- MetLife (San Juan, PR)
- …* Effectively and independently manages an assigned caseload of moderately complex claims which consists of pending, ongoing/active and appeal reviews * Provides ... timely, balanced and accurate claims reviews, documentation and recommended decisions in a time...information is needed to make a reasonable and logical claims determination based off the information available * Collaborates… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr . Analyst plays a critical role in ensuring accurate, compliant, ... complex reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr . Analyst serves as a subject matter expert on Medicaid… more
- Commonwealth Care Alliance (Boston, MA)
- …considered at this time._** **Position Summary:** Working under the direction of the Sr . Director, TPA Management and Claims Compliance, Healthcare Medical ... 011250 CCA- Claims Hiring for One Year Term **_This position...Sr . Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and… more
- AIG (Atlanta, GA)
- Join us as a Senior Claims Adjuster to grow your experience in handling Federal Workers Compensation claims . Make your mark in Claims Our Claims ... regulatory and litigation / procedural requirements for Federal Workers Compensation claims . + Specialist knowledge of Defense Base Act claims is preferred.… more
- Axis (Short Hills, NJ)
- …taking part in the selection process. **Job Description** AXIS is seeking a **_Senior Claims Specialist - Environmental Claims_** to join our North America ... as well as reporting and presenting about same to senior management + In-depth knowledge of claims ,...to senior management + In-depth knowledge of claims , litigation, arbitration, and trial processes as well as… more
- Axis (New York, NY)
- …available upon request for candidates taking part in the selection process. AXIS is seeking a Senior Claims Specialist - Cyber, Media and Crime Claims to ... as well as reporting and presenting about same to senior management * In-depth knowledge of claims ,...to senior management * In-depth knowledge of claims , litigation, arbitration, and trial processes as well as… more
- Elara Caring (Broken Arrow, OK)
- …+ Paid time off, paid holidays, family, and pet bereavement + Pet insurance As Claims Specialist , you'll contribute to our success in the following ways: + ... executive team, and the leadership of the Orders and Claims Management team. + Performs claims audits...laws of the State. You will report to the Senior Quality and Configuration Specialist . _This is… more
- The Hartford (San Antonio, TX)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... as we help shape the future. As a Claim Specialist for Primary and Excess Liability Claims ...initiatives; + Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy issues, industry… more
- CVS Health (Augusta, ME)
- …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
- Festival Foods (WI)
- …work tasks and plans to meet department objectives. Provides direct leadership to the Senior Claims Specialist and Workplace Safety Specialist . Prepares ... Job Summary Job title: Workplace Safety Manager Department: Asset Protection Reports to: Senior Director of Asset Protection Reporting to the Senior Director of… more