- City of New York (New York, NY)
- …New York employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE ... to gather information relevant to the investigation of the claim ; 13) Investigate, identify, and report fraudulent claims...in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this… more
- CVS Health (Santa Fe, NM)
- …do it all with heart, each and every day. **Position Summary** The Senior Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or ... service inquiries and problems. **Key Responsibilities** + Reviews pre-specified claims or claims that exceed specialist...assignment daily to junior staff. + Trains and mentors claim benefit specialists. + Makes outbound calls… more
- CVS Health (Atlanta, GA)
- …each and every day. Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the opportunity to ... use multiple systems and screens to obtain and record claim information + Review claims information to...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- CVS Health (Augusta, ME)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication… more
- CVS Health (Plantation, FL)
- …Performs claim rework calculations. **-** Ensures accurate and timely claims processing **The hours for this position are Monday-Friday from 8:00am-4:30pm** ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Travelers Insurance Company (Reading, PA)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- Axis (Alpharetta, GA)
- …taking part in the selection process. **Job Description** AXIS is seeking a **Senior Claims Specialist ** to join our North America Claims team reporting ... to the Head of Property Program Claims . This position requires senior claims management...Third-Party Administrators to ensure reserve adequacy. + Handling oversight claim files involving complex and severe loss as defined… more
- Elara Caring (Broken Arrow, OK)
- …providing the Right Care, at the Right Time, in the Right Place. **Job Description:** ** Claim Specialist ** At Elara Caring, we care where you are and believe the ... holidays, family, and pet bereavement + Pet insurance As Claims Specialist , you'll contribute to our success...Performs claims audits for Medicare and non-Medicare claims through completion of claim audit Workflow.… more
- AON (Fort Washington, PA)
- Aon Is Looking For An Underwriting Referral and Claim Specialist ! This is an exciting opportunity for an Operations Specialist II, who will report directly ... Email/Correspondence teams + Responsible for sending 1st Report of Claims to carrier partner for Healthcare Individual and Healthcare...2562498 Aon Is Looking For An Underwriting Referral and Claim Specialist ! This is an exciting opportunity… more
- CVS Health (Plymouth, MN)
- …challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and broker ... and external stakeholders and the stop loss administrators. Managing stop loss claim filings, you will reconcile and resolve discrepancies between the amount… more
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