Claims Rework Lead & Reporting Specialist (Hybrid)
CVS Health
CVS Health is seeking a Project Lead for rework initiatives within Commercial Services Operations. The role involves coordinating complex rework projects, performing root cause analysis, and delivering precise resolutions for affected claims. You will interface with various teams to keep initiatives on schedule and within scope. The ideal candidate has 2+ years of ACAS claims experience, strong data analysis skills, and the ability to work both independently and collaboratively in a hybrid, #J-18808-Ljbffr CVS Health
- CVS Health is seeking a Project Lead to oversee and coordinate rework projects across a network, ensuring accurate... ...cause analysis to resolve complex claims. The role requires knowledge of... ...and strong data-analysis skills. A hybrid work arrangement and comprehensive benefits...ClaimsFull time
$46.99k - $112.2k
...oversee and coordinate rework projects, work closely... ...resolution of affected claims. The candidate is responsible... ...serve as a Project Lead for rework projects/... ...Qualifications We support a hybrid work environment. If... ...candidate. USQA reporting, Excel, Word and ACCESS...ClaimsFull timeWork at officeFlexible hours3 days per week- GovCIO is seeking an expense report associate to process high-volume expense reports in Deltek/Costpoint. This position is located in Fairfax, Virginia and will be mostly remote, with the requirement to be in the Fairfax office one day per week to print accounts payable...SuggestedWork at officeRemote work1 day per week
$26 per hour
Responsibilities Maintain HRIS records, perform data entry, and compile reports from the system for analysis, compliance, or upon request. Administer workers’ compensation claims: investigate new claims, ensure compliance with laws and policies, manage medical providers...ClaimsHourly payWork at officeNight shift- Progressive Insurance is seeking a claims adjuster specialist in Warwick, RI to independently manage attorney represented bodily injury claims. The... ...for treatments and compensation. The position is hybrid, with office attendance four days per month for meetings and...ClaimsWork at office
$92.7k - $139.1k
...work arrangements that include remote and hybrid opportunities and paid time off. We... ...Matters Conduct complex, in-depth analysis of claim payments and its methodology, identifying... ...standards. Create new recurring and ad-hoc reports to identify cost avoidance/overpayment...ClaimsContract workWork at officeRemote workWork from homeFlexible hoursShift work2 days per week1 day per week$67.9k - $199.14k
...CVS Health is seeking a Claims Workforce Management leader to own and optimize workforce strategies. This role requires deep analytical... ...senior leadership. This position offers flexibility for remote or hybrid work arrangements in the US and a competitive pay range of $67,9...ClaimsRemote work$22.3 - $35.2 per hour
...Lead Coordinator, Collections About Navista We believe in the power of community oncology... ..., prepares and interprets financial reports, oversees financial systems and safeguards... ...ensuring accurate and timely processing of claims, including denials and the maximization of...ClaimsHourly payTemporary workWork at officeLocal areaFlexible hours$72.1k - $133.9k
...reconcile US ghost/BTA accounts, ensuring accuracy and timely reporting Supplier Billing: Maintain preferred travel supplier account billing... ...memos, agent error payouts, and HCP traveler reimbursements Claims & Research: Manage US rental car accident claims and assist...ClaimsWork at officeImmediate startFlexible hours- The Chapter 13 Trustee Middle District of Alabama seeks a Claims Senior Subrogation Specialist - Inbound to lead complex subrogation work including arbitration, negotiation, and recovery across diverse loss types. You will manage arbitration filings, coordinate with legal...Claims
- Amica Insurance is seeking a Senior/Lead Identity and Access Management Specialist to support IAM operations in Lincoln, RI. The role includes the implementation... .... This position offers a full-time remote or hybrid flexible work arrangement. #J-18808-Ljbffr Amica InsuranceRemote jobFull timeFlexible hours
- ...Lead Guest Specialist Garrett's Family Market Milford Rapid Refill Bellingham, MA 02019 Overview Level Entry Position Type Full Time... ..., vendors and customers. Dependable & punctual-consistently reports to work on time and provides proper notice of absence or tardiness...Full timeFlexible hoursShift workDay shiftAfternoon shift
- ...thrive. We’re looking for a Total Rewards Specialist to help deliver an exceptional employee... .... Manage benefit‑related file feeds, claims billing, invoice reconciliation, and audits... ...Assist with required notices, audits, reporting, and testing activities. Provide backup...ClaimsFlexible hours
- ...the External Operations department. This role involves generating leads and supporting marketing initiatives while ensuring member... ...experience in customer service or telemarketing. The position offers a hybrid work model with competitive pay and a range of employee benefits...
$24.29 - $40.07 per hour
Summary Reports to the Coding Manager. Reviews the outpatient clinical documentation of extract data and assigns appropriate ICD-10-CM and... ...M 360 Finder for code assignment and appropriate resolutions of claim edits (CCI, NCD, OCE, etc.) Confer with physician for...ClaimsHourly payRemote workShift work$75 per hour
...Employment type: Full-time Claims Complex Property Adjuster Claims... ...operation by handling claims reported on Homeowner policies written... ...(RNT) team, you will lead the planning and delivery of... ...Full-time Bilingual Occupancy Specialist I Bilingual Occupancy Specialist...ClaimsHourly payFull timePart timeFor contractorsWork at officeImmediate startRemote workRelocation package- ...Employee Experience & Culture Specialist Community Resources For... ...Resources for Justice (CRJ). Reporting to the Chief Human Resources... ...inclusive leadership behaviors. Lead the review and resolution of... ...Coordinate and process unemployment claims for assigned service lines/...ClaimsRemote work
- ...Therapeutics LLC is seeking a Customer Care Specialist to provide exceptional support to... ...providers across eligibility, benefits, claims, and service authorizations. The role involves... ...and productivity standards. This hybrid position requires a base in or near Orlando...Claims
$92.6k - $123.6k
...of the day to day activities within the claims unit. Primary functions include coordinating... ...performance (e.g. file review, audits, reports and complaints). Coach and counsel employees... ...support an effective succession plan. Lead meetings in collaboration with unit...Claims- Progressive Insurance in Warwick, RI is seeking a Claims Adjuster Trainee to learn how to manage claims from start to finish, primarily over the phone in a hybrid setting. Training is provided to build skills in property damage and insurance contracts, with mentorship...ClaimsTraineeshipWork at office
$128k - $192k
...extend the life of their current assets as they approach the end of support for Windows10. Job Description We are seeking a Lead Solutions Specialist for eLux & Scout to join our mission to create the modern, secure workplace where efficiency, security, and innovation...Local areaRemote workFlexible hours- ...Bachelor's degree in a related field, along with 1-3 years of relevant experience. Strong storytelling abilities and proficiency in Adobe Creative Suite are essential. The position offers a hybrid work location and a full-time schedule. #J-18808-Ljbffr Brown UniversityFull time
- KMRG, LLC is seeking an experienced Civil Litigation Specialist (Healthcare & Opioid Cases) to support the U.S. Department of Justice on healthcare fraud matters. This is a full-time hybrid role in Providence, RI, offering competitive pay, comprehensive benefits, and job...Full timeWork at office
- Rhode Island School of Design seeks an Intercultural Specialist to deliver clinical and outreach services aimed at racial and ethnic minority... ...in diverse settings. This position promotes a collaborative approach in a hybrid work environment. #J-18808-Ljbffr IMDiversity
- ...inspire and guide Behavior Technicians while developing innovative ABA programs and conducting functional behavior assessments. This hybrid role offers flexibility with in-home and telehealth options along with an attractive benefits package, including an annual salary...
$102.5k - $187.9k
...configuration experience, especially with Oracle EBS or Cloud, are required. This position offers a comprehensive benefits package, a hybrid work model emphasizing collaboration, and a compensation range of $102,500 - $187,900 depending on geography. #J-18808-Ljbffr EY$59.5k - $63.5k
...the first step to Destination: Progress. Claims Adjuster Trainee As a Claims Adjuster Trainee... ...independently adjust claims. This is a hybrid role: you’ll work in‑office two days that... ...period, the days you’ll be expected to report to an office for important meetings, training...ClaimsTemporary workTraineeshipWork experience placementH1bWork at officeLocal areaMonday to FridayFlexible hours- Amica Mutual Insurance Co is seeking a Lead Payroll Analyst to ensure accurate payroll processing and compliance. This hybrid role primarily focuses on Workday Payroll and involves leading payroll operations and driving process improvements. The ideal candidate will have...
- ...years of relevant experience. Benefits include competitive base pay, health coverage, retirement matching, and extensive paid time off. The position is hybrid with three days onsite and two days remote, requiring good remote work setups. #J-18808-Ljbffr AAA NortheastFull timeRemote work
$58k - $62k
...Financial Services & Insurance Vocational Specialist Candidates must hold an active... ...Be a part of a rapidly growing, industry-leading global company known for its excellence... ...Sedgwick is the world's leading risk and claims administration partner, which helps clients...ClaimsRemote workFlexible hours
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