• Senior Claims Specialist

    CRC Insurance Services, Inc. (NY)
    …of America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison ... between insured and insurance carrier to report, track and manage claims process. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a summary of the essential… more
    CRC Insurance Services, Inc. (05/23/25)
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  • Stat/PFL Claims Specialist

    Lincoln Financial (Cheyenne, WY)
    …to staff our ever-growing claims organization. As a STAT / PFL Claims Specialist , you will be responsible for conducting initial and ongoing interviews ... with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations....diploma or GED + 1-2 years of experience in claims , leaves or customer service + Strong written and… more
    Lincoln Financial (05/31/25)
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  • Claims Specialist Hybrid- FlexStaff…

    FlexStaff (Bronx, NY)
    **Req Number** 154447 FlexStaff is seeking a Claims Specialist to support department operations related to provider communication, pending claim review, ... Friday in the office. Responsibilities: + Reviews and investigates claims to be adjudicated by the TPA, including the...on any claim related matters + Analyzes patient and medical information to identify COB, Worker's Compensation, No-Fault, and… more
    FlexStaff (05/14/25)
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  • Bank Disputes Specialist Senior - Breach…

    USAA (San Antonio, TX)
    …us special and impactful. **The Opportunity** As a dedicated **Bank Disputes Specialist Senior** , you will within defined guidelines and framework, protect the ... Regulations (LRRs). This group is going to be specifically handing **fraud claims ** related to **Breach of Warranty, Restitution** and **Hold Harmless** . Attempts… more
    USAA (05/27/25)
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  • Sr. Claims Specialist - Professional…

    Philadelphia Insurance Companies (Bala Cynwyd, PA)
    …Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr. Claims Specialist to join our team! Summary: Investigate, evaluate and settle more complex first ... and third party insurance claims . A typical day will include the following: Communicates...apply online. Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment… more
    Philadelphia Insurance Companies (05/23/25)
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  • Claims Specialist , Audit…

    LogixHealth (Bedford, MA)
    Location: On-Site in Bedford, MA This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...two years related experience + Healthcare industry knowledge + Medical billing experience Benefits at LogixHealth: We offer a… more
    LogixHealth (04/11/25)
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  • Disability Claims Specialist

    Caterpillar, Inc. (Peoria, IL)
    …can all enjoy living in it. **Role Definition** The objective of the Disability Claims Specialist provides Total Rewards support to internal customers in support ... consultants and internal partners. **What You Have** + Basic medical understanding along with claims experience to intelligently discuss Disability Claims as… more
    Caterpillar, Inc. (05/28/25)
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  • Claims Resolution Specialist

    Aston Carter (Naperville, IL)
    …+ Arrange with appropriate network and non-network providers to complete claims that cannot be automatically dispatched. + Process provider inquiries and ... assist with special handling claims and service follow-up. + Handle both inbound and...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
    Aston Carter (05/30/25)
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  • Claims Eligibility Specialist

    US Tech Solutions (Robbinsville, NJ)
    …Description:** Under the direction of the Billing Unit supervisor, the temporary Claims Eligibility Specialist will be responsible for adjudicating and ... processing fee-for-service claims , billing and eligibility inquiries and other assigned billing...eligibility inquiries and other assigned billing duties **Experience:** + Medical billing knowledge (including completion of CMS 1500) +… more
    US Tech Solutions (05/16/25)
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  • Warehouse Claims Specialist

    Reyes Holdings (Fairfield, OH)
    …professional development and career progression Position Responsibilities: + The Claims Specialist performs general administrative tasks, including processing ... duties, and collect and prepare information for various operational reports + Claims Specialists are responsible for interacting with internal and external customers… more
    Reyes Holdings (05/07/25)
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