• In-House Counsel | Litigation Management | Hybrid

    Sedgwick (Sacramento, CA)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigated Claims Manager | Staff Attorney | Public Entity Pooling | Hybrid Are you ... **?** Do you bring 8+ years of experience collaborating with outside counsel and claims examiners to oversee litigated claims ? If you're an experienced litigator… more
    Sedgwick (10/16/25)
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  • Clm Resltion Rep II, Hosp/Prv

    University of Rochester (Rochester, NY)
    …the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working ... and taking timely and routine action to resolve unpaid claims . The Claims Resolution Representative ...calls, payer website, and written communication to ensure accurate processing of claims . 15% + Follows established… more
    University of Rochester (12/24/25)
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  • Clm Resolution Rep III

    University of Rochester (Albany, NY)
    …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative III is responsible for working ... process taking timely and routine action to resolve unpaid claims . The Claims Resolution Representative ...calls, payer website, and written communication to ensure accurate processing of claims . Collaborate with appropriate departments… more
    University of Rochester (12/20/25)
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  • Appeals Referee

    Commonwealth of Pennsylvania (PA)
    …professional with experience in the determination of unemployment compensation (UC) claims , the application of taxing or benefit-paying provisions of the UC ... + Four years of experience in the determination of unemployment compensation claims , including adjustments, overpayments, and appeals supplemented by 6 college level… more
    Commonwealth of Pennsylvania (01/11/26)
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  • Director, Risk Management

    Polk County Public Schools (Bartow, FL)
    …to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill and ability required. Reasonable accommodations may ... administering the various insurance plans. Develops and supervises loss and claim processing procedures for all types of losses, accidents, and injuries. Reviews and… more
    Polk County Public Schools (12/18/25)
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  • Raw Material Audit Technician

    Sysco (Vernon, CA)
    …governmental specifications. Utilize email and electronic monitoring system to submit claims to suppliers on products not meeting product specifications. Follow up ... with suppliers on claims . Work closely with FSQA, Merchandising and/or Accounting Department...each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable… more
    Sysco (01/13/26)
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  • Government/Non-Government Specialist

    UNC Health Care (Goldsboro, NC)
    …and compliance guidelines. Assists the Manager and Director in all aspects of claims processing . Responsibilities: 1. Works insurance related billing errors in ... Revenue Cycle Director in maintaining accounts receivables at appropriate levels. Submits insurance claims to the appropriate payers on a daily basis in adherence to… more
    UNC Health Care (12/10/25)
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  • Prior Authorization Technician - Remote

    Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
    …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...needs + Prepare and maintain reports and records for processing + Perform other tasks as assigned. + Follow… more
    Polaris Pharmacy Services, LLC (01/07/26)
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  • Billing Specialist

    Hart Medical Equipment (Grand Blanc, MI)
    …transmitting claims using billing software, including electronic and paper claim processing . + Following up on unpaid claims within standard billing cycle ... management with rate changes. + Check to see if claims remain unpaid and follow up with patients and...external customers and coworkers. The requirements listed below are representative of the knowledge, skill, and/or ability required. Education… more
    Hart Medical Equipment (12/26/25)
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  • Prior Authorization Specialist

    Polaris Pharmacy Services, LLC (Des Plaines, IL)
    …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...needs + Prepare and maintain reports and records for processing + Perform other tasks as assigned. + Follow… more
    Polaris Pharmacy Services, LLC (12/23/25)
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