- Centene Corporation (Austin, TX)
- …Friday; 2:00 pm - 10:30 pm EST, schedule.** **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a subject matter expert and handles more ... inbound and outbound calls with members and provider offices to provide resolution to claims (ie: additional information requests and medication determination… more
- Financial Partners Credit Union (Downey, CA)
- …that are over 5 days past due. This involves achieving resolution through up-to-date payment arrangements, repossession, extensions, legal actions, or charge-offs. ... accounts for field chase when necessary. + Documentation and Claims : + Review and follow up on letters of...letters of guarantee with insurance companies. + File GAP claims and process cancellations of warranties when applicable. Education… more
- Adecco US, Inc. (Ontario, CA)
- …limits. . Manages the litigation process; ensures timely and cost effective claims resolution . . Coordinates vendor referrals for additional investigation and/or ... through well-developed action plans to an appropriate and timely resolution . . Negotiates settlement of claims within...AM - 4:30 PM M-F Weekly paycheck Dedicated Onboarding Specialist & Recruiter Access to Adecco's Aspire Academy with… more
- AIG (Atlanta, GA)
- …Accurate and consistent policy interpretation What you will need to succeed + Basic specialist knowledge in LoB technical claims topics + Policy language skills ... Make your mark in Claims Our Claims teams are the...(where relevant) and quantum analysis, to timely and accurate resolution ; ensuring mitigation of indemnity and expense exposure, while… more
- Stony Brook University (Commack, NY)
- …by the program such as certifications, correct coding, operative reports, etc. + Facilitate resolution of claims received that are not complete and/or do not ... comply with the Program guidelines. Deny claims when appropriate. + Assist in the ...posting.** **Job Number:** 2504206 **Official Job Title:** : Clerical Specialist II **Job Field** : Clerical/Secretarial **Primary Location** :… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** Under the direct supervision of the Safe Choice Claims Manager the Claims Adjuster is responsible for the review, analysis and processing of ... assigned claims within their authority limits and consistent with policy...from third parties Maintains communication with doctors, attorneys, safety specialist , and nurse specialist and outside vendors… more
- Zurich NA (Rocky Hill, CT)
- Claims Concierge Service Executive - Northeast 127284 Zurich is looking to hire a ** Claims Concierge Service Executive** in our Claims Relationship ... business units and functional groups to execute strategies that promote claims value-added services, drive profitable growth, and improve technical excellence,… more
- HCA Healthcare (Dallas, TX)
- …and personal growth, we encourage you to apply for our Medical Insurance Claims Specialist opening. We promptly review all applications. Highly qualified ... difference. We are looking for a dedicated Worker's Compensation Claims Follow-up Rep like you to be a part...issues and thereby affect payment and/or bringing them** **to resolution .** **What you will do in this role:** +… more
- Travelers Insurance Company (Salem, OR)
- …of claim and litigation strategy. + Recognize and implement alternate means of resolution . + Manages litigated claims . Develop litigation plan with staff or ... reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality… more
- Guthrie (Sayre, PA)
- …payers. Reports possible payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train ... payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy,...in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to… more