• Specialist, Appeals Claims (Short-Term…

    Lincoln Financial (Denver, CO)
    …and applying knowledge. You will analyze and manage a caseload of appeals claims . You will review, investigate, and make claim determinations regarding coverage, ... to Claims management & teams regarding products, claims processes, regulations, and applicable systems for...& obtaining a wide range of complex information. Apply claim policies & procedures and engages intervention of internal/external… more
    Lincoln Financial (09/30/25)
    - Related Jobs
  • Claim Technician

    Health Care Service Corporation (Albuquerque, NM)
    …Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits and resolving ... pended claims . **Required Job Qualifications:** * High School diploma or...also has been helping to make the health care system work better for all Americans. To remain a… more
    Health Care Service Corporation (10/08/25)
    - Related Jobs
  • Claims Adjudication Specialist - Remote

    Cognizant (Malvern, PA)
    …**In this role, you will:** * Be Responsible for reviewing the data in the claim processing system and comparing with corresponding UB or HCFA paper or EDI ... Monday to Friday 8am - 4:30pm ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the role:** As Claims more
    Cognizant (10/09/25)
    - Related Jobs
  • Vice President of Health Plan Operations…

    Prime Healthcare (Ontario, CA)
    Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 ... annually. It is one of the nation's leading health systems with nearly 57,000 employees and physicians. Eighteen of...Ontario, California. TheVice President of Health Plan Operations and Claims is responsible for the development and execution of… more
    Prime Healthcare (09/24/25)
    - Related Jobs
  • Nights Casualty Claims Intake…

    JB Hunt Transport (Lowell, AR)
    **Job Title:** Nights Casualty Claims Intake Representative **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:** ... contact for all parties involved in an event, gathering and verifying claim details, initiating appropriate actions, and ensuring accurate documentation in alignment… more
    JB Hunt Transport (10/09/25)
    - Related Jobs
  • Compensation Claims Referee (NY Helps), Wcb…

    New York State Civil Service (Queens, NY)
    NY HELP Yes Agency Workers' Compensation Board Title Compensation Claims Referee (NY HELPS), WCB Item #3845 Occupational Category Legal Salary Grade 28 Bargaining ... Code 11432 Duties Description Under the direction of the Senior Workers' Compensation Claims Referee, the duties of the Workers' Compensation Claims Referee will… more
    New York State Civil Service (10/01/25)
    - Related Jobs
  • Claims Adjuster - Work Related Injuries

    Baylor Scott & White Health (Dallas, TX)
    …approval of lost wages for payroll and for all approvals of medical bills per claim file. + Pay and process claims within designated authority level. + Performs ... Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well....and/or level **Job Summary** + Under the Safe Choice Claims Manager, the Safe Choice Claims Specialist… more
    Baylor Scott & White Health (08/29/25)
    - Related Jobs
  • Warranty Claims Coordinator

    Ryder System (Atlanta, GA)
    …(http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Warranty Claims Coordinator will be responsible for managing and ... current contracts, labor rates, guidelines and coverages, aged open claims , denied claims , chargebacks and pending goodwill...audits. + Work with vendors to obtain Warranty dealer claim information to report a comparison of internal Warranty… more
    Ryder System (09/18/25)
    - Related Jobs
  • Director, Accounting - Claim Finance

    Travelers Insurance Company (Hartford, CT)
    …training, and mentoring on accounting and controls to business partners and Claim Finance. + Compile, review, and analyze complex financial data for variance ... skills with the ability to evaluate and understand current data and systems , find opportunities, recommend changes, and translate into business impacts. +… more
    Travelers Insurance Company (09/19/25)
    - Related Jobs
  • Systems Analyst - Senior ( Epic PB…

    UPMC (Pittsburgh, PA)
    UPMC is hiring a Systems Analyst-Senior (Epic PB Claims and Remittance) who had healthcare experience. If you are looking to join a highly accomplished team with ... direction of the management team and senior staff, the Systems Analyst - Senior requires a proficient level of...meet client IT and business needs. Responsibilities: + PB claims IT analyst. Ability to quickly diagnose claims more
    UPMC (09/20/25)
    - Related Jobs