• Claim Benefit Specialist

    CVS Health (Raleigh, NC)
    …every day. **Job Summary** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the opportunity ... 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 (11/16/25)
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  • AVP- Complex Claim Specialist

    Travelers Insurance Company (Raleigh, NC)
    …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... management and evaluation of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations and strategies to… more
    Travelers Insurance Company (11/12/25)
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  • Short Term Disability Claims…

    MetLife (Holly Springs, NC)
    … benefit decision and payment * Accountable for accurate financial decisions on block of claims with financial base benefit amount up to $8000 per week per ... training. Key Responsibilities: * Manages overall STD block of claims and possible companion claims to include...Federal, State, Local laws * Creates and executes individual claim action plans, serves as point of contact for… more
    MetLife (10/22/25)
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  • STD Claims Support Specialist

    MetLife (Cary, NC)
    …made by team member(s) within authority limit including Financial accuracy of coding Claims System including accurate claim Benefit Amount/Salary and ... calls, clear communication, accuracy of decisions and financial accuracy * Drives Claim Management Accuracy and Customer Centricity through support of the Pre-QA… more
    MetLife (11/16/25)
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  • Marine Claims Senior Claims…

    Zurich NA (Raleigh, NC)
    Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... Basic Qualifications: + Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor and 2 or more years of… more
    Zurich NA (11/13/25)
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  • Disability Clinical Specialist

    Sedgwick (Raleigh, NC)
    …of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall.… more
    Sedgwick (10/24/25)
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  • Revenue Cycle Management Specialist…

    KPH Healthcare Services, Inc. (Greensboro, NC)
    **Overview** The Revenue Cycle Management Specialist - Collections responsibility is to ensure timely collection of outstanding balances. **Responsibilities** + ... Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible parties via phone, email, and written… more
    KPH Healthcare Services, Inc. (11/15/25)
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  • (Remote) EDI Support Specialist - Casualty

    Sedgwick (Raleigh, NC)
    …advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. ... Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research,...to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI… more
    Sedgwick (11/06/25)
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  • Revenue Integrity Coding Billing Specialist…

    Guidehouse (Raleigh, NC)
    …of assigned Medicare and third party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. ... needed + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific...Unlikely Edits (MUE) + Medical Necessity edits + Other claim level edits as assigned + As needed, review… more
    Guidehouse (11/21/25)
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  • Medical Billing Specialist

    Robert Half Accountemps (Fayetteville, NC)
    Description We are looking for a detail-oriented Medical Billing Specialist to join our team on a long-term contract basis. In this role, you will play a critical ... part in ensuring accurate and timely processing of medical billing and claims for a healthcare facility in Raeford, North Carolina. This position offers the… more
    Robert Half Accountemps (11/13/25)
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