- Travelers Insurance Company (Lake Oswego, OR)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site… more
- TEKsystems (Portland, OR)
- Professional Summary: The Policy Operations Specialist plays a vital role in supporting the Policy Operations team by executing wrap-up tasks related to Stop ... service and support to internal departments including Premium, Commission, Underwriting, Claims , and Field Sales/Service. + Ensure data integrity across systems… more
- USAA (Portland, OR)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... us special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate,… more
- CVS Health (Salem, OR)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost ... both internal and external customers. Performs regular quality audits for service operations for multiple products and platforms to drive full and consistent… more
- TEKsystems (Portland, OR)
- …medical terminology, anatomy, and coding (CPT, DX, HCPCs). + Familiarity with Regence claims processing and clinical services operations . + Proven analytical and ... Professional Summary: The Appeals Specialist I is responsible for managing provider billing...members, providers, attorneys, and other external parties regarding benefits, claims , and eligibility. + Maintain detailed documentation of appeal… more
- Cognizant (Salem, OR)
- **Appeals & Grievance Specialist (remote)** This is a remote position open to any qualified applicant in the United States. **Job Summary:** We are seeking a ... dedicated Appeals & Grievance Specialist with 2 to 3 years of experience to...**Responsibilities:** Reviewing available Appeals & Grievances for the pending claims to verify due process was followed. Determine if… more
- Sedgwick (Portland, OR)
- …Fortune Best Workplaces in Financial Services & Insurance IT Systems Analyst Specialist Job Description Join us in delivering cutting-edge technology solutions for ... as appropriate. + Works with project managers, project requestors, operations , business representatives, IT representatives and clients to ensure complete… more
- TEKsystems (Portland, OR)
- Professional Summary: The Clinical Intake & Correspondence Specialist I plays a vital role in supporting clinical services by managing incoming documentation and ... and highly organized, with a strong understanding of medical terminology and healthcare operations . This is a remote role available to candidates located in Oregon,… more
- Walgreens (Bend, OR)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... (eg, offering help proactively, identifying needs, servicing until satisfied, etc.). ** Operations ** + Executes and coaches team members on warehouse and vendor… more
- GAP Solutions Inc (Salem, OR)
- **Position Objective:** As a Junior Human Resource Specialist , apply HR skills in support of managers, program staff and customers on the full range of HR topics ... Customs Enforcement (ICE), Office of Human Capital (OHC), Human Resources Operations Center (HROC). **Duties and Responsibilities:** + Processing personnel and… more
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