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Claims Specialist
Rocket - Long Beach, CA
SUMMARY: The Claims Specialist is primarily responsible for overseeing the Incident Reporting and Claims process to achieve early claim resolution and avoid litigation in a cost effective and time efficient manner. The Claims Specialist works closely with Operations, Customer Service, Loss Prevention, Safety, and other departments to ensure successful compliance and full executio...
Commercial Claims Specialist II - Hybrid
NJM Insurance Group - Hammonton, NJ
The Commercial Claims department is seeking a Commercial Claims Specialist II . A Claims Specialist handles all lines of Commercial business including coverage issues and litigation exposures. The Commercial Claims Specialist II is a disciplined self-starter with outstanding communication & customer service skills. Has developed coverage skills, negotiation experience, and is a creativ...
Commercial Claims Specialist II - Hybrid
NJM Insurance Group - Trenton, NJ
The Commercial Claims department is seeking a Commercial Claims Specialist II . A Claims Specialist handles all lines of Commercial business including coverage issues and litigation exposures. The Commercial Claims Specialist II is a disciplined self-starter with outstanding communication & customer service skills. Has developed coverage skills, negotiation experience, and is a creativ...
Workers Compensation Claims Specialist, Sr
NJM Insurance Group - Pittsburgh, PA
NJM's WC Claims Department is seeking an experienced Claims Specialist, Sr. who lives in Western or Central PA to provide on-site service to our policyholders and agents in that area. This is a 100% remote position which includes virtual claims handling for customers in any area of PA and possibly MD, DE or CT as needed. At NJM, our WC Claims Department empow...
Sr. Workers Compensation Claims Specialist
NJM Insurance Group - Hartford, CT
NJM's WC Claims Department is seeking an experienced Sr. Workers Compensation Claims Specialist who lives in or near Connecticut to provide on-site service to our policyholders and agents in that state. This is a 100% remote position which includes virtual claims handling for customers in any area of CT and possibly MD, DE or PA as needed. ...
Denials Mitigation Specialist I
MedStar Health - White Marsh, MD
About the Job Full-time dayshift position offering a hybrid work schedule with approximately 3 days on-site per week. Our business office is located at 8094 Sandpiper Circle, Nottingham, MD. Under general direction the Denials Mitigation Specialist will provide ongoing review of technical denials, inpatient and outpatient claim...
HIS - Professional Coding Integrity Specialist - 40 hrs/wk.
Blanchard Valley Health System - Findlay, OH
PURPOSE OF THIS POSITION The primary purpose of the Professional Coding Integrity Specialist (PCIS) is to review, enter and/or modify charges as appropriate, including review of clinical documentation to ensure charge is supported and/or to determine specific charge/modifier assignments, for designated clinical areas. JOB DUTIES/RESPONSI...
Payments Claim Specialist
City National Bank - Newark, DE
PAYMENTS CLAIM SPECIALIST WHAT IS THE OPPORTUNITY? The Payment Claims Specialist is responsible for the investigation and processing of payment fraud claims and disputes with precision and quality. They must be confident when interacting directly with colleagues and clients via phone, letter or email to discuss claim decisions, obtain additional details or follow-up on existing clai...
Payments Claim Specialist
City National Bank - Phoenix, AZ
PAYMENTS CLAIM SPECIALIST WHAT IS THE OPPORTUNITY? The Payment Claims Specialist is responsible for the investigation and processing of payment fraud claims and disputes with precision and quality. They must be confident when interacting directly with colleagues and clients via phone, letter or email to discuss claim decisions, obtain additional details or follow-up on existing clai...
Professional Fee Coding Auditor Claims Edit Specialist (Full-Time, Day)
NorthBay Healthcare - Fairfield, CA
At NorthBay Health the Professional Fee Coding Auditor is responsible for auditing professional fee coding across all service lines (Ambulatory/Hospitalist, Surgery, and Emergency Medicine), resolving pre‑billing coding edits, and reviewing post‑billing coding‑related denials. This role ensures coding accuracy, documentation integrity, and compliance with CPT, HCPCS, ICD‑1...
