- 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...Operations by investigating and resolving systemic issues relative to claims processing system files and interfaces for membership, authorizations,… more
- 2-10 Home Buyers Warranty (Chantilly, VA)
- Inbound Claims Specialist II - Remote **Immediately hiring for 7/8 start date** Targeted compensation: $19-$22/hrCompensation commensurate with experience and ... enjoys working in a team environment. As an Inbound Claims Specialist II, you will apply your...and external customers for a variety of different home systems . + Able to collaborate with other teams/peers to… more
- MetLife (Tampa, FL)
- …impact in the lives of our customers and our communities. The Lead LTD Claims Specialist manages a caseload of long term disability insurance claims ... provisions and within prescribed time service standards. In this role, the Lead LTD Claims Specialist will be a technical expert and emerging leader who will… more
- MyFlorida (Tallahassee, FL)
- CLAIMS PROCESSING SPECIALIST - 36000116 Date: Jun 19, 2024 Location: TALLAHASSEE, FL, US, 32301 The State Personnel System is an E-Verify employer. For more ... . Requisition No: 822431 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SPECIALIST - 36000116 Pay Plan: Lottery Exempt… more
- Randstad US (Rocky Mount, NC)
- logistics claims specialist . + rocky mount , north carolina + posted 4 days ago **job details** summary + $17 - $17.01 per hour + temporary + high school + ... in this Claims Representative position. We are currently recruiting for an Claims specialist opportunity at leading supply chain solutions company. It is a… more
- Community Clinic Inc. (Silver Spring, MD)
- …a more equitable health care system for everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial resource in support of the clinical ... services provided. The Claims Specialist will assure that services are...be assertive and goal oriented. + Familiarity with computerized systems is required. + Must be a willing participant… more
- Illumination Foundation (Santa Ana, CA)
- …across Orange County, Los Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims submission, ... eligibility verification, accuracy of client information. In addition, the Claims Specialist is also responsible for keeping...Prior experience work in Electronic Billing Platforms and EHR systems + Prior experience working with claims … more
- Pike Corporation (Mount Airy, NC)
- Position Overview: The primary purpose of the Assistant Claims Specialist is to support the Claims dept. and work closely with the Claims Specialists in ... claims filed against the company associated with damage claims and losses. The Assistant will play an integral...+ Data entry of payments, reimbursements and correspondence in systems and database for concise yet accurate file documentation.… more
- City of New York (New York, NY)
- …also implements and lifts SNAP sanctions. SNAP-CR is recruiting for (2) two Eligibility Specialist IIs to function as a Claims Review Specialists, who will: - ... Job Description YOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR IF YOU ARE HIRED...data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and… more
- Zelis (Atlanta, GA)
- Position Overview: The Claims Support Specialist position provides comprehensive administrative support as a part of the Client Experience. The Claims ... members, and payors according to standard operating procedures. + Manage various systems and databases. + Provide daily updates to management and clients as… more
- Santander US (East Providence, RI)
- Specialist , Claims & Fraud Operations East Providence, United States of America USA Job Family Description: Responsible for the day-to-day operations of the ... needed. Completes governmental reports such as SAR. Investigates fraud claims involving ACH, Pre-authorized drafts, altered check, forged endorsements, unauthorized… more
- The Hartford (Hartford, CT)
- Operations Support Specialist , Claims - CH10KN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and ... of business or tasks may vary based on upon need + Utilizing claim systems and equipment to correctly process incoming and outgoing correspondence + Assigning or… more
- Crawford & Company (Phoenix, AZ)
- …and/or licensing in field; continuing education courses when required. For Claims trainers, a professional designation is preferred (AIC, ARM, CPCU, SCLA ... or other equivalent claims related professional designation). + Position requires some travel....+ Very strong interpersonal skills + Understanding of applicable systems + Knowledge of Crawford products and services through… more
- Trinity Health (Farmington Hills, MI)
- …the medical staff and other MO colleagues, regarding denial management processes, systems and requirements. May provide clinical input to Pre-Service staff in order ... and reviews findings with all levels of Payment Resolution Specialist for further review. Serve as a resource to...Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …and according to established JSH policies and procedures the HIM Charge Specialist is responsible for reviewing medical record documentation to determine appropriate ... + Requires advanced knowledge of ICD-10-CM; ICD-10-PCS; CPT-4; and HCPCS coding systems . + Experience in assigning Evaluation and Management, injection and infusion… more
- AIG (Cincinnati, OH)
- …insurance experience and to develop the staff into AIG's next generation of claims adjusters, underwriters, operations specialist , etc. You must have a strong ... underwriting, claims , accounting, finance and associated process, controls and systems . + Strong technical skills in Microsoft Excel, Power Point and Word… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4534112) Apply Property Claims Manager ... information about this posting, please contact: Erica R. Gay HR Specialist Division of Administration/Office of Human Resources email: ###@la.gov Minimum… more
- State of Colorado (Denver, CO)
- …the implementation or operation of large healthcare IT solutions like healthcare claims processing systems and/or care and case management platforms. OR ... the implementation or operation of large healthcare IT solutions like healthcare claims processing systems and/or care and case management platforms. Preferred… more
- Medical Mutual of Ohio (OH)
- **_Note, quarterly on-site requirement in Brooklyn, OH_** **Responsibilities** **Business Systems Specialist I** Works with management, external vendors, and ... of more junior staff. . Performs other duties as assigned. **Business Systems Specialist II** Works with management, external vendors, and Information… more
- Allied Solutions (Plano, TX)
- Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. This ... will involve the initial processing and investigation of 20-40 claims per day. This position ensures that all claim...This position will also review database information found in systems such as Unitrac, insurance company websites, Lexis Nexis,… more