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...
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...
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. ...
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...
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...
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...
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...
The Billing Specialist is responsible for providing general support to the billing team including, but not limited to, time narrative entry and edits, corrections and edits to invoices, compiling expense back-up for invoice submissions, filing and other administrative functions. Aderant, Elite, Bill...
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. ...
Excellent customer service, specifically with irate customers. Job Title: Customer Care Representative. Customer service skills, phone skills, effective communication, ability to work with a team and on their own. Customer Service Phone Support (75%-90% of the day). ...
Learn and adhere to all customer service procedures and policies. Minimum of 2+ years of relevant Customer Service experience. Minimum of 2+ years of relevant Customer Service experience. Based out of our Irvine, California office, we are looking for a specialist responsible for answering calls, pro...
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...
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 working with providers/billing offic...
Company is looking fora claims adjuster to help handle insurance claims on behalf of several insurance carriers. ...
As the Customer Relations Account Specialist, this role is responsible for delivering excellence in service and contributing to the mission of protecting businesses, people, and time. Enter high volumes of data into the various systems timely and accurately for billing purposes. Adjust and handle bi...
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...
Customer Care Representatives’ essential responsibility is to be the voice of Pets Best by bringing the best customer service experience to our customers. Licensed Sales Representative provide excellent customer service support to policyholders, third party referral sources, and veterinary clinics. ...
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 ...
Customer Service Representative (OneCare). The Customer Service Representative is the first line of contact for Health Plan members and providers and will assist them with questions related to the Medi-Cal programs for Orange County. Participates in a mission-driven culture of high-quality performan...
We are actively looking for a Billing Specialist to join our Accounting team. As part of the Accounting Group, the Billing Specialist will invoice clients monthly and ensures the invoice and supporting documentation is accurate and complete. Assist in answering client's billing questions and address...