Medi-Cal & HMO claims emphasis. ...
A company is looking for a Claims Processing Representative. ...
Patient Account Representative.Insurance Patient Account Representative - Medicare Emphasis.Representatives are responsible for taking in-coming and making out-going calls to patients and insurance companies to resolve account balances.All client policies and procedures are followed.Representatives ...
Key Responsibilities:Investigates and adjusts complex bodily injury and property damage claimsSupervises outside vendors and directs defense counsel in claims handling processesRecommends reserves and interacts with insurance carriers and re-insurersRequired Qualifications:Bachelor's degree in a rel...
Remote CA - Must be in California** Position Purpose: The Delegation Oversight Compliance Auditor - Medical Claims is responsible for scheduling, coordinating, and conducting delegated entity audits using established audit tools for assigned lines of business. Responsible for managing the audit pro...
Key Responsibilities:Perform pre-payment and post-service claims evaluations for various BH HCPCs codesReview AHCCCS claims to determine legitimacy and accuracy of services providedUtilize AHCCCS-specific programs and Microsoft Office applications for claim reviewsRequired Qualifications:Active AZ R...
Remote CA - Must be in California** Position Purpose: The Delegation Oversight Compliance Auditor - Medical Claims is responsible for scheduling, coordinating, and conducting delegated entity audits using established audit tools for assigned lines of business. Responsible for managing the audit pro...
Team Lead - Medicare Specialist.This position is responsible for providing support in developing, implementing, managing, and meeting or exceeding the operational goals of our clients and Company.The Team Lead will and may work closely with their team, project supervisors, operations managers, and t...
Insurance Patient Account Representative - Commercial Claims. ...
The Delegation Oversight Compliance Auditor - Medical Claims is responsible for scheduling, coordinating, and conducting delegated entity audits using established audit tools for assigned lines of business. Responsible for managing the audit process from scheduling, conducting the audit, developing ...
As a member of our client's claims team, utilize your knowledge of workers' compensation to independently investigate, evaluate and resolve assigned claims in order to achieve appropriate outcomes. Insurance Placement Solutions has an immediate opening for a Remote Workers Compensation Claims Adjust...
Agency Claims Advocate - Workers' Comp. An established agency is seeking an Agency Claims Advocate with strong Workers' Comp experience. This position plays a pivotal role in ensuring a seamless claims process for clients. Provide exceptional day-to-day claims services to clients within specified au...
TRISTAR Risk Management is seeking a seasoned Workers Compensation Claims Examiner III to manage all aspects of indemnity claims handling from inception to conclusion. Workers Compensation Claims Examiner III Intro:. Ability to manage very complex claims independently. Experienced in handling a larg...
The Claims Administrator provides administrative support to the claims team through the new claims process. Input new claims information into Claims System. Assist with review and intake of new claims received by telephone, mail or email. Manage assignment of new claims. ...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
Major Claims Trial Attorney - Santa Ana/Irvine. A nationally-recognized firm is seeking a seasoned Trial Attorney to manage the disposition of Major Claims, investigate and analyze; attending settlement conference and mediations; will require some travel; must have strong writing skills and ability ...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
Processes all types of medical claims and adjusts medical disputed claims (Professional and Facility) according to department, contract, and regulatory requirements. Responsible for processing, auditing, and adjusting all facility medical claims, appeals and prepayment audits. Troubleshoots claims t...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
Senior Claims Adjuster in the Agribusiness department . Manage the coverage, liability and investigation of caseload of agribusiness related claims. Responsible for reserving, negotiation, strategy and resolution of claims. Work closely with legal counsel and defense to investigate, resolve and...
To analyze 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 specific client service requirements. Claims Examiner - Workers Compensation | Long Bea...
Multi-state commercial insurance carrier is seeking a Subrogation Claims Examiner for a recovery claims position in their Long Beach, New York office. This person will investigate commercial insurance automobile claims and purse company’s subrogation interests in claims involving multiple commercial...
Claims Examiner - Auto Liability. To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. Processes complex auto commercial and personal line claims, including bodily injury ...
Major Claims Trial Attorney - Santa Ana/Irvine. In-house Major Claims Counsel position in Irvine office. An exceptional trial role for a seasoned attorney with strong experience in Real Estate Litigation; Commercial Litigation; Bad Faith claims; Title Insurance a plus. A nationally-recognized firm i...
Patient Account Representative.Insurance Patient Account Representative - Medicare Emphasis.Representatives are responsible for taking in-coming and making out-going calls to patients and insurance companies to resolve account balances.All client policies and procedures are followed.Representatives ...