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Licensure, Certification & Registration: CP (Certified Professional Coder through AAPC), CPC-A (Certified Professional Coder - Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA.
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Maintain close communication with Technical Service Manager, Regional Service Manager, and the Technical Phone Support team in to ensure accurate resolution of service issues. The Field Service Technician – Toner Production Equipment will be considered a specialist for a product line that the GSD service team supports.
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Functional knowledge & understanding: Claims management process, US/RoW Insurance market (general & focus group), US/RoW legal and regulatory environment, Alternative resolution approaches. Job Summary: An independent Claims Handler role focused on low to mid value Employment Practices Liability claims with no significant coverage issues to help achieve the Beazley vision of being the highest performing specialist insurer.
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We are currently seeking an experienced Claim Resolution Specialist to join our growing Personal Lines Auto team in our Boston office. The Claims Resolution Specialist is responsible for the investigation, evaluation and disposition of first and third party personal auto property damage claims as well as for providing an outstanding experience to our Customers and Agents while you assist them through claims process.
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Responsible a team of supply chain specialist responsible for all supply chain activities: sourcing and resource planning, proposal development, material cost, forecasting, risk management, product on time delivery and supply chain issue resolution across five lines of business to provide the most cost effective and competitive solutions.
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The Field Service Technician Toner Production Equipment (Level 2) will be considered a specialist for a product line that the service team supports. Provide technical support and direction to technicians leading to the resolution of escalated service issues.
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Utilizes data management system to meet regulatory requirements for CMS, DPH and The Joint Commission for grievance/complaint management and resolution process. The Patient Family Relations Specialist is responsible for all incoming calls, emails, visits and correspondence to serve as a liaison between patients, loved ones, and staff in acknowledging and responding to feedback (complaints, grievances, compliments) and other requests in a compassionate and supportive manner.
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May use inventory/order management electronic systems to perform the following activities: on-site program replenishments and disbursements, receiving, put-away, stock rotation, cycle counts, order entry and expediting, customer service call resolution, product returns, and backorder processing.
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Support existing HR applications including but not limited to Oracle EBS HCM, iCIMS/Avature, Saba, Fuse Learning, SplashBI and functional groups which require monitoring, delegation, and the resolution of support tickets.
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With reliance on the Enterprise Delivery Leader or Program Manager, negotiate conflict resolution and build awareness of organizational dynamics. Projects will involve enterprise-wide and cross departmental initiatives aimed at improving one or more domains of the health plan's operations, including initiatives for the various areas of the CCA service operations department including Member Services, Provider Services, Consumer Experience, Training, Quality, Member Communications and Administrative teams.
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CAPA Implementation: Contribute to Corrective and Preventive Action (CAPA) initiatives, ensuring timely and effective resolution of quality issues. Batch Record Review: Review and analyze batch records for adherence to Good Manufacturing Practices (GMP) and internal quality standards.
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Inventory Management and Control: Responsible for the management and control of an assigned class of expendable material; serves as the point of contact for the coordination of material support and resolution of logistic problems; conducts forecasting and quantitative analysis; conducts spot checks; and complies with special requirements for firearms, ammunition, and sensitive equipment.
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The Reimbursement Specialist is charged with coordinating the analysis and effective resolution of denied claims with the purpose of reducing overall denials and increasing revenue. The Reimbursement Specialist is responsible for prioritizing and managing to resolution denied claims with government and third party payers.
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The Compliance Specialist will identify and work in concert with all functional areas to assess and mitigate areas of compliance vulnerability and risk, developing corrective action plans for resolution of problematic issues, providing general guidance on proper internal controls, and executing an effective compliance plans and processes.
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Advanced knowledge of Commercial Casualty claims investigation, coverage evaluation, reserving & expense management, resolution strategy, negotiation, litigation management, claims evaluation as well as the insurance legal and regulatory environment.
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resolution specialist jobs in Chelsea, MA
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