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 ...
The Medical Economics Specialist will:. Experience with analysis of Healthcare Claims data. Background in Managed Care / Health Plan claims. ...
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...
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...
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...
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. ...
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, ...
The Claims Specialist will assure that services are promptly and accurately processed in accordance with all applicable Federal, State, and local regulations and guidelines, that claims are adjudicated in a timely manner, and customer’s needs are met in a professional and courteous manner. Pos...
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 Senior Principal Product Manager represents the perspective of the customer focusing on operational efficiency, standard operating procedure, RCM and Claims best practices, change management, and end-user experiences. The Senior Principal Product Manager supports the development of product strat...
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 ...
Claims Adjuster page is loaded **Claims Adjuster**. PRIMARY PURPOSE:** To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and nego...
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. ...
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...
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...
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...
Commercial and/or Personal Lines Claims Representative positions. Prepare and submit First Report of Claims to carriers. Document, track, and facilitate claims assignments. Work in agency management system to document communications and track claims. ...
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 ...
Claims Quality Assurance Analyst. Conducting audits related to claims, system business, and project requirement rules. ...
As a Customer Service Representative - State Farm Agent Team Member with Reginald Belcher - State Farm Agent, you will generate the kind of exceptional client experiences that reinforce the growth of a successful insurance agency. Your attention to detail, customer service skills, and desire to help...
As a Family Dollar Customer Service Representative you will be responsible for providing exceptional service to our customers. Key priorities include greeting customers, assisting them with selection of merchandise, completing transactions, and answering questions regarding the store and merchandise...
Candidate must reside within the DC, MD, VA area.Provides Operations Support by obtaining facts; analyzing problems; designing solutions; developing testing methods; conducting and documenting tests; providing operating information to customers.Research and improve operations by examining and resear...
Senior Associate, Billing Contract Closeout Specialist. KPMG is currently seeking a Senior Associate, Billing Contract Closeout Specialist to join our Finance and Accounting organization. Verify billing rates, quantities, and other billing details for accuracy. Review and analyze billing contracts t...
Our client is seeking to hire a Workers Compensation Assistant Manager to their Baltimore, MD staff. The ideal candidate will have 4+ years of claims handling experience with an emphasis in Workers' Compensation. This role will be in the office supporting the claims department. Years of Workers Comp...