- 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 ... agencies, and the timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate… more
- Banco Popular Puerto Rico (San Juan, PR)
- …2025 Location: San Juan-Cupey, PR Company: Popular Workplace Type: On-site Seasonal Claims Specialist Seasonal Job Opportunity General Description The Fraud ... Recovery Claim Specialist is responsible of the fraud claims ...to innovate, reach for the right solutions and strongly support the communities we serve; therefore, we value their… more
- BJs Wholesale Club (Marlborough, MA)
- …than 34,000 team members, supporting our members and communities in our Club Support Center, 235+ clubs and eight distribution centers. BJ's Wholesale Club offers a ... Inner Circle and Supplemental membership(s)* * Generous time off programs to support busy lifestyles* o Vacation, Personal, Holiday, Sick, Bereavement Leave, Jury… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this ... time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring… more
- Golden State Foods (Irvine, CA)
- …+ Support Assistant General Counsel on complex and litigated claims + Reviews potential causes of accidents, injuries, and/or loss; recommends preventive ... innovate, and contribute to our ongoing success. TheSr. Corporate Claims Specialistanalyzes, coordinates, and manages all aspects of GSF's...measures and plans to support GSF's safety culture and to prevent accidents and… more
- Commonwealth Care Alliance (Boston, MA)
- …user acceptance testing, and analyze post production reports for issues + Support collaboration between PI/ Claims and other internal stakeholders related to ... 011250 CCA- Claims Hiring for One Year Term **_This position...priorities, build partnerships, meet internal customer needs, and obtain support for department initiatives + Ability to plan, organize,… more
- Pilgrim's (Greeley, CO)
- **Description** Claims /Deductions Specialist Purpose and Scope/General Summary: We are looking for a Claims /Deductions Specialist for Pilgrim's who ... + Use critical thinking skills to investigate root causes of claims /deductions (transportation, plant, sales, customer error etc.) + Acquire required documentation… more
- Mass Markets (Killeen, TX)
- …in the industry. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong critical thinking skills, ... you. This role involves handling inbound communications, evaluating warranty claims , and working closely with customers and service partners...we offer a variety of benefits and incentives to support and reward our team members. What You Can… more
- Insight Global (Nashville, TN)
- Job Description . Support a remote claims processing team, including coordination with an offshore team based in India. . Assisting with end-to-end claims ... compliance. . Assist with Processing & Review on complex claims , including Physician and Facility claims . . Provide expert guidance on CPT codes, UB04s, HICFA… more
- MetLife (Cary, NC)
- Long Term Disability Claims Specialist II Job Location: Virtual but must be commutable to the following office locations: * Aurora, IL * Bloomfield, CT * Cary, ... Effectively manages with minimal oversight an assigned caseload of moderately complex claims which consists of pending, ongoing/active and appeal reviews. The LTD CS… more