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Establishes a payment arrangement with the patient/guarantor and follow-up on all payment arrangement plans implemented. · Contact patients/guarantors to secure payment for services provided based on an aging report with balances.

HOUR

We make it all about you. Our focus is to “Consistently Provide Client Experiences Focused on What They Value Most”. We operate on three fundamental principles: exceptional client service, quality candidates, and a great marrying of the two. PrideStaff does this by tracking and measuring our performance in the following ways: 1) We track results We proudly follow the NetPromoter methodology by continually measuring, tracking & responding to feedback. In addition to industry-best NPS scores, we are consistently recognized with “best of the best in staffing” awards from the American Staffing Association. We are recognized in Forbes Magazine 2) We make it personal We don’t believe in cookie cutter solutions or that all clients are alike. We treat each Client and Candidate as the individuals that they are. 3) We build loyalty The core of PrideStaff’s success is relationships with candidates we place. Our candidates are crucial to delivering our Mission & they deserve to be treated fairly during the employment process. 4) We celebrate success PrideStaff has received the staffing industry’s highest honor for client service: the Best of Staffing award from Inavero, Inc., our industry's leading provider of independent client & job candidate surveys. This award is earned by fewer than 1% of the top firms in North America.

PrideStaff

Patient Collections Specialist

Applied Underwriters has one of the highest customer retention rates in the industry - a success directly attributed to our employees and their high level of commitment, hard work, and ambition. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information.

Applied Underwriters

Claims Bill Intake Specialist

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OTHER

The Analyst uses established Power BI reports to analyze payor adherence to contracted fee schedules, recognizes patterns of incorrect payment, and leads project-level remediation efforts covering underpayments, incorrect claims adjudication, credentialing-related issues, and payor policy misapplication. The Analyst prepares the reporting and data files that drive payor remediation projects and works closely with Revenue Cycle leadership, FP&A, Accounts Receivable management, billing, and credentialing to recover underpayments, resolve payor issues, and implement forward-looking process improvements.

Optima Dermatology

Payor Reimbursement & Claims Remediation Specialist

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ESSENTIAL FUNCTIONS Duties and responsibilities associated of this position include: (1) making determinations on procedural matters regarding Workers Compensation and their application to specific circumstances; (2) being responsible for resolving complex employee questions/issues related to Workers Compensation; (3) performing case reviews, analyzing data, and providing monthly claims reports which track case status and expense metrics; (4) analyzing and recommending process change to improve customer service, increasing operating efficiency, and providing informative communications to employees about Workers Compensation policy and practice; (5) working collaboratively with Risk Management and Accident Claims staff to evaluate overall processes to enhance workplace safety practices; and (6) performing any other assigned duties within the scope and nature of the position. PHYSICAL REQUIREMENTS & WORK ENVIRONMENT The physical requirements of this position include sitting, walking, standing, driving cars/light duty trucks, climbing stairs, repetitive motion of the hands/fingers (e.g., keyboarding, turning pages), fine manipulation with fingers, grasping with hand, gripping, seeing close work (e.g., typed print), distinguishing colors, hearing conversations or sounds, hearing via radio or telephone, communicating through speech, and communicating by writing/reading.

Frederick County Public Schools

Workers Compensation Specialist

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ADAPTED_NOW

Position requires exposure to the environmental/atmospheric conditions: Indoor conditions, cold/hot temperature changes, wet, noise, vibration, fumes, odors, dust and mechanical / electrical / chemical hazards. JOB SUMMARY: Under general supervision, responsible for leading the implementation of Employee Health and Safety programs, policies, management systems and strategies in support of all facilities in assigned region.

YEAR

Medline

Specialist EH&S

Position requires exposure to the environmental/atmospheric conditions: Indoor conditions, cold/hot temperature changes, wet, noise, vibration, fumes, odors, dust and mechanical / electrical / chemical hazards. Under minimal supervision, responsible for leading the implementation of Employee Health and Safety programs, policies, management systems and strategies in support of all facilities in assigned region.

Senior Specialist EH&S

Evaluate losses and prepare or audit a damage appraisal, estimating the repairs needed for items such as labor costs, actual cash value, calculations, parts, and repairs prices. We're proud to be recognized for the culture we've built, earning spots on Forbes' lists for America's Best Midsize Employers and Best Employers for New Grads, as well as Newsweek's America's Greatest Workplaces for Women and Diversity.

<p>Apply online by clicking the<br>
APPLY button below.</p>
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You will be forwarded to Sentry's<br>
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click the "Apply Now" button</p>
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This will begin your Sentry<br>
application process.</p>
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Be sure to note that you heard<br>
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Sentry Insurance Group

Claims Appraiser-Agricultural Equipment

Ability to: demonstrate customer service, compassion, respect, courtesy and tact when interacting with others; understand and apply written instructions; communicate information clearly and concisely, compare information and recognize discrepancies; utilize computerized data systems; establish and maintain effective working relationships with others. Skill to: math skills sufficient to add, subtract, multiply, divide and calculate percentages using a calculator; proficient keyboarding skills (typing and 10-key).

State of South Dakota

Medical Claims Processor

This includes data mining for potential intakes, performing preliminary analysis on provider cases, and working on projects focused on preventing, detecting, and correcting fraud, waste, and abuse. In this position, you will assist the Director of Controls and Compliance and the Special Investigative Unit Manager in conducting investigations into suspected incidents of Fraud, Waste, and Abuse (FWA).

Texas Children's Hospital

Senior SIU (Claims Fraud) Investigator

This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist internal business partners, including claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.

Markel Corporation

Claim Examiner II - Program Claims

As a Workers Compensation Claims Adjuster III you are a senior technical expert trusted with our clients most complex, high-exposure, and strategically sensitive claimsincluding catastrophic injuries, multi-party litigation, and cases with novel legal or medical challenges. Independently negotiate and finalize high-value settlements including C&R and Stipulated Awards; manage multi-lien resolution (MSA, Medi-Cal, provider, attorney liens) and coordinate with lien counsel and CMS as required.

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<h4><strong>At JSG, We Understand People</strong></h4>
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<p>It is our mission to empower people, help our clients reach their goals, and hire motivated individuals.</p>
<p>Since our start in 1984, we’ve worked hard to establish our present position as the most effective cross-industry staffing and consulting solution available.</p>
<p>Headquartered in Chicago, IL with local offices throughout the United States and Canada, JSG proudly serves a diverse range of industries with the right solutions to help clients reach their company goals. Our client-centric approach enables us to create personalized solutions for businesses in need of top-tier talent.  Our dedication doesn’t stop at our clients. We strive to connect candidates with opportunities that match their skills and goals. More than just a go-between, we are a dependable bridge, uniting top talent with suitable opportunities, facilitating shared opportunities and growth.</p>
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Johnson Service Group

Workers' Compensation Claims Examiner III - Glendale, CA (Contract - REMOTE in CA)

HaleyMarketing

To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments. Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.

Tata Consultancy Services Ltd

Claims Consultant

As a Workers’ Compensation Claims Adjuster III at, you are a senior technical expert trusted with the organization’s most complex, high-exposure, and strategically sensitive claims—including catastrophic injuries, multi-party litigation, and cases with novel legal or medical challenges. Independently negotiate and finalize high-value settlements including C&R and Stipulated Awards; manage multi-lien resolution (MSA, Medi-Cal, provider, attorney liens) and coordinate with lien counsel and CMS as required.

Workers' Compensation Claims Examiner III - Glendale, CA OR Orange, CA (Contract - Hybrid)

For this position, Publix does not and will not file a petition or application with the USCIS or Department of State on behalf of any noncitizen for any immigration-related benefit to work and/or to continue to work in the United States, e.g., an H-1B or TN petition or permanent residence. This role includes analyzing, investigating, and retrieving claim file information to determine Publix's liability, communicating directly with customers, which includes informing them of Publix's liability assessment and negotiating settlements.

Come join a company that has built its reputation on providing premier customer service. For years, Publix has been the top-ranking supermarket chain in the nation on the American Customer Satisfaction Index. Publix has 180,000 associates and more than 1,100 stores across the southeastern United States. Our support system of manufacturing plants, distribution centers and corporate offices are expanding to serve that growth.<br/><br/>
Come join a company that treats associates as family. Thanks to our founder, George Jenkins, all eligible associates are shareholders in Publix. Our annual survey of associates shows strong job satisfaction. Many in our family stay with us for more than 20 years. No wonder we have been on Fortune magazine's "100 Best Companies to Work For" list 19 consecutive years!<br/><br/>
Come join a company that is financially sound, ethically strong, environmentally responsible, and committed to diversity in all respects.
<br/> <strong style="font-size:14px;">Benefits: </strong>
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Come join a company that offers benefits to help you grow financially. Publix offers the following to all eligible associates:
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        <li>Employee stock ownership plan that contributes Publix stock to associates each year at no cost</li>
        <li>An opportunity to purchase additional shares of our privately-held stock </li>
        <li>401(k) retirement savings plan </li>
        <li>Group health plan (with prescription benefits) </li>
        <li>Group dental plan</li>
        <li>Group vision plan </li>
        <li>Sick pay</li>
        <li>Long-term disability pay</li>
        <li>Company-paid life insurance (with accidental death &#38; dismemberment benefits) </li>
        <li>Tuition reimbursement</li>
        <li>Vacation pay</li>
        <li>Paycheck direct deposit option </li>
        <li>Credit union</li>
        <li>Access to over 50 discount offers including discounts on computer, vehicle and wireless purchases</li>
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Publix is an Equal Opportunity Employer committed to a diverse workforce.

Publix Super Markets Inc

General Liability Claims Adjuster I

This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.

Sr. Claims Examiner

Our Commercial Claims team partners with Property & Casualty insurance carriers to help claims organizations improve operational efficiency, reduce claim costs, combat fraud, streamline workflows, and improve claim outcomes through industry-leading data, analytics, and technology solutions. Within our Insurance vertical, we provide customers with solutions and decision tools that combine public and industry specific content with advanced technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency.

RELX Group plc

Vertical Account Manager, Commercial Claims

Our Commercial Claims team partners with Property & Casualty insurance carriers to help claims organizations improve operational efficiency, enhance decision-making, reduce loss costs, combat fraud, streamline workflows, and deliver better claim outcomes through industry-leading data, analytics, and technology solutions. About the Role: The Commercial Claims Manager is responsible for leading, coaching, and developing a team of Commercial Claims Account Managers focused on acquiring, growing, and retaining revenue within Commercial Property & Casualty insurance carrier accounts.

Sales Manager, Commercial Claims

ServiceMaster Restoration By Simons, a woman-owned and family-run water and fire damage restoration and specialty cleaning business, proudly serves the greater Chicago metropolitan area in Cook, Lake and DuPage counties. The Claims Coordinator is expected to monitor deadlines, complete uploads promptly, keep Mitigate and XactAnalysis requirements current, follow up consistently with adjusters and prevent files from becoming stagnant.

Simons

Restoration Claims Coordinator

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This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.

Senior Claims Examiner, Lawyers And Financial Advisors Professional Liability

This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.

Claims Specialist Jobs in the United States

Patient Collections Specialist PrideStaff

Claims Bill Intake Specialist Applied Underwriters

Payor Reimbursement & Claims Remediation Specialist Optima Dermatology

Workers Compensation Specialist Frederick County Public Schools

Specialist EH&S Medline

Senior Specialist EH&S Medline

Claims Appraiser-Agricultural Equipment Sentry Insurance Group

Medical Claims Processor State of South Dakota

Senior SIU (Claims Fraud) Investigator Texas Children's Hospital

Claim Examiner II - Program Claims Markel Corporation

Workers' Compensation Claims Examiner III - Glendale, CA (Contract - REMOTE in CA) Johnson Service Group

Claims Consultant Tata Consultancy Services Ltd

Workers' Compensation Claims Examiner III - Glendale, CA OR Orange, CA (Contract - Hybrid) Johnson Service Group

General Liability Claims Adjuster I Publix Super Markets Inc

Sr. Claims Examiner Markel Corporation

Vertical Account Manager, Commercial Claims RELX Group plc

Sales Manager, Commercial Claims RELX Group plc

Restoration Claims Coordinator Simons

Senior Claims Examiner, Lawyers And Financial Advisors Professional Liability Markel Corporation

Claims Adjuster - State National Markel Corporation

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