- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Under direct supervision, the Claims Recovery Specialist I review and audits medical and/or dental claims to ... day-to-day management of active overpayment recoveries. Specialists will work to maximize recovery amounts due to refund of payments made in error to members,… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Under minimal supervision, the Claims Recovery Specialist II review and audits medical and/or dental claims to ... adjustments. **ESSENTIAL FUNCTIONS:** + Under supervision, reviews, audits, and/or initiates recovery efforts for medical, and/or dental claims to recover… more
- NJM Insurance (Parsippany, NJ)
- The Workers Compensation department is searching for a Claims Account Specialist (I). The Claims Account Specialist will be responsible for contacting ... implement an action plan to manage the claim. The Claims Account Specialist will work with and...all parties + Recognize and investigate subrogation opportunity for recovery of third-party funds + Work with the policyholder… more