• Education and Training Specialist

    Providence (Mission Hills, CA)
    **Description** Working under the general supervision of the Claims Director, provide an effective education program to advance the quality and production level of ... the Claims Department by developing and delivery claims ...**About the Team** Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states… more
    Providence (11/11/25)
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  • Information Technology Specialist 2…

    New York State Civil Service (Liverpool, NY)
    NY HELP Yes Agency Insurance Fund, State Title Information Technology Specialist 2 (Programming) ( Claims Medpay DBL-PHS) (NYHELPS) Occupational Category IT ... Code 13088 Duties Description As a member of NYSIF's Claims MedPay DBL-PHS team, incumbents of these positions will...this title; OR* One year of permanent, competitive class service as an Information Technology Specialist 2;… more
    New York State Civil Service (12/10/25)
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  • Billing & Claims Specialist

    Agile Cold Storage (Claymont, DE)
    Position Overview: The Billing and Claims Specialist will be responsible for managing all aspects of customer billing, including preparing invoices, reconciling ... accounts, claims and resolving billing discrepancies. The ideal candidate will...software is a plus. + Excellent communication and customer service skills. + Ability to work independently and as… more
    Agile Cold Storage (12/10/25)
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  • Medical Claims Contract/Benefit…

    Trinity Health (Columbus, OH)
    …**Description:** Successful candidates will have a strong understanding of Medical claims particularly within Medicare guidelines. Researching claims that do ... across the United States. We're dedicated to providing excellent customer service , cost-effective care, and exceptional healthcare coverage. We rely on talented… more
    Trinity Health (12/08/25)
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  • Sr. Claims Specialist - G/L

    Philadelphia Insurance Companies (Plano, TX)
    …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr. Claims Specialist - G/L to join our team! Summary: Investigate, evaluate and settle more ... Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service , Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
    Philadelphia Insurance Companies (10/30/25)
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  • Senior Claims Specialist - Swedish…

    Swedish Health Services (Seattle, WA)
    …they have been paid or denied appropriately in a timely manner. Re-submit claims to government agencies, medical service bureaus, and insurance companies. Submit ... **Description** Follow up on insurance denials and aged claims , submit claims to secondary payers, and ensure accurate billing information is submitted. Answer… more
    Swedish Health Services (11/11/25)
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  • Patient Claims Specialist

    Modernizing Medicine (FL)
    …Records (Gold) + 2024 Stevie American Business Award (Silver), New Product and Service : Health Technology Solution (Klara) Who we are: We Are Modernizing Medicine ... Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient… more
    Modernizing Medicine (11/06/25)
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  • Credit Balance Specialist - Physician…

    Guidehouse (Lewisville, TX)
    …**Clearance Required** **:** None **What You Will Do:** The **Credit Balance Specialist ** **(Physician Claims )** will manage credit balance workloads and respond ... insurance claims , billing, coding, follow-up, finance, accounting or customer service related responsibilities. **What Would Be Nice To Have** **:** + Credit… more
    Guidehouse (12/10/25)
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  • Distribution Center Claims Resolution…

    C&S Wholesale Grocers, Inc. (Lathrop, CA)
    **Position Overview** As a Claims Investigator, you will be researching shortage claims based on calls received from our customer locations. These investigations ... exposure at C&S, as well as the customers we service . - Lathrop, California - Consideration begins at $20...**Description** + This position will report directly to the Claims Manager and conduct detailed investigations by recovering all… more
    C&S Wholesale Grocers, Inc. (11/13/25)
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  • Long Term Disability Claims

    MetLife (Cary, NC)
    …meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and ... information is needed to make a reasonable and logical claims determination based off the information available * Collaborates...* Minimum 2 years of experience in external customer service or related experience * Demonstrated critical thinking in… more
    MetLife (11/26/25)
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