- Morley (Lansing, MI)
- …**_Location: Remote_** **_-_** **_Michigan residents_** In this remote Customer Service Representative position at Morley, you'll be trained as an important liaison ... and the like + Use your computer skills to research requests and accurately record the details of your...to end by researching and assisting customers until case resolution + Offer timely and accurate solutions through inbound… more
- Uniland Development Corp (Buffalo, NY)
- …Primary responsibilities of this position include managing Uniland's insurance policies and claims processes, assisting with claim and incident resolution and ... pertaining to Uniland's business activities. Facilitates administration of insurance claims , including builder's risk, liability, and property insurance and other… more
- Basin Electric Power Cooperative (Bismarck, ND)
- …and close-out. This includes the negotiation of change orders, payment approval, resolution of claims , solving performance and warranty issues, enforcement of ... labor and materials required to support the Cooperative's facilities. + Include research and selection of capable suppliers, development of Request for Proposal,… more
- Hartford Steam Boiler Inspection and Insurance Company (Hartford, CT)
- …price segmentation & detection of leading loss trends. This includes analyzing claims , engineering, expenses, exposure data/profile shifts, pure premium trends & 3rd ... for a book a business + Demonstrated experience with negotiation and conflict resolution + Exhibited ability to develop creative and unique solutions + HSB Product… more
- Humana (San Juan, PR)
- …us put health first** Join Humana's dynamic Puerto Rico team as a Claims Research & Resolution Representative and make a meaningful impact every day! In ... and third-party collection services to facilitate timely and accurate resolution of complex medical claims . + Utilizes...claims , call center, and provider associates to conduct research and analysis on pending claims issues.… more
- Dragonfly Health (Mesa, AZ)
- …discrepancies as needed. 5. Collaborate with the Customer Service team on complex claims research and resolution . 6. Understand Enclara Pharmacia's standard ... and correct authorizations in dispensing and PBM systems to ensure timely claims submission. Research and resolve rejected claims by contacting hospices for… more
- NTT DATA North America (Plano, TX)
- …as part of an overall sourcing strategy. NTT DATA currently seeks a Remote **Medical Claims Representative ** to join our team in **for a remote position** . This ... complete compliance training of NTT Data/Client -Work independently to research , review and act on the claims ...above 98.5% PA and 99.75% FA. -Timely response and resolution of claims received via emails as… more
- The County of Los Angeles (Los Angeles, CA)
- …obtain a fair outcome through our consumer protection programs, including Small Claims Advisor, dispute resolution and mediation programs, immigration legal ... of tasks on a variety of consumer matters, including real estate, small claims court, mediation, dispute resolution , and other programs. Incumbents learn to… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (Diamond Bar, CA)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Banner Health (Phoenix, AZ)
- …providing excellent customer service and satisfaction with a goal of first call resolution . As a **Provider Experience Representative ** , you will be working ... parties to ensure delivery of outstanding customer service while facilitating timely research and issue resolution , in a positive work environment, that… more
- TEKsystems (Farmington, CT)
- …operations Required Qualifications + Minimum 3+ years of Hospital Billing (HB) claims follow‑up and denials resolution experience + Experience with Commercial, ... Insurance Follow‑Up Representative (Hybrid) Shift: 7:30 am - 4:00 pm...hospital billing operations. This role focuses on resolving medical claims denials, conducting detailed follow-up with insurance payors, and… more
- Saint Luke's (Kansas City, MO)
- …errors * Responsible for researching patient insurance coverage to identify and resubmit claims to fix coverage denials. * Research and outline documentation ... Luke's in Kansas City is seeking a Patient Accounts Representative to join our team. This role will give...* Identify problem trends * Communicate with payors for resolution to complications with claims * Responsible… more
- University of Rochester (Rochester, NY)
- …insurance or contracted service accounts in order to bring about prompt account resolution and revenue collection from complex claims , high dollar claims ... to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve… more
- Beth Israel Lahey Health (Charlestown, MA)
- …helps to resolve callers' issues, retrieving critical information that impacts the resolution of current or potential future claims . 3. Establishes relationships ... within the Central Billing Office. 17. Assists the Supervisor, Billing with the resolution of complex claims issues, denials, appeals and credits. 18. Completes… more
- CHS (Clearwater, FL)
- …call resolution and satisfaction. The Member and Provider Service Representative (MPSR) is critical to PAS' success, effectively and efficiently handling calls ... **Overview** ** ** **Medical Insurance Call Center Representative | Member and Provider Services Representative...Supervisor. + For any calls or correspondence where additional research is necessary, clearly explaining to the caller the… more
- The County of Los Angeles (Los Angeles, CA)
- …and others on consumer laws, labor laws, real estate matters, small claims court procedures, dispute resolution , housing and tenant protection, immigration, ... CONSUMER AND BUSINESS AFFAIRS REPRESENTATIVE I/EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5133631) Apply … more
- Mass Markets (Dallas, TX)
- POSITION OVERVIEW TECHNICAL SUPPORT REPRESENTATIVE (FULL-TIME) As a technical support representative , you will handle blended inbound phone interactions with ... contacts in a courteous, timely, and professional manner + Ensure first call resolution through problems solving and effective call handling + Research systems… more
- TEKsystems (Dallas, TX)
- …entire revenue cycle-from account creation to payment resolution . You will research accounts, follow up on claims , review remittances, and resolve disputed ... Patient Account Representative Location: Remote (Must reside in CST time...a thorough understanding of insurance processes. Key Responsibilities + Research patient accounts using internal systems and online resources.… more
- Mass Markets (Wichita, KS)
- POSITION OVERVIEW CALL CENTER REPRESENTATIVE (FULL-TIME) We are looking for full-time call center representatives to support inbound and outbound customer service ... wide variety of clients. In this role, you will identify customers' needs, research every issue, provide solutions, and upsell customers on new products and… more
