VP, Operations ConnectiveRxVP, OperationsPittsburgh, Pennsylvania$156,800–$245,400 / yearFull timeThis role ensures timely and accurate processing of patient and provider requests, oversees operations and call center teams across multiple locations across extended hours, and builds high-performing operational/service teams in a complex business environment. Responsibilities include day-to-day operational excellence, employee development, and continuous process improvement, as well as cross-functional collaboration with executive partners, clients, and internal/external business support teams.
Dental Treatment Coordinator and Scheduler Iannessa Pediatric DentistryDental Treatment Coordinator and SchedulerMoon Township, PAResponsible for the day-to-day activities of the dental front office, including working the phones, maintenance of the records of patients, treatment coordination, including surgery cases, patient management, scheduling of patients, assisting patients with the use of their insurance benefits, collecting payment for services, office correspondence, and recall. Benefits: Paid Time Off, Paid Holidays, Retirement Plan, Health Insurance, Vision Insurance, Daily Bonus Opportunities, End of Year Practice Bonus, Summer Break, and Holiday Break(Christmas through New Year's).
Lead Investigator Highmark IncLead InvestigatorPittsburgh, PAThe incumbent is responsible for conducting investigations of organizational or functional activities related to alleged fraud, waste and abuse perpetrated by providers, members, facilities, pharmacies, groups and/or employees of the organizations and Subsidiaries. This job is also responsible for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the initial investigations and coordinating the recovery/savings of money related to fraud, waste and abuse.
NewCall Center Representative (Temporary) Ascensus LLCCall Center Representative (Temporary)Pittsburgh, PARemoteService center teams are accountable for servicing Flexible Spending Accounts (FSA), 529 Educational Savings accounts, Qualified Plan Retirement accounts and State Sponsored Retirement Program accounts. Ascensus is the leading independent technology and service platform powering savings plans across America, providing products and expertise that help nearly 16 million people save for a better today and tomorrow.
Senior Resolution Manager GallagherSenior Resolution ManagerPittsburgh, 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.
Insurance Verification & Billing Support Specialist - Remote (must be local to Pittsburgh area) CQ PartnersInsurance Verification & Billing Support Specialist - Remote (must be local to Pittsburgh area)Pittsburgh, PennsylvaniaRemote$18–$20In addition, this position will serve as the primary backup to the Billing Coordinator, assisting with billing and accounts receivable functions as needed during vacations, absences, or increased workload periods. This position plays a critical role in ensuring patients have accurate insurance benefits verified prior to treatment, and that required authorizations are obtained in a timely manner.
NewPatient Account & Billing Manager University of PittsburghPatient Account & Billing ManagerPittsburgh, PAIn addition to being a great place to work the University offers robust benefits including: 11 Paid Holidays in addition to paid Vacation, Sick and Personal Days Additional Paid Time Off (Winter Recess) during the period between Christmas and the New Year Paid Parental Leave Education benefits for eligible employees, their dependents and spouse/domestic partner Above-average Employer Contribution towards Medical, Prescription Drug, Vision, Life, STD, and LTD Insurance plans A robust retirement savings plan option, including 100% match on employee contributions of 3-8% (150% after vesting) and enhanced match for those nearing retirement * Free PAT bus pass. This position will be responsible for, but not limited to, the following functions: liaison between the faculty practice and 3rd-party billing agency, ensure accurate claims processing, assist in claim denials and follow ups, timely payment posting, effective resolution of billing and patient account issues, manage provider procedure entries, assist in researching/locating insurance EOBs and initiate and manage outbound calls to patients regarding outstanding balances.
Supervisor, Patient Support ConnectiveRxSupervisor, Patient SupportPittsburgh, Pennsylvania$47,600–$69,700 / yearFull timeService Orientation : Anticipates, identifies, and addresses the needs of customers or clients, sometimes before those needs are voiced; actively looks for ways to help people; ability to be thoughtful and empathetic to the needs of others; is prompt and courteous in ensuring that the customer's immediate needs or complaints are satisfied; focuses on improving the level of service provided to external and internal customers. Decision Quality: Ability to make appropriate, informed, and timely decisions while ensuring compliance with company policies, practices, and core values; uses a combination of analysis, knowledge, experience, and judgment to make decisions; makes effective decisions even in the absence of complete information; evaluates and prioritizes factors and weighs decisions in order to reach a sound and effective solution to a problem.
NewSenior Lead Coordinator, Revenue Cycle CVS HealthSenior Lead Coordinator, Revenue CycleMonroeville, PennsylvaniaAnalyzes current workflows to identify bottlenecks or inefficiencies, and implements strategies to streamline processes, reduce errors, and enhance revenue cycle outcomes. You will identify and quantify trends/issues and effectively communicate/report them to the appropriate members of the management team and payer business partners along with the potential impact.
NewClaim Representative General Liability TravelersClaim Representative General LiabilityPittsburgh, Pennsylvania$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.
Claim Rep Outside Liability TravelersClaim Rep Outside LiabilityPittsburgh, PennsylvaniaDetermines 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.
NewClaim Representative General Liability The Travelers Companies IncClaim Representative General LiabilityPittsburgh, 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.
Claim Rep Outside Liability The Travelers CompaniesClaim 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.
Claim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionGreensburg, Pennsylvania$63,089.65–$90,000 / yearFull timeCompetitive candidates should reside within one of the listed zip codes and will service this same territory: 15018 15025 15028 15034 15035 15037 15045 15047 15085 15088 15102 15104 15110 15112 15120 15122 15129 15131 15132 15133 15135 15137 15145 15203 15204 15205 15207 15208 15210 15211 15213 15216 15217 15218 15219 15220 15221 15222 15226 15227 15228 15232 15234 15236 15241 15243 15260 15601 15611 15613 15615 15618 15619 15620 15623 15624 15626 15627 15629 15632 15633 15634 15635 15636 15637 15638 15642 15644 15647 15650 15661 15662 15665 15670 15671 15672 15673 15675 15676 15678 15681 15684 15686 15692 15696 15725 15727 15756 15774 15783. 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 Corp.Complex Claim Director - Mass Tort UnitPittsburgh, PA$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.
EFT Processor II Northwest Bancorp, Inc.EFT Processor IIBellevue, PAIN0534 Fishers, OH0523 Independence Bus Office, OH0701 Columbus Business Center, PA0186 Mount Joy, PA0220 Erie - 8th & State, PA0258 Bellevue, PA0445 Williamsport, PA0736 Administration Center. The EFT Processor II will be responsible for processing EFT Cardholder Disputes, assisting Contact Center and branches through e-mail and phone, respond to FISERV requests, process EFT disputes, assisting with travel queues when needed.
Independent Insurance Claims Adjuster in Beaver Falls, Pennsylvania MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Beaver Falls, PennsylvaniaBeaver Falls, PAWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Beaver, Pennsylvania MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Beaver, PennsylvaniaBeaver, PAWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Monroeville, Pennsylvania MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Monroeville, PennsylvaniaMonroeville, PAWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Butler, Pennsylvania MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Butler, PennsylvaniaButler, PAWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.