• Major Case Specialist, Construction

    Travelers Insurance Company (New York, NY)
    …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim ... position does not manage staff. **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without regard to coverage… more
    Travelers Insurance Company (08/14/25)
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  • Insurance Billing Specialist (Full-Time)

    Bozeman Health (Bozeman, MT)
    … to third party payers to include insurance follow-up related to no response, returned claims , denied claims , or claim edits preventing claim submission, ... billing policies. Monitor, resolve or escalate payer denials, returned claims , claim edits, correspondence and report payer...or Equivalent + One (1) year of general or medical office experience + Preferred: Epic experience + Preferred:… more
    Bozeman Health (07/30/25)
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  • EVG Patient Account Rep - Medical Biller

    Covenant Health Inc. (Knoxville, TN)
    …support and assistance for the Medical Biller I for solving complex medical claim issues. This position demonstrates the ability to accurately submit ... and prioritizes daily responsibilities including evaluating complex errors on medical claims with the understanding of the...ensuring the accuracy of the of UB and 1500 medical claim information including evaluating, recognizing, and… more
    Covenant Health Inc. (09/05/25)
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  • General Liability Major Case Specialist

    Travelers Insurance Company (Tampa, FL)
    …evaluating, reserving, negotiating and resolving assigned serious and complex General Liability claims . Provides quality claim handling throughout the claim ... or required. This position does not manage staff. **What Will You Do?** + CLAIM HANDLING: + Directly handle assigned severe claims when Travelers has coverage… more
    Travelers Insurance Company (10/03/25)
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  • HC and Insurance Operations Analyst

    NTT DATA North America (Oklahoma City, OK)
    …voluntary or legally required benefits.** **Role Overview:** We are seeking a dedicated Claims Case Manager to provide comprehensive claim servicing to our ... their preferred communication channels. + **Document Review:** Thoroughly review medical documents, claim forms, and policy notes....**Experience:** + 2 years in an analytical role reviewing medical benefits and claims . + 2 years… more
    NTT DATA North America (10/01/25)
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  • Nurse Medical Case Management - Workers…

    Travelers Insurance Company (Franklin, TN)
    …collaboration. Imagine loving what you do and where you do it. **Job Category** Claim , Nurse - Medical Case Manager **Compensation Overview** The annual base ... early intervention, return to work planning, coordination of quality medical care on claims involving disability and...and medical treatment as well as in-house medical reviews as applicable to claim handling… more
    Travelers Insurance Company (09/23/25)
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  • Specialist, Workers Comp

    Tractor Supply Company (Brentwood, TN)
    …mitigate claims expense including, but not limited to consistent medical care, minimizes overutilization, litigation costs and all other vendors are effectively ... + Develops and implements Workers Compensation and Non Subscriber claim management strategy in coordination with Return-to-Work Program for...a clear plan of action to closure on claims ensuring TPA is employing proper techniques to… more
    Tractor Supply Company (08/14/25)
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  • Liability Manager

    Dollar Tree (Chesapeake, VA)
    …with internal and external legal counsel, insurance representatives, third party claims administrator and other stakeholders regarding claim issues. **Principal ... regulatory environment. + Special projects assigned by Director of Claims & Litigation. + Manage and mentor claim...handling multiple tasks and meeting deadlines. + Knowledge of medical terminology, medical treatment protocols, and legal… more
    Dollar Tree (08/15/25)
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  • Ops Medical Disability Case Record Spec

    MyFlorida (Miami, FL)
    …Conducts the initial file review upon receipt of claim . Reviews disability claim to determine completeness of file. Reviews medical disability and associated ... OPS MEDICAL DISABILITY CASE RECORD SPEC - 64858448 Date:...activities relating to Social Security and Medically Needy disability claims . This includes receipt from the Social Security field… more
    MyFlorida (10/09/25)
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  • Medical Bill Navigator

    Zelis (St. Petersburg, FL)
    …members achieve more favorable financial outcomes. What you will do: + Analyze medical claims submitted by members along with their Explanation of Benefits ... claim processing and provider billing issues. Additionally, the Medical Bill Navigator also supports efforts to negotiate reduced...to Zelis: + Bachelor's Degree + 5+ years of medical claims & member benefit application experience… more
    Zelis (09/22/25)
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