- AssistRx (Phoenix, AZ)
- The Copay Support/ Claims Processing Specialist is a critical role within the organization and is responsible for servicing inbound calls, EOB faxes, and mail ... Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication,...care or health care providers that meet the program business rules for determination of approval, denial, or pending… more
- Publix (Lakeland, FL)
- **33789BR** **Position Title:** PROFIT Plan Claims Processing Specialist , Retirement - Lakeland **Department:** Benefits Administration **Location:** ... + Being a Subject Matter Expert (SME) for the Retirement business area, + Processing beneficiary claims for PROFIT Plan distributions, + Providing… more
- BrightSpring Health Services (Louisville, KY)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key...office environment for those who are willing to learn claims , billing and insurance processing . Pharmacy Technician… more
- NJM Insurance (Trenton, NJ)
- NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/II/Sr.) . This is a full-time position and offers a hybrid schedule after training with a ... another day in our West Trenton office. The WC Claims Specialist will be responsible for contacting...component in the growth and success of our policyholders' business operations. To meet these expectations, WC Claims… more
- GuideOne Insurance (West Des Moines, IA)
- …operational tasks. + Act as a primary liaison for external vendors supporting claims processing and systems, ensuring smooth coordination and issue resolution. + ... As a Claims Operations Specialist , you will play...performance. Qualifications: + Minimum of 5 years' experience in claims processing within the insurance sector is… more
- Sedgwick (Washington, DC)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist , Professional Liability **PRIMARY PURPOSE** **:** To analyze mid- ... and higher-level medical malpractice claims ; to provide prompt and fair resolution of mid...trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. +… more
- Sedgwick (Washington, DC)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist , General Liability (Property) **PRIMARY PURPOSE** : To analyze ... college or university preferred. Professional certification as applicable to line of business preferred. **Experience** Five (5) years of claims management… more
- Mass Markets (Killeen, TX)
- …Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, ... POSITION OVERVIEW MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that… more
- Commonwealth Care Alliance (Boston, MA)
- …Revenue Integrity, Payment Integrity, and Analytics + 5+ years of Facets Claims Processing System **Required Knowledge, Skills & Abilities (must have):** ... (CPT, HCPCS, Modifiers) along with the application of Medicare/Massachusetts Medicaid claims ' processing policies, coding principals and payment methodologies +… more
- Hartford Steam Boiler Inspection and Insurance Company (Hartford, CT)
- Claims Financial Specialist **Company** HSB **Location** Hartford , United States Work closely with business partners to understand business needs and ... financial processes and controls for new or enhanced insurance products. Manage Claims reporting and review and create monthly reporting on Client Company payments.… more
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