/ claims . + Attending Client Services and Operations meetings and calls and ... + Serving as a liaison to assist members filing claims and navigating internal resources for high-priority employees. **Requirements**...in the flexible workspace and "Top 100 Company for Remote Jobs" 5 years in a row. **Benefits** We… more
- AON (CA)
- …by the end of the day. + Assist the Account Executive with complex claim activity. Including contacting claims adjusters when necessary. + Assisting the Account ... REMOTE 2563052 Personal Lines Account Executive / Broker Specialist II Aon Private Risk Management (APRM) designs, implements,...the day. + Assist the Account Executive with complex claim activity. Including contacting claims adjusters when… more