Claims Representative Jobs in Delaware

21 jobs

ESIS Senior Worker’s Compensation Claims Representative- Wilmington, DE ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs. ESIS, the Risk Management Services Company of ACE USA, provides claims, risk control & loss information systems to Fortune 1000 accounts. ESIS employs more than 1,500 professionals in nine regional centers and...

ESIS Senior Worker’s Compensation Claims Representative- Wilmington, DE ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs. ESIS, the Risk Management Services Company of ACE USA, provides claims, risk control & loss information systems to Fortune 1000 accounts. ESIS employs more than 1,500 professionals in nine regional centers and...

ESIS Senior Worker’s Compensation Claims Representative- Wilmington, DE ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs. ESIS, the Risk Management Services Company of ACE USA, provides claims, risk control & loss information systems to Fortune 1000 accounts. ESIS employs more than 1,500 professionals in nine regional centers and...

Our unique combination of highly trained staff, coupled with award winning technology, allows HBCS to provide superior customer service and accounts receivables management services in partnership with hospitals throughout the country. Enhance your career in the growing healthcare industry by joining our team as an Insurance Representative where you will utilize your knowledge of the claims process...

Our unique combination of highly trained staff, coupled with award winning technology, allows HBCS to provide superior customer service and accounts receivables management services in partnership with hospitals throughout the country. Enhance your career in the growing healthcare industry by joining our team as an Insurance Representative where you will utilize your knowledge of the claims process...

Description Job Description: Develops and implements general insurance and health policies in accordance with state and federal laws. Provides expertise to investigate and adjudicate claim characteristics that do not match policy provisions. Responds to provider appeals and meets with providers to resolve problems/issues. Provides directions for utilization review. Approves any remedial or re...

Education: Qualified candidates must have a high school degree or GED. Experience: Prior in-bound Call Center experience, heavy phone volume and data entry required and/or experience in a fast-paced, high-level customer service oriented environment preferred. - Social Services and/or case management, basic medical terminology, and/or front or back office medical experience preferred. - Knowledge o...

Education: - Qualified candidates must have a high school degree or GED. Some college or customer service training preferred. Experience: - 1+ years quality assurance/complaint processing experience necessary - 1+ years customer service experience necessary - 1+ years of developing & analyzing reports - Knowledge of clinical UR and QA, Medicaid, Medicare guidelines and covered services preferred -...

JOB SUMMARY: The foundation for success of the Defense Commissary Agency (DeCA) mission is our people. It is DeCAs goal to have a workforce that is representative of the nations diverse cultures and backgrounds. We strive for a work environment of world-class enterprise leaders and an engaged, highly motivated, and capable workforce with a results oriented performance culture. The DeCA operates a...

JOB SUMMARY: The foundation for success of the Defense Commissary Agency (DeCA) mission is our people. It is DeCAs goal to have a workforce that is representative of the nations diverse cultures and backgrounds. We strive for a work environment of world-class enterprise leaders and an engaged, highly motivated, and capable workforce with a results oriented performance culture. The DeCA operates a...

POSITION SUMMARY The Customer Service Representative handles customer service inquiries and problems via telephone, internet or written correspondence. Customer inquiries are of basic and routine nature. Fundamental Components: Take inbound calls from Provider offices, facilities, and plan sponsor calls. Documents providers and plan sponsors calls. Assist with explanation of claim processing an...

Nemours is seeking a Hospital Revenue Manager to join our team in Wilmington, Delaware. As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 280,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in D...

Delaware State University Vacancy Announcement - Acquisition/Cataloging Librarian University Libraries Division of Academic Affairs Apply online at www.desu.edu Applications will be accepted until position is filled General Description of the Job Hours are Monday-Friday 8 a.m. – 4 p.m. Saturdays as scheduled. Supervises 2 FT staff in the Acquisitions / Cataloging Unit of Technical Services...

Job Title: Information Technology Application Analyst (SQL Developer) Location: 1 Reads Way City, State New Castle, Delaware General Description: The IT Administration Application Services Department is currently recruiting for an IT Data Application Analyst to join their team. This position will be responsible for software implementations, upgrades, configuration and support of multiple Patie...

DSI Renal Job Description JOB TITLE: CLINIC MANAGER REPORTS TO: DIRECTOR OF OPERATIONS FLSA STATUS: EXEMPT SUMMARY Manages the overall operations for nursing services and patient care at a hemodialysis facility including but not limited to financial management, quality assurance and patient care, safety, risk management, employee management and satisfaction, quality indicators, facility maintenanc...

Education: - Qualified candidates must have a High School Diploma or GED Experience: - Prior in-bound Call Center experience and/or prior customer service experience with heavy phone volume and data entry required Skills: - Strong demonstrated customer service skills - Excellent customer service and phone skills - Strong verbal communications, problem solving, time management and organizational sk...

Help Connect Faith and Finances as a Thrivent Financial advisor What if your next career could change lives? What if you could succeed by helping others succeed? What if you could help Christians connect their faith and finances? As a financial advisor with Thrivent Financial, you’ll have the opportunity to turn these “what-ifs” into a meaningful career. Why Thrivent? We believe money is a too...

Position Summary The Financial Professional Associate position is a sales position with The Prudential Insurance Company of America selling insurance and financial services. Financial Professional Associates participate in a comprehensive development program, developing product knowledge, and selling experience while offering appropriate insurance and investment products to help clients meet thei...

Education: - Qualified candidates must have a High School Diploma or GED. College education preferred Experience: - 1 year of routing, scheduling and/or dispatch experience to include geographical knowledge preferred - 1 year customer service experience with heavy phone volume and data entry required - Prior in-bound call center experience preferred - Knowledge of transit system a plus - Knowledge...

Financial Professional Associate-W S00006 Description Position Summary The Financial Professional Associate position is a sales position with The Prudential Insurance Company of America selling insurance and financial services. Financial Professional Associates participate in a comprehensive development program, developing product knowledge, and selling experience while offering appropriate ins...