• Claims Adjudication

    Mass Markets (Killeen, TX)
    …trusted partner in the industry. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong ... of experience in one or more of the following: call center, claims adjudication , insurance adjusting, or technical customer service (preferably in a high-volume… more
    Mass Markets (03/08/25)
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  • Appeals Specialist , Disability…

    Equitable (Charlotte, NC)
    …understanding of insurance policies, coverage terms, medical classification and claims adjudication procedures. **Legal Acumen:** Familiarity with legal ... Appeals Specialist , Disability Claims ( 25000066 ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED STATES-Remote, UNITED… more
    Equitable (04/04/25)
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  • Vocational Rehabilitation Specialist

    Equitable (Charlotte, NC)
    …results. + **Career Counseling:** + Provide one-on-one counseling to help claims specialist understand the claimants' vocational strengths and opportunities. ... Vocational Rehabilitation Specialist , Disability Claims ( 25000068 )...assessments and supporting claims specialists in evaluating claims , without engaging in the adjudication of… more
    Equitable (04/04/25)
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  • Quality Review Specialist , Disability…

    Equitable (Charlotte, NC)
    …understanding of insurance policies, coverage terms, medical classification and claims adjudication procedures. **Effective Communications:** Excellent written ... Quality Review Specialist , Disability Claims ( 25000069 ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED STATES-Remote, UNITED… more
    Equitable (04/04/25)
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  • Marine Warranty Claims and Operations…

    Brunswick (Mettawa, IL)
    …ability to deliver.** Essential Functions: + Participate in the effective and accurate adjudication of marine engine and accessory warranty claims . + Determine ... the talented Brunswick Product Protection (BPPC) team, you will supports the claims and customer service functions and is responsible for administering extended… more
    Brunswick (04/03/25)
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  • Claims Processor - Remote

    Cognizant (Malvern, PA)
    …procedures. Provide support to claims and client for issues related to claims adjudication and adjustments, Service Now and Inquiry resolution, and any basic ... world. Cognizant is looking to expand the AR- Immersive Specialist team and your skills are needed! Are you...Claim Processing position is responsible for timely and accurate adjudication of professional and hospital claims utilizing… more
    Cognizant (04/03/25)
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  • Claims Investigator

    Allied Solutions (Plano, TX)
    …Losses ; refer timely and accurately to more senior level adjusting staff for adjudication and collection; + Adjudicate claims within the guidelines of the ... Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. This… more
    Allied Solutions (04/13/25)
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  • Compensation Claims Referee (NY Helps), Wcb…

    New York State Civil Service (Brooklyn, NY)
    NY HELP Yes Agency Workers' Compensation Board Title Compensation Claims Referee (NY HELPS), WCB Item #4218 Occupational Category Legal Salary Grade 28 Bargaining ... Telecommuting allowed? Yes County Kings Street Address Office of General Counsel, Adjudication Services One Pierrepoint Plaza, 5th floor, 300 Cadman Plaza West City… more
    New York State Civil Service (04/17/25)
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  • Senior Benefit Operations Specialist

    KPH Healthcare Services, Inc. (Gouverneur, NY)
    …or related field **Experience:** + Required: 1 year experience using the RxIQ claims adjudication platform + Preferred: 2 Years experience with Health Care, ... data or changes to existing clients into the PBM adjudication platform. Works closely with the Benefit Operations Supervisor...act as a lead role within the Benefit Operations Specialist team and be a liaison to management and… more
    KPH Healthcare Services, Inc. (04/18/25)
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  • Client Policy Specialist Team Lead

    Zelis (GA)
    …and the personal interests that shape who you are. Position Overview The Client Policy Specialist Team Lead will act as the team lead and the subject matter expert ... support of the growth, and expansion of strategic clients. The Client Policy Specialist Team Lead will lead the overview discussion of new/existing opportunities for… more
    Zelis (04/10/25)
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