- Sedgwick (Long Beach, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Claims Specialist , 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
- Axis (Red Bank, NJ)
- …request for candidates taking part in the selection process. About the Team AXIS is hiring a Senior Claims Specialist - EPL and Fiduciary Claims for its ... North America Claim Team. This role involves managing primary and excess claims for various AXIS policy forms. How does this role contribute to our collective… more
- HUB International (Wilmington, MA)
- …maintain their own unique, regional culture. We currently have an opportunity for a ** Senior Claims Specialist ** . **Overview** : Responsible for servicing ... for small, middle market, and high-profile clients by reporting claims . + Participate in the claim after hours program...and via email with insurance company claim adjusters till resolution of claim. + Determines which Policy applies to… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, underpayments, ... and telecommunication across multiple areas of the organization to ensure customer resolution is complete - Lead investigations into claims overpayments,… more
- Zurich NA (Sacramento, CA)
- …and autonomy, occasional circumstances requiring in-office attendance should be expected. The Senior Workers Compensation Claims Specialist will handle ... Claims Specialist , Workers Compensation 128250 Zurich... Claims Specialist , Workers Compensation 128250 Zurich is seeking an...within the coverage. + Work to have a timely resolution to claims by developing case strategy;… more
- Zurich NA (Parsippany, NJ)
- …New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, or Vermont. The Senior Workers Compensation Claims Specialist will handle multi-party ... Sr. Claims Specialist , Workers Compensation 128029 Zurich...Sr. Claims Specialist , Workers Compensation 128029 Zurich is looking for...within the coverage. + Work to have a timely resolution to claims by developing case strategy;… more
- Centene Corporation (Austin, TX)
- …a Monday - Friday; 2:00 pm - 10:30 pm EST, schedule.** **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a subject matter expert ... inbound and outbound calls with members and provider offices to provide resolution to claims (ie: additional information requests and medication determination… more
- The Hartford (Hartford, CT)
- 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 ... important role within our Complex Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist , you will be responsible for… more
- Ascension Health (Austin, TX)
- …and resolving health-care claim payment appeals and communicating resolution /determination in accordance with the standards and requirements established ... by Health and Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to state Medicaid guidelines. +… more
- Access: Supports For Living (Middletown, NY)
- Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Oct 17, 2025 Share: share to e-mail Apply Now Save JobSaved Description Location: ... (40hrs) Job Description: Reporting to the A/R Manager, the Senior Billing Specialist is a key position...throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim batch creation,… more
- AIG (Scottsdale, AZ)
- …are reimagining the way we help customers to manage risk. Join us as a Senior Technical Specialist Workers' Compensation (MCU) to play your part in that ... valued member of the team. Make your mark in Claims Our Claims teams are the proven...experiences. This position provides the opportunity to engage/work with senior claim and underwriting management, and for growth within… more
- Travelers Insurance Company (Houston, TX)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- GuideOne Insurance (West Des Moines, IA)
- …sound judgment, and the ability to communicate effectively across departments. The Senior Specialist will collaborate with internal stakeholders to ensure timely ... The Senior Regulatory Compliance Specialist - Legal and...and thorough resolution of issues, while identifying trends and recommending improvements to… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- Title: SENIOR FACILITIES CONTRACT SPECIALIST Location: United States-Virginia-Virginia Beach Job Number: 2500008Y Navy Exchange Service Command (NEXCOM) offers ... ⭐ ⭐ ⭐ Job Summary: Grade: NF05, Salary Code 5A. Acts as the Senior Facilities Contracts Specialist performing all duties related to the planning, development,… 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
- ASRC Industrial Services (Oak Ridge, TN)
- Senior Contracts Specialist - Oak Ridge, TN Summary **Title:** Senior Contracts Specialist - Oak Ridge, TN **ID:** 2320 - RSI - 01 Description _ASRC ... we also offer 8(a) options. **Position Summary** RSI is currently recruiting afull-time Senior Contracts Specialist in its Oak Ridge, Tennessee office. **Primary… more
- Allied Universal (Irvine, CA)
- …positively impacts the communities and customers we serve. Allied Universal(R) is hiring a Senior Benefits Specialist . The Senior Benefits Specialist ... procedures for all assigned benefit duties + Customer service, research and resolution with employee inquiries, carrier/file feed auditing, HRIS and Benefits systems… more
- Kerry (Beloit, WI)
- …Growth/ Stars customers. + Navigates internally within Kerry to ensure timely proactive resolution of issues, queries, claims and complaints providing a seamless ... responsible for all internal and external (customer) order management engagement, resolution & communication. Coordinating with the wider Customer Care team,… more
- Gilead Sciences, Inc. (Sacramento, CA)
- …improve the lives of patients with life-threatening illnesses worldwide. As a Senior Therapeutic Specialist , Oncology, you are responsible for representing ... and a proven record of interacting with healthcare professionals. Additionally, Senior Therapeutic Specialists are responsible for developing an understanding of the… more
- UPMC (Pittsburgh, PA)
- …to work Eastern Standard Purpose: Under the general direction of the management team and Senior staff, the Systems Analyst - Specialist requires a high degree of ... UPMC is hiring a Systems Analyst-Technical Lead (Epic PB Claims and Remittance) who had healthcare experience. If you...and Level 3 issues. Act as a mentor for associate- senior level staff in resolution of Level… more
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