A company is looking for a Claims Resolution Specialist I. Key Responsibilities:Review all medical insurance claims for resolution and paymentResolve inquiries and payment denials from insurance providersContact insurance carriers to collect on open account balancesRequired Qualifications:Excellent ...
Responsibilities include finalizing claims processed electronically for payment and reviewing claim adjudication results for both Title XIX and non-title XIX claims, payment, and denial patterns, ensuring adjudication accuracy in the claims processing system, adhering to policy and procedures, respo...
A company is looking for a Claims Support position. ...
Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims professional to join our team. Claims may be either first or third. Learn and comply with the Company’s claim handling procedures. Continue to develop skills in claim negotiations and settlements. ...
A company is looking for a Claims Specialist II. ...
Responsibilities include finalizing claims processed electronically for payment and reviewing claim adjudication results for both Title XIX and non-title XIX claims, payment, and denial patterns, ensuring adjudication accuracy in the claims processing system, adhering to policy and procedures, respo...
CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department. They will work closely with other members of the Commercial Services Operations team providing root ...
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 improving our in-house certification functions by providing updates to the plan of care, in-house certificatio...
Great American Risk Solutions is adding an experienced Claim Specialist / Sr. Claim Specialist to their team. The positions will focus on losses in a nationwide book of surplus lines business, including primary and excess claims under commercial general liability policies (CGL) with a focus on const...
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, ...
As part of this position, you have the opportunity to work 100% remotely, collaborating with an exceptional team from the comfort of your home or office. Must be willing and available to work a minimum of 20 hours per week. By providing tax advice, full service return preparation, tax calculations, ...
In order to effectively work as a remote worker (work from home) with Gainwell, employees Broadband Internet connections, should have a minimum speed of . Actively cross-trains to perform reviews of multiple claim types to provide a flexible workforce to meet client needs. Join us and put your exper...
Appropriate Driver s License Required. Valid state-issued driver's license. ...
A company is looking for a Payroll Specialist on a contract basis. ...
A company is looking for a Senior Customer Service Representative - Remote in CST or MST. ...
A company is looking for a Billing Specialist III. Key Responsibilities:Performing complex billing and accounting tasksCollaborating with clinical personnel and payers for accurate paymentsUpdating patient demographic and insurance informationRequired Qualifications:High School Diploma or equivalent...
A company is looking for a Customer Service Representative for a remote position. ...
A company is looking for a Benefits Integration Specialist. Key Responsibilities:Lead and facilitate client-level integrations on benefits administration platformsMaintain project timelines and deliverables ensuring completion on timeAct as a liaison between the client and internal teams for technic...
A company is looking for a Customer Service Representative - Specialty Benefits Verification Specialist in El Paso, TX. Key Responsibilities:Utilize benefits verification tools to process specialty medications for customersHandle incoming and outgoing calls to patients, clients, and customersNavigat...
A company is looking for a Senior Workers Compensation Claims Adjuster. ...
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 guidelines, policies, procedures, and best practicesRequired Qualifications:7-10+ years o...
A company is looking for a Senior Commercial Auto Claim Adjuster. ...
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...
A company is looking for a Lead Payroll Processing Specialist. ...
A company is looking for a Payroll & Benefits Specialist. ...