- CVS Health (Columbus, OH)
- … claims in accordance with plan processing guidelines. - Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... discrepancies, and applies all cost containment. measures to assist in the claim adjudication process.- Insures all compliance requirements are satisfied and all… more
- CVS Health (Phoenix, AZ)
- …solutions to make health care more personal, convenient and affordable. Position Summary The Senior Claim Benefit Specialist (OPS) reviews, researches ... processing guidelines. May be required to learn multiple Medicaid plans. Medical claims processing experience is a basic requirement. * Works to research and… more
- Samsung SDS America (Plano, TX)
- …Account Group and its Settlement subpart as well as the company's Management/Finance Group. Claims Specialist will work on a resolution of logistics claims , ... or issues that arise. + Notify involved parties of claim filings and/or rejected claims and work...common goal and to delegate workload to maximize efficiency. Benefits Samsung SDSA offers a comprehensive suite of programs… more
- Zurich NA (Schaumburg, IL)
- Sr . Mass Litigation Claims Specialist...communications and reporting associated with the life of a claim . At Zurich North America Claims we ... 111708 Zurich is currently seeking a Sr . Claims Professional to join our Latent & Environmental team...a company with a global footprint that offers terrific benefits including an incentive plan, 401K match and an… more
- Travelers Insurance Company (Hartford, CT)
- …experience to join our Strategic Resolution Group Claim team as a Sr . Technical Specialist handling complex toxic tort, latent injury, sexual misconduct, ... claim and coverage determination or in handling severe, highly complex liability claims and litigation, or comparable claim litigation or legal experience, OR… more
- CVS Health (Albany, NY)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. Required Qualifications - Reviews pre-specified claims or claims that exceed specialist adjudication… more
- CVS Health (St. Paul, MN)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... May handle customer service inquiries and problems. Reviews pre-specified claims or claims that exceed specialist...applies all cost containment. measures to assist in the claim adjudication process. - Handles phone and written inquiries… more
- Schwan's Company (Marshall, MN)
- …snacks. Schwan's is a place for people with an appetite for more. We are hiring a Sr Workers Compensation Specialist to work out of our office in Marshall, MN or ... defense of claims . + Successful use of case management technology for claim tracking, resolution and determining the appropriate benefit . Assist with case… more
- CVS Health (San Antonio, TX)
- …assist in the claim adjudication process. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or referral ... personal, convenient and affordable. Position Summary: This is a Claim Benefit Specialist will be...- Routes and triages complex claims to Senior Claim Benefits Specialist… more
- Travelers Insurance Company (Overland Park, KS)
- …negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- Travelers Insurance Company (Morristown, NJ)
- …negotiating and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- National General Insurance Company (Tampa, FL)
- …will be seated in the S/E area of the US - Florida PIP claims experience is highly desirable.** Job Summary: Responsible for investigating and confirming the facts ... Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: + Handles investigation… more
- Zurich NA (Rancho Cordova, CA)
- Senior Claim Specialist Construction Defect 112105 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority ... Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims...Overland Park, Parsippany, Rancho Cordova or Schaumburg. As a Senior Claim Specialist Construction Defect… more
- CRC Insurance Services, Inc. (Brewster, NY)
- …and makes recommendation for additional activity as appropriate. 3. Determine where new loss claims should be reported. 4. Manage all claim documentation. 5. Use ... and/or correspondence to the Agent or Insurer to process claims appropriately. 6. Analyze claim coverage with...and paid holidays. For more details on Truist's generous benefit plans, please visit our Benefits site… more
- Covr Financial Technologies (Houston, TX)
- …on our platform since 2016. Our platform has processed close to $5 billion in claim benefits for end-consumers. Covr's platform provides a simpler way for people ... REPORTS TO: Sr . Application Fulfillment Specialist DEPARTMENT: Operations...ethic and high level of personal integrity and accountability BENEFITS PACKAGE: We offer a competitive benefits … more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …healthcare? Bring your true colors to blue. What We Need The Senior Audit Specialist role will review paid claims for coding accuracy in accordance to ... Flex persona. Your Day to Day + Analyze data to assess the accuracy of claims payments + Determine root causes of claim processing problems/errors and provides… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 01/04/2023 **Requisition Number** PRN33366B **Job Title** PS Billing Specialist , Sr **Working Title** PS Billing Specialist , Sr ... medical billing and collection processes by verifying eligibility and benefits , obtaining preauthorization, entering medical codes, requesting payments and resolving… more
- Montana State University (Bozeman, MT)
- …Classification Title Finance Professional Working Title Electronic Research Administrator (eRA), Sr . Proposal Application Specialist Brief Position Overview The ... ( VPRED ), is seeking a highly motivated electronic Research Administration (eRA), Sr . Proposal Application Specialist , to support and expand research and… 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 ... claim and to make recommendation regarding settlement/disposition of claims . The candidate's key duties and responsibilities include, but...as well as reporting and presenting about same to senior management * In-depth knowledge of claims ,… more
- HNTB (Indianapolis, IN)
- …the technical aspect of project development and delivery in their function areas. The Sr Project Controls Specialist applies advanced techniques and serves in a ... with the project team or client/owner related to potential claims , claims avoidance, and claims ...design and construction experience) **Additional Information** Click here for benefits information: HNTB Total Rewards Click here to learn… more