A company is looking for a Claims Resolution Specialist (Claims Adjuster). Key Responsibilities:Investigate, evaluate, settle, and process claims primarily over the phone with limited in-person contactHandle various types of claims including injury, property damage, automobile physical damage, and l...
Follow up on insurance denials and aged claims, submit claims to secondary payers, and ensure accurate billing information is submitted. Answer all information requests from those payers, and trace all claims to those payers making sure they have been paid or denied appropriately in a timely manner....
A company is looking for a Technical Claims Specialist in Worker's Compensation. Key Responsibilities:Provide technical oversight to high-risk and complex workers compensation claimsServe as the primary point of contact for critical national initiatives and manage complex projectsDevelop WC guidelin...
This position is Remote POSITION HIGHLIGHTS 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. UW Medicine Faculty Practice P...
A company is looking for a Health Claims Specialist. ...
Follow up on insurance denials and aged claims, submit claims to secondary payers, and ensure accurate billing information is submitted. Answer all information requests from those payers, and trace all claims to those payers making sure they have been paid or denied appropriately in a timely manner....
Communicating with claimants, employers and various medical professionals through phone and e-mail to gather necessary claim information, managing the claim process from the initial request to the return to work.Collaborating with fellow case managers, nurse case managers, and consulting physicians ...
As a Commercial/Specialty Casualty Adjuster, you will be responsible to resolve all aspects of 1st and 3rd party injury claims of low to moderate complexity for personal lines as well as our commercial claims. Handle 1st party exposures to include Medical Payment coverage, PIP, Uninsured Motorists, ...
This is a Fully Remote Opportunity on the Material Damage Specialist team supporting the Field Claims Teams. The Ideal candidate will have strong technical skills in Material Damage Estimating, Auditing Claims files for accuracy & quality & will be providing support & Mentorship to the A...
This is a Fully Remote Opportunity on the Material Damage Specialist team supporting the Field Claims Teams. The Ideal candidate will have strong technical skills in Material Damage Estimating, Auditing Claims files for accuracy & quality & will be providing support & Mentorship to the Auto Field Cl...
This position is responsible for the compliance, training and subrogation practices within our Claims department. Directly supervise and coordinate the activities for a Litigation Administrative Assistance and a Claims Project Coordinator. Create, maintain and deliver supplemental training, as neede...
A company is looking for a Medical Billing Refunds Specialist responsible for managing refunds to insurance companies and patients. ...
Key Responsibilities:Identifying coverage, setting up new claims, and documenting claims in the systemHandling incoming correspondence and calls related to claimsReviewing claims statuses, reconciling claim reserves, and releasing reportsRequired Qualifications:High School Diploma or GEDMinimum of o...
A company is looking for a Complex Cyber Claims Adjuster. ...
A company is looking for a Bilingual Spanish FMLA Claims Specialist. ...
Key Responsibilities:Adjudicates claims and adjustments as requiredResolves claims edits and suspended claimsMaintains and updates required reference materials to adjudicate claimsRequired Qualifications:Experience with a 10-key machineFamiliarity with ICD-9 codes and Current Procedural Terminology ...
A company is looking for a Billing Specialist. Key Responsibilities:Processing, monitoring, and collecting of Medicare, Medicaid and other commercial insurance claimsVerifying accuracy of billing data and revising any errorsTimely resolution of all claims including appealsRequired Qualifications:Hig...
A company is looking for an Intake Representative, Claims. Key Responsibilities:Receive initial claim information from customers via various channelsDetermine appropriate policy and coverage for lossesAnalyze received information and document facts of loss in the computer systemRequired Qualificatio...
A company is looking for a Claims Follow Up Patient Financial Services Representative. Key Responsibilities:Process payments, adjustments, claims, refunds, and denials accurately and timelyResearch payments, denials, and accounts to resolve discrepancies and make necessary appealsBuild strong relati...
A company is looking for a Claims Supervisor. ...
A company is looking for a Claims Examiner for a temporary assignment. ...
A company is looking for a Claims Operations Analyst. ...
A company is looking for a Liability Litigation Claims Examiner with Litigation Experience. ...
A company is looking for a Liability Litigation Claims Examiner with litigation experience. ...
A company is looking for a Data Analyst - Claims. ...