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...
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...
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 ...
The role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key areas of edjuster’s content claims handling operations:. Focusing on the accurate and timely processing of content claims, via the use of edjuster’s claims handling professional-service ...
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...
Investigate all aspects of assigned claims from cradle to grave including coverage determination, resolving informally postured claims directly, working with defense counsel where defense obligation exists, issuing reservation of rights letters where coverage does exist, issuing coverage declination...
The Unemployment Claims Appeals Specialist will work within the Risk & Insurance team to assist with resolving vendor inquiries, and remitting information to state agencies. As a Unemployment Claims Appeals Specialist, how results are achieved is paramount for your success and ultimately result in o...
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...
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 ...
Accurately determines financial liability based on various factors and manages claims with limited autonomy to approve payments, ensuring timely and accurate claims processing. Makes sound recommendations and works towards independent decision-making by thoroughly evaluating claims and gathering nec...
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...
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 Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. The Senior Claims Specialist may also assist the Claims Team Manager with ass...
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...
Are you looking for an opportunity to join a claims team with a fast-growing company that has consistently outpaced the industry in year-over-year growth? Liberty Mutual has an excellent claims opportunity available for a Claims Specialist within our Commercial Lines division!. The Claims Specialist...
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...
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...
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...
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...
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...