- City National Bank (Newark, DE)
- * 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
- CDM Smith (Wayne, PA)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- AscellaHealth (Berwyn, PA)
- …denial arguments for reconsideration, both written and verbal. + Overcome objections that prevent payment of claims and gain commitment for payment through a ... What we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn, PA location. We are looking for someone who is passionate… more
- CDM Smith (Wayne, PA)
- …applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates in and assists with the development of the final ... **Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs… more
- City National Bank (Newark, DE)
- *FRAUD DETECTION SPECIALIST I* WHAT IS THE OPPORTUNITY? A Fraud Detection Specialist level I, will review alerts/transactions that are flagged as potentially ... normal activity. Alerts and/or transactions may consist of various payment types and colleagues in this department are tasked...outbound and/or inbound call, in addition to initiating dispute claims . This position will play a key role in… more
- CDM Smith (Wayne, PA)
- …ID:** 40506BR **Business Unit:** FSU **Job Description:** The FEMA Architectural Specialist : * Conducts site inspections to validate and record infrastructure ... and engineering reports, designs, and as-built plans. Makes recommendations regarding claim eligibility. * Develops or evaluates hazard mitigation proposals and… more
- CDM Smith (Wayne, PA)
- …ID:** 40483BR **Business Unit:** FSU **Job Description:** The Disaster Planning Specialist : * Provides technical recommendations and assists with the development of ... field, reviews FEMA Public Assistance applicant data, and makes recommendations regarding claim eligibility. * Documents damages, scopes of work and estimated costs… more
- Elevance Health (Wilmington, DE)
- …documentation purposes (eg, letter writing) on lower level auditors. + Identifies new claim types by identifying potential claims outside of the concept where ... environment preferred. + Broad, deep and niche knowledge of medical claims billing/ payment systems provider billing guidelines, payer reimbursement policies,… more
- Elevance Health (Wilmington, DE)
- …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... or quality assurance environment preferred. + Broad knowledge of medical claims billing/ payment systems provider billing guidelines, payer reimbursement… more
- Veterans Affairs, Veterans Health Administration (Coatesville, PA)
- …eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA ... involving Geriatric services and collaborate with other providers and specialist in and outside of the VA system to...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more