NewClaims Service Specialist Minute Men IncorporatedClaims Service SpecialistCleveland, OHFull timeEssential Duties and Responsibilities The essential functions include, but are not limited to the following: Open and distribute daily mail and faxes and distribute and route accordingly. Position Summary The Claims Service Specialist overall objective is to process non-complex, non-technical claims related activities directed by Claims Manager.
Claims Operation Support Specialist - Marine Starr CompaniesClaims Operation Support Specialist - MarineAtlanta, GAAt Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex. Provide administrative support to the Claims Processing Department as needed for all other profit centers, including Marine.
Education and Training Specialist - CLAIMS PROCESSING Providence Health & ServicesEducation and Training Specialist - CLAIMS PROCESSINGMission Hills, CA$29.62–$45.31 / hourRequsition ID: 450440 Company: Providence Jobs Job Category: Learning & Development Job Function: Human Resources Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 7520 CLAIMS PROCESSING CA HERITAGE SERVICES Address: CA Mission Hills 11165 N Sepulveda Blvd Work Location: Facey Sepulveda Annex-Mission Hills Workplace Type: On-site Pay Range: $29.62 - $45.31 Working under the general supervision of the Claims Director, provide an effective education program to advance the quality and production level of the Claims Department by developing and delivery claims training programs that continuously improves the Claims Department performance to meet the NSS strategic goals.
Education and Training Specialist - CLAIMS PROCESSING Providence St. Joseph HealthEducation and Training Specialist - CLAIMS PROCESSINGMission Hills, CAWorking under the general supervision of the Claims Director, provide an effective education program to advance the quality and production level of the Claims Department by developing and delivery claims training programs that continuously improves the Claims Department performance to meet the NSS strategic goals. Any combination of experience or equivalent background: 5 years experience of acquired in-depth technical knowledge of functional area i.e., claims operations, HMO products, industry claims processing procedures, contracts, billing and overall managed care processes, etc.
Claims Resolution Specialists II American Oncology NetworkClaims Resolution Specialists IIMacon, GeorgiaMust establish and maintain effective work relationships with new and existing customers through a high degree of professionalism and excellent interpersonal communication skills. Respond to patient and office inquiries regarding outstanding insurance balances, insurance payments received, allowable charges, assignment of benefits and any other insurance questions.
Claims - Workers Compensation Specialist I-IV Cincinnati Financial CorpClaims - Workers Compensation Specialist I-IVCincinnati, OH$53,500–$90,000 / year165106'',''true'',''165106'',''false'',''Submission for the position: Claims - Workers Compensation Specialist I-IV - (Job Number: 2600476)'',''false'',''165106'',''false'',''true'',''Claims - Workers Compensation Specialist I-IV'',''2600476'',''US-OH-Fairfield'',''!*! '',''false'',''165106'',''165106'',''true'',''165106'',''false'',''Submission for the position: Claims - Workers Compensation Specialist I-IV - (Job Number: 2600476)'',''false'',''165106'',''false'',''true''.
Pharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistDenver, ColoradoSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Claims Recovery Specialist III IMT InsuranceClaims Recovery Specialist IIIWest Des Moines, IA$55,000–$80,000 / yearThe Claims Recovery Specialist III also serves as a technical resource and subject matter expert for the Claims Recovery Team on liability analysis, arbitration strategy, and recovery opportunities, while mentoring team members and recommending process improvements that drive recovery results. Set and maintain appropriate reserves, negotiate settlements within authority levels, and obtain approval for settlements exceeding assigned authority.
Claim Specialist - Auto Injury - Hybrid State FarmClaim Specialist - Auto Injury - HybridTempe, AZ$70,101.85–$83,535.93 / yearWith 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! Additional Details: Employees must successfully complete all required training, including applicable proficiency and licensing exam(s), and background checks required of various state(s).
Claim Specialist- Auto Injury-Hybrid State FarmClaim Specialist- Auto Injury-HybridBloomington, IL$70,101.85–$83,535.93 / yearWith 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! Additional Details: Employees must successfully complete all required training, including applicable proficiency and licensing exam(s), and background checks required of various state(s).
Cash Application/Claims Specialist Integrated Resources, IncCash Application/Claims SpecialistMASON, OHResearches and resolves data issues through coordination and communication with internal and/or external clients and team members, ensuring timely application of payments on open receivables. Detailed working knowledge of basic computer operations and systems, i.e. Web-based search engines, Windows, and Microsoft Office products.
Retirement Operations Specialist (Benefit Claims) Teachers Retirement System of GeorgiaRetirement Operations Specialist (Benefit Claims)Atlanta, GeorgiaUnder general supervision of the unit manager, the incumbent will review member accounts, process routine requests for benefits, and communicate with members and other authorized entities regarding member accounts, state/federal laws, rules, regulations, and policies of the Teachers Retirement System. • Bachelor’s degree from a (4) four-year accredited college and (3) three years of equivalent experience in a financial services or business environment, or a combination of education and work experience.
Litigation and Claims Operations Specialist Dnow IncLitigation and Claims Operations SpecialistHouston, TXThe Litigation and Claims Operations Specialist supports the legal department's dispute resolution and legal operations functions by managing pre-litigation claims, coordinating litigation support activities throughout the duration of the filing, and completing other tasks as needed. Audit and process invoices for payment, including coordinating with outside counsel / vendors, TPAs, and Accounts Payable to set up accounts, monitor payment statuses, and resolve any billing discrepancies.
NewClaims Resolution Specialist - 1.0 FTE Prairie Ridge Health Inc.Claims Resolution Specialist - 1.0 FTEColumbus, WIFull timeThe Claims Resolution Specialist is responsible for researching and resolving complex facility and professional insurance denials and ensures that claims are followed up in a timely manner. This includes the ability to: insert tables and bulleted lists; create and utilize form letters; and generate professional-appearing memos and e-mails.
Senior Claims Benefit Specialist CVS Health CorpSenior Claims Benefit SpecialistOR$18.50–$42.35 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines.
Healthcare Claims Resolution Specialist - Remote US Gainwell Technologies LLCHealthcare Claims Resolution Specialist - Remote USTXRemote$26,500–$37,800 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. As a COB Service Representative Assistant at Gainwell, you will support cost recovery efforts by working with insurance carriers, providers, and internal teams to resolve claims and ensure proper reimbursement.
Claims Management Specialist (Construction) Massachusetts Water Resources AuthorityClaims Management Specialist (Construction)Chelsea, MA$98,565.48–$144,961.42 / weekOffice machines as normally associated with a professional office environment, including the use of telephones, personal computers, word processing and other software, email, videoconference applications, copiers, scanners and fax machines. While performing duties of this job, the employee is regularly required to use hands to finger, handle, feel or operate objects, including office equipment, or controls and reach with hands and arms.
Claims - No-Fault Litigation Specialist I-Iv Cincinnati Financial CorporationClaims - No-Fault Litigation Specialist I-IvFairfield, OH$60,000–$95,000 / yearShare your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person. Our Headquarters Claims is currently seeking a supervisor to handle and supervise auto med pay and PIP features of Casualty claims.
Transportation Claims and Carrier Specialist Langham LogisticsTransportation Claims and Carrier SpecialistIndianapolis, INSupports daily transportation operations with a primary focus on LTL and Truckload claims, carrier relationships, freight classification, routing guides, preferred carriers, Accounting support, EDI unmatched transactions, and prior-day pickup review. Audit carrier invoices for accuracy, including rates, freight class, accessorial charges, duplicate charges, and other billing discrepancies; support Accounting with research, credits, corrections, and supporting transportation documentation.
NewClaims Advocate Specialist First AmericanClaims Advocate SpecialistCaliforniaFirst American reasonably believes that a criminal history may have a direct, adverse and negative relationship with the following material job duties for this position potentially resulting in the withdrawal of the conditional offer of employment: handling of confidential, proprietary or trade secret information belonging to First American or its customers, administrating or facilitating financial transactions, and the ability to meet customer-imposed criminal history requirements. Investigate, analyze and respond to highly complex claims from the following sources: claims addressed to Management, claims forwarded to the Corporate Offices, claims escalated from other lines of business.