• Senior Personal Property Adjuster - Field

    USAA (Philadelphia, PA)
    …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Applies proficient ... and framework, investigate, evaluate, negotiate and settle complex property insurance claims presented by or against our members. You will confirm/analyze coverage,… more
    USAA (09/16/25)
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  • Insurance Specialist I- Corporate Patient AR…

    Guthrie (Sayre, PA)
    …you will play a key part in ensuring accurate and timely insurance claim submissions, supporting billing operations, and collaborating with internal teams to resolve ... like home. Position Summary: Responsible for non‐complex electronic and paper claim submissions to insurance payers. Coordinates required information for filing… more
    Guthrie (11/04/25)
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  • Document Process Specialist I

    UPMC (Pittsburgh, PA)
    …As a Document Process Specialist, you'll be at the front line of our claims intake process-ensuring that every paper claim and piece of correspondence entering ... in health insurance operations-all while contributing to the timely resolution of claims . You'll be responsible for accurately entering and validating high volumes… more
    UPMC (10/31/25)
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  • Reinsurance Auditor

    GE Aerospace (Imperial, PA)
    …In this high-impact role, you'll deliver sharp insights, adjudicate complex claims , and collaborate across teams using advanced analytics and emerging technology. ... and plan + Perform desk and/or field audits of reinsured claims , policies or administrative processes, documenting findings and recommendations using established… more
    GE Aerospace (11/06/25)
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  • Accounts Receivable Specialist- Physician Billing

    St. Luke's University Health Network (Allentown, PA)
    …Receivable Specialist I is responsible for accurate and timely submission of claims to third-party payers, intermediaries and guarantors in accordance with network ... policy. JOB DUTIES AND RESPONSIBILITIES: + Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a… more
    St. Luke's University Health Network (10/30/25)
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  • Absence Leave Solutions PFML Unit Leader

    MetLife (Clarks Summit, PA)
    …performing claim adjudication with the focus on Decisional, Financial, Claims Coding and Compliance Accuracy in accordance with the Customers' plan/policy and ... goals and objectives. * Identify, remove, and challenge barriers related to claims management. Escalate to senior leaders in the organization as appropriate along… more
    MetLife (11/28/25)
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  • Payment Integrity Clinician

    Highmark Health (Harrisburg, PA)
    …the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the ... claim rejection and the proper action to complete the...effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of… more
    Highmark Health (11/14/25)
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  • Collections Specialist

    ZOLL Medical Corporation (Pittsburgh, PA)
    …companies to facilitate the reprocessing of denied, incorrectly paid and unprocessed claims to result in a favorable return. Essential Functions + Provides ... workflow processes to ensure timely follow up on assigned claims + Contact patients, physician offices and insurance companies...to payer after making necessary edits on HCFA 1500 claim forms + Write appeals to insurance companies to… more
    ZOLL Medical Corporation (11/03/25)
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  • Insurance Specialist I - Corporate Patient AR Mgmt…

    Guthrie (Towanda, PA)
    Position Summary: Responsible for non‐complex electronic and paper claim submissions to insurance payers. Coordinates required information for filing secondary and ... tertiary claims reviews and analyzes claims for accuracy,...work queues as assigned to ensure accurate and timely claim submission to individual payers. Reports possible payer or… more
    Guthrie (11/27/25)
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  • Patient Accounts Specialist 1

    KidsPeace Childrens Hospital (Schnecksville, PA)
    …correct payer. Work all pre-billing/post-billing reports to ensure correct data on claims . Identify and resolve claim issues. Guarantee timely secondary billing ... Accounts Receivable balances. Run reports including (but not limited to) claim aging, held claims , unbilled claims . Work with the program and funding… more
    KidsPeace Childrens Hospital (10/25/25)
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