Inform internal and external stakeholders on claims resolution processes by summarizing factual information, reporting out-of-scope, specialized exposures and accurately managing documentation of assigned claims to ensure effective communication of current state for individual claims portfolio. The ...
Performs claims oversight of a third-party claim administrator (TPA). Reviews open claims to ensure carrier/excess carrier reporting, determines compensability, scheduling of IME’s, medical case management, surveillance, subrogation and litigation tasks are completed timely. Utilize risk information...
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...
Location: On-Site in Bedford, MA This Role: As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the healthcare industry. You’ll contribute to our fast-paced, collaborative environment and will bring your expertise to review and...
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, ...
Location: On-Site in Bedford, MA This Role: As a Claims Specialist in EDI at LogixHealth, you will perform general tasks in the EDI Department on the Billing Team. Key Responsibilities: Print paper claims for all Allscripts databases Work daily custom reports for client specific issues Void and re-e...
Under immediate supervision, investigate and dispose of first and third party claims. Inputs and retrieves information using the automated claims system, requests checks, form letters and other correspondence through the automated claim system. ...
Fraud and Claims Operations group, one of our most critical departments at Citizens. You’ll use critical thinking skills to assist customers with existing claims and determine the best next step for the customer and the bank. Specialists manage competing priorities in an accurate and timely manner a...
Claims Clinical Specialist – Medical Review Team. The Claims Clinical Specialist role is an excellent opportunity for a Registered Nurse seeking a career change. You will be responsible for working within a structured environment with established Standard Operating Procedures to ensure consistency o...
Assist in the training of new Claims Technical Team Managers. Keep Manager informed verbally and in writing of activities and problems within assigned area of responsibility; refer matters beyond limits of authority and expertise to Manager for direction. Under limited direction, lead the investigat...
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?. INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!. Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry ...
One of our healthcare clients is seeking an Epic HB Claims Analyst for a 3-month contract w/ likely extension (Remote role). HB Claims (Resolute Hospital Billing Claims). ...
The Claims Disputes & Fraud Operations Product Analytics (CDFO) team is part of the Consumer & Community banking (CCB) Operations Analytics Team and is responsible for data and analysis in support of the Disputes/Claims journey re-design. As a Quant Analyst Senior Associate for CDFO Team you...
Billing Specialist temporary to hire for a large coding and billing client located in Bedford Ma. Ability to perform data into billing software. ...
If you are interested in working with an amazing team, with full training from the ground up, weekly pay, and flexible hours, read below.We are looking to hire 3 new team members by the end of this week.When you apply, please check your email for interview options.Our ideal candidate is a person who...
An experienced adjuster who can work on moderately complex claims. You will investigate origin and cause of claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel. At American ...
Manager of Network Pharmacy Claims and Accounts Receivable. The Manager of Network Pharmacy Claims and Accounts Receivable oversees the daily operations of the Healthcare Revenue Cycle team to ensure appropriate and maximum cash collected. At least 5 years of direct experience in insurance of health...
Claims Representative - Auto Liability. To analyze and process low to mid-level auto and transportation claims. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Perf...
Working in a SBO (Single Billing Office), environment the Billing Specialist will need to have knowledge in Hospital and Professional Billing in order to assist with customer on questions and accurate registration of insurance and or processing physician billing denials. The Billing Specialist role ...
Working in a SBO (Single Billing Office), environment the Billing Specialist will need to have knowledge in Hospital and Professional Billing in order to assist with customer on questions and accurate registration of insurance and or processing billing denials. The Billing Specialist role specialize...
Customer Service Representatives are the face of the Domino's brand. We're looking for outgoing, courteous, and hard-working candidates who are excited to assist customers in finding the perfect pizza-topping combination. Identify customer's needs to achieve satisfaction. Manage large amounts of inc...
As first tier response, answers customer questions and inquiries through calls and emails; when appropriate, forwards to other appropriate staff for answer/resolution; follows-up to ensure response to customer occurs in a timely manner. Associates Degree highly desirable or 2-3 years customer servi...
To analyze and process low to mid-level auto and transportation claims. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Performs coverage, liability, and damage ana...
Customer Service Representatives Wanted. We are looking for positive, energetic, outgoing individuals that want to join our team! Start with learning how to take and process an order while providing superior customer service. We are searching for qualified customer service reps with personality and ...
As a Customer Service Representative, you will work as part of a supportive team to be the face of U-Haul company’s exceptional service and ensuring that customers get all the help they need on their journeys by inspecting and maintaining equipment. Are you a people person? Do you love helping other...