• Senior Specialist - Account…

    Organon & Co. (Plymouth Meeting, PA)
    **Job Description** **The Position** The Trade Operations Senior Specialist - US Market Access Operations is responsible for managing and optimizing the ... receivable, and maintaining strong relationships with customers and internal stakeholders. The Senior Specialist will also be tasked with analyzing and improving… more
    Organon & Co. (12/15/25)
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  • Senior Claims Specialist

    BrightView (Blue Bell, PA)
    …best-in-class team where you can grow to be your brightest. We're looking for a Senior Claims Specialist . Can you picture yourself here? **Hybrid Schedule:** ... Resumes At This Time **Here's what you'd do:** The Senior Claims Specialist is a...and coordination with excess insurers on significant or catastrophic claims . + Analyze claim trends and loss… more
    BrightView (11/15/25)
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  • Senior Investment Accounting…

    Commonwealth of Pennsylvania (PA)
    Senior Investment Accounting Specialist PSERS Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5171958) Apply  Senior Investment ... Name Veronica Witmer Contact Phone ### Contact Email ###@pa.gov + Description + Benefits + Questions THE POSITION Are you seeking challenging and meaningful work… more
    Commonwealth of Pennsylvania (12/23/25)
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  • Senior Claim Benefit…

    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 (12/18/25)
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  • Senior Claim Benefit…

    CVS Health (Harrisburg, PA)
    …Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider ... amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, complete… more
    CVS Health (12/20/25)
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  • Sr. Strategic Sourcing Specialist

    ZOLL Medical Corporation (Pittsburgh, PA)
    …makes ZOLL the ideal place to build your career.Job SummaryThis position the Senior Strategic Sourcing Specialist is responsible for leading the sourcing, ... examine and learn about products, services, and prices. + Reviewing purchase order claims and contracts for conformance to company policy. + Negotiate and administer… more
    ZOLL Medical Corporation (10/03/25)
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  • Sr. Claims Specialist (Workers…

    Zurich NA (Harrisburg, PA)
    …New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, or Vermont. The Senior Workers Compensation Claims Specialist will handle multi-party ... Sr. Claims Specialist (Workers Compensation, NE Region)...of damages allowed by law. + Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available… more
    Zurich NA (12/13/25)
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  • Senior Property Risk Engineer

    Travelers Insurance Company (Blue Bell, PA)
    …to Risk Control Consultants and Underwriters and as a mentor to others. As a Senior Risk Control Specialist , has the ability to handle the most complex ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
    Travelers Insurance Company (10/17/25)
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  • Medical Coding - Vendor and Claims Edit…

    Geisinger (Danville, PA)
    …and HCPCS coding skills toward the maintenance and development of prospective claim edits and partnerships. + Determines payment compliance with clinical and ... changes for the yearly opportunity analysis. + Reviews and responds to claim edit appeals and rational requests. + Coordinates, supports, and resolves vendor… more
    Geisinger (12/17/25)
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  • Coder IV - Claim Edits Coder (medical…

    Geisinger (Danville, PA)
    …providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and ... Health Information Technician - AHIMA CCS - Certified Coding Specialist - AHIMA + Reviews the content of the...and corrects historical file data by completing and submitting claim action reports per the PHC4 quarterly report. Work… more
    Geisinger (11/26/25)
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