- CRC Insurance Services, Inc. (OH)
- …2. Authenticate all relevant activity on assigned files and makes recommendation for additional activity as appropriate. 3. Manage all claim documentation. 4. ... and/or correspondence to the Agent or Insurer to process claims appropriately. 5. Analyze claim coverage. 6. Anticipate and meets all customer needs (both… more
- CRC Insurance Services, Inc. (ID)
- …recommendation for additional activity as appropriate. 4. Determine where new loss claims should be reported. 5. Manage all claim documentation. 6. Use ... information and/or correspondence to the Agent or Insurer to process claims appropriately. 7. Analyze claim coverage with insurance carriers to ensure claims … more
- Axis (Red Bank, NJ)
- …Liability either in house or in private practice. Strong preference for additional Fiduciary/ERISA and/or Fidelity/Crime Claims experience as well. * ... selection process. 'Key Duties and Responsibilities: * Excels in best practices claim environment, thoroughly documenting the claim process * Conducts… 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
- Sedgwick (Richmond, VA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- Sedgwick (Birmingham, AL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Claims Specialist , Professional Liability (A&E, D&O) **ESSENTIAL ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… 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
- 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
- City of Jacksonville (Jacksonville, FL)
- Workers' Compensation Specialist Senior Print (https://www.governmentjobs.com/careers/jacksonvillefl/jobs/newprint/4971840) Apply Workers' Compensation ... Specialist Senior Salary $58,703.40 Annually Location Jacksonville, FL Job Type...monitoring, reviewing, investigating, and processing of complex workers' compensation claims that include primarily lost time, permanent total disability,… more
- American Family Insurance - Corporate (Madison, WI)
- …provide leadership and management direction for a claim -adjusting team. Claim adjusting teams investigate and maintain property claims . Direct conformity ... policy language, coverages and underwriting intent. *Demonstrated experience in a claim administrator, specialist , examiner, or role with equivalent exhibited… more
- Stony Brook University (East Setauket, NY)
- Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the ** Senior Revenue Cycle Specialist ** will act as an operational leader ... but are not limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new staff regarding departmental and… more
- UPMC (Pittsburgh, PA)
- …accordance with system-wide competencies/behaviors. Performs other duties as assigned. + Senior Specific Duties: Additional Pods, modalities, physicians. Answer ... **University of Pittsburgh Physicians is hiring a Contact Center Specialist for the Heart and Vascular Institute at Presbyterian Hospital. This position is… 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 ... and share knowledge and audit tips across the team. The Clinical & Coding Specialist - Senior will support the leadership in Hospital Audit in accomplishing all… more
- PennyMac (Plano, TX)
- …aspirations of homeownership through the complete mortgage journey. A Typical Day The Senior Business Control Specialist assists in the development of a mortgage ... and assists in creating an effective control environment. The Senior Business Control Specialist will : +... will : + Utilizing investor guidelines, research repurchase claims and defects from investors/insurers to determine if the… more
- Baptist Memorial (Jackson, MS)
- Overview Job Summary The Accounts Receivable Follow Up Specialist performs all collection and follow up activities with third party payers to resolve all outstanding ... team efforts in the achievement of accounts receivable performance goals. The Specialist performs daily activities related to the successful closure of aged accounts… more
- Johns Hopkins University (Middle River, MD)
- …and rejections processes to resolve standard issues or escalate to a more senior specialist . **Specific Duties & Responsibilities** + Uses A/R follow-up systems ... on an understanding of the outpatient registration process. The Specialist will use an understanding of claims ...third-party payers. + Appeals rejected claims and claims with low reimbursement. + Performs claim … more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR INFORMATION RESOURCE SPECIALIST , BOARD OF SUPERVISORS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4535966) Apply SENIOR ... at the level of Los Angeles County's class of Senior Application Developer** or Senior Network Systems...year of experience at the level of Information Resource Specialist , Board of Supervisors . *Highly r esponsible is… more
- Johns Hopkins University (Middle River, MD)
- …rejections processes to resolve standard issues or escalate to a more senior specialist . **Principal Duties and Responsibilities** _Procedural Knowledge_ + Uses ... on an understanding of the outpatient registration process. The Specialist will use an understanding of claims ...third-party payers. + Appeals rejected claims and claims with low reimbursement. + Performs claim … more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR PUBLIC INFORMATION SPECIALIST - Emergency Appointment Fire Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4956355) Apply SENIOR ... who successfully pass the assessment will be considered for permanent appointment to Senior Public Information Specialist . Essential Job Functions + Serves as a… more