- Towne Park (Media, PA)
- …Account Manager is responsible for escalating issues to their assigned supervisor to address and correct. **ESSENTIAL FUNCTIONS** **Reasonable accommodations may be ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Supervisor , Claims Review works within thorough, prescribed guidelines and… more
- UPMC (Pittsburgh, PA)
- …Compensation Lost Time Claims Specialist II reports to the Workers Compensation Claims Supervisor . The Lost Time Claims Specialist II is responsible ... UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II! This role will predominantly work...line of business litigation guidelines to include budget, bill review and payment under limited direction of supervisor… more
- UPMC (Pittsburgh, PA)
- …broker as needed. + Adhere to client and carrier guidelines and participate in claims review as needed. + Receives claim, confirms policy coverage and ... Medical Only Claims Specialist 2 reports to the Workers' Compensation Supervisor . This is an intermediate level position within the Workers' Compensation … more
- Sedgwick (Harrisburg, PA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- BrightView (Blue Bell, PA)
- …educate diverse audiences. + Prior experience in a senior-level role (eg, claims supervisor , senior adjuster, or risk management professional) with ... to be your brightest. We're looking for a Senior Claims Specialist. Can you picture yourself here? **Hybrid Schedule:**...TPAs, legal counsel, brokers, and other external partners. + Review and approve TPA reserve recommendations to ensure reserve… more
- Sedgwick (Philadelphia, PA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description Summary** ... To analyze complex or technically difficult environmental claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
- Carrington (Coraopolis, PA)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... this position is $23.00/hr - $26.50/hr. **What you'll do:** Review reconciliation of all loan advances once the GSE...manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but… more
- Ryder System (Harrisburg, PA)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- Select Medical (Camp Hill, PA)
- **Overview** **Collection Team Supervisor ** **ON-SITE** **Starting Hourly Rate $25 (based on experience)** **BONUS ELIGIBLE** Are you results-oriented? Our dynamic ... team has the responsibility of resolving outstanding insurance claims so that our patients are not impacted. We...work attire, jeans are our norm! The Collections team supervisor will be responsible for overseeing the operation and… more
- St. Luke's University Health Network (Allentown, PA)
- …RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure ... care for appropriate reimbursement. + Work with the physician advisor in review of patient medical records identified by RAC/MIC/QIO and other governmental or… more
- Donegal Insurance Group (Marietta, PA)
- …of claim handling procedures. Responsibilities and Duties + Investigate, evaluate, and settle claims as assigned by the Supervisor + Monitor and direct file ... an opening for a Claim Representative on our Casualty Claims team handling Bodily Injury Claims . As...you reside in one of the listed states, please review the "Notice of E-Verify Participation" and the "Right… more
- Guthrie (Sayre, PA)
- …Billing Specialists I and related support staff. Works closely with Director, Manager, Supervisor and Application Analyst on day to day priorities and to maintain a ... reports as required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit balances as… more
- Guthrie (Towanda, PA)
- …Billing Specialists I and related support staff. Works closely with Director, Manager, Supervisor and Application Analyst on day to day priorities and to maintain a ... reports as required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit balances as… more
- PPL Corporation (Harrisburg, PA)
- …relocation, or improvement of electric distribution and communication facilities; to review , verify and manage the Company's easement rights; to manage the ... the use of Right of Way Contractors, from the Supervisor - Right of Way. 7. Identify properties and...resolve customer-initiated matters such as land use, crop damage claims , and status of existing distribution line facilities and… more
- Cardinal Health (Harrisburg, PA)
- …Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... receivable and increase cash flow for the organization. **_Responsibilities:_** + Review aging reports and work insurance accounts to ensure timely resolution… more
- Walgreens (Philadelphia, PA)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels patients and answers questions ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist is responsible for ensuring that elements of… more
- Ansible Government Solutions (Philadelphia, PA)
- …calls. + Review requests for reimbursement of travel costs and reconcile claims /vouchers for payments using electronic systems. + Review ambulance claims ... possible. + The contractor shall notify the VA shift supervisor when clinic access is less than desirable or...clinic timeframes. + The contractor shall conduct a daily review of active/pending consults, Electronic Wait List, Recall list… more
- Walgreens (Bethlehem, PA)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... and assists in community events as requested by Store Manager, Healthcare Supervisor , District Manager or Pharmacy Manager. **Operations** + Under direct supervision… more
- Cardinal Health (Harrisburg, PA)
- …to patient inquiries in a professional and timely manner. **_Responsibilities:_** + Review aging reports and work patient accounts to ensure timely resolution and ... billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs)… more
