CAP seeks a Claims Specialist (II or III/Senior), for its San Diego office, to perform technical and administrative duties to manage assigned claim files; assumes increased workload of highly complex claims. Manage medical malpractice claims, including the assignment, direction, and control of defen...
We are currently seeking an entry-level Claims Loss Reporting Specialist to support our auto claims operations. Claims Loss Reporting Specialist. Explain and evaluate benefits, coverages, and claims process involving glass claims. It's an ideal entry point for individuals without prior claims experi...
In addition to ensuring essential administrative functions run smoothly, you may also interact with customers and medical providers by phone or in person when applicable.High School diploma/GED equivalent or higher and a minimum of one year of administrative or clerical support experience .OR} one y...
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...
Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative contractual agreements. Designs, plans, dir...
Claims Resolutions Specialist Job Description . The Claims Resolution Specialist will be the first line of contact for health providers. The incumbent will assist providers with questions related to the payment of claims and resolution of claims payment issues. Responds and researches issues on prov...
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...
DaVita is currently looking for a Patient Account Specialist. Identify trends and perform root cause analysis on unpaid and underpaid claims. ...
Investigate, analyze, and determine the extent of company's liability concerning Claims and attempt to effect settlement with claimants. Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. Calculate benefit payments and approve payment of 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...
The Customer Service Representative will serve as a pivotal point of contact for both internal teams and external customers. This role will primarily focus on assisting with administrative tasks, quoting, order entry, and addressing customer service issues to ensure smooth operations and exceptional...
The Workers Compensation Claims Manager is responsible to supervise activities within the worker compensation lost time claims department. Workers Compensation Lien Manager, Claims. AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Workers' Compensa...
A Managerr within our Disputes, Claims & Investigations group is expected to have assignments in a variety of industries. We believe in timely and proactive performance excellence, ongoing 360 feedback, clear performance expectations at each level, and quarterly check-ins with your manager ensure yo...
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...
Join our dynamic team as a Customer Service Representative in Irvine, CA! We are seeking enthusiastic and dedicated individuals who excel in providing exceptional customer service. Customer Service Representative. Collaborate with team members to ensure high-quality customer service and satisfaction...
Claims assistant, Insurance claims. Will assist in setting up claims, requesting checks, sending out letters based on direction given, follow up on in status of pending matters, as needed and designated by the staff. ...
The Customer Service Representative will serve as a senior point of contact for members and providers and will assist them with questions and/or complaints related to their plan services. Bilingual Customer Service Representative (6). Program Support Participates in a mission driven culture of high-...
Job Title: Billing Specialist I. The Claims Billing Specialist is responsible for responding to inquiries related to claims, eligibility, and authorization and working with multiple parties to ensure records are up to date. May assist in providing customer service, member services, and others in wor...
We are seeking a detail-oriented and knowledgeable Remote Dental Billing Specialist to manage our billing operations. As a PPO-only practice, we provide top-quality dental care and are looking for a billing expert to ensure our claims and payments are processed efficiently. Ensure compliance with de...
Partner with the Human Resources department on the following responsibilities: management of the reporting process of employee on-the- job injuries for all diocesan sites; management of the relationship with the MPN clinics; ensure effective monitoring and updating of open WC claims log and files; c...
As a Customer Service Representative, you’ll play a pivotal role in our fast-paced environment by building connections with our diverse customer base, ensuring seamless transactions and exceptional in-store experiences. At Speedy Cash, we’re more than a financial service provider; we’re a trusted al...
The Claims Examiner II accurately reviews, researches, and analyzes professional, ancillary, and institutional inpatient and outpatient claims. Process all types of claims, such as HCFA 1500, outpatient/inpatient UB92, high dollar claims, COB, and DRG claims. Comprehensive knowledge of DMHC and CMS ...
We are currently seeking a highly motivated customer-focused individual to join our team as a Business Development & Customer Service Representative. Business Development & Customer Service Representative Responsibilities:. Business Development & Customer Service Representative Requirements:. Busine...
We are seeking a motivated and like-minded Billing and Data Entry Coordinator with clear goals of working as a team member with other medical professionals and advancing within our culture in the fast-paced and exciting field of mental health!. Efficiently gather billing information and generate com...
The Workers Compensation Claims Manager is responsible to supervise activities within the worker compensation lost time claims department. AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Workers' Compensation Lien Claims Manager in Irvine, CA. Thi...