- Liberty Mutual Insurance (Butte, MT)
- …factors set forth in the compensation plan for the role. Description The Workers Compensation Claims Specialist works within a Claims Team, using the latest ... manage an assigned caseload of routine to moderately complex claims from the investigation of the claim ...position may be filled as a Workers Compensation Associate Claims Specialist , Workers Compensation Claims … more
- Premier, Inc (Hudson, OH)
- Workflow Specialist (Entry Level) - Contigo Health What you will be doing:The Workflow Specialist performs various tasks and assignments related to all incoming ... and outgoing health insurance claims and claims related correspondence. You will also provide support services such as document imaging, data entry and workflow… more
- Ensemble Health Partners (Bangor, ME)
- …are available:** Full Time* Part Time* PRN*The Opportunity:*The Patient Access Specialist is responsible for performing admitting duties for all patients admitted ... of Service Collections) and billing processes to assist with a clean claim rate.* Responsible for accurately screening medical necessity using the Advance… more
- Kci30-karmanos Cancer Institute (Detroit, MI)
- *Job Summary:* Processes non-industry sponsored claims and all professional fees associated with clinical trial patients, in a timely and accurate basis. Ensures ... compliance of claims processing in accordance with insurance guidelines. Responsible for...patients and supply NCT ID#s to vendors for insurance claims .*Qualifications:*1. Bachelors Degree required with minimum of 1-2 years… more
- AAOS (Rosemont, IL)
- …outside counsel on compliance with HIPAA/HITECH/CARES Act. Assists Compliance Specialist with processing trademark, copyright, and permissions requests. Prepares and ... of Directors. Collaborating on the day-to-day work of the Compliance Specialist , including: Conducting administrative review of all submitted grievances. Reviewing… more
- ChristianaCare (Wilmington, DE)
- …RHIT) Equivalent experience of 5+ years' experience in provider auditing, claims auditing, compliance auditing, quality assurance, and/or recovery auditing Coding ... Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS… 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...policyholder's reporting practices + Prepare, attend, and participate in Claim Reviews as needed with the Claims … more
- CVS Health (San Antonio, TX)
- …measures to assist in the claim adjudication process. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or ... related to claim processing issues. - Routes and triages complex claims to Senior Claim Benefits Specialist . - Proofs claim or referral submission… more
- MetLife (Tampa, FL)
- …demands, financial information, and any other information that may be pertinent to the Claims Specialist 's evaluation of the claim . Once telephone calls are ... of our customers and our communities. The IDI Senior Claims Specialist evaluates individual disability income insurance...care providers, attorneys, brokers, and family members during the Claim Specialist 's claim evaluation. *… more
- Travelers Insurance Company (Pittsburgh, PA)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file… more
- City of New York (New York, NY)
- …New York employees serving in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent civil service title on ... Law & Adjustment is responsible for investigating and adjusting claims filed for and against the City of New...in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent… 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
- Axis (Red Bank, NJ)
- …request for candidates taking part in the selection process. Grade H Senior Claims Specialist , Property Salary range: Alph: $95K-130K Job Summary: Under limited ... of claim and to make recommendation regarding settlement/disposition of claims . Develop and maintain relationships with internal and external partners. Ideal… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined to... Claim Specialist is the highest claim handling designation within the Complex Claims Unit ... to manage, and can involve higher exposures. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to...timely manage all aspects of the most complex, high-value claims exhibiting a detailed knowledge of each claim… more
- The Hartford (Penn, PA)
- Specialist Claims - CH07DE We're determined to... Claim Specialist is the highest claim handling designation within the Complex Claims Unit ... to manage and can involve higher exposures. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to...claims while exhibiting a detailed knowledge of the claim , a well-reasoned analytical focus, and a clear strategy… more
- CVS Health (Pittsburgh, PA)
- …written correspondence related to claim processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim ... and affordable. Position Summary * Reviews and adjudicates routine claims in accordance with claim processing guidelines....and adjudicates routine claims in accordance with claim processing guidelines. * Analyzes and approves routine … 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
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and timely… more
- MetLife (Bloomfield, CT)
- …impact in the lives of our customers and our communities. The Lead LTD Claims Specialist manages a caseload of long term disability insurance claims ... time service standards. In this role, the Lead LTD Claims Specialist will be a technical expert...regulations. Provides timely and detailed written communication during the claim evaluation process which outlines the status of the… more
- 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
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