- UPMC (Pittsburgh, PA)
- UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II ! This role will predominantly work remotely, Monday - Friday daylight hours. The ... adjuster license. The UPMC WorkPartners Workers Compensation Lost Time Claims Specialist II reports to...limited direction of supervisor. + Pro-actively manages the case resolution process. May participate in mediations within limit of… more
- AON (NY)
- Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow ... and courteous call handling of call transfers to provide claims issue resolution . Experience: + Prior ...and policies. #LI-AM4 2563784 Aon is looking for a Claims Specialist II Do you… more
- Zurich NA (Gold River, CA)
- Auto Claims Specialist II 128801...Skill in developing and executing negotiation strategies for claim resolution Your pay at Zurich is based on your ... Gold River, CA **Job Responsibilities:** Under moderate supervision, the **Auto Litigation Claims Specialist II ** will manage commercial line auto claims … more
- Zurich NA (Addison, TX)
- Mass Litigation Claims Specialist II 129963 This role offers a unique opportunity to manage moderate to low commercial liability claims involving toxic ... from assignment through resolution , with moderate direction from your manager and Claims leadership team. At this level, you will provide technical claims … more
- Penn Medicine (Philadelphia, PA)
- …future each day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist II **Department:** OB-GYN Billing Office **Location:** ... office hours per department needs **Summary:** + The Accounts Resolution Specialist II reports to...denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim… more
- Zurich NA (Indianapolis, IN)
- …129136 Zurich North America is seeking a sharp, solutions-driven Workers' Compensation Litigated Claims Specialist II to join our high-performing team. This ... the loss falls within the coverage. + Work to have a timely resolution to claims by developing case strategy; developing a case evaluation; escalating issues as… more
- HCA Healthcare (Nashville, TN)
- …do. We want you to apply! **Job Summary and Qualifications** The Coding Account Resolution Specialist - II (CARS- II ) works outpatient coding related ... recognized. Submit your application for the opportunity below:Coding Account Resolution Specialist -OutpatientParallon **Benefits** Parallon offers a total… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II , D-SNP Team (12 month Assignment) Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position ... to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training...additional service needs according to specific program guidelines. Uses claims processing and care management software to look up… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary… more
- Guthrie (Sayre, PA)
- …spreadsheets, creates and runs reports as needed to be used in the resolution of outstanding claims (ex. trending, projects, worklists) Identifies trends and ... Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a...required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit… more
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