- Commonwealth Care Alliance (Boston, MA)
- …and Quality Assurance for further investigation or configuration updates. + Document all research, findings, and outcomes in claims systems (eg, Salesforce, ... 011250 CCA- Claims **_This position is available to remote employees...Medicare claim reimbursements to ensure compliance with contractual terms, state and federal regulations, and internal payment policies. +… more
- City of New York (New York, NY)
- …statutory time period to begin an action; - Timely and accurately maintaining claims files with all relevant claim data, investigative materials, and ... provisional) civil service title of Claim Specialist. Please clearly state your permanent civil service title on your resume...order to strengthen trust, secure a thriving future for all New Yorkers, and build a more just, equitable,… more
- City of Minneapolis (Minneapolis, MN)
- Workers' Compensation Claims Analyst Print (https://www.governmentjobs.com/careers/minneapolismn/jobs/newprint/5047991) Apply Workers' Compensation Claims ... + Benefits + Questions Position Description The Workers' Compensation Claims Analyst is responsible for investigating and processing workers' compensation… more
- Savers | Value Village (Bellevue, WA)
- …knowledge of insurance claims handling procedures + Working knowledge of federal, state and provincial laws and statutes that affect claims handling. + ... of people from many different backgrounds, experiences, and perspectives, all with something special to contribute. + To work... or multi-province company + Prefer: Certification as an Associate in Claims handling (AIC) or other… more
- Walmart (Bentonville, AR)
- **Position Summary ** **What you'll do ** The ** Claims Manager** is responsible for **leading** a team of case managers in the management of workers' compensation or ... general liability claims from initial report to resolution. This role ensures...+ Resolve escalated complaints from the client, customer, or associate . + Monitor the team's phone queue to ensure… more
- NJM Insurance (Trenton, NJ)
- …a required Tuesday, Thursday and another day in our West Trenton office. The WC Claims Specialist will be responsible for contacting all parties involved in the ... Claims Specialist will work with and communicate to all internal and external stakeholders, including: NJM policyholders, injured...H igh school diploma or GED required Preferred: + Associate or bachelor's degree + AIC/CPCU or other applicable… more
- Humana (Lansing, MI)
- …+ Partner with Provider Relations team to ensure prompt resolution of provider or state inquiries, concerns, or problems associated with claims payment to adhere ... **Become a part of our caring community and help us put health first** The Claims Research and Resolution Professional 2 reports to the Claims Research and… more
- Molina Healthcare (Savannah, GA)
- …excellent customer service; documents calls and interactions. + Assists in the reviews of state or federal complaints related to claims . + Supports the other ... and provides counsel to providers. Helps to mentor and coach Provider Claims Adjudicators. **Job Qualifications** **REQUIRED EDUCATION:** Associate 's Degree or… more
- BrightSpring Health Services (Louisville, KY)
- … by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to ... PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make...+ Required: High School Diploma or GED + Desired: Associate 's or Bachelor's Degree Work Experience: + Required: Customer… more
- Equitable (Charlotte, NC)
- Disability Claims Contact Center Representative (Disability Claims Experience Required) ( 250000H0 ) **Primary Location** : UNITED STATES-NC-Charlotte **Other ... Equitable is looking for an experienced, passionate customer service-oriented Disability Claims Contact Center Representative to join our Employee Benefits (group… more