Sr Claim Specialist Jobs in USA

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Claim Benefit Specialist

Date: 2023-12-01 (Loaded Cached)

Job Description: Analyzes and approves routine claims that cannot be auto adjudicated. Routes and triages complex claims to Senior Claim Benefits Specialist.

Company: CVS Health
Hiring Organization: CVS Health
Salary: TBD
Location: Tallahassee, FL
Street Address: TBD

Locality: Tallahassee, FL
Region: disclosed when applied
Postal code: disclosed when applied


Job Details




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Sr. Specialist, Fraud & Non Fraud Investigations

Date: 2023-12-01 (Loaded Cached)

Job Description: Assist the Bankcard Recovery department by investigating claims of fraud on accounts in collections. Determine the validity of fraudulent claims and hold…

Company: First National Bank of Omaha
Hiring Organization: First National Bank of Omaha
Salary: TBD
Location: Omaha, NE 68102
Street Address: TBD

Locality: Omaha, NE 68102
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Claim Specialist Sr.

Date: 2023-12-01 (Loaded Cached)

Job Description: 10+ years’ experience handling (re) insurance claims preferred. Experience with Surety, Professional Liability and/or Cyber claims a plus.

Company: Munich Re America
Hiring Organization: Munich Re America
Salary: TBD
Location: Princeton, NJ
Street Address: TBD

Locality: Princeton, NJ
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



INTELLIGENCE SPECIALIST

Date: 2023-12-01 (Loaded Cached)

Job Description: NOTE: For OCONUS employees who claim eligibility MSP or Family Member Preference, your SF-50 may contain a "3" in block 24 and a "2" in block 34.

Company: US Department of the Air Force - Agency Wide
Hiring Organization: US Department of the Air Force - Agency Wide
Salary: TBD
Location: Offutt AFB, NE
Street Address: TBD

Locality: Offutt AFB, NE
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Case Specialist II, STD

Date: 2023-12-01 (Loaded Cached)

Job Description: As warranted, guides the claims management activities of the insurance company clients’ claims analysts on co-managed claims. Assists with heavy claim loads.

Company: Sun Life
Hiring Organization: Sun Life
Salary: TBD
Location: Wellesley Hills, MA 02481
Street Address: TBD

Locality: Wellesley Hills, MA 02481
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



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Senior Claim Benefit Specialist

Date: 2023-12-01 (Loaded Cached)

Job Description: Trains and mentors claim benefit specialists. Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise.

Company: CVS Health
Hiring Organization: CVS Health
Salary: TBD
Location: Albany, NY
Street Address: TBD

Locality: Albany, NY
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Sexual Assault Exam Payment Claim Specialist-State Prog Admin Sr

Date: 2023-12-01 (Loaded Cached)

Job Description: Excellent reading and writing skills sufficient to analyze claims and provide reasoning for needed process improvements. Date Posted: 11/20/2023.

Company: State of Minnesota
Hiring Organization: State of Minnesota
Salary: TBD
Location: Saint Paul, MN 55101
Street Address: TBD

Locality: Saint Paul, MN 55101
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Sr. Collections Specialist

Date: 2023-12-01 (Loaded Cached)

Job Description: MUST have prior experience in medical billing collections, claims management, and claims submissions. Be able to answer all patient calls regarding insurance…

Company: Forta
Hiring Organization: Forta
Salary: TBD
Location: United States
Street Address: TBD

Locality: United States
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Senior Living Medicaid Billing Specialist

Date: 2023-12-01 (Loaded Cached)

Job Description: Resolves disputed claims by consulting with state Medicaid administration claims clerks and following up on all bills not processed within usual claim period.

Company: Milestone Retirement Communities
Hiring Organization: Milestone Retirement Communities
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Workers Comp Claims Specialist Southeastern States (Remote Workers)

Date: 2023-12-01 (Loaded Cached)

Job Description: Ensures that claims payments are issued in a timely and accurate manner. Viewed as a senior resource for the Claims department and/or organization.

Company: National Interstate Corporation
Hiring Organization: National Interstate Corporation
Salary: TBD
Location: Florida
Street Address: TBD

Locality: Florida
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



PAP Specialist

Date: 2023-12-01 (Loaded Cached)

Job Description: PAP Specialists are responsible for preparing and submitting audit paperwork for Medicare and other insurance claims to ensure continued compliance with…

Company: Adapt Health LLC
Hiring Organization: Adapt Health LLC
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Patient Relations Specialist Sr

Date: 2023-12-01 (Loaded Cached)

Job Description: Responsible for reviewing data trends and reporting results to appropriate departmental, divisional or senior leaders.

Company: Dartmouth-Hitchcock Health
Hiring Organization: Dartmouth-Hitchcock Health
Salary: TBD
Location: Lebanon, NH
Street Address: TBD

Locality: Lebanon, NH
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Senior Reinsurance Specialist

Date: 2023-12-01 (Loaded Cached)

Job Description: Provide support to underwriters and claims as needed. Liaise with Reinsurers as required, assisting with Reinsurer queries to ensure accurate data reporting and…

Company: Mitsui Sumitomo
Hiring Organization: Mitsui Sumitomo
Salary: TBD
Location: Warren, NJ 07059
Street Address: TBD

Locality: Warren, NJ 07059
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Accounts Payable Specialist (multiple openings)

Date: 2023-12-01 (Loaded Cached)

Job Description: Ensures all claims related invoices are paid to the correct payee and for the correct amount. Assists in the Quality Assurance process for claims related…

Company: MedCost LLC
Hiring Organization: MedCost LLC
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Grievance & Appeals Dispute Specialist

Date: 2023-12-01 (Loaded Cached)

Job Description: Someone successful in this role will have a medical background in claims or health insurance. If the decision is overturned, the Dispute Specialist will reach…

Company: CGC Group Inc.
Hiring Organization: CGC Group Inc.
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Claim Specialist - Excess & Surplus

Date: 2023-12-01 (Loaded Cached)

Job Description: Proactively investigate, negotiate, and resolve high exposure Excess and Umbrella claims, in accordance with established best practices and assure claims are…

Company: Allianz Commercial
Hiring Organization: Allianz Commercial
Salary: TBD
Location: Alpharetta, GA 30022
Street Address: TBD

Locality: Alpharetta, GA 30022
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Sr Rep,Benefits Verification

Date: 2023-12-01 (Loaded Cached)

Job Description: Complete Quality Assurance audits on Benefit specialists. The Senior Benefits Specialist Lead is a team lead roll and is responsible for helping ensure the…

Company: CVS Health
Hiring Organization: CVS Health
Salary: TBD
Location: Saint Paul, MN
Street Address: TBD

Locality: Saint Paul, MN
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Sr Client Service Specialist, Private Risk - Insgroup

Date: 2023-12-01 (Loaded Cached)

Job Description: Maintains a concern for timeliness and completeness when interacting with clients, the firm and insurance company partners to minimize potential for errors and…

Company: Baldwin Risk Partners
Hiring Organization: Baldwin Risk Partners
Salary: TBD
Location: Houston, TX
Street Address: TBD

Locality: Houston, TX
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Technology Specialist - Data Management Claims

Date: 2023-12-01 (Loaded Cached)

Job Description: Collaborates and partners with senior professional users: In this role you will be a claims and healthcare subject matter expert on the Functional Data…

Company: Ascension
Hiring Organization: Ascension
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



INTELLIGENCE SPECIALIST

Date: 2023-12-01 (Loaded Cached)

Job Description: NOTE: For OCONUS employees who claim eligibility MSP or Family Member Preference, your SF-50 may contain a "3" in block 24 and a "2" in block 34.

Company: US Department of the Air Force - Agency Wide
Hiring Organization: US Department of the Air Force - Agency Wide
Salary: TBD
Location: Hickam AFB, HI
Street Address: TBD

Locality: Hickam AFB, HI
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Cybersecurity and Compliance Specialist

Date: 2023-12-01 (Loaded Cached)

Job Description: Rubris was formed over three years ago by veterans of the software and mass legal claims industries. Each year, billions of dollars change hands to resolve tens…

Company: Rubris
Hiring Organization: Rubris
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Risk & Insurance Specialist

Date: 2023-12-01 (Loaded Cached)

Job Description: Prepare reports for senior management. Collaborate with brokers and insurance providers to ensure timely and fair resolution of claims.

Company: Ross Innovative Employment Solutions
Hiring Organization: Ross Innovative Employment Solutions
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



FOREIGN AFFAIRS SPECIALIST

Date: 2023-12-01 (Loaded Cached)

Job Description: Serve as a senior foreign affairs specialist and adviser to the Chairman of the Joint Chiefs of Staff (CJCS), senior leaders, and J5 Strategy, Plans, and Policy…

Company: US Organization of the Joint Chiefs of Staff
Hiring Organization: US Organization of the Joint Chiefs of Staff
Salary: TBD
Location: Arlington, VA
Street Address: TBD

Locality: Arlington, VA
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



LTD Benefit Claim Specialist (Workplace Solutions)

Date: 2023-12-01 (Loaded Cached)

Job Description: Review and determine ongoing claim liability, involving the evaluation of claim documentation, resolution of queries, and identification of any changes in claim…

Company: Mutual of Omaha
Hiring Organization: Mutual of Omaha
Salary: TBD
Location: Omaha, NE 68131
Street Address: TBD

Locality: Omaha, NE 68131
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Revenue Cycle Specialist I

Date: 2023-12-01 (Loaded Cached)

Job Description: Reviews and transmits/mails claims. Maintains knowledge of appropriate data required on claims. Submits appropriate claims corrections or adjustments as needed.

Company: Compassus
Hiring Organization: Compassus
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



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Data as of 2023-12-01 (Loaded Cached) with id 1544. Database job listings: 1,214,315 jobs and growing. Find more jobs near me.

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