A company is looking for a Claims Resolution Specialist I- Remote. ...
The Claims Specialist is expected to work independently and will be responsible for effectively researching, validating, and resolving customer claims from inception to completion. The Claims Specialist will work closely with the Claims Analysts to identify specific customer trends and help identify...
A company is looking for a Professional Dental Claim Specialist II. ...
Confirms coverage of claims by reviewing policies and documents submitted in support of claims. This position will be responsible for the investigation and resolution of lower to medium complexity and lower to medium exposure claims. These claims will consist of non-litigated and litigated matters. ...
A company is looking for a Claims Resolution Specialist. ...
AmeriPro Roofing, one of the largest residential roofing contractors in the nation is immediately Hiring .Outside Sales Representatives in the Oshkosh, Green Bay and Appleton areas! .Outside Sales Representatives educate and inform homeowners on what they're entitled to through storm damage as it r...
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, ...
AmeriPro Roofing, one of the largest residential roofing contractors in the nation is immediately Hiring .Outside Sales Representatives in the Oshkosh, Green Bay and Appleton areas! .Outside Sales Representatives educate and inform homeowners on what they're entitled to through storm damage as it r...
Demonstrated experience in the field of compliance including a working knowledge of claims handling or specialized area of expertise. American Family Insurance Claims Services, Inc. At American Family Insurance Claims Services (AFICS, Inc. ...
The Claims Resolution Specialist is responsible for researching and resolving complex facility and professional insurance denials and ensures that claims are followed up in a timely manner. Position Description: The Claims Resolution Specialist is responsible for researching and resolving complex fa...
This position may be filled as a Workers Compensation Associate Claims Specialist, Workers Compensation Claims Specialist I or a Workers Compensation Claims Specialist II. As a Workers Compensation Claims Specialist, the successful candidate will join a dedicated Claims Team, utilizing the latest te...
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...
Administer claims by processing location claims through NetSuite for prompt and accurate payment, maintaining detailed records of all transactions. The Corporate Support Specialist manages the day-to-day administrative operations of our corporate office, supporting our operations team in the in-home...
A day in the life of a Medical Billing & Claims Specialist in an orthopedic organization involves reviewing and processing insurance claims, identifying reasons for claim denials, and appealing denied claims. A Medical Billing & Claims Specialist is responsible for providing support in the f...
To investigate claims against insurance or other companies for personal, casualty, or property loss or damages; attempts to effect out-of-court settlement with claimant. Revises case reserves in assigned claims files to cover probably costs. Claims industry experience preferred. Knowledge of profess...
Business Analyst - Long-Term Care Claims. Three or more years of experience translating technical goals and requirements into real action for clients in Healthcare, Long Term Care, or Claims. ...
Regularly meet with the Revenue Cycle Supervisor to discuss and resolve reimbursement issues or billing obstacles. High school diploma with at least two years of experience in healthcare, billing, and alternate payor reimbursement claims processing. Knowledge of insurance, managed care, PPO, FQHC bi...
Claims Representative General Liability. Property, Auto, and Liability (PAL) Claims team! This individual would have a focus on resolving mild to complex general liability claims. Property, Auto, and Liability Claims. Settles mildly to complex claims by determining liability and reaches agreement ...
A company is looking for an Associate FMLA Disability Claims Examiner for a remote role. ...
Key Responsibilities:Acts as the customer point of contact/liaison regarding operational issues, including provider meetings, claims issues, projects and ad hoc operational sessionsMonitor and improve Transactional Quality for the aligned accountsDeploy Six Sigma approach to address any transactiona...
A company is looking for a Claims Supervisor GL/AL Commercial. ...
A company is looking for a Medical Coding & Billing Specialist - TempKey Responsibilities:Reviewing and submitting claims within payor guidelines to ensure timely and accurate filingResolving and appealing claims denials, and optimizing claim submission processAccurately applying appropriate CPT and...
Key Responsibilities:Conduct non-clinical appeals reviews for overpaid claimsPerform repricing of identified claims for DRG Validation claimsEnsure completion of patient visit documentation and required documentation processesRequired Qualifications:High School Diploma or GED equivalentMinimum of 5 ...
A company is looking for a Property Claims Branch Supervisor. ...