- CVS Health (Franklin, TN)
- …with coding guidelines, medical necessity, and documentation requirements. + Documents claim information in the company system , assigning appropriate codes, ... it all with heart, each and every day. **A Brief Overview** Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates… more
- CVS Health (Springfield, IL)
- … claim processing. Advises team members in resolving complex or escalated claims issues by providing guidance on claim handling procedures, policy ... team by providing strategic leadership and overseeing the operations of the claims processing team(s). Directs workflow to ensure the efficient and accurate… more
- Travelers Insurance Company (Tampa, FL)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... systems . + FINANCIAL CONTROLS AND ASSESSMENTS: Assists with claim center financial standards, including: Performs underlying controls and effectively… more
- CVS Health (Franklin, TN)
- …claim processing. + Advises team members in resolving complex or escalated claims issues by providing guidance on claim handling procedures, policy ... of team by providing strategic leadership and overseeing the operations of the claims processing team(s). Directs work flow to ensure the efficient and accurate… more
- CRC Insurance Services, Inc. (ID)
- …and makes recommendation for additional activity as appropriate. 4. Determine where new loss claims should be reported. 5. Manage all claim documentation. 6. Use ... and/or correspondence to the Agent or Insurer to process claims appropriately. 7. Analyze claim coverage with...all customer needs (both internal and external). 10. Maintain claims and suspense system ensuring follow-up for… more
- Amazon (New York, NY)
- …an experienced application analyst to help architect, configure, and manage our Origami system , for Amazon's Global Risk Management and Claims (GRMC) team. This ... automation to 25+ insurance and risk programs. As a system analyst, you will drive architectural, configuration, and design...and maintained by the Application Analyst cover the full claims lifecycle, encompassing processes such as claim … more
- CRC Insurance Services, Inc. (NC)
- …the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 5. Analyze claim coverage. 6. Anticipate and meets all ... customer needs (both internal and external). 7. Maintain claims and suspense system ensuring follow-up for...and multi-line knowledge 3. Ability to critically review a claim file for relevant information, accurately access the information… more
- City of New York (New York, NY)
- …million people in Upstate New York, and has a wastewater conveyance and treatment system capable of processing over 1.3 billion gallons of wastewater per day to ... 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 2 in the Litigation Support Unit. This… 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 ... the country, with nearly 6,000 employees. DEP's water supply system is comprised of 19 reservoirs and 3 controlled...is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office.… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …and procedures. + Previous experience handling claim disputes. + Claim knowledge including professional, facility and ancillary claims . + Excellent ... The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Claim Dispute Specialist skilled in investigating and resolving provider payment disputes by… more
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