- 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
- CVS Health (Harrisburg, PA)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost ... both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard practices to… more
- Oracle (Harrisburg, PA)
- …your career in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering ... for developing the Claim Denial Prevention and Appeals features of Oracle Health...validation) to lead the appeals initiative to review denied claims , create write-ups for appeals packets, identify trends/improvement opportunities… more
- 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
- 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
- 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
- Cardinal Health (Harrisburg, PA)
- …authorization through billing and collections. Job Purpose: The Patient AR Specialist is responsible for managing and resolving outstanding patient balances, ... and/or billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits … more
- Philips (Pittsburgh, PA)
- …important member of the Philips North America MRI Clinical Science team, the Senior MRI Clinical Scientist will collaborate with medical doctors and physicists of ... in North America. + Will be the expert MRI specialist in an assigned technical or clinical application area,...IP for product development and generate evidence to support claims through scientific publications. + Be hands-on, be able… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …Highschool or relevant experience + 1 - 3 years as a Case Manager, Benefit Verification Specialist , or Contact Center agent at ConnectiveRx, or equivalent ... benefits , and SOP execution. Health Care Experience is required, specifically claim processing, contact center, benefit verification, or similar industry… more
- Travelers Insurance Company (Pittsburgh, PA)
- …level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . ... conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.… more