- AssistRx (Orlando, FL)
- …data quality issues. Successful applicants will have experience with Excel Pharmacy Claims experience is a huge plus Requirements + Developing reports and analytics ... with clients to ensure that continuity and level of service are maintained + Remain informed and up to...unsolicited resumes from search firms or any other vendor services . Any unsolicited resumes will be considered property of… more
- CVS Health (Lansing, MI)
- …at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors (TM) ... for invoice processing and member accumulators: eligibility, accumulators, invoices, and claims detail. Job Duties 1. New group and renewal group implementations… more
- Guthrie (Sayre, PA)
- Position Summary: The Provider Enrollment Specialist reporting to the Payor Contracting & Provider Enrollment Manager plays an essential role in ensuring the ... for over 500 Guthrie Medical Group providers and facilities to be compensated for services performed by providers. Of key importance is accurate and timely entry of… more
- SUNY Westchester Community College (Valhalla, NY)
- …Valhalla, NY Category: Staff Positions Posted On: Thu Feb 8 2024 Job Description: Reporting to the Budget Specialist III and the Manager of Fiscal Operations, ... the Budget Specialist II will participate in the preparation, development and...analytical reviews of variances between actual and budgeted expenditures, reporting findings to supervisor(s) and/or communicate to departments. The… more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after ... training. The Complex Claim Specialist will be responsible for contacting...reporting practices + Prepare, attend, and participate in Claim Reviews as needed with the Claims … more
- CEENTA (Huntersville, NC)
- Primary Objective The Insurance Specialist creates and sends medical claims for the insurance companies and the patients. The Insurance Specialist is ... correct amount. Other responsibilities include following up on unpaid claims , clarifying discrepancies, reviewing bills, and confirming eligibility. Essential… more
- Travelers Insurance Company (Houston, TX)
- …for a motivated and enthusiastic team player to join our Strategic Resolution Group Claim team as a Technical Specialist handling complex toxic tort, latent ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...injury, sexual misconduct and/or environmental claims that may present significant financial exposures. With general… more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a hybrid schedule after training. The ... and implement an action plan to manage the claim . The Claims Account Specialist ...and claim practices, and evaluate the policyholder's reporting practices + Include accountability in managing service… more
- INTERNATIONAL COSMETICS & PERFUMES (New York, NY)
- TITLE: Specialist , Accounts Receivable REPORTING TO: Manager, Accounting FLSA: Exempt LOCATED: New York, NY (Hybrid) JOB OVERVIEW: This full-time role executes ... Operations, Sales, and 3PL Partner Team regarding chargebacks reconciliations, investigations, and claim filings + Manages daily and weekly reporting of cash… more
- CRC Insurance Services, Inc. (Brewster, NY)
- …mentioned below. Specific activities may change from time to time. 1. Evaluate claims , reporting forms and cancellations and initiate necessary corrections to ... additional activity as appropriate. 3. Determine where new loss claims should be reported. 4. Manage all claim... claims should be reported. 4. Manage all claim documentation. 5. Use discretion to submit the necessary… more
- City National Bank (Los Angeles, CA)
- **PAYMENTS CLAIM SPECIALIST ** **WHAT IS THE OPPORTUNITY?** The Payment Claims Specialist is responsible for the investigation and processing of payment ... identification of miss/near miss opportunities etc. A successful Payment Claim Specialist will be able to navigate...of actions as needed. + Perform quality checks of claims for accuracy and feedback for the claim… more
- City of New York (New York, NY)
- Job Description YOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST ... TITLE YOU MUST TAKE AND PASS THE ELIGIBILITY SPECIALIST CIVIL SERVICE EXAM WHEN IT BECOMES...reporting . The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and… more
- Axis (New York, NY)
- …with Insureds, Claimants, attorneys and brokers ensuring a premier and best practices claim service is maintained, escalating issues as appropriate * Documents ... claims to conclusion * Set accurate and timely claim reserves and make referrals to senior members of...processed accurately and promptly, including monitoring and processing of claims bordereaux and ISO searches and reporting … more
- MyFlorida (Tallahassee, FL)
- SENIOR CLAIMS PROCESSING SPECIALIST - 36000384 Date: May 31, 2024 Location: TALLAHASSEE, FL, US, 32301 The State Personnel System is an E-Verify employer. For ... . Requisition No: 830447 Agency: Department of Lottery Working Title: SENIOR CLAIMS PROCESSING SPECIALIST - 36000384 Pay Plan: Lottery Exempt Serv… more
- Salt Lake City Corporation (Salt Lake City, UT)
- Position Title: Utilities Development Review Specialist Job Description: Reporting to Utilities Development Review Coordinator, incumbent assists with the ... all developer-initiated water, sanitary sewer and storm drainage extension and service connection agreements; assists with the management of all related construction… more
- Axis (Red Bank, NJ)
- … claims professional to join our Design Professional & Environmental (DP&E) claims team as a Claims Specialist . This position will ... lines insurance and reinsurance. We stand apart for our outstanding client service , intelligent risk taking and superior risk adjusted returns for our shareholders.… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As an Electronic Claim /Remit Specialist at LogixHealth, you will work with internal teams to provide services ... services , offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for… more
- HCA Healthcare (Asheville, NC)
- …where diversity and inclusion thrive? Submit your application for our Insurance and Claims Specialist (Program of All Inclusive Care for the Elderly) Program ... may vary by location._** We are seeking Insurance and Claims Specialist PACE Program, for our team...Under general supervision, oversees coordination and analysis of payable claims to outside vendors for services provided… more
- Magellan Health Services (Maryland Heights, MO)
- …documentation. 2+ years of claims processing experience. General Job Information Title Claims Systems Specialist I Grade 20 Work Experience - Required ... Provides support to Claims Operations by investigating and resolving systemic issues...system files and interfaces for membership, authorizations, providers, pricing, reporting and financial. Assist in testing and documenting of… more
- LogixHealth (Bedford, MA)
- Location: Bedford, MA; Hybrid in Bedford, MA This Role: As a Medical Claims Data Specialist at LogixHealth, you will work both independently and with internal ... services , offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for… more