- CVS Health (Lansing, MI)
- …do it all with heart, each and every day. **Position Summary** The Senior Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or ... service inquiries and problems. **Key Responsibilities** + Reviews pre-specified claims or claims that exceed specialist...assignment daily to junior staff. + Trains and mentors claim benefit specialists. + Makes outbound calls… more
- CVS Health (Lansing, MI)
- …each and every day. Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the opportunity to ... use multiple systems and screens to obtain and record claim information + Review claims information to...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- CVS Health (Lansing, MI)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication… more
- Travelers Insurance Company (Detroit, MI)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- Sedgwick (Lansing, MI)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- Cognizant (Lansing, MI)
- …claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate ... adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support...* Be Responsible for reviewing the data in the claim processing system and comparing with corresponding UB or… more
- Zurich NA (Lansing, MI)
- Marine Claims Specialist II 126114 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and Liability experience ... With moderate direction, handles single and multi-party commercial Marine and Liability claims of low to moderate exposure and complexity within specific limits of… more
- Zurich NA (Lansing, MI)
- Sr. Claims Specialist - Complex Construction 126105 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our ... team. This role is essential in managing complex, high-exposure construction, and litigation claims , while supporting the New York Labor team to ensure claims … more
- Molina Healthcare (Sterling Heights, MI)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... to contracting ( benefit and provider), network management, credentialing, prior authorizations, fee...authorizations, fee schedules, and other business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding… more
- Zurich NA (Lansing, MI)
- Marine Claims Senior Claims Specialist 125273 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... Basic Qualifications: + Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor and 2 or more years of… more