- CVS Health (PA)
- …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 (MA)
- …- 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
- CVS Health (Franklin, TN)
- …all with heart, each and every day. **Position Summary** Performs claim documentation review, verifies policy coverage, assesses policy application validity, ... to the efficient and accurate handling of medical and final expense claims for reimbursement through knowledge of medical records reviews, team processes, and… more
- CVS Health (Franklin, TN)
- …do** + Executes both routine and non-routine business support tasks for the Claim Benefit area under limited supervision, referring deviations from standard ... Description **A Brief Overview** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. **What you… more
- Geisinger (Danville, PA)
- …coding, appropriate billing, and reimbursement. + Completes clinical reviews related to Claims , Claim Edits, Appeals and the Grievance process, assisting in ... pended and reconsidered claims when edits are applied by the Plan claim editing software from multiple vendors. Reviews are typically based on CPT guidelines,… more
- Sedgwick (Boston, MA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance PL CLAIM SPECIALIST **PRIMARY PURPOSE** **:** To analyze complex or technically ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- Travelers Insurance Company (Overland Park, KS)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim ... position does not manage staff. **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without regard to coverage… more
- Travelers Insurance Company (Overland Park, KS)
- …negotiating and resolving assigned Specialty Liability 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
- Travelers Insurance Company (Topeka, KS)
- …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... management and evaluation of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations and strategies to… more
- AIG (Atlanta, GA)
- …service with empathy and efficiency. How you will create an impact The Specialist will handle and analyze general liability claims under general supervision ... and gathering information to determine the exposure on the claim ; ensure proactive claims handling aimed at...addition, we're proud to offer a range of competitive benefits , a summary of which can be viewed here:… more
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