- CVS Health (Franklin, TN)
- …effective communication skills. **Job Description Summary** + Handles and processes Benefits claims submitted by healthcare providers, ensuring accuracy, ... healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling...and guidelines. + Determines the eligibility and coverage of benefits for each claim based on the… more
- CVS Health (Nashville, TN)
- …- 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 (Franklin, TN)
- …all with heart, each and every day. **Position Summary** Performs claim documentation review, verifies policy coverage, assesses policy application validity, ... to the efficient and accurate handling of medical and final expense claims for reimbursement through knowledge of medical records reviews, team processes, and… more
- Lincoln Financial (Nashville, TN)
- …and applying knowledge. You will analyze and manage a caseload of appeals claims . You will review, investigate, and make claim determinations regarding coverage, ... 74565 **The Role at a Glance** As an Appeals Specialist you will be responsible for being a product...You will provide technical information and detailed guidance to Claims management & teams regarding products, claims … more
- Zurich NA (Nashville, TN)
- Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... Basic Qualifications: + Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor and 2 or more years of… more
- Travelers Insurance Company (Franklin, TN)
- …reserving, negotiating and resolving assigned Construction Defect and Latent Property Damage claims . Provides quality claim handling throughout the claim ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- Tractor Supply Company (Brentwood, TN)
- Specialist , Workers Comp **Overall Job Summary** This position is responsible for the day-to-day management of Tractor Supply Company's workers compensation and ... (Min 5%)** + Develops and implements Workers Compensation and Non Subscriber claim management strategy in coordination with Return-to-Work Program for operations in… more
- HCA Healthcare (Jasper, TN)
- …want to join an organization that invests in you as a Medical Insurance Claims Follow-up Specialist ? At Parallon, you come first. HCA Healthcare has committed ... incredible team members over the course of three years. ** Benefits ** Parallon, offers a total rewards package that supports...team. **Job Summary and Qualifications** As an **Medical Insurance Claims Follow-up Specialist ** , you will be… more
- USAA (Nashville, TN)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... us special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate,… more
- WestCare Foundation (Dandridge, TN)
- …and payment options. + Insurance Verification: Verify patient insurance coverage and benefits prior service delivery and claim submission, ensuring that all ... Billing and Credentialing Specialist Job Details Job Location Dandridge - 207...operational health of the organization. Essential Job Functions: + Claim Preparation & Submission: Prepare and submit accurate and… more