Job Description: Disability Claims Specialist. Must have at least + years prior LTD/IDI Insurance Claims Experience. The LTD Claim Consultant evaluates long term disability insurance claims in accordance with plan provisions and within prescribed time service standards. In this role, the LTD Claims ...
We have flexibility to fill this position as a Senior Claims Specialist or a Complex Claims Specialist depending on candidate experience. Senior Claims Specialist Typical Starting Salary: $94,600 - $123,000. Complex Claims Specialist Typical Starting Salary: $106,900 - $137,100. With minimal supervi...
AR Specialists are responsible for accurately identifying insurance claims denials and/or claims processing errors to resolve accounts. Qualified candidates must have at least 1-2 years medical claims experience. Resolve unpaid/denied claims by leveraging proprietary software system, making phone ca...
The Senior Claims Specialist will be responsible for the claims within the construction defect and general liability sector. Investigate all aspects of assigned claims from cradle to grave including coverage determination, resolving informally postured claims directly, working with defense counsel w...
Supervisor - Claims Specialist Team. The Claims Supervisor is responsible for the coordination and control of the Claim Specialist Team, ensuring that effective operations run smoothly and staff-assigned work queues are maintained within the budgeted benchmarks. Effectively resolves problems and dis...
As a Claims Specialist, you will be responsible for handling a caseload of higher complexity, higher exposure, construction defect and construction related property damage claims from inception to final disposition. This is a visible and important role within our Complex Claims Unit (CCU) Hartford G...
Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collectio...
Senior Claims Resolution Specialist III- $94,601-123,100 (based on candidate location and experience). Senior Claims Resolution Specialist IV- $106,900-$137,100 ( based on candidate location and experience). Accountable for security of financial processing of claims, as well as security information ...
Client is currently looking for a Refund Specialist for our Credits Team in our Revenue Operations Department. Autonomously research, initiate follow-up and resolve all health care insurance claim accounts with existing credit balances (claim(s) paid more than expected by payer); actions included bu...
Liberty Mutual has an immediate opening for an Excess and Coverage Senior Technical Claims Specialist as part of our Excess, Coverage and Specialized Claims Unit. If you are an experienced claims professional with Commercial Excess Claims experience, this is the role for you!. If you have experience...
This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims. Experience handling moderate to high exposure general liability BI and PD claims and/or a legal background as a practicing attorney with litigation or coverage experience is requ...
Degrees: High School,Cert,GED,Trn,Exper Licenses & Certifications: AHIMA Certified Coding Specialist-Physician-basedAHIMA Certified Coding SpecialistAHIMA Certified Coding AssociateAAPC Certified Professional Coder Additional Qualifications:Minimum two years of charge entry or claims/billing managem...
As a Disability Claims QA - Long Term Disability Specialist, you will leverage your expertise in long-term disability claims to review and ensure to accuracy and completeness of reports accompanying medical records. Verify that the claims support the physicians determinations in long-term disability...
Claims Documentation Specialist. The Documentation Specialist will be responsible for entering claims documents into our electronic system and procuring veterinary records while interpreting, coding and understanding medical terminology in relation to diagnoses and procedures. Ability to learn quick...
As a Claims Specialist, you will be responsible for handling a caseload of complex, high exposure, auto and general liability claims throughout the claim’s life cycle. As these claims are often in litigation, experience handling litigated matters and managing defense counsel is required. ...
The Claims Resolution Specialist must have excellent knowledge of insurance carrier billing and reimbursement with knowledge of medical terminology, ICD-9, and CPT codes. At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. Since 1984, Flo...
Confirms coverage of claims by reviewing policies and documents submitted in support of claims. Successful completion of 5 years as a Claims Specialist. Ability to influence claims stakeholders and to effectively direct claims strategy. This position will be responsible for the resolution of moderat...
A Homecare Billing and AR Specialist is responsible for handling the billing and accounts receivable processes within a homecare or healthcare organization. Key responsibilities of a Homecare Billing and AR Specialist may include:. Billing Cycle Management: Generating and submitting claims to insura...
Customer service experience is a plus, butnot required. Full-service agency serving clients nationwide. ...
Liberty Mutual has an immediate opening for a Complex Claims Unit Manager role, to support our Commercial Casualty Excess Coverage and Specialized Claims Unit. In this role, you will manage the Casualty Environmental Claims team, which handles Primary and Excess Casualty environmental matters (inclu...
Commercial Property Desk Claims Adjuster. As one of the largest independent providers of insurance claims services in North America, we provide property, auto, heavy equipment, and casualty claims management services. Inside Commercial Property Claims Adjuster. Alacrity Solutions is a full end-to-en...
Workers Compensation Claims Adjuster - Medical Only | NY License | Remote. 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 cli...
Overview: The TPA Manager is responsible for the day-to-day account management, supporting, and providing leadership to the staff of internal claims professionals. Ensure that claims are being processed as expeditiously as possible, and that all inventories are regularly reviewed and all possible ac...
Minimum high school diploma or GED; previous experience in a customer service role, preferably in a call center or health services enrollment environment; understanding of the needs and problems faced by disadvantaged population; previous experience with computers, phone systems and headsets preferr...
Reporting to the Billing Manager, Billing Specialists are responsible for the daily entry of charges for their assigned surgical centers. Review accuracy of invoice details, including customer billing instructions, pricing, discounts, state sales tax, etc. Execute the recurring billing workflow and ...