Auto Claims Representative Auto-Owners Insurance CoAuto Claims RepresentativePittsburgh, PAAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: Investigate, evaluate, and settle entry-level insurance claims.
Claims Quality Review Sr Consltant CNA Financial Corp.Claims Quality Review Sr ConsltantPittsburgh, PA$72,000–$141,000 / yearWorks with the Claim Quality Review Director and the Claim Quality Technical Lead for assigned line of business to aggregate and analyze results from quality and manager reviews to identify trending of best practice and opportunity areas for assigned line of business and across the Claim organization. Performs a combination of duties in accordance with departmental guidelines: Completes technical file reviews for assigned line of business; gathers and interprets data, evaluating both technical and operational behaviors associated with functional roles.
Bodily Injury Claims Specialist Auto-Owners Insurance CoBodily Injury Claims SpecialistPittsburgh, PAThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
New["Prepared Meals and Rotisserie Chicken Associate","Prepared Meals and Rotisserie Chicken Associate"] Walmart["Prepared Meals and Rotisserie Chicken Associate","Prepared Meals and Rotisserie Chicken Associate"]Greensburg$18–$26 / hourBe a Team Member: Maintains up-to date knowledge of product specifications related to prepared food merchandise; collaborating with cross functional teams and helping educate other associates on tools, tasks and resources; communicating effectively with the members of the team; and being flexible to the needs of the business to work in other areas. Be a Talent Ambassador: Being an advocate for the department and the club by valuing the member's experience in meat area and modeling high quality service and products; executing the basics at highest possible level of quality; and exhibiting energy, commitment, and passion for the work.
Field Claims Representative Auto-Owners Insurance CoField Claims RepresentativePittsburgh, PAAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job requires mastery of claims-handling skills and requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability.
Account Associate - State Farm Agent Team Member Brandy Farrow - State Farm AgentAccount Associate - State Farm Agent Team MemberAllison Park, PAFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Brandy Farrow - State Farm Agent, you are vital to our daily business operations and customers’ success. For our team, we offer professional and personal development opportunities, coaching and mentorship, team-building events, a Simple IRA, licensing reimbursement, and a strong focus on work-life balance.
Experienced Catastrophe Claims Representative Auto-Owners Insurance CoExperienced Catastrophe Claims RepresentativePittsburgh, PAThe position requires the following, but is not limited to: Frequent travel up to 21 days at a time and is required upon short notice to location of catastrophe, which would most likely be out of state. Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses.
P&C Technical Solutions Architect, Manager PricewaterhouseCoopers LLPP&C Technical Solutions Architect, ManagerPittsburgh, PA$99,000–$232,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . You will work closely with clients to analyse customer service processes, identify pain points, and develop strategies to optimise service delivery, increase customer satisfaction, and drive loyalty.
Claims Prevention Coordinator Operations Pitt-Ohio Express, LLCClaims Prevention Coordinator OperationsCheswick, PAFrequent movement and sedentary work required - may be required daily to lift up to 25 pounds or exert up to 10 pounds of force to lift, carry, push, pull or otherwise move objects including the human body in a sustained motion; walking is frequently required for sustained periods of time. These include, but are not limited to, calls regarding shortages and damages, problem calls from drivers, pick up calls, tracing, proof of delivery (POD''s), rates, and claims issues.
Customer Service Representative - State Farm Agent Team Member Steve Metzler - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberPittsburgh, PAFull timeAs a Customer Service Representative - State Farm Agent Team Member with Steve Metzler - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
NewPharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistPittsburgh, PennsylvaniaSkills/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.
Pathology Physician - Travel Assignment HYRE HARPER Co.Pathology Physician - Travel AssignmentPittsburgh, PennsylvaniaCaregiver Support Program : Resources for eldercare, childcare, and special needs support, including care coordination and emotional assistance. At HYRE HARPER Co., we are committed to supporting your overall wellbeing with a robust benefits package designed to meet your emotional, physical, social, professional, and financial needs.
Manager - Risk Management (Claims) WESCOManager - Risk Management (Claims)Pittsburgh, PAYou will partner with carriers, third-party administrators (TPAs), brokers, legal counsel, and internal stakeholders to manage complex claims, support litigation and settlement strategies, represent the company in mediations and other claim proceedings, and drive continuous improvement in claims handling practices. You will manage the Workers' Compensation Analyst, Risk Management (Claims) and serve as Wesco's primary point of contact for claim-related matters, ensuring timely, accurate, and cost-effective claim resolution while maintaining compliance with company policies and regulatory requirements.
Credit Supervisor, Revenue Cycle - Monroeville, PA (Hybrid) CVS Health CorpCredit Supervisor, Revenue Cycle - Monroeville, PA (Hybrid)Monroeville, PA$43,888–$85,068 / yearThis responsibility includes: Managing A/R reports and aging buckets, analyzing the A/R to identify problem areas/trends, recommending and implementing solutions; explaining fluctuations in the A/R; maintaining department workflow. Our 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.
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.
NewGuidewire Developer, Senior Associate PwCGuidewire Developer, Senior AssociatePittsburgh, PA$77,000–$202,000 / yearThese individuals analyse client needs, implement software solutions, and provide training and support for seamless integration and utilisation of business applications, enabling clients to achieve their strategic objectives. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
Insurance Customer Service John Ryce - State Farm AgencyInsurance Customer ServiceWEXFORD, PENNSYLVANIAWe are currently seeking a dynamic individual to join our team as a Customer Retention/Billing Specialist - State Farm Agent Team Member. Prepare and process insurance forms, manage client files, and ensure all paperwork is accurately completed and filed.
\n Dental Front Desk Assistant\n Heartland Dental Care\n Dental Front Desk Assistant\nWexford, PAMore about the roleGreet and welcome patients as they enter the officexa0to create a great first impression of our teamManagexa0front office duties, including answering phones, checking office mail and email, communicating with patients and insurance companiesUtilize Dentrix for patient scheduling and recordsSchedule and confirm appointments for multiple providers in the officeFile patient insurance claims and follow up on outstanding claims, verification of benefits and explanation of coverage Post insurance and patient payments and process accounts receivablesReview treatment plan fees and payment options with patientsPartner with the providers and team to implement Heartland Dental systems to optimize office potentialxa0What You'll Gainxa0Competitive benefits including health insurance, retirement savings plans, six paidxa0holidays,xa0and PTO (paid time off)Front loaded educationxa0and training, providing youxa0thexa0opportunity to develop to your full potentialOpportunity to be a part of a secure company with 20+ years of industry leading experience that provides a stable career with unlimited growth potentialAccess to on-demand Daily Payxa0About Wexford Dental Arts LLCWexford Dental Arts LLC, like each Heartland Dental supported office, is unique to the community and the patients they serve.xa0 n n n n Applynn n n n n n Save Jobn n n n n nn Share Jobnn Backnnn n Current employees, please apply here.n n n n n n n nn n n n Job Detailsn n n n n n nn n Req ID:n 117390n n n Supported Practice:n Wexford Dental Arts, LLCn n n Category:n Business Assistantn n n Location:n 103 N Meadows Dr, nnWexford, nPA 15090nn n n n n Years of Experience:n No Experience Required (open to experience or new grad)n n n n n nnn n n n n Position Summary:n n xa0Supporting our front office as a Business Assistant, you'll be surrounded by camaraderie and partnership - where patients come first, and continuous learning is encouraged!xa0 Hard-working and motivated, the successful candidate will bring a passion for helping our team provide the best patient care to the communities they serve.
Legal Operations Supervisor - PA (Hybrid) Selective Insurance Company of AmericaLegal Operations Supervisor - PA (Hybrid)Pennsylvania$92,000–$119,000 / yearFull timeSelective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work® in 2025 for the sixth consecutive year. Total Rewards: Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life.
Insurance Coverage Associate Attorney GpacInsurance Coverage Associate AttorneyPittsburgh, PARemote115000–180000GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990. We are extremely competitive, client-focused and realize that our value is in our ability to deliver the right solutions at the right time.