Claims Representative Jobs in Pennsylvania
Description: The Claims Representative Associate is responsible for handling incoming medical claims ensuring a high level of customer service and maximizing productivity.Responsibilities:Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claimsAnalyze and identifies trends and provides reports as necessaryConstantly meet est...
Claims Representative - Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Se...
Point of contact for provider questions regarding benefits eligibility. Review and adjudicate claims based on provider and health plan agreements. Must have solid knowledge of provider service/claims systems, functions and team process. Need excellent communication skills, both written and verbal. Strong MS Office including Access and Excel. Experience in Facets system preferred as well as a minim...
Primary responsibility: * Customer Service Field Work - requires travel to specific locations to take photographs and measurements in support of insurance claims * Computer Work - Internet access, file upload and download, Excel, Internet Explorer, Microsoft Streets and Trips Position: * PART TIME Time position * Pay is $15.00 per hour additional monthly Auto Allowance (up to $460/mo.) and Mileage...
Elite's goal is to create a work environment that recognizes and rewards the expertise, contributions, positive attitude and teamwork of our valued employees. We offer a friendly business casual environment and a competitive salary and benefits package. Qualified candidates may submit a resume with salary requirements. Medical Claims Auditor Position Summary: This position is responsible for exami...
This position will be responsible for coordination of prompt loss investigation and all other claims handling duties necessary to achieve equitable, fair and timely loss settlement of assigned equipment breakdown claims. Responsibilities include; claims handling activities, including but are not limited to investigating and assisting the insured and/or partner company representative in loss mitiga...
This is the initial position in the Customer Service Career path. Service Representative Trainees after successful completion of Core training will provide prompt, accurate and courteous replies to written and telephonic inquiries. These inquiries encompass numerous contacts and originate from subscribers, providers, groups, agent plans and the general public. Typically, these inquiries involve a...
UnitedHealth Group Multiple
Description: Position Description: The Senior Recovery/Resolution Representative handles information about patient services and how those services are paid by investigating and pursuing recoveries through contact with various parties. The representative manages subrogation files, negotiates settlements, and ensures adherence to compliance policies.Positions in this function are responsible for inv...
SCIO Health Analytics is a leading health analytics services organization providing actionable analytics driven solution for health plans, care management organizations, life science, large employers, and PBMs. OVERVIEW: This employee will be answering phones, gathering information, transferring calls to appropriate staff, keeping productivity reports, reviewing injury claims, analyzing situations...
Medical Devices Sales Representative: Nursing Home, Home Health and Outpatient Markets · Orthotic Devices (Dynamic and Static Splints), Diabetic Footwear, Negative Pressure Wound Therapy Pumps, TENs Units, Lymphedema Pumps, Wheelchair and wheelchair cushions · Certified Orthotic Fitter and/or Certified CPed license strongly recommended. Territory: Philadelphia PA/Trenton, NJ and surrounding area....
Do you thrive in providing excellent customer service? Do you enjoy helping people? Begin your career in Customer Service with Highmark. We are one of the largest health insurers in the nation. We help millions of individuals every day have access to the health insurance, care and other related services that they need to live longer, healthier lives. Nationally, Highmark employs 20,000 people and...
Do you thrive in providing excellent customer service? Do you enjoy helping people? Begin your career in Customer Service with Highmark. Health Services! We are one of the largest health insurers in the nation. We help millions of individuals every day have access to the health insurance, care and other related services that they need to live longer, healthier lives. Nationally, Highmark Health Se...
Norandex As one of the largest wholesale distributors of exterior building products in the U.S., Norandex Building Materials Distribution, Inc., a part of Saint-Gobain, sells and services products like vinyl siding, windows, doors and roofing to remodeling contractors and new home builders. We have an outstanding career opportunity at our Allentown, PA branch for a Sales Representative to maximize...
The length of the assignment will be at least till May 2014. *Multiple positions available.* The Customer Service Inquiry Representative (CSIR) is the company's primary point of contact for advertising customers and phone book consumers. A CSIR resolves issues and concerns customers have with their directory advertising and billing account; and accurately answer inquires regarding the company, the...
Employee Health Benefits Representative Employee Health Benefits Representative needed for well established business in Brookville. Essential duties include; employee health benefits sales and service, assistance with policy administration, renewal preparation and marketing coordination. Provide timely feedback to customer inquiries with regards to policy amendments, billing, claims and upcoming r...
Position: Commercial Lines Account Representative Reporting: Reporting to Vice President Bridgepoint Insurance Group, Inc. is a growing specialty commercial property/casualty insurance agency located in Wayne, PA. Our agency is seeking an experienced insurance professional with 3+ years of insurance experience with skills in managing a book of small to mid-size clients and servicing their day to d...
Do you thrive in providing excellent customer service? Do you enjoy helping people? Begin your career in Customer Service with United Concordia. As a Customer Service Representative we offer you a thorough training program. After successful completion of your core training you will be assigned to a work unit where you will be able to provide prompt, accurate and courteous replies to written and te...
Medical Billing Representative Due to our continual growth WorkWell is currently seeking a Medical Billing Representative for our Carnegie office. Job Description: Research medical bills that are past due. Resubmission of claims to appropriate adjusters via fax or mail Research accounts for billing discrepancies Process summaries on to determine if balance on account is collectable or should be ad...
Mercy Heath System's Corporate headquarters has an immediate opening for anAccounts Receivable Representative in the Physician Billing office. Thisposition is located in Conshohocken, PA.The Accounts Receivable Representative will be responsible for timely submissionof claims, aggressive follow-up, and issue resolution. Experience: Must haveexperience with Medicare and Medicaid Managed Care AR fol...
At the Donegal Insurance Group, we trace our origins to the formation of the Donegal and Conoy Mutual Fire Insurance Company in Marietta, Pennsylvania on May 13, 1889. The company was originally formed by area farmers in order to protect themselves from the potentially devastating financial impact of a loss of their property by fire. Eventually the name of the company was changed to Donegal Mutual...
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What do you need to become a State Farm fire claims represenative?
I applied for a State Farm Fire Claims Representative. I only have my high school diploma and some insurance experience in health care and auto insurance in collections and customer service. Do you ha...
Anyone work as a Med/PIP Claims Representative?
I'm interested in a job with Farmer's insurance as a Med/PIP Claims Representative and I'm looking for anyone with experience in that position and/or company.
When should I receive claim check from property insurance to pay contractors?
A pipe burst in the apartment building I own and two units got flooded. I filed a claim right away and an independent insurance adjuster came two days later. The adjuster and claims representative...
What are my chances on winning my unemployment case?
In june 2010 I got a letter from the wis unmployment office stating that I was overpaid unemployment benefits(extended). .They say that I did not report the address of the seasonal job I took in the ...
Can I ask the insurance company to cover storage fees?
Hi, I suffered an accident on 17/12/2012 in Torrance, CA. I was hit by a man's Jeep.My car was towed to an auto body shop. I am an international student, I had to go back to my own country as I planed...
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Sr. Claims Representative
$33,612.00 - $78,000.00
Typical Salary for Sr. Claims Representative in Pennsylvania
Source: Monster.com Careerbenchmarking Tool
Education / Training
Some College Coursework Completed
Source: Monster.com Careerbenchmarking Tool
Sr. Claims Representative
Serves customers by creating claims-handling relationships; adjusting and settling claims; supporting information flow from the field to the office.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Determines covered loss by meeting with insurers for loss inspections; investigating incidents; determining subrogation and salvage.
Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.
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