Field Claims Representative - Clearfield, Blair, Cambria, or Centre Counties, PA Auto-Owners Insurance CompanyField Claims Representative - Clearfield, Blair, Cambria, or Centre Counties, PAPittsburgh, PennsylvaniaAbility 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.
NewSenior Claims Examiner Chubb LtdSenior Claims ExaminerPittsburgh, PARemoteOur Claims Professionals in Employment Practices Liability enjoy the work they do and working with their peers that come from a variety of backgrounds (including Law Enforcement, Human Resources, other disciplines in Claims and Legal, to name a few) and bring different perspectives into the team. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
Experienced Catastrophe Claims Representative Auto-Owners Insurance CoExperienced Catastrophe Claims RepresentativePittsburgh, PAOur group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. The 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.
General Liability Claims Manager CNAGeneral Liability Claims ManagerMeridian, Pennsylvania$72,000–$141,000 / yearBuilds and maintains collaborative relationships with internal and external work partners by participating in round table discussions, working with claims operations and coverage resources, providing insights to underwriters, partnering with SIU and Recovery Services and interacting with external customers, brokers and vendors as appropriate. Performs a combination of duties in accordance with departmental guidelines: Oversees the work activities of a team of claims professionals and has full management responsibility by setting and communicating expectations, providing direction and coaching, facilitating training and development, managing employee performance, and contributing to employee engagement.
SIU Investigator Allied UniversalSIU InvestigatorPittsburgh, PennsylvaniaFull timeAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .
Supervisor, Pharmacy Technician Non-Clinical Blink Health Management LLCSupervisor, Pharmacy Technician Non-ClinicalPittsburgh, 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. What You''ll Do: The Supervisor, Pharmacy Operations is a member of a broader supervisory team and is responsible for supervising primarily pharmacy technicians and related operations in the pharmacy area.
NewSenior Consultant, Financial Crime and Fraud - Federal Healthcare Fraud, Waste, and Abuse Deloitte Touche Tohmatsu LtdSenior Consultant, Financial Crime and Fraud - Federal Healthcare Fraud, Waste, and AbusePittsburgh, PA$95,600–$188,400 / yearThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. Serving federal, state, & local government clients as well as public higher education institutions, our team of professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.
Senior Consultant, Federal Healthcare Fraud, Waste, And Abuse Forensics & Investigations DeloitteSenior Consultant, Federal Healthcare Fraud, Waste, And Abuse Forensics & InvestigationsPittsburgh, PA$95,600–$188,400 / yearServing federal, state, & local government clients as well as public higher education institutions, our team of professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Pharmacy Technician Non-Certified Costco Wholesale CorporationPharmacy Technician Non-CertifiedCRANBERRY TOWNSHIP, PennsylvaniaAssists Pharmacists in filling prescriptions by bringing stock bottles, counting, pouring, re-stocking, labeling, and pricing prescriptions under direct Pharmacist’s supervision. Answers phones and provides prompt and courteous member service including answering questions at pharmacy windows, directing members to product location.
Pharmacy Technician-Certified Costco Wholesale CorpPharmacy Technician-CertifiedPITTSBURGH, PAAssists Pharmacists in filling prescriptions by bringing stock bottles, counting, pouring, re-stocking, labeling, and pricing prescriptions under direct Pharmacist's supervision. Answers phones and provides prompt and courteous member service including answering questions at pharmacy windows, and directing members to product location.
Payroll & Benefits Adminstrator III DuquesnePayroll & Benefits Adminstrator IIIDuquesne, PennsylvaniaMaintains complete and accurate documentation of all leave of absences resulting in time away from work, including tracking start and stop dates, renewal actions, designations, and notifications as required by company, state, and/or federal laws and regulations. • Teams with the Talent & Compensation Analyst to administer the talent management programs and systems according to defined strategy and plans, including the creation of key deliverables, reports, communications, learning materials, and other support resources.
Admissions Assistant Acadia Healthcare Co IncAdmissions AssistantPittsburgh, PAComplete the paperwork necessary to admit the patient to the assigned program and explain forms prior to patient signing, notify the clinical lead of the patient's arrival, and escort the patient and documentation to the appropriate location within the facility. Our facility located in the South Hills of Pittsburgh, Pennsylvania, provides many levels of care to help children or adolescent start healing from the mental health challenge they are facing.
Remote Claims Representative - 11717 Metro Public AdjustmentRemote Claims Representative - 11717Pittsburgh, PARemoteIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim.
Property Claims Inspector - 533968 Metro Public AdjustmentProperty Claims Inspector - 533968Pittsburgh, PAIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled to from their insurance claim.
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.
Research Engineer - Post-Training & Small Language Models (SLMs), Healthcare AI Deloitte Touche Tohmatsu LtdResearch Engineer - Post-Training & Small Language Models (SLMs), Healthcare AIPittsburgh, PA$189,200–$372,900 / yearDeloitte brings together AI researchers, modeling and platform engineers, architects, clinical and domain specialists, and product leaders to build, deploy, and operate verticalized AI systems across software, data, models, and cloud infrastructure - engineered for one of the most complex operating environments in the world. Three hundred fifty million Americans rely on a healthcare system whose decision-making has become slow, costly, and adversarial - care delayed by prior authorization and paperwork, claims that misfire, clinical decisions made without the right information at the right moment, and patients who struggle to navigate or afford the care they need.
Admissions Assistant Southwood Children's Behavioral HealthcareAdmissions AssistantPittsburgh, PennsylvaniaComplete the paperwork necessary to admit the patient to the assigned program and explain forms prior to patient signing, notify the clinical lead of the patient’s arrival, and escort the patient and documentation to the appropriate location within the facility. Our facility located in the South Hills of Pittsburgh, Pennsylvania, provides many levels of care to help children or adolescent start healing from the mental health challenge they are facing.
Sales Assistant needed for expanding dealership! Bowser Automotive, Inc.Sales Assistant needed for expanding dealership!Beaver, PAFull timeThe Sales Assistant plays a key role in supporting the Sales Consultant and General Sales Manager while helping deliver an outstanding experience for every Bowser Automotive customer. Over the past 40+ years, the company has grown to multiple locations, proudly serving the Greater Pittsburgh area with a wide range of automotive brands.
Surveillance Investigator Allied UniversalSurveillance InvestigatorPittsburgh, PennsylvaniaThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Investigator Ethos Risk ServicesInvestigatorPittsburgh, PAFull timeCONDITIONS:While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.