- The Hartford (Coral Gables, FL)
- …Location: Miami, FL (In-Office-Hybrid Schedule) Job Description: We are seeking a Major Claims Specialist - Latin American Financial Lines to handle large and ... exposures and ensure prompt evaluation and reporting internally and externally. + Escalate claims to Senior Management and stakeholders as needed. + Act as the… more
- BrightSpring Health Services (Uniondale, NY)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key...a key role in ensuring our long-term care and senior living clients receive the pharmaceutical support they need.… more
- CenterWell (Topeka, KS)
- …of our caring community and help us put health first** As an **RCM Healthcare Claims Denials Specialist /Accounts Receivable Specialist ** , you will: + Ensure ... the coordination of claim activities and designated agencies, and the timely reimbursement...timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily.… more
- CVS Health (St. Paul, MN)
- …handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- The Hartford (San Antonio, TX)
- …theirs, too. Join our team as we help shape the future. The Claim Specialist role is crucial for handling claims within the Major Case team, specifically for ... Specialist Claims - CH07DE We're determined... Specialist Claims - CH07DE We're determined to make a...initiatives + Prepare comprehensive reports and deliver presentations to senior claim leadership on: case developments, policy… more
- Axis (Red Bank, NJ)
- …selection process. 'Key Duties and Responsibilities: * Excels in best practices claim environment, thoroughly documenting the claim process * Conducts ... and coverage. * Timely makes recommendations regarding resolution strategy for such claims including reserve adequacy; executes such strategy on behalf of the… more
- Fedcap (South Portland, ME)
- …detail oriented, and adaptable finance professional to join our team as a Claims Specialist ! The hired person will partner with finance supervisors, managers, ... and senior leadership across departments, resolving compliance issues, account discrepancies,...professional development, and REAL advancement opportunities! Position Summary: The Claims Specialist is responsible for carrying out… more
- Insight Global (Norristown, PA)
- Job Description Insight Global is looking for a Claims Specialist to join a third party workers compensation organization. The Claims Specialist manages ... service requirement to achieve the best possible outcome in the claim , supporting the goals of claims department . We are a company committed to creating… more
- Allied Solutions (Plano, TX)
- …except in the following circumstances: + Internal insurance/recovery claim experience as a Claim Processor or Claim Specialist with a minimum of 9 months ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim...years highly preferred; + Preference given to those with Claim Processor or Claim Specialist … more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** Information ... Qualifications:** + Certified or Accredited in Epic Resolute Hospital Billing Claims and Remittance Administration and Epic Resolute Professional Billing Claims… more