Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks. Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all sta...
As a National Catastrophe (NATCAT) Field Claims Specialist primarily supporting our Personal Lines (PL) business, you'll investigate and resolve personal lines property damage claims on the phone and/or in person. Maintains and develops current knowledge of assigned insurance lines, court decisions ...
Performs claims oversight of a third-party claim administrator (TPA). This includes ensuring TPA best practices are executed; responding to TPA requests for team member information; providing wage information, consults with outside counsel, processes claim billing and funding requests. Reviews open ...
CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department. They will work closely with other members of the Commercial Services Operations team providing root ...
Fraud and Claims Operations group, one of our most critical departments at Citizens. You’ll use critical thinking skills to assist customers with existing claims and determine the best next step for the customer and the bank. Specialists manage competing priorities in an accurate and timely manner a...
Claim Service Specialists are responsible for thoroughly checking claim case facts, determining coverage, liability and reserves, and accurately reporting on each settlement. Claim Service Specialists are advocates for our customers. Claim your future with Arbella! If you’re looking for a dynamic op...
Claims Clinical Specialist – Medical Review Team. The Claims Clinical Specialist role is an excellent opportunity for a Registered Nurse seeking a career change. You will be responsible for improving our in-house certification functions by providing updates to the plan of care, in-house certificatio...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
As a Commercial/Specialty Casualty Adjuster, you will be responsible to resolve all aspects of 1st and 3rd party injury claims of low to moderate complexity for personal lines as well as our commercial claims. Handle 1st party exposures to include Medical Payment coverage, PIP, Uninsured Motorists, ...
Health, dental, vision and life insurance benefits.Non-retail/Closed-door environment.Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nation...
Inputs and retrieves information using the automated claims system, requests checks, form letters and other correspondence through the automated claim system. Maintain claim files and document claim file activities in accordance with established procedures. Under immediate supervision, investigate a...
CLAIM OPERATIONAL SERVICE AND PARTNERSHIPS: Partners with claim professionals in multiple departments to assist with the timely resolution of claims, which may include: Properly documents claim files, including notes and diaries, Requests reports and records, and reviews medical bills, mail and wage...
Claim Service Specialists are responsible for thoroughly checking claim case facts, determining coverage, liability and reserves, and accurately reporting on each settlement. Claim Service Specialists are advocates for our customers. Claim your future with Arbella! If you’re looking for a dynamic op...
We're looking for candidates with great customer service skills to fill our Remote Customer Service role!.This role is entirely remote and offers full-time/Part time hours with flexibility .We are ready to schedule interviews for this week.We're seeking someone who is great with people, building rel...
Driver is responsible for driving a tractor trailer or straight truck on intrastate and interstate local, over-the-road (OTR), shuttle, and overnight and drive and drop routes for the purpose of delivering and/or unloading food and food related products to customers in a safe and timely manner and i...
Driver is responsible for driving a tractor trailer or straight truck on intrastate and interstate local, over-the-road (OTR), shuttle, and overnight and drive and drop routes for the purpose of delivering and/or unloading food and food related products to customers in a safe and timely manner and i...
Sysco has immediate job openings for dependable local CDL A Delivery Truck Drivers to safely and efficiently operate a tractor-trailer and manually unload/deliver various products (meats, produce, frozen foods, groceries, dry goods, supplies, etc. Our truck drivers build relationships with each cust...
This is a remote/work from home position. As a contract business, traders will be their own boss, with the opportunity to work full-time or part-time from anywhere in the world with a high-speed internet connection. Operate from anywhere in the world with a high-speed internet connection. Ability to...
Join our community of seasoned traders, and benefit from ongoing coaching, educational courses, and regular meetings. ...
Telecommute (you can work from home, work or school). Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. A paid Product Tester position is perfect for those looking for an entry-level opportunity, flexible or sea...
Sysco has immediate job openings for dependable local CDL A Delivery Truck Drivers to safely and efficiently operate a tractor-trailer and manually unload/deliver various products (meats, produce, frozen foods, groceries, dry goods, supplies, etc. Our truck drivers build relationships with each cust...
Class A CDL Local Truck Driver | Auburn ME | P&G**. Class A CDL Local Truck Drivers assigned to a private fleet based in Andover, MA. CPC Logistics Inc** Run Details & Requirements **$1800+ Weekly |** **Home Every Day |** **Local Line Haul |** **Excellent Power Equipment |** **Benefits af...
As part of this position, you have the opportunity to work 100% remotely, collaborating with an exceptional team from the comfort of your home or office. Intuit is seeking Tax Associates for the upcoming tax season. As a Tax Associate, you have a minimum of 2 years of paid experience filing 30 or mo...
As part of this position, you have the opportunity to work 100% remotely, collaborating with an exceptional team from the comfort of your home or office. Intuit is seeking Tax Associates for the upcoming tax season. As a Tax Associate, you have a minimum of 2 years of paid experience filing 30 or mo...
As part of this position, you have the opportunity to work 100% remotely, collaborating with an exceptional team from the comfort of your home or office. Intuit is seeking Tax Associates for the upcoming tax season. As a Tax Associate, you have a minimum of 2 years of paid experience filing 30 or mo...