- CVS Health (Harrisburg, PA)
- …- 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 (PA)
- …- 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
- Geisinger (Danville, PA)
- …coding, appropriate billing, and reimbursement. + Completes clinical reviews related to Claims , Claim Edits, Appeals and the Grievance process, assisting in ... pended and reconsidered claims when edits are applied by the Plan claim editing software from multiple vendors. Reviews are typically based on CPT guidelines,… more
- Travelers Insurance Company (Harrisburg, PA)
- …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
- Sedgwick (Harrisburg, PA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Professional Liability | Medical Malpractice **PRIMARY PURPOSE** ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- Sedgwick (Harrisburg, PA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist , Professional Liability (Medical Malpractice) **PRIMARY PURPOSE** **:** ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- Zurich NA (Harrisburg, PA)
- Sr. Claims Specialist (Workers Compensation, NE Region) 129546 Zurich is looking for an accomplished Workers Compensation Sr. Claims Specialist for or ... York, Pennsylvania, Rhode Island, or Vermont. The Senior Workers Compensation Claims Specialist will handle multi-party commercial line Workman's Compensation… more
- Select Medical (Camp Hill, PA)
- …information, requiring ongoing discretion and secure information management. **Additional Data** **Your benefits as a Claims Resolution Specialist :** Select ... **Overview** ** Claims Resolution Specialist ** **Starting at $18.50...We offer an exceptional employee experience, full-time hours, full benefits , paid training, and advancement opportunities. Our team offers… more
- AON (Fort Washington, PA)
- …processes for the Affinity Life & Health program, including preparing account data for claim handling and remitting 1st reports of claims in a timely and ... Aon is seeking an Operations Specialist I in Fort Washington, PA This is...Life & Health program, including preparing account data for claim handling and remitting 1st reports of claims… more
- Commonwealth of Pennsylvania (PA)
- Fiscal Management Specialist 2 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5184942) Apply Fiscal Management Specialist 2 Salary ... Contact Phone ### Contact Email ###@pa.gov + Description + Benefits + Questions THE POSITION Are you passionate about...Department of Human Services is seeking a Fiscal Management Specialist 2 to join our team of professionals. In… more
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