- Zurich NA (Boise, ID)
- Marine Claims Senior Claims Specialist 125273 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor...and 2 or more years of experience in the Claims and/ or Litigation Management area.OR + Zurich Certified… more
- Sedgwick (Boise, ID)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **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
- Sedgwick (Boise, ID)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice (LTC) **PRIMARY PURPOSE** : To analyze ... complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
- Idaho Division of Human Resources (Boise, ID)
- CLAIMS SPECIALIST Posting Begin Date: 2025/07/17 Posting End Date: 2025/07/28 Category: Miscellaneous Work Type: Full Time Location: Boise, ID, United States ... (UI) division at the IDOL is currently recruiting for a full-time Claims Specialist (Workforce Consultant). This position will be located in the UI central… more
- Zurich NA (Boise, ID)
- Sr. TPA Specialist , Complex Claims 125068 Zurich Insurance is currently looking for a Sr TPA Specialist . This position will oversee complex Liability ... consultant and advisor both within and outside the company. The Sr TPA Specialist analyzes highly complex coverage situations, evaluates high exposure claims ,… more
- CVS Health (Boise, ID)
- …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
- USAA (Boise, ID)
- …us special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate, ... evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will...per week. **What you'll do:** + Proactively manages assigned claims caseload comprised of complex damages that require commensurate… more
- R1 RCM (Boise, ID)
- …Revenue Cycle Adjustments Specialist , you will help R1 clients by analyzing claims information so that they can resolve complex accounts. Every day, you will ... successful. Denials or AR experience with hospital, inpatient denied claims and experience working in a production-based environment is...you will experience working as a Revenue Cycle Adjustments Specialist :** + You will have a focus on Blue… more
- CRC Insurance Services, Inc. (ID)
- …of America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison ... between insured and insurance carrier to report, track and manage claims process. Provides leadership to all employees within the claims department. **ESSENTIAL… more
- Travelers Insurance Company (Boise, ID)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… more
- Trinity Health (Boise, ID)
- …of care. We are looking to hire a motivated and dynamic **Patient Registration Specialist ** to support our team in the **Boise Float Pool!** As a **Patient ... Registration Specialist ** , you will play a significant part in...Patient Access. + Processes insurance claim forms. + Reviews claims /accounts for complete information, corrects and completes forms to… more
- Kaniksu Community Health (Sandpoint, ID)
- …accessible, quality healthcare in your community? We're seeking a Revenue Cycle Specialist to join our finance team. In this mission-driven role, you'll manage ... and optimize all phases of the revenue cycle-including billing, claims submission, denial management, and patient account follow-up. You'll work closely with both… more
- Robert Half Accountemps (Boise, ID)
- …needs. The ideal candidate will be responsible for preparing and submitting medical claims to insurance companies, following up on unpaid claims , and ensuring ... and coding practices. Requirements Key Responsibilities: Prepare and submit clean claims to insurance companies electronically or via paper. Review and verify… more
- Prime Therapeutics (Boise, ID)
- …our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Remote in the California market **Job Description** Responsible for the intake ... support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned....Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
- Molina Healthcare (Caldwell, ID)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system configurations… more
- Molina Healthcare (Nampa, ID)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and...fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for claims specific positions… more
- CDM Smith (Nampa, ID)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- CVS Health (Boise, ID)
- …Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance ... level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine...to the team that may result in adjustment to claims . + May provide job shadowing to lesser experience… more
- Entergy (Idaho Falls, ID)
- …with a focus on rotating and reciprocating generation and/or renewables. The specialist will support the identification, development, and execution of projects by ... the demonstrated technical, professional, inter-personal and leadership skills. The specialist operates autonomously but may require minimal supervision or… more
- Walgreens (Boise, ID)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more