- City National Bank (Newark, CA)
- **PAYMENTS CLAIM SPECIALIST ** **WHAT IS THE OPPORTUNITY?** The Payment Claims Specialist is responsible for the investigation and processing of payment ... identification of miss/near miss opportunities etc. A successful Payment Claim Specialist will be able to navigate...of actions as needed. + Perform quality checks of claims for accuracy and feedback for the claim… more
- CVS Health (Columbus, OH)
- … claims in accordance with plan processing guidelines. - Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... discrepancies, and applies all cost containment. measures to assist in the claim adjudication process.- Insures all compliance requirements are satisfied and all… more
- Travelers Insurance Company (Houston, TX)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site… more
- CRC Insurance Services, Inc. (Brewster, NY)
- …and makes recommendation for additional activity as appropriate. 3. Determine where new loss claims should be reported. 4. Manage all claim documentation. 5. Use ... information and/or correspondence to the Agent or Insurer to process claims appropriately. 6. Analyze claim coverage with insurance carriers to ensure claims … more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined to... Claim Specialist is the highest claim handling designation within the Complex Claims Unit ... to manage, and can involve higher exposures. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to...timely manage all aspects of the most complex, high-value claims exhibiting a detailed knowledge of each claim… more
- CVS Health (Bismarck, ND)
- …Training is 12 weeks 9am-5:30pmEST + Shift: flex schedule Reviews and adjudicates routine claims on HRP system in accordance with claim processing guidelines. ... CMS and Aetna compliance and business requirements.Analyzes and approves routine claims that cannot be auto adjudicated.- Applies medical necessity guidelines,… more
- The Hartford (Penn, PA)
- Specialist Claims - CH07DE We're determined to... Claim Specialist is the highest claim handling designation within the Complex Claims Unit ... to manage and can involve higher exposures. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to...claims while exhibiting a detailed knowledge of the claim , a well-reasoned analytical focus, and a clear strategy… more
- City of New York (New York, NY)
- …York City Comptroller's Office. BLA is seeking qualified candidates for the position of Claim Specialist 2 in the Litigation Support Unit. This position, with ... is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office....well as other DEP personnel, to provide litigation and claim support. The candidate will perform various types of… more
- City of New York (New York, NY)
- Job Description PLEASE NOTE ALL CANDIDATES MUST BE PERMANENT IN THE CLAIM SPECIALIST CIVIL SERVICE TITLE IN ORDER TO BE CONSIDERED. The NYC Department of ... is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office....BLA is seeking qualified candidates for the position of Claim Specialist in the Litigation Support Unit.… more
- Sedgwick (Augusta, ME)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and timely… more