• Supervisor , Claims Review

    Humana (Harrisburg, PA)
    **Become a part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Supervisor , Claims Review works within thorough, prescribed guidelines and… more
    Humana (11/12/25)
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  • Lost Time Claims Specialist II

    UPMC (Pittsburgh, PA)
    …Compensation Lost Time Claims Specialist II reports to the Workers Compensation Claims Supervisor . The Lost Time Claims Specialist II is responsible ... UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II! This role will predominantly work...line of business litigation guidelines to include budget, bill review and payment under limited direction of supervisor… more
    UPMC (10/28/25)
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  • (Remote) Claims Team Lead - Workers…

    Sedgwick (Harrisburg, PA)
    …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
    Sedgwick (11/08/25)
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  • Claims Advisor, Environmental…

    Sedgwick (Philadelphia, PA)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description Summary** ... To analyze complex or technically difficult environmental claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
    Sedgwick (10/07/25)
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  • Claim Supervisor - REMOTE

    Ryder System (Harrisburg, PA)
    _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
    Ryder System (10/30/25)
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  • Collection Team Supervisor (on-site)

    Select Medical (Camp Hill, PA)
    **Overview** **Collections Team Supervisor ** **ON-SITE** **Starting Hourly Rate $25 (based on experience)** **BONUS ELIGIBLE** Are you results-oriented? Our dynamic ... team has the responsibility of resolving outstanding insurance claims so that our patients are not impacted. We...execution of daily workflow of the functional team. + Review AR daily to ensure consistent performance and quality… more
    Select Medical (10/31/25)
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  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure ... care for appropriate reimbursement. + Work with the physician advisor in review of patient medical records identified by RAC/MIC/QIO and other governmental or… more
    St. Luke's University Health Network (10/28/25)
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  • Senior Account Manager - Valet & Front-End…

    Towne Park (Media, PA)
    …Account Manager is responsible for escalating issues to their assigned supervisor to address and correct. **ESSENTIAL FUNCTIONS** **Reasonable accommodations may be ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls… more
    Towne Park (10/22/25)
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  • Claim Representative - General Liability Property…

    Donegal Insurance Group (Marietta, PA)
    …office in Marietta, PA. Responsibilities and Duties + Investigate, evaluate, and settle claims as assigned by the Supervisor + Conduct thorough investigations to ... an opening for a Claim Representative on our Casualty Claims team. As a member of our Claims...agent, insured, claimant or their representative or attorney + Review and analyze the insurance policy to ensure coverage… more
    Donegal Insurance Group (10/17/25)
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  • Insurance Specialist II- Corporate Patient AR…

    Guthrie (Sayre, PA)
    …Billing Specialists I and related support staff. Works closely with Director, Manager, Supervisor and Application Analyst on day to day priorities and to maintain a ... reports as required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit balances as… more
    Guthrie (11/04/25)
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