Claims Specialist

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...

Overview: 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...

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...

: Conducts thorough investigation of all assigned claims by analyzing information and evidence with maximum accuracy and efficiency from all relevant parties, regarding claims and legal actions filed against NJ TRANSIT. Assists defense counsel in all facets of trial preparation to affect a successful resolution of litigated cases. Utilizes knowledge,...

: Conducts thorough investigation of all assigned claims by analyzing information and evidence with maximum accuracy and efficiency from all relevant parties, regarding claims and legal actions filed against NJ TRANSIT. Assists defense counsel in all facets of trial preparation to affect a successful resolution of litigated cases. Utilizes knowledge,...

Job Classification: Operations - Insurance Operations At Prudential, we believe talent is key to achieving our vision. When you join Prudential, you’ll unlock a motivating and impactful career – all while growing your skills and advancing your profession at one of the world’s leading financial services institutions! Prudential’s...

Job Summary: This position is responsible for receiving verbal and written requests for prior authorization from pharmacists, physicians and/or patients and is responsible for supporting and assisting in the coordination of Pharmacy Services activities including claim utilization analysis, prescription plan design, ad-hoc reporting, correspondence and...

Job DescriptionJob DescriptionJob Summary:This position is responsible for receiving verbal and written requests for prior authorization from pharmacists, physicians and/or patients and is responsible for supporting and assisting in the coordination of Pharmacy Services activities including claim utilization analysis, prescription plan design, ad-hoc...

Position Summary: This position is responsible for receiving verbal and written requests for prior authorization from pharmacists, physicians and/or patients and is responsible for supporting and assisting in the coordination of Pharmacy Services activities including claim utilization analysis, prescription plan design, ad-hoc reporting, correspondence and...

Overview: **FRAUD DETECTION SPECIALIST I** **WHAT IS THE OPPORTUNITY?** A Fraud Detection Specialist level I, will review alerts/transactions that are flagged as potentially fraudulent, or out of pattern, based on the client's normal activity. Alerts and/or transactions may consist of various payment types and colleagues in this department are tasked with...

About the Job: We are searching for a dynamic Customer Relations Specialist to complete handle customer concerns.Responsibilities:Confer with customers by telephone or in person to provide information about products and services, cancel accounts, or obtain details of complaintsCheck to ensure that appropriate changes were made to resolve customers'...

Overview: FRAUD DETECTION SPECIALIST I Hybrid Schedule 3 days in office- 2 days remote Schedule Tues- Sat 1pm- 10pm EST WHAT IS THE OPPORTUNITY? A Fraud Detection Specialist level I, will review alerts/transactions that are flagged as potentially fraudulent, or out of pattern, based on the client's normal activity. Alerts and/or transactions may consist of...

Overview: FRAUD DETECTION SPECIALIST I Hybrid Schedule 3 days in office- 2 days remote Schedule Tues- Sat 1pm- 10pm EST WHAT IS THE OPPORTUNITY? A Fraud Detection Specialist level I, will review alerts/transactions that are flagged as potentially fraudulent, or out of pattern, based on the client's normal activity. Alerts and/or transactions may consist of...

The Billing and Collection Specialist will be responsible for various tasks associated with the Revenue Group. Such tasks include editing proformas, assisting with the various tasks associated with eBilling, following up on Client’s Receivables, and assisting with revenue adjustments. Essential Functions: • Process and edit monthly proformas and invoices...

The Billing and Collection Specialist will be responsible for various tasks associated with the Revenue Group. Such tasks include editing proformas, assisting with the various tasks associated with eBilling, following up on Client’s Receivables, and assisting with revenue adjustments. Essential Functions: • Process and edit monthly proformas and invoices...

The Billing and Collection Specialist will be responsible for various tasks associated with the Revenue Group. Such tasks include editing proformas, assisting with the various tasks associated with eBilling, following up on Client’s Receivables, and assisting with revenue adjustments. Essential Functions: • Process and edit monthly proformas and invoices...

The Billing and Collection Specialist will be responsible for various tasks associated with the Revenue Group. Such tasks include editing proformas, assisting with the various tasks associated with eBilling, following up on Client’s Receivables, and assisting with revenue adjustments. Essential Functions: • Process and edit monthly proformas and invoices...

The Billing and Collection Specialist will be responsible for various tasks associated with the Revenue Group. Such tasks include editing proformas, assisting with the various tasks associated with eBilling, following up on Client’s Receivables, and assisting with revenue adjustments. Essential Functions: • Process and edit monthly proformas and invoices...

Job DescriptionJob DescriptionAs a Billing and Collections Specialist you will be part of the Interim HealthCare Financial Services team with room for growth in your career. As part of Interim HealthCare, you’ll support a full range of patient services to bring comfort and dignity to our clients. This position will start out Hybrid and will report to the...

Job Description At WSFS Bank, we empower our Associates to grow their careers, we guide our customers to secure their financial futures, and we actively support our Communities so they can fully thriveCareers with WSFS Bank offer an inclusive and supportive culture, competitive salaries, opportunities to advance, and moreWe are the premiere, locally...