- Cognizant (Malvern, PA)
- …years of claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely ... procedures. Provide support to claims and client for issues related to claims adjudication and adjustments. You will be a valued member of the Cognizant team… more
- CVS Health (PA)
- …inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Sedgwick (Harrisburg, PA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist , General Liability (Property) **PRIMARY PURPOSE** : To analyze ... exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and… more
- UPMC (Pittsburgh, PA)
- …is key to keeping operations running smoothly. + Verify electronically received claims before adjudication , clearing errored records in line with established ... things run smoothly and accurately? As a Document Process Specialist , you'll be at the front line of our..., you'll be at the front line of our claims intake process-ensuring that every paper claim and piece… more
- Datavant (Harrisburg, PA)
- …and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the ... practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding, billing, utilization review,… more
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