- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Claim Dispute Specialist skilled in investigating and resolving provider ... Essential Qualifications + Strong knowledge of contracts, medical terminology, and claim dispute processing and procedures. + Previous experience handling… more
- Dickinson Financial Corporation (Kansas City, MO)
- **Summary** The Dispute Resolution Specialist I is responsible for processing electronic funds transfer (EFT) investigation claims in a fast-paced work ... related inquiries and research for both internal and external clients. A successful Dispute Resolution Specialist I must be capable of following limited,… more
- Amazon (Nashville, TN)
- …new market in Amazon's portfolio. We are looking to hire an Accounts Payable Dispute Resolution Specialist to support the growth of our expanding Amazon ... job responsibilities * Resolve payment disputes for carrier partners by investigating claims and ensuring compliance with Amazon's policies and SLA * Analyze payment… more
- First Horizon Bank (Knoxville, TN)
- …contact for First Horizon clients navigating credit and debit card fraud or dispute claims , ensuring a seamless and supportive experience. + Thoroughly review, ... serving their customers one opportunity at a time. Our Claim Resolution Specialists are dedicated to putting clients first...research, and resolve claim cases with a strong commitment to quality, accuracy,… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this ... time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring… more
- Alameda Health System (San Leandro, CA)
- …+ FTE:0.01 + Posted:May 15, 2025 **Summary** **SUMMARY:** The PFS Denial Specialist is responsible for validating dispute reasons following Explanation of ... Patient Financial Services Denial Specialist + San Leandro, CA + Finance +...to management, and generating appeals for denied and/or underpaid claims . **DUTIES & ESSENTIAL JOB FUNCTIONS:** NOTE: The following… more
- Waste Connections (The Woodlands, TX)
- … Claims Counsel in the Legal Department in The Woodlands, Texas. This specialist in insurance law and claims management will provide a wide range ... Texas. **Primary Responsibilities** + Managing legal issues related to insurance claims , including timely and accurate claim reporting, policy interpretation,… more
- Travelers Insurance Company (Phoenix, AZ)
- …and other complex claims . Attempt to resolve through innovative and expert claim management. This work may include: Remains out of work and unlikely to return ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...Medical Improvement (MMI), and has PPD. File litigated to dispute the permanency rating and/or causality. IW has been… more
- Elevance Health (Waukesha, WI)
- …prevent unnecessary medical-expense spending. **Title** : Financial Operations Recovery Specialist II **Location:** This role enables associates to work virtually ... is granted as required by law. The **Financial Operations Recovery Specialist II** is responsible for the discovery, validation, recovery, and adjustments… more
- Molina Healthcare (Chandler, AZ)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... + Responsible for the comprehensive research and resolution of the appeals, dispute , grievances, and/or complaints from Molina members, providers and related outside… more