NewPharmacy Technician, Intermediate UPMC - University of Pittsburgh Medical CenterPharmacy Technician, IntermediatePittsburgh, PAThe Pharmacy Technician, Intermediate provides pharmaceutical care to patients within the UPMC Health System by showing proficiency in essential technician functions like sterile and nonsterile medication preparation, packaging and labeling of medications, medication filling, and medication distribution. ADJUDICATION/BILLING: Consistently exhibit the following actions; submission of prescription information to correct insurance processor, troubleshoot and resolve rejected claims, reliably coordinate multiple benefit payers, including Medicare obtaining all necessary paperwork including assignment of benefit forms.,
NewPharmacy Benefits Specialist BlinkRxPharmacy Benefits SpecialistPittsburgh, PAWe are a highly collaborative team of builders and operators who invent new ways of working in an industry that historically has resisted innovation. High school diploma or GED required, Bachelor's degree strongly preferred.
QA Associate | Claims Associate Integrated Resources, IncQA Associate | Claims AssociatePittsburgh, PAPerforms and documents results of all quality assurance evaluations on all operational products and services, including (but not limited to) benefit verification cases, patient assistance cases, software support calls/emails, inbound calls from patients or health care providers, data entry, etc. The Operations Quality Assurance Associate I will be a subject matter expert for their respective assigned business unit(s) and will utilize analytical skills to analyze data, processes, and workflows to provide insightful, actionable coaching for the Operations Agents.
Director, Claims (Commercial-Self-Funded) The Health PlanDirector, Claims (Commercial-Self-Funded)Wheeling, WVMonitors all daily activities with the assistance direct reports regarding claims processing/review, productivity, timeliness of payments and quality indicators of services. Coordinates claim review activities with internal departments as well as participants on internal committees representing the claims department and formulates workflow between all departments.
Casualty Claims Specialist First Chicago Insurance CompanyCasualty Claims SpecialistPittsburgh, PAThey will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. The Casualty Claims Specialist will have the following duties and responsibilities: Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss.
Property Adjuster Insurance Claims Elevate Claims SolutionsProperty Adjuster Insurance ClaimsWheeling, West VirginiaElevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Elevate Claims Solutions is seeking an Independent Adjuster adjusters with commercial and residential property claims in Duluth, MN and surrounding area.
Field Claims Representative - Pittsburgh Acuity, A Mutual Insurance CompanyField Claims Representative - PittsburghPittsburgh, PA$75,000–$150,000 / yearThe representative evaluates liability, exposure, subrogation potential and arrange for the disposition of claims through settlement or denial, including litigation. If you have a disability and require reasonable accommodations to apply or during the interview process, including for in-person interviews, please contact our Talent Acquisition team at careers@acuity.com.
Casualty Claims Specialist First Chicago Insurance Company (FCIC)Casualty Claims SpecialistPittsburgh, PAFull timeThey will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim.
NewSenior Claims Adjuster Workers Compensation - NJ/PA GallagherSenior Claims Adjuster Workers Compensation - NJ/PAPittsburgh, PennsylvaniaRemoteFull timeAbout you : As a key member of our experienced Claims Adjuster team, you will: Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution. How you'll make an impact : Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims.
Field Claims Representative Solera Holdings LLCField Claims RepresentativePAOur 6,500 team members foster an uncommon, innovative culture and are dedicated to successfully bringing the future to bear today through cognitive answers, insights, algorithms and automation. Strong problem solving, project management skills while maintaining excellent customer service with client policyholder and insurance company claim staff.
Claims Consultant Tata Consultancy Services LtdClaims ConsultantPA$48,000–$55,000 / yearResponsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments. Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Workers Comp Senior Claims Rep Remote-NJ PA MA Vanliner Insurance CompanyWorkers Comp Senior Claims Rep Remote-NJ PA MAPittsburgh, PennsylvaniaRemoteOur steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes.
Workers Comp Senior Claims Rep Remote-NJ PA MA Great American Insurance CompanyWorkers Comp Senior Claims Rep Remote-NJ PA MAPARemote$72,000–$82,000 / yearOur steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes.
Complex Claims Consultant - Life Insurance Agent / Broker Dealer CNA Financial CorpComplex Claims Consultant - Life Insurance Agent / Broker DealerPA$72,000–$141,000 / yearResolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority. Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of high complexity and exposure Financial Lines claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
Senior Stop Loss Claims Analyst Highmark IncSenior Stop Loss Claims AnalystPAThis includes following a departmental claim checklist to ensure eligibility is met, the payment reimbursement request is accurate by auditing the claim for duplicate line-item charges and determining if all information is available to finalize the payment request. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Claims Counsel West Shore Home, Inc.Claims CounselPittsburgh, PAYou will serve as a subject matter expert regarding claims matters, handling various types of claim disputes and litigation for automobile personal injury, commercial general liability, property damage, workers compensation, and other corporate litigation. Our dedication to fostering a strong, value-driven culture has consistently earned us the Top Workplaces USA award as one of the nation's top employers, including recognition in Leadership, Purpose & Values, and Compensation & Benefits.
Field Claims Specialist II, Material Damage (Southwest Greater Pittsburgh Area, PA - WFH) Nationwide Mutual Insurance CoField Claims Specialist II, Material Damage (Southwest Greater Pittsburgh Area, PA - WFH)Pittsburgh, PARemote$62,500–$115,500 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. If you're passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide's Property and Casualty team could be the place for you!
Field Claims Specialist II, Material Damage (Eastern Greater Pittsburgh Area, PA - WFH) Nationwide Mutual Insurance CoField Claims Specialist II, Material Damage (Eastern Greater Pittsburgh Area, PA - WFH)Pittsburgh, PARemote$62,500–$115,500 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. If you're passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide's Property and Casualty team could be the place for you!
NewClaims Adjuster Trainee The Progressive CorpClaims Adjuster TraineeMonroeville, PA$54,000–$57,500 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://www.progressive.com/careers/how-we-hire/faq/job-scams/ . This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months.
NewIndependent Insurance Claims Adjuster in Uniontown, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Uniontown, PennsylvaniaUniontown, PennsylvaniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in New Kensington, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in New Kensington, PennsylvaniaNew Kensington, PennsylvaniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Verona, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Verona, PennsylvaniaVerona, PennsylvaniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Weirton, West Virginia MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Weirton, West VirginiaWeirton, West VirginiaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Irwin, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Irwin, PennsylvaniaIrwin, PennsylvaniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Pittsburgh, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Pittsburgh, PennsylvaniaPittsburgh, PennsylvaniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in West Mifflin, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in West Mifflin, PennsylvaniaWest Mifflin, PennsylvaniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Mc Kees Rocks, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Mc Kees Rocks, PennsylvaniaMc Kees Rocks, PennsylvaniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Coraopolis, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Coraopolis, PennsylvaniaCoraopolis, PennsylvaniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Bethel Park, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Bethel Park, PennsylvaniaBethel Park, PennsylvaniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Washington, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Washington, PennsylvaniaWashington, PennsylvaniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Allison Park, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Allison Park, PennsylvaniaAllison Park, PennsylvaniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Sewickley, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Sewickley, PennsylvaniaSewickley, PennsylvaniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Monroeville, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Monroeville, PennsylvaniaMonroeville, PennsylvaniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Carnegie, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Carnegie, PennsylvaniaCarnegie, PennsylvaniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Belle Vernon, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Belle Vernon, PennsylvaniaBelle Vernon, PennsylvaniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Canonsburg, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Canonsburg, PennsylvaniaCanonsburg, PennsylvaniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Clairton, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Clairton, PennsylvaniaClairton, PennsylvaniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Steubenville, Ohio MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Steubenville, OhioSteubenville, OhioIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Homestead, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Homestead, PennsylvaniaHomestead, PennsylvaniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Wheeling, West Virginia MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Wheeling, West VirginiaWheeling, West VirginiaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Bridgeville, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Bridgeville, PennsylvaniaBridgeville, PennsylvaniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Mc Keesport, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Mc Keesport, PennsylvaniaMc Keesport, PennsylvaniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Mc Donald, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Mc Donald, PennsylvaniaMc Donald, PennsylvaniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Pharmacy Benefits /Insurance Claims Specialist | Onsite- Pittsburgh Blink Health Management LLCPharmacy Benefits /Insurance Claims Specialist | Onsite- PittsburghPittsburgh, PAOur two primary products BlinkRx and Quick Save remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved health outcomes for patients. Company Overview: Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody.
NewClaim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionPittsburgh, PA$59,059.65–$90,000 / yearCompetitive candidates should reside within one of the listed zip codes and will service this same territory: 16101 16102 16112 16132 16031 16057 16156 16105 16116 16143 16159 16127 16156 16172 16142 16159 16161 16121 16146 16148 16137 16133 16153 16113 16154 16104 16145 16114 16151 16125 16130 16314 16110 16131 16111 16316 16335 16424 16422 16433 16444 16403 16406 16440 16435. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Complex Claim Director - Mass Tort Unit CNA Financial CorpComplex Claim Director - Mass Tort UnitPA$97,000–$189,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Leads the work activities of medium to high severity specialized Claims Professionals, has full management responsibility for setting and communicating expectations, providing direction and situational coaching, and facilitating ongoing training. Leads a team of Claims Consultants and Consulting Directors that are responsible for the handling of complex, high exposure mass tort and environmental claims, including social media addiction, PFAS, talc, sexual molestation, and other long tail general liability and pollution related matters.
NewClaim Rep Outside Liability The Travelers Companies IncClaim Rep Outside LiabilityPittsburgh, PA$67,000–$110,600 / yearDetermines appropriate settlement amount based on independent judgment, appropriate liability determination, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of proper jurisdictional rules, limits, and deductibles. Investigate each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential.
General Liability Claim Representative The Travelers Companies IncGeneral Liability Claim RepresentativePittsburgh, PA$67,000–$110,600 / yearInvestigates each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Fraud Operations Manager Citizens Financial Group IncFraud Operations ManagerPittsburgh, PAThe ideal candidate brings deep expertise in Mastercard chargeback reason codes, network dispute lifecycle management, and vendor partnerships with organizations like Ethoca and Verifi. This role is responsible for leading chargeback processing, recovery operations, representment and pre-arbitration strategy, vendor relationships, network compliance, and settlement accuracy for both fraud and non-fraud claims.
QA Associate ConnectiveRxQA AssociatePittsburgh, Pennsylvania$18.98–$25.85 / hourFull timePerform and document quality assurance evaluations across operational products and services, including benefit verification cases, patient assistance cases, software support calls and emails, inbound calls from patients and healthcare providers, data entry activities, and other operational functions. The Operations Quality Assurance Associate I evaluates work completed by Operations Agents against program SOPs, WINs, business rules, and other program-related documents to ensure adherence to established expectations.