The PACE Claims Examiner/Data Specialist is responsible for processing professional and hospital capitated full risk claims in accordance with the individual provider contract and Medicare and Medi-Cal billing guidelines and processes claims. ...
The Claims Specialist is responsible for evaluating, processing, and managing liability, property, auto, general liability claims, and employment claims in compliance with state regulations; documenting activities; conveying information regarding claims and/or benefits; and providing testimony in be...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
Experience in handling conditional demands, preferably including bodily injury claims, on behalf of an insurer as an attorney, technical specialist, claims manager or similar role sufficient in one more of the following states to develop a high degree of technical expertise: CA, FL, TX, GA, or SC. O...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
The client is seeking a highly motivated an experienced TEMP - Claims Resolution Specialist (Customer Service) to join our team. The Claims Resolution Specialist will be the first line of contact for the client’s providers. The incumbent will assist providers with questions related to the payment of...
The Collector performs A/R collections and billing involving multiple insurance contracts & entities. ...
Utilize in-depth knowledge of medical billing codes to ensure accurate and compliant billing practices. Are you looking to do meaningful and impactful work in the world with people you enjoy? Are you a detailed oriented individual with strong knowledge in medical billing? If so, we are looking for y...
As a Supervisor, you'll lead a team of 7, including 5 Claims Adjusters and 2 Claims Assistants, providing guidance, mentorship, and performance feedback to ensure exceptional claim handling and adherence to company standards and regulations. Workers' Compensation Claims Supervisor - Lead a Dynamic T...
The EHR Application Specialist I is responsible for the ongoing design, build, testing, validation and ongoing support of mission critical application(s). ...
Minimum of five (5) years of California Claims Examiner experience and a Self-Insurance Certificate, or the ability to pass Self-Insurance Test within one (1) year of hire. Administer indemnity claims and handle complex claim issues. Use strong litigation management experience, lien resolution abili...
The Billing Specialist will have excellent communication skills and a high level of professional service to clients, management, attorneys and other staff in order to effectively, efficiently and successfully administer monthly billing, and research, respond to and resolve inquiries or discrepancies...
The Workers Compensation Risk Analyst 3 will be responsible for managing moderately complex claims, including high exposure and litigated claims. Responsibilities include determining benefits due; ensuring management of claims within internal claims management guidelines and in compliance with appli...
The Billing Specialist will have excellent communication skills and a high level of professional service to clients, management, attorneys and other staff in order to effectively, efficiently and successfully administer monthly billing, and research, respond to and resolve inquiries or discrepancies...
The customer service representative will be responsible for answering client inquiries, provide product information, and help the customer by being informative, empathetic, and eager to quickly solve a customer’s problem. Excellent customer care and focus; ability to assess customers’ needs and prov...
The Billing Specialist is responsible for providing general support to the billing team including, but not limited to, time narrative entry and edits, corrections and edits to invoices, compiling expense back-up for invoice submissions, filing and other administrative functions. Aderant, Elite, Bill...
Customer Service Representative performs Inside sales, Coordination and Reporting functions and duties, following established policies and procedures. High school or equivalent (Preferred) Customer Service: 1 year (Preferred). Performs other functions and duties as required including answering phone...
Senior Billing Specialist-(24000167). Prepare monthly and transactional bills and reports for billing attorney review, incorporate edits and revisions, prepare final invoices, obtain approving signature, post bills and maintain billing files. Work with E-Billing Specialists to ensure successful tran...
Contact doctors/ hospitals or other persons/ organizations to verify information to make claims decisions. Settle minor claims within authority limit. ...
Expert en responsabilité civile commerciale / Claims Adjuster - Liability/Commercial. PRIMARY PURPOSE: Effective adjudication of specialized multi line general liability claims of various complexities within company standards and industry best practices. Manage all aspects of general liability claim...
As a Claims Representative II, you’ll ensure the delivery of quality claim service to our customers, and other parties to a claim, while protecting the assets of Sentry. Provides prompt claim investigation, evaluation and settlement or denial of claims with minor to severe exposures. Provides empath...
Have direct responsibility to foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists. Inform Senior Manager Operations of large or complex claims and claims with potential for media exposure. Me...
We are looking for a customer service representative to join our team. The ideal candidate has a customer-first mindset and aims to deliver high-quality service in every customer interaction. Consult on customer success - Advise customers on how to successfully leverage the product/service based on ...
The responsibilities and tasks of the Customer Service Representative consist of: Understanding clients’ products to properly explain services and benefits to consumers and answer any questions so they get what they genuinely need Keeping a record of customer interactions, processed orders, an...
The billing specialist will perform a variety of contractual, financial, and general billing tasks to assist in the management of all matters relating to financial government and non-government financial agreements. The Billing Specialist will work closely with the Corps Officer and Division directo...