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 carry out processes on all out of network c...
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, 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...
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. ...
You will resolve disagreements and negotiate with auto body shops, Independent Adjusters, claimants and policyholders and assist claims management in the resolution of complaints and evaluate claims for potential fraud or subrogation. You will complete moderate to higher complexity claims within ass...
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...
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...
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...
Knowledge of 3rd party, Medicaid and DPH Early Intervention billing regulations. Through working knowledge of all aspects of the Thom client billing system. Input new client information into Thom billing system on a regular basis. Update changes in insurance information in the billing system and sub...
As an Electronic Claim/Remit Specialist at LogixHealth, you will work with internal teams to provide services that will directly improve business operations. At LogixHealth we provide expert coding and billing services that allow physicians to focus on providing great clinical care. ...
SENIOR CLAIM REPRESENTATIVE - CENTRAL MASSACHUSETTS. Responsible for handling all phases of assigned complex claims. Carefully documents all claims information and maintains accurate records complying with Claim Department Standards of Performance. Issues claims payments and includes all payment doc...
Coordinate with the Preconstruction Estimator, Procurement and Cost Estimator to solicit participation from subcontractors and vendors required to support the scope of work, ensuring timely delivery of their quotation. ...
As a Data Specialist, you will work both independently and with internal teams to provide cutting-edge solutions that will directly improve business operations. Run validations in the Ntierprise software system on claims data to ensure billing integrity. ...
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.Among our benefits, Humana provides medical, dental and...
Insurance Company Client is looking for an experience Excess Claims professional. This position will need at least 8 years experience Excess/Umbrella claims as well as litigation management. ...
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...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
Billing and Collections Specialists perform a variety of tasks associated with the billing and collections of open Accounts Receivable and are responsible for providing quality customer service while collecting on assigned outstanding, aged account balances. Billing & Collections Specialist. Knowled...
Ability to work in adverse conditions (post loss insurance claims). ...
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...
Position: Commercial Drywall / Paint Estimator. Commercial Drywall / Paint Estimator. Commercial Drywall / Paint Estimator. Commercial Drywall / Paint Estimator Responsibilities:. ...
Responsible for the timely research and resolution of internal/external customer billing questions received in the Invoice Admin mailbox. Oversee the Oracle Invoice Special Handling Data Capture to make certain both client and contract specific billing requirements are recorded as well as monthly/qu...
Zurich is currently looking for a RCIS Crop Claims Field Adjuster I to join our Rural Community Insurance Services (RCIS) team. Utilize company software to electronically transmit claims information directly from the field to RCIS to ensure claims are processed timely and accurately. Zurich is curre...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
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...