• Workers Comp- Claims Specialist (I/II/ Sr.)

    NJM Insurance (Trenton, NJ)
    …Friday 8:00AM- 4:15PM (Hours can vary depending on start time). Responsibilities: + Ensure quality management of claims in accordance with claims best ... NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/II/Sr.) . This is a full-time...another day in our West Trenton office. The WC Claims Specialist will be responsible for contacting all parties… more
    NJM Insurance (07/31/25)
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  • Claims Customer Service Advocate III

    US Tech Solutions (Columbia, SC)
    …after verification of correct coding of procedures and diagnosis codes. Ensures claims are processing according to established quality and production standards. ... as needed to resolve inquiries. + Reviews and adjudicates complex or specialty claims and/or non-medical appeals. + Determines whether to return, deny or pay … more
    US Tech Solutions (06/28/25)
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  • Claims Examiner

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    …No-Fault claims while adhering to the specified turnaround times. + Perform quality review of claims and logic changes/updates in Impact. + Authorizes ... Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the interpretation of Hospital and Ancillary contracts,… more
    Brighton Health Plan Solutions, LLC (06/12/25)
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  • Claims Customer Service Advocate II

    TEKsystems (Columbia, SC)
    …after verification of correct coding of procedures and diagnosis codes. Ensures claims are processing according to established quality and production standards. ... procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay … more
    TEKsystems (08/02/25)
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  • Claims Customer Service Representative

    US Tech Solutions (Columbia, SC)
    …verification of correct coding of procedures and diagnosis codes. + Ensures claims are processing according to established quality and production standards. ... + Performs research as needed to resolve inquiries. + Reviews and adjudicates claims and/or non-medical appeals. + Determines whether to return, deny or pay … more
    US Tech Solutions (07/29/25)
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  • Insurance Biller FT-Katy

    Houston Methodist (Houston, TX)
    …Pulls explanation of benefits when requested or as needed to file secondary claims . ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** + Meets departmental productivity and ... and claim edits, payor rejections, unresolved or no response insurance claims and processing of financial correspondence. The Insurance Biller demonstrates general… more
    Houston Methodist (05/30/25)
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  • Sr Technical Specialist, General Liability…

    Travelers Insurance Company (Brookfield, WI)
    …evaluating, reserving, negotiating and resolving assigned General Liability - Public Sector claims . Provides quality claim handling throughout the claim life ... manage staff. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures file quality and timely… more
    Travelers Insurance Company (07/19/25)
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  • Senior Technical Specialist, Construction Defect

    Travelers Insurance Company (Charlotte, NC)
    …reserving, negotiating and resolving assigned Construction Defect and latent Property Damage claims . Provides quality claim handling throughout the claim life ... partners. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… more
    Travelers Insurance Company (07/30/25)
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  • Litigation Specialist, GL (Construction)

    Travelers Insurance Company (New York, NY)
    …and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... not manage staff. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file quality and timely coverage… more
    Travelers Insurance Company (07/08/25)
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  • General Liability Inside Claim Representative

    Travelers Insurance Company (Richardson, TX)
    …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim life cycle ... quality . + Shares accountability with business partners to achieve and sustain quality results. + Investigate, evaluate and settle claims , applying technical… more
    Travelers Insurance Company (07/24/25)
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