A company is looking for a Specialist, Claims Quality Regulatory Operations to join their Claims Quality team. ...
In addition, the Claims Specialist is also responsible for keeping up to date accounts receivable for both CalAIM and IFMG, claim follow-up, and must have knowledge of billing codes. Reviewing claims prior to e-claim submission to ensure a clean claim is sent. Follow up on claims on hold and bill wh...
A company is looking for a Remote Medical Reimbursement & Claims Specialist in Dallas, TX. ...
Up to $20 per hour / Health, dental & vision / 401k match / PTO - As a Data Entry Specialist you'll: Organize assigned work and perform data entry/claim processing on large volumes of claims for commercial and residential property claims; Perform claim setup and entry, electronic imaging or indexing...
A company is looking for an Assistant Claim Specialist to process medical and dental claims. ...
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...
Claims Operations Specialist 2 We are seeking a Claims Operations Specialist 2. In this role you will provide oversight and subject matter expertise in support of the Claims business unit goals and objectives, as well as leadership in developing proc Operations Specialist, Claims, Operations, Specia...
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 ...
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...
Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or health agreements, established payment methodologies, division of financial responsibility, applicable regulatory legislation, claims processing guidelines and company p...
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...
Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative contractual agreements. Designs, plans, dir...
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...
Under moderate supervision performs administrative duties of moderate technical complexity in support of the Claims function. Incumbent must achieve a quality claim product on an ongoing basis by consistently applying best practices within expected timeframes completing the following tasks. Manage a...
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...
We're looking for candidates with great customer service skills to fill our Remote Customer Service role!.This role is entirely remote and offers full-time/Part time hours with flexibility .We are ready to schedule interviews for this week.We're seeking someone who is great with people, building rel...
Remote position (Work from home). Comfortable working remotely and independently. ...
A company is looking for a Billing and Coding Specialist - Outpatient. ...
A company is looking for an Accounting & Benefits Specialist to assist in managing payroll and benefits. ...
A company is looking for a Payroll Tax Specialist for a temporary remote position focused on payroll tax assistance. ...
A company is looking for a Senior Property Claims Specialist to enhance its claims experience in a remote setting. ...
A company is looking for a Payroll Data Specialist to manage payroll implementation tasks for clients. ...
A company is looking for a Claims Specialist to provide customer service for inbound claims and manage the claims process. ...
A company is looking for a Claims Resolution Adjuster - Remote (MST/PST). ...