- Kelly Services (Topeka, KS)
- …right here in your backyard. Kelly(R) is looking for an **Independent Medical Claims Dispute Resolution Specialist ** to work at a well-known insurance ... ** $28/hour **What's a typical day as an Independent Medical Claims Dispute Resolution Specialist ? You'll be:** - Supporting the logging of inbound… more
- State of Colorado (Denver, CO)
- …General - Construction Claims & Contract Dispute Litigation Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5021234) Apply ... Assistant Attorney General - Construction Claims & Contract Dispute Litigation Specialist Salary $88,197.00 - $136,558.00 Annually Location Denver, CO Job… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Claim Dispute Specialist skilled in investigating and resolving provider payment disputes ... at any time with or without notice. Primary Responsibilities + Thorough review of claims and medical documentation. + Prepare cases for clinical review. +… more
- City of New York (New York, NY)
- … claims ; 3) Handle the division's participation in AAA American Arbitration Association dispute resolution on 1st party No-Fault claims and address 3rd Party ... a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY...claims within delegated monetary authority level; 8) Review medical providers and law firms to ensure all entities… more
- State of Minnesota (St. Paul, MN)
- … management specialist , you will administer and manage workers' compensation claims by applying the compensation, rehabilitation, and medical provisions of ... **Working Title: Workers' Compensation Claims Management Specialist Senior** **Job Class:...the disability management/vocational rehabilitation process; represent the employer in dispute resolution; work with agencies on strategic planning for… more
- Waste Connections (The Woodlands, TX)
- … Claims Counsel in the Legal Department in The Woodlands, Texas. This specialist in insurance law and claims management will provide a wide range ... Join Waste Connections, and Connect with Your Future! **Job Title** Claims Counsel **Employee Type** Employee **Requisition Primary Location** The Woodlands, Texas… more
- Needham Bank (Needham, MA)
- Job Descriptions: JOB SUMMARY The Card Service Specialist will be responsible for processing incoming ATM and Mastercard Debit disputes and fraud claims in ... compliance with Regulation E, Mastercard and/or PIN networks requirementsThe Card Service Specialist will be an integral member of the Card Services team. This… more
- Molina Healthcare (Caldwell, ID)
- …+ Responsible for the comprehensive research and resolution of the appeals, dispute , grievances, and/or complaints from Molina members, providers and related outside ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- Sharp HealthCare (San Diego, CA)
- …complaints in a timely manner using data analysis, critical thinking and dispute resolution techniques. Maintains continual contact with Plan providers and tracks ... 3 Years experience in a managed care or healthcare environment interfacing with medical providers. + Driver's License - CA Department of Motor Vehicles -REQUIRED… more
- Independent Health (Buffalo, NY)
- …statistics. + Perform validation of diagnosis and procedure coding by reviewing medical record documentation and/or provider claims data. Ensure coding ... fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding and clinical decisions on… more
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