- Prime Therapeutics (Harrisburg, PA)
- …our passion and drives every decision we make. **Job Posting Title** Lead Claims Processor, Government Programs **Job Description** Adjudicate or submit claims ... cause analysis and provide additional training as needed. Resolve claims edits and suspended claims . **Responsibilities** +...high level of quality and professionalism. + Provide backup support to other team/group members in the performance of… more
- Deloitte (Philadelphia, PA)
- …to support reviews; leads the end-to-end review process including claims intake, team member assignment, analysis, quality control, and result compilation and ... and impact strategy, operations, performance and reputation. Work You'll Do The Claims Review Workstream Manager leads teams responsible for the review of… more
- Travelers Insurance Company (Blue Bell, PA)
- …reserving, negotiating and resolving assigned Construction Defect and latent Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...**What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality… more
- Commonwealth of Pennsylvania (PA)
- …other internal/external groups. Serve as a guide to new employees to support onboarding, engagement, and long-term retention by helping new employees understand ... to the opposing county's agency facilities. Hold regular check-in meetings to support engagement, address questions, offer guidance, and help new employees feel… more
- Commonwealth of Pennsylvania (PA)
- …In this position, you will act as a hearing level judge in adjudicating contested claims under the Workers' Compensation Act. Our team will rely you to manage a ... help protect the due process rights of all parties in Workers' Compensation claims with us! Interested in learning more? Additional details regarding this position… more
- USAA (Philadelphia, PA)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes… more
- Commonwealth of Pennsylvania (PA)
- …have the opportunity to take on new responsibilities including providing administrative support to Workers' Compensation Judges. Our team is committed to serving ... those affected by workplace injuries by providing accessible support with patience and accountability. Apply today to become a vital part of our department!… more
- Commonwealth of Pennsylvania (PA)
- …you will be responsible for planning, coordinating, and executing investigations into claims of misconduct that breach the standards set forth by professional and ... of determining your eligibility for the position. Information to support your eligibility for the position must be provided...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Penn Medicine (Philadelphia, PA)
- …reprocessing of claims and maximize opportunities to enhance front end claim edits to facilitate a first pass resolution. Responsibilities: + Responsible for ... Job Title: Accounts Resolution Specialist I Department: Ophth Clinical Support Location: Penn Presbyterian Medical Center- 51 N 39th...position will work out of assigned work queues handling claim edit work queue resolution as well as follow… more
- IQVIA (King Of Prussia, PA)
- …copay assistance and check prior authorization and/ or appeal status) + Pharmacy Support (responsible for receiving medical claims from HCPs or patients and ... **Trainer, Patient Support Services (Per Diem)** This per diem Trainer...against program specific business rules to determine if the claim should be paid or rejected) With limited guidance,… more