- Medical Mutual of Ohio (OH)
- …other duties as assigned. **Qualifications** + 1 year of experience as a Claims /Customer Care Specialist or equivalent customer service experience, preferably in ... **In this blended role, processes routine to moderately complex claims , while handling inbound calls and written inquiries (multiple channels) from members,… more
- NTT DATA North America (Decatur, IL)
- …for NTT DATA Services and for the people who work here. NTT DATA seeks a ** Claims Refund Specialist ** on a **project** basis to work **remote, from home** . This ... equipment** **90 Day temp to hire opportunity** The Refund Specialist reports to the Claims Manager. This position is responsible for handling the processing… more
- LogixHealth (Dania, FL)
- Location: On-Site in Dania, FL This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly improve ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...and respond to carrier and/or arbitrator inquires + Submit claims through state arbitration portals Qualifications : To perform… more
- Publix (Lakeland, FL)
- **33789BR** **Position Title:** PROFIT Plan Claims Processing Specialist , Retirement - Lakeland **Department:** Benefits Administration **Location:** Lakeland, ... Matter Expert (SME) for the Retirement business area, + Processing beneficiary claims for PROFIT Plan distributions, + Providing premier customer service to lobby… more
- Healthfirst (NY)
- …hospital partners_** including but not limited to roster maintenance and claim issue root cause analysis + **_Managing education/training regarding company-wide ... experience working with managed care operations and/or health plans + Claims experience including root-cause analysis, system set-up, etc + Strong communication… more
- Nestle (Holbrook, NY)
- …and nutrition for patients and consumers. **POSITION OVERVIEW:** The Customer Solutions and Claims Specialist serves as the primary point of contact for the ... customer and sales force throughout the customer order management process. The Specialist role manages high order volume on all NHS brands with either a top customer… more
- US Bank (Tempe, AZ)
- …you excel at-all from Day One. **Job Description** Responsible for claims and disputes intake, review, and/or disposition of potentially suspicious transactions, ... may include specialized areas of focus, including but not limited to case/ claims processing, claims , disputes and risk-based actions, investigative research,… more
- US Bank (Minneapolis, MN)
- …you excel at-all from Day One. **Job Description** Our Reconciliation & Claims Specialist processes transactions, reconciles and maintains various accounts and ... ledgers. Transactions processed and maintained may include; accounts payable, journal vouchers, vendor invoices, expense reimbursements, ledgers, statements, billings, and/or other accounting documents. They ensure accuracy, completeness, and timeliness of… more
- Public Consulting Group (Chula Vista, CA)
- …+ Assessments and Feasibility Studies PCG is seeking highly motivated and dependable Claims Specialist payment processing clerk with an interest in public ... service who can work in our San Diego, CA Stage 1 Child Care Payment Services operation. The clerks will be responsible for accurately distributing child care payments to child care providers and working with CalWORKs families to access child care. These staff… more
- Allied Solutions (Plano, TX)
- …except in the following circumstances: + Internal insurance/recovery claim experience as a Claim Processor or Claim Specialist with a minimum of 9 months ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim...years highly preferred; + Preference given to those with Claim Processor or Claim Specialist … more