- Mass Markets (Killeen, TX)
- …trusted partner in the industry. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong ... of experience in one or more of the following: call center, claims adjudication , insurance adjusting, or technical customer service (preferably in a high-volume… more
- AON (Garden City, NY)
- …is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your ... strong technological skills. Experience: + Minimum of 2 years claims adjudication experience. + General Adjustor license... Specialist II Do you have experience in claims adjudication and enjoy resolving issues for… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Medical Support Specialist - Claims Augusta, Maine | Community & Social Services | Full-time Apply by: May 5, 2025 Apply with Linkedin Apply Department of Health ... Number: 02031-2353Location: Augusta Core Responsibilities: As a Medical Support Specialist , you will work with a team that reviews...support functions to perform advanced work in adjusting medical claims errors for adjudication and 2) the… more
- Equitable (Charlotte, NC)
- …understanding of insurance policies, coverage terms, medical classification and claims adjudication procedures. **Legal Acumen:** Familiarity with legal ... Appeals Specialist , Disability Claims ( 25000066 ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED STATES-Remote, UNITED… more
- Equitable (Charlotte, NC)
- …results. + **Career Counseling:** + Provide one-on-one counseling to help claims specialist understand the claimants' vocational strengths and opportunities. ... Vocational Rehabilitation Specialist , Disability Claims ( 25000068 )...assessments and supporting claims specialists in evaluating claims , without engaging in the adjudication of… more
- Equitable (Charlotte, NC)
- Disability and Leave Management Claims Specialist (Disability Claims Experience Required) ( 2500003B ) **Primary Location** : UNITED STATES-NC-Charlotte ... that will help unlock your potential? Equitable is looking for an experienced Claims Specialist supporting Disability and Leave Management claims to… more
- Equitable (Charlotte, NC)
- …understanding of insurance policies, coverage terms, medical classification and claims adjudication procedures. **Effective Communications:** Excellent written ... Quality Review Specialist , Disability Claims ( 25000069 ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED STATES-Remote, UNITED… more
- CVS Health (Providence, RI)
- …Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance ... amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, complete… more
- Cognizant (Malvern, PA)
- …procedures. Provide support to claims and client for issues related to claims adjudication and adjustments, Service Now and Inquiry resolution, and any basic ... world. Cognizant is looking to expand the AR- Immersive Specialist team and your skills are needed! Are you...Claim Processing position is responsible for timely and accurate adjudication of professional and hospital claims utilizing… more
- Allied Solutions (Plano, TX)
- …Losses ; refer timely and accurately to more senior level adjusting staff for adjudication and collection; + Adjudicate claims within the guidelines of the ... Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. This… more