- 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
- Travelers Insurance Company (Dover, DE)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling and superior customer service ... until September 11, 2025. **What Will You Do?** + CLAIM HANDLING: + Directly handle assigned severe claims...Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …by AM Best. The Surety Claims team is growing and looking for a Surety Claims Specialist to join our team! This person will have the opportunity to handle a ... wide array of claims from performance bond claims , litigation management, payment bond & commercial...A typical day will include the following: Evaluates each claim in light of facts, policy considerations and corporate… more
- Robert Half Accountemps (Swedesboro, NJ)
- …generating invoices and ensuring timely payment collections. * Conduct claim administration tasks, including verifying claims and coordinating necessary ... Description We are looking for a dedicated Collections Specialist to join our team in Swedesboro, New Jersey. This long-term contract position is ideal for someone… more
- Penn Medicine (Philadelphia, PA)
- …the department's effort to effectively manage its revenue cycle to ensure expedient claims processing and payment for services. The position performs a variety ... day. Are you living your life's work? **Job Title:** Billing Specialist **Department:** Psychiatry Admin **Location:** Penn Behavioral Health Market Street- 3535… more
- Penn Medicine (Philadelphia, PA)
- …reprocessing of claims and maximize opportunities to enhance front end claim edits to facilitate a first pass resolution. Responsibilities: + Responsible for ... you living your life's work? Job Title: Accounts Resolution Specialist I Department: Ophth Clinical Support Location: Penn Presbyterian...position will work out of assigned work queues handling claim edit work queue resolution as well as follow… more
- Intermountain Health (Dover, DE)
- …issues and/or denial trends to Lead/Supervisor and may appeal and/or rebill underpaid claims and assist with payments , as needed. **Essential Functions** + ... **Job Description:** Responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the...in the system all correspondence and action for the claim . + Follow up in accordance with procedures and… 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 (Wilmington, DE)
- …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
- Intermountain Health (Dover, DE)
- …follow-up and escalations, interpreting contract language, and tracking trends. This specialist works facility claims ("Hospital billing") and maintains ... **Job Description:** The Reimbursement Specialist is responsible for performing a variety of...aging levels by prompt review and follow up of claims . Performs all duties in a manner which promotes… more
- ARAMARK (Philadelphia, PA)
- **Job Description** The Global Risk and Insurance Specialist provides technical and analytical support on the procurement and management of Aramark?s global ... Supports the review of premium, broker and tax invoices for accuracy and payment Assists in creating/maintaining premium payment schedules as well as global… more
- CVS Health (Dover, DE)
- …day. **Position Summary** The Quality Specialist will audit pre and post payment claims for accuracy and eligibility transactions. They will also be ... documents. + Knowledge of Microsoft Excel. **Preferred Qualifications** + 1-2 years claims processing experience. + 1-2 years auditing experience. + Able to work… more
- Otsuka America Pharmaceutical Inc. (Dover, DE)
- …understand, Otsuka will **never** ask for financial information of any kind or for payment of money during the job application process. We do not require any ... financial, credit card or bank account information and/or any payment of any kind to be considered for employment....you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more