- City of New York (New York, NY)
- …CONSIDERED FOR THIS POSITION CANDIDATE MUST BE SERVING PERMANENTLY IN THE TITLE OF CLAIM SPECIALIST, OR REACHABLE ON THE CLAIM SPECIALIST CIVIL SERVICE LIST, OR ... ELIGIBLE UNDER THE 55A PROGRAM. CLAIM SPECIALIST - 30726 Qualifications 1. A baccalaureate degree...two years of full-time satisfactory experience investigating and/or settling claims for personal injury or property damage or loss;… more
- Independent Health (Buffalo, NY)
- …The CSR is called on to research complex issues pertaining to benefits, claims , plans, and eligibility across multiple databases which requires fluency in computer ... obtain needed information related, but not limited to: + Claims . + Enrollment. + Authorizations. + Finance. + Accounts...+ Reference Screens. + Providers. + Ability to determine claim status and whether claim is adjudicated… more
- Centene Corporation (Sacramento, CA)
- …fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare ... mining and analysis to detect aberrancies and outliers in claims + Develop new queries and reports to detect...related field or equivalent experience. 1+ years of medical claim investigation, medical claim audit, medical … more
- Marriott (New York, NY)
- …* Works with the unemployment services provider to respond to unemployment claims ; reviews provider reports for accuracy and corrects errors. * Prepares, audits ... and distributes unemployment claim activity reports to property management. * Attends unemployment...orientation, property meetings, bulletin boards, etc. * Conducts periodic claims reviews with Regional Claims office to… more
- Marriott (Boston, MA)
- …* Works with the unemployment services provider to respond to unemployment claims ; reviews provider reports for accuracy and corrects errors. * Assists with ... unemployment claim activity reports. * Attends unemployment hearings and ensures...property meetings, bulletin boards, etc. * Assists with periodic claims reviews with Regional Claims office to… more
- Trinity Health (Albany, NY)
- …reconciliation daily. + Report any outstanding claims to contact to ensure all claims are billed timely + Review each claim for appropriate information. + ... required but a plus. **Responsibilities:** + Responsible to monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations, and Clinical… more
- Cardinal Health (Charleston, WV)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... Rep is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid… more
- Robert Half Legal (Boston, MA)
- …personal injury practice. This role focuses on representing clients in small claims court, handling cases involving monetary damages up to $7,000, including ... supporting documentation. + Legal Research & Drafting: Prepare Statements of Claim , demand letters, and supporting legal documents in accordance with Massachusetts… more
- Cardinal Health (Columbia, SC)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Marriott (Koloa, HI)
- …* Works with the unemployment services provider to respond to unemployment claims ; reviews provider reports for accuracy and corrects errors. * Prepares, audits ... and distributes unemployment claim activity reports to property management. * Attends unemployment...orientation, property meetings, bulletin boards, etc. * Conducts periodic claims reviews with Regional Claims office to… more