Perform Medicare claims processing, claims reviews, and the adjudication of provider claims to administer and monitor contracts with Medicare contractors. Review and provide analysis for claims/transactions processing activities, claims reviews, and program claims related processing systems used to ...
As a National Catastrophe (NATCAT) Field Claims Specialist primarily supporting our Personal Lines (PL) business, you'll investigate and resolve personal lines property damage claims on the phone and/or in person. Maintains and develops current knowledge of assigned insurance lines, court decisions ...
As a Commercial/Specialty Casualty Adjuster, you will be responsible to resolve all aspects of 1st and 3rd party injury claims of low to moderate complexity for personal lines as well as our commercial claims. Handle 1st party exposures to include Medical Payment coverage, PIP, Uninsured Motorists, ...
As a Health Insurance Specialist (Claims Processing & Systems), GS-0107-13, you will perform claims processing and systems work related to national health insurance programs, such as Medicare, Medicaid, the Children's Health Insurance Program (CHIP), and private health insurance. Perform Medicare cl...
Claims Clinical Specialist – Medical Review Team. The Claims Clinical Specialist role is an excellent opportunity for a Registered Nurse seeking a career change. You will be responsible for working within a structured environment with established Standard Operating Procedures to ensure consistency o...
The Claims Specialist is responsible for investigating, evaluating, and managing workers’ compensation, auto, liability, property, and other insurance claims through the entire lifecycle of the claim. Obtain incident reports, photographs, video footage, witness statements, and other supporting docum...
The Medical Economics Specialist will:. Experience with analysis of Healthcare Claims data. Background in Managed Care / Health Plan claims. ...
Manages disposition of claims and issues appropriate payments on all assigned claims. Berkley Financial Specialists, a member of. Management Liability/Fidelity Claim Specialist. Investigates all assigned claims and analyses coverage applicability/limitations. ...
A recognized healthcare organization in Maryland is currently seeking a new Medical Economics Specialist to join their team in a Remote capacity. Collaborating with a group of Healthcare Economics professionals, the Medical Economics Specialist will be responsible for supporting the organization’s g...
As a Billing Specialist, you'll serve as a subject matter expert in insurance requirements, authorizations, appeals, and patient navigation. Manage and maintain patient invoicing, billing, and collecting of payment. Financial Calls: Handle financial inquiries and communicate with patients regard...
Responsible for Billing and Coding, Pre Certification and Credentialing. Has knowledge of commonly-used concepts, practices, and procedures within the Medical Billing and Medical Insurance field. Maintain open communication with the insurance verification team, billing department and office support ...
The Product Manager works with business owners and creates, maintains and communicates the Product Vision and Product Roadmap to develop technical changes to a moderately large / complex business solution. The Product Manager owns the outcomes at the Agile Release Train (ART) level, breaking down th...
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?. INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!. Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry ...
The Customer Service Representative at Closet Factory - Baltimore, MD is a vital role in providing exceptional customer service and support for our clients. Answer inquiries about products and services, process orders, and resolve customer complaints. Collaborate with other team members to continuou...
The Field Claims department is currently seeking Field Claims Representatives to service the territory surrounding:. This territory allows either an experienced or entry-level representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure ac...
Customer Service Specialist, Customer Service, Specialist, Remote, Healthcare, Medical Equipment, Retail. Ready to tackle a fun and rewarding job? There are Remote Customer Service Representative job openings in your area. Click today and find the job that you have been looking for!This position is ...
Responsible for day-to-day customer questions, requests & service needs. Functions as an internal resource to the customer and our salespeople. Identify and resolve customer inquiries using critical thinking and problem solving skills. ...
The Field Claims department is currently seeking Field Claims Representatives to service the territory surrounding:. This territory allows either an experienced or entry-level representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure ac...
Ready to accelerate your career while helping our customers move forward? As a Customer Service Representative Fueler/Washer at Penske, you’ll do exactly that. Why join Penske as a Customer Service Representative, you ask? It’s simple. Excellent customer service and communication skills. You will be...
Maxim Healthcare Corporate Services' is currently seeking an Open Credit Specialist that will research payment credits and takes appropriate actions based on type or status. ...
Customer Service Representative. Rotech provides high quality medical products, services and outstanding customer care through hundreds of locations across 45 states. In this position, you are responsible for performing all tasks and communication related to intake of patient information concerning ...
Our client is seeking to add a Commercial Auto Claims Examiner. Work proactively towards claims resolution with defense counsel and clients, while adhering to audit requirements and resolving claims in a timely manner. This person would be responsible for handling moderate Commercial Auto and some G...
Our client has been experiencing continued growth and seeking to add (2) Senior Auto Liability/Bodily Injury Claims Examiners for their Baltimore office. This person would be responsible for handling moderate to complex Auto Liability and Bodily Injury claims for losses throughout the Mid-Atlantic r...
Workers Compensation Claims Representative | Maryland Residents | Remote. To analyze mid to high-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specif...
To analyze and process low to mid-level auto and transportation claims. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Performs coverage, liability, and damage ana...