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Prime Therapeutics
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Harrisburg, Pennsylvania
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Supervisor Operations, Claims Research - Remote
Job Description
The Supervisor Operations is ... (Benefit Design, e-Prescribe, Claims Processing, Integrated Product Solutions, Consumer Directed Health
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ACE American Insurance Company
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Philadelphia, Pennsylvania
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Senior Claim Specialist - TPA Claims (Hybrid) - 11930
DESCRIPTION/RESPONSIBILITIES:
JOB DESCRIPTION
Senior Claim Specialist - TPA Casualty Claims
This is a role focused on technical claim handling
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Healthfirst
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Remote, Pennsylvania
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assessments of current claims edits to ensure comprehensive and defensible claims editing is in place across all Healthfirst product lines
Participate in special projects and advanced Claims Coding
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Philadelphia Insurance Companies
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Bala Cynwyd, Pennsylvania
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Claims Assistant Team Leader to join our team.
JOB SUMMARY
This position is responsible for maintaining an even workload for all Claims Assistants.
JOB RESPONSIBILITIES:
Assist the Claims
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Sedgwick
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Pittsburgh, Pennsylvania
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supervisor experience.
Skills & Knowledge
• Thorough knowledge of claims management processes and ... .
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Claims Team Lead
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Sedgwick
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Philadelphia, Pennsylvania
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supervisor experience.
Skills & Knowledge
• Thorough knowledge of claims management processes and ... .
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Claims Team Lead
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Sedgwick
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Erie, Pennsylvania
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required to include two (2) years claims supervisor experience.
**Skills & Knowledge ... .
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Claims Team Lead
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Sedgwick
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Harrisburg, Pennsylvania
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supervisor experience.
Skills & Knowledge
• Thorough knowledge of claims management processes and ... .
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Claims Team Lead
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ACE American Insurance Company
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Philadelphia, Pennsylvania
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Senior Claim Director - TPA Claims (Hybrid) - 11926
DESCRIPTION/RESPONSIBILITIES:
JOB DESCRIPTION
Senior Claims Director - TPA Claims
This is a role focused on technical claim handling for Chubb
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HomeSafe Alliance
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King of Prussia, Pennsylvania
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Title:
Assistant Claims Manager (Military Move)
HomeSafe Alliance is the single ... Claims Manager to assist in all aspects of claims management, to support and promote process improvement
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Sedgwick
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Harrisburg, Pennsylvania
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.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Claims Advisor ... , executive, cyber, professional liability, error and omissions, and complex liability claims; to provide
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Aqua America, Inc
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Pittsburgh, Pennsylvania
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Management Claims Advisor, you will investigate personal and real property damage claims asserted by ... , inspecting property damages, securing evidence, preparing claims reports, reviewing internal documentation
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UPMC
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Pittsburgh, Pennsylvania
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closely with the Revenue Cycle team to ensure claims are promptly paid through both reviewing and ... . Identify or inform the Supervisor/Production Unit Manager of issues or problems associated with non-payment
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The Cigna Group
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Pittsburgh, Pennsylvania
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POSITION SUMMARY
The Claims Manager is responsible for managing the day-to-day activities of claims supervisors, strategies, metric performance/quality expectations for an assigned claim
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HomeSafe Alliance
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King of Prussia, Pennsylvania
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Title:
Claims Adjuster (SCA) HHG/Military Move
HomeSafe Alliance is the single ... Claims Manager to assist in all aspects of claims management, to support and promote process improvement
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The Cigna Group
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Philadelphia, Pennsylvania
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POSITION SUMMARY
The Claims Manager is responsible for managing the day-to-day activities of claims supervisors, strategies, metric performance/quality expectations for an assigned claim
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Sedgwick
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Harrisburg, Pennsylvania
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.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Sr. Claims Specialist ... provide resolution of highly complex nature and/or severe injury claims; to coordinate case management
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WellSpan Health
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York, Pennsylvania
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Revenue Cycle functions including, submitting electronic and / or manual insurance claims, resolves claim ... special billing for split claims, ancillary charges, interim bills, etc.- Resolves Claim edits to
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Travelers Insurance Company
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Wyomissing, Pennsylvania
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, reserving, negotiating and resolving assigned Construction Defect and Property Damage claims. Provides ... .
What Will You Do?
Directly handles assigned severity claims.
Provides quality customer
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Travelers Insurance Company
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Blue Bell, Pennsylvania
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, reserving, negotiating and resolving assigned Construction Defect and Property Damage claims. Provides ... .
What Will You Do?
Directly handles assigned severity claims.
Provides quality customer
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Novitas Solutions Inc.
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Mechanicsburg, Pennsylvania
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them.
Problem solving and Analysis: 25%
* Review claims processing systems to identify specific claim edits and audits applied on claims. Analyze claim edits and audits to determine reasons for claim
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Travelers Insurance Company
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Wyomissing, Pennsylvania
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Construction Defect and Property Damage claims. Provides quality claim handling throughout the claim life ... handles assigned claims.
Provides quality customer service and ensures file quality and timely
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Travelers Insurance Company
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Pittsburgh, Pennsylvania
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Construction Defect and Property Damage claims. Provides quality claim handling throughout the claim life ... handles assigned claims.
Provides quality customer service and ensures file quality and timely
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Travelers Insurance Company
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Blue Bell, Pennsylvania
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Construction Defect and Property Damage claims. Provides quality claim handling throughout the claim life ... handles assigned claims.
Provides quality customer service and ensures file quality and timely
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Commonwealth of Pennsylvania
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Middletown, Pennsylvania
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? Bring that talent to the Department of Revenue as a Clerical Supervisor 2 responsible for the Claims ... Clerk 3 and a staff of Clerk 2s in support of the timely and accurate processing of Lottery claims. If
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Cox Enterprises
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Hatfield, Pennsylvania
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Claims Specialist II to join our vehicle operations team at Cox Automotive. In this role, you'll be at ... into the heart of the matter as you research claims, assess repair costs and skillfully negotiate
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Penn Medicine
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Philadelphia, Pennsylvania
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department needs
Summary:
The Accounts Resolution Specialist II reports to the Supervisor ... , expedite the reprocessing of claims and maximize opportunities to enhance front end claim edits to
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Penn National Insurance
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Harrisburg, Pennsylvania
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team, and claims operations to support Inservco Insurance Service's daily operations.
COMPETENCIES AND ... expense budget items as directed.
* Enters data into the claims processing systems as instructed by the
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Penn Medicine
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Philadelphia, Pennsylvania
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:
The Account Resolution Specialist I reports to the Supervisor of Billing; primary responsibilities are ... , expedite the reprocessing of claims and maximize opportunities to enhance front end claim edits to
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The Children's Hospital of Philadelphia
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Philadelphia, Pennsylvania
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Management, Medical Records, Credit and Billing) to appeal legitimate denials.
Advises supervisor of ... /or responsible party to inquire on status of claims.
Sends and receives payor correspondence via mail
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