• Claim Operations Specialists

    Travelers Insurance Company (Buffalo, NY)
    … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site… more
    Travelers Insurance Company (05/22/24)
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  • Retailer Claims Team Lead

    Subaru of America (Camden, NJ)
    …accordingly. + Monitors the quality of work of the Retailer Claims Specialists through phone observations and claim reviews to identify opportunities for ... through phone observations and claim reviews. Works together with Retailer Claims management on department operations and solutions. Serves as liaison to… more
    Subaru of America (06/14/24)
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  • Claim Specialist

    City of New York (New York, NY)
    …to the following: - Assist with supervision of and assigning work to other claim specialists in the Litigation Support unit, and includes conducting review of ... legal needs are addressed. Given DEP's extensive infrastructure and operations , DEP is involved in a significant amount of...is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office.… more
    City of New York (04/30/24)
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  • Claims Manager

    AIG (Cincinnati, OH)
    …to offer our clients the highest levels of stewardship to drive total cost of claim improvement and consistent outcomes. AIG manages claims using a wealth of ... Loss (FNOL) and sets up Excess and Environmental Specialty Claim (ESC) claim files, as well as...to develop the staff into AIG's next generation of claims adjusters, underwriters, operations specialist, etc. You… more
    AIG (05/22/24)
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  • Content Claims Specialist - Field - Level I

    Crawford & Company (Boston, MA)
    …appropriately set up and equipped home-based offices, edjuster's Content Claims Specialists are consistently (daily/weekly basis) assigned new claim files. + ... Everything We Touch Position Summary The role of Content Claims Specialists is a multi-faceted role, which...in the following four key areas of edjuster's content claims handling operations : + Acting/operating as a… more
    Crawford & Company (06/08/24)
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  • Content Claims Specialist - Field - Level I

    Crawford & Company (Portland, OR)
    …appropriately set up and equipped home-based offices, edjuster's Content Claims Specialists are consistently (daily/weekly basis) assigned new claim files. + ... Everything We Touch Position Summary The role of Content Claims Specialists is a multi-faceted role, which...in the following four key areas of edjuster's content claims handling operations : + Acting/operating as a… more
    Crawford & Company (05/30/24)
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  • Sr. Medical Malpractice Claims Manager…

    Providence (Renton, WA)
    …communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists **Maintain Complete Documentation for Each ... proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims and...Matter:** + Develop and document for each claim or lawsuit a plan of action for resolution… more
    Providence (05/29/24)
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  • Fraud Claims Sr Specialist

    Citizens (Riverside, RI)
    …Fraud Claims Sr. Specialist, you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at Citizens. Our team ... financial transactions. You'll use critical thinking skills to assist customers with existing claims and determine the best next step for the customer and the bank.… more
    Citizens (06/19/24)
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  • Assistant Claims Specialist

    Pike Corporation (Mount Airy, NC)
    … Specialist is to support the Claims dept. and work closely with the Claims Specialists in handling claims filed against the company associated with ... claims from internal and external customers. + Supports organization and specialists with maintenance of internal database and claims processing. + Handles… more
    Pike Corporation (05/10/24)
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  • RCM Representative Sr, Third-Party Claims

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …* 2 years clerical experience in health care revenue cycle operations : billing/ claims , patient accounting, collections, admissions, registration, etc. * ... seeking an *RCM Representative Senior* to join our *Third-Party Claims - HB & PB *team. This full-time role will...to provide services such as following up on complex claim issues, financial clearance, customer service or admission. Work… more
    Minnesota Visiting Nurse Agency (06/01/24)
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  • RCM Representative Senior, Third-Party…

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …* 2 years clerical experience in health care revenue cycle operations : billing/ claims , patient accounting, collections, admissions, registration, etc. * ... *SUMMARY:* We are currently seeking an*RCM Representative Senior*to join our*Third-Party Claims - HB & PB *team. This full-time role will primarily work remotely… more
    Minnesota Visiting Nurse Agency (06/01/24)
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  • Pharmacy Billing Specialist

    COFMC (Ada, OK)
    …audits. + Establish and maintain good working relationships with all billing operations specialists and other pharmacy staff members to maintain effective ... Responsibilities include serving as a liaison between pharmacy billing operations , pharmacy staff, and pharmacy patients to ensure effective communication… more
    COFMC (03/27/24)
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  • Escalation Response Specialist II

    Centene Corporation (Tallahassee, FL)
    …proper billing + Assist with the onboarding and training of new Billing Operations Specialists + Support leadership by identifying trends and issues during ... perspective on workplace flexibility. **Position Purpose:** With the corporate Contact Operations team, you will assist with researching and resolving any escalated… more
    Centene Corporation (06/16/24)
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  • Claims Specialist (TC)

    NJ Transit (Newark, NJ)
    Claims Specialist (TC) Finance Job Description: Move forward with us! At NJ TRANSIT, you'll join us in transforming the third-largest transportation agency in North ... Roles and Responsibilities : + Conducts thorough investigation of all assigned claims by analyzing information and evidence with maximum accuracy and efficiency from… more
    NJ Transit (05/01/24)
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  • Clinical Payment Resolution Specialist (Hospital…

    Trinity Health (Farmington Hills, MI)
    …expertise and clinical judgment within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of a Patient Business Services (PBS) center. Serves as ... appropriately maximizing reimbursement based upon services delivered and ensuring that the claim is paid/settled in the most timely manner possible: + Supports… more
    Trinity Health (06/19/24)
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  • Cpw Wildlife Manager III / Wildlife Damage…

    State of Colorado (Larimer County, CO)
    CPW WILDLIFE MANAGER III / Wildlife Damage Specialists - (Fort Collins, CO) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4505357) Apply  CPW ... WILDLIFE MANAGER III / Wildlife Damage Specialists - (Fort Collins, CO) Salary $61,776.00 - $80,292.00...CPW's liability for damages, and to reconcile any damage claims submitted as a result of those damages. These… more
    State of Colorado (06/05/24)
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  • Authorization & Billing Specialists

    Ophthalmic Consultants of Boston (Plymouth, MA)
    Ophthalmic Consultants if Boston is currently looking for Authorization Billing Specialists to join our team in Plymouth. These specialists provide ... based on the documentation. . Prior experience with standard operations of insurance companies; verification of benefits/coverage including prior authorization… more
    Ophthalmic Consultants of Boston (06/18/24)
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  • AVP, SRG- Excess Casualty

    Travelers Insurance Company (Metairie, LA)
    …experience. + 5-10 years experience handling serious injury and complex liability claims preferred (casualty claim operations environment determining ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly...improve bench strength. + Field Severity Support: Some Complex Claim Specialists may be responsible for all… more
    Travelers Insurance Company (06/07/24)
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  • Quality Assurance Reviewer Associate I (Remote)

    Commonwealth Care Alliance (Boston, MA)
    …review results and timely communication to the business area leadership. For Medical Claim reviews, post-payment review of claims that were manually processed by ... + Aggregate weekly and monthly review results for the Operations area and for Executive level reports. + Meet...ensure appropriate processes were followed and documentation is complete. ** Claims Review** + Understand all claim processing… more
    Commonwealth Care Alliance (05/15/24)
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  • Manager, PACE Operations Support

    Fallon Health (Worcester, MA)
    …works closely with their counterpart to assist the Senior Director, PACE Operations to manage the program level operational and regulatory functions related to ... program level recommendations. The Manager supports the Senior Director, PACE Operations to manage program level operational and regulatory functions in support… more
    Fallon Health (04/24/24)
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