- State of Maine, Bureau of Human Resources (Augusta, ME)
- Claims Resolution Specialist -...determine exact nature of controversy. + Gathers and analyzes medical information related to claims in order ... regulations. An important role of these positions is to independently facilitate a resolution of disputed claims at the earliest possible juncture and thereby… more
- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift schedule. The Claims Resolution Specialist is responsible...HCPCs, and ICD-10 coding experience required. + Experience with medical terminology required. + Previous experience with health insurance… more
- TEKsystems (Atlanta, GA)
- We are hiring for Health Insurance/ Medical Claims specialists to support a growing healthcare company in the Waco area! As a claims follow up specialist ... support our clients. If you have experience working within medical insurance roles handling claims , payer portals,...must. + This position is highly focused on the resolution of insurance processing errors and denials. + Payers… more
- Axis (Red Bank, NJ)
- …to join our Design Professional Environmental (DP&E) claims team as a Senior Claims Specialist working in a Hybrid Environment (3 days in office/2 days ... nature of loss, coverage provided, scope of claim, and make recommendations considering resolution of claims . Key Duties and Responsibilities: * Excels in best… more
- Concentrix (Greenville, SC)
- Job Title: Customer Service Representative ( Claims Specialist ) On-Site Job Description The Customer Service Representative ( Claims Specialist ) On-Site ... for Career Growth** " awards every year? Then a Claims Specialist /Customer Service Representative position at Concentrix...in the program to ensure high quality and timely resolution + Prepare complete and accurate work including appropriately… more
- Aveanna (Atlanta, GA)
- Workers Compensation Claims Specialist ApplyRefer a FriendBack Job Details Requisition #: 195090 Location: Atlanta, GA 30339 Category: Compliance Salary: $45,000 ... - $55,000 per year Position Details Position Overview The Workers Compensation Claims Specialist is responsible for the being the liaison between the Aveanna… more
- Sedgwick (Augusta, ME)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... difficult surety and surety bond claims ; to provide resolution of highly complex...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- NJM Insurance (Trenton, NJ)
- …Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after training. ... an action plan to manage the claim to final resolution . The Complex Claim Specialist will work...manage the technical aspects of complex and high severity medical and CAT claims for quality outcomes… more
- NJ Transit (Newark, NJ)
- Claims Specialist (TC) Finance Job Description: Move forward with us! At NJ TRANSIT, you'll join us in transforming the third-largest transportation agency in ... all facets of trial preparation to affect a successful resolution of litigated cases. + Utilizes knowledge, experience and...TRANSIT's assets. + Analyzes, audits and approves payment of medical bills and expenses associated with claims … more
- CVS Health (Monroeville, PA)
- …an opportunity available for a full time Medical Claims Refund Specialist . This role ensures timely credit balance resolution via refunds to patients, ... Qualifications + 1+ years' experience performing health care reimbursement, medical billing or insurance collections, and/or account reconciliation/ account review/… more