- Providence (Anaheim, CA)
- **Description** The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, ... and adjudication and claims research when necessary. Senior Claims Specialist must have...provider contract reimbursement terms. **Why Join Providence?** Our best-in-class benefits are uniquely designed to support you and your… more
- Axis (Red Bank, NJ)
- …request for candidates taking part in the selection process. Job Description: AXIS is seeking a Senior Claims Specialist - Excess Claims to join our ... as well as reporting and presenting about same to senior management * In-depth knowledge of claims ,...top of this, we offer a comprehensive and competitive benefits package which includes medical plans for employees and… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …of Ward's Top 50 and rated A++ by AM Best. Duties We are looking for a Senior Claims Specialist - Professional Liability to join our team. Summary - ... and settle more complex first and third party insurance claims . A typical day will include the following: Evaluates...sexual orientation and/or any other status protected by law. Benefits We offer a comprehensive benefit package,… more
- Axis (Princeton, NJ)
- …direction, acts as highest level individual contributor directly reviewing excess casualty claims to determine nature of loss, coverage provided, and scope of claim ... and to make recommendation regarding settlement/disposition of claims . Please note this role is Hybrid/3 days in...transfer to the claim * Prepares required reports to senior management * Travels to mediations or settlement conferences… more
- Axis (New York, NY)
- …Heights, NJ, Princeton, NJ * Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim ... for the timely evaluation, reserving and disposition of assigned claims * Documents coverage, investigation, damages, reserve rationale, negotiations, etc.… more
- Axis (Alpharetta, GA)
- …and coverage. * Timely makes recommendations regarding resolution strategy for such claims including reserve adequacy; executes such strategy on behalf of the ... liability and damages issues in connection with complex primary and excess claims and maintaining appropriate documentation * Analyzes insurance coverage issues and… more
- CVS Health (San Antonio, TX)
- …in the claim adjudication process. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or referral submission to ... convenient and affordable. Position Summary: This is a Claim Benefit Specialist will be trained for 20...- Routes and triages complex claims to Senior Claim Benefits Specialist . -… more
- CVS Health (Pittsburgh, PA)
- …related to claim processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or referral submission to ... convenient and affordable. Position Summary * Reviews and adjudicates routine claims in accordance with claim processing guidelines. * Analyzes and approves… more
- Medical Mutual of Ohio (Centerville, OH)
- **_The SDC - Claims /Customer Care Specialist - TPA position allows you the flexibility to work at home as long as you reside within a 50-mile radius of an Ohio ... performance expectations, service philosophy, and service level agreements. **Responsibilities** **SDC- Claims /Customer Care Specialist I** . Utilizing multiple… more
- NJM Insurance (Hammonton, NJ)
- Job Description The Claim Resolution Specialist 1 will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary ... action plan to manage the claim. The Claim Resolution Specialist 1 will work with and communicate to NJM...seek authority as needed. This role will manage litigated claims of low complexity for further development within this… more
- Zurich NA (Columbus, OH)
- RCIS CROP Claims Employee Development Specialist 112483 We are excited to announce an opening in our Rural Community Insurance Services (RCIS) Crop organization. ... for this exciting opportunity will engage leaders and executive stakeholders in Crop Claims and the RCIS organization to lead the planning, execution and measurement… more
- BrightSpring Health Services (Honolulu, HI)
- …focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh ... pay Shift differential Health, dental, vision and life insurance benefits Company paid STD and LTD Tuition Assistance Employee...come join our team and apply today! Responsibilities TheClaims Specialist - 3rd Party: + Manages and identifies a… more
- Axis (New York, NY)
- …analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim reserves and make referrals ... to senior members of the team where necessary * Obtain...relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising * Prepare coverage… more
- Randstad US (St. Paul, MN)
- senior claims specialists. + st paul , minnesota + posted 1 day ago **job details** summary + $27 - $27.82 per hour + temp to perm + high school + category ... + referenceAB_4521218 job details Randstad is looking to hire Senior Claims Specialists for a large financial...send your resume to ###@randstadusa.com with the subject "Sr Claims Specialist - Minnesota" for immediate consideration.… more
- University of Maryland, Baltimore (Baltimore, MD)
- …* Performs other duties as assigned. * Senior Specialist :* * Leads benefit initiatives, such as the benefits fair, and may lead special benefit ... Services*is seeking a* Benefits Specialist or Senior Benefits Specialist *to assist...agencies to resolve benefit issues regarding eligibility, claims , and retirement benefits and ensures compliance… more
- CVS Health (Columbus, OH)
- … claims in accordance with plan processing guidelines. - Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... for claim or reconsideration. Required QualificationsRequired 2+ years of Medical claims processing experience Familiar with ICD and CPT coding Ability to… more
- CVS Health (Albany, NY)
- …handle customer service inquiries and problems. Required Qualifications - Reviews pre-specified claims or claims that exceed specialist adjudication ... and affordable. Position Summary Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines . Acts as a… more
- CVS Health (St. Paul, MN)
- …to complex issues. May handle customer service inquiries and problems. Reviews pre-specified claims or claims that exceed specialist adjudication authority ... affordable. Position Summary Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Tucson Electric Power (Tucson, AZ)
- **Services Procurement--Associate, Specialist , or Senior ** Company **Tucson Electric Power** Location **Tucson, AZ** Requisition ID **5551** **About Us** UNS ... (https://youtu.be/hpknvJPLuoc) andhere (https://youtu.be/7BECywu-Re4) . **Job Description - Services Procurement--Associate, Specialist , or Senior ** Check us out. We… more
- Precision Resource (Shelton, CT)
- …military and defense. Our Corporate office, located in Shelton, CT seeks a Senior Compensation and Benefits Specialist . Alternatively, this position can ... position with flexibility to work from home. Summary The Senior Compensation and Benefits Specialist ...10+ years of high level experience and expertise in benefits and knows how benefit plans work… more