- City of New York (New York, NY)
- …New York employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE ... to gather information relevant to the investigation of the claim ; 11) Investigate, identify, and report fraudulent claims...in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this… more
- CVS Health (Harrisburg, PA)
- …heart, each and every day. **Position Summary** Reviews and adjudicates routine Medicare claims on HRP system in accordance with claim processing guidelines. ... Aetna compliance and business requirements. Analyzes and approves routine claims that cannot be auto adjudicated. - Applies medical...applies all cost containment measures to assist in the claim adjudication process. - Proofs claim or… more
- AIG (Charleston, WV)
- Claim Specialist I, Charleston, WV Dedicated Office Estimated...we help customers to manage risk. Join us as a Claims Specialist I to play your part in ... WV account. How you will create an impact The Claims Specialist I will handle auto and...and gathering information to determine the exposure on the claim ; ensure proactive claims handling aimed at… more
- Travelers Insurance Company (Washington, DC)
- …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... management and evaluation of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations and strategies to… more
- Travelers Insurance Company (Cleveland, OH)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and 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
- CVS Health (East Lansing, MI)
- …Eastern Time Zone. **Position Summary** Reviews and adjudicates routine Flexible Spending claims in accordance with claim processing guidelines and IRS ... a computer for approximately 8 hours processing flexible spending claims via electronic image. + Determine if submissions are...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- MetLife (Cary, NC)
- …to come into the office ONCE A MONTH after training. Role Overview: Claim owner and decision-maker. Responsible for administering claims within contractual ... * Accountable for accurate financial decisions on block of claims with financial base benefit amount up...benefit amount up to $8000 per week per claim decisions made in accordance with Customer provisions *… more
- Travelers Insurance Company (Houston, TX)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- CenterLight Health System (NY)
- JOB PURPOSE: The Claim Appeals and Audit Specialist will play a pivotal role in enhancing the efficiency and effectiveness of the claims department by timely ... accurate processing of claims appeals and performing claims audit, ensuring payment integrity and compliance with all...to determine if system or procedural changes could enhance claim workflow and efficiency. + Analyze patient and medical… more
- CRC Insurance Services, Inc. (FL)
- …and makes recommendation for additional activity as appropriate. 4. Determine where new loss claims should be reported. 5. Manage all claim documentation. 6. Use ... the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 7. Analyze claim coverage with insurance carriers to… more