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...
Team Lead - Medicare Specialist. ...
Claims Service Specialist – San Diego, CA. As a Claims Service Specialist, you will collect facts about the accident, investigate claim details, and collect statements from involved parties. Many associates see a base salary increase of 10% within their first year as a Claims Specialist. Through our...
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...
The client is seeking a highly motivated an experienced TEMP - Claims Resolution Specialist (Customer Service) to join our team. The Claims Resolution Specialist will be the first line of contact for the client’s providers. The incumbent will assist providers with questions related to the payment of...
Experience in handling conditional demands, preferably including bodily injury claims, on behalf of an insurer as an attorney, technical specialist, claims manager or similar role sufficient in one more of the following states to develop a high degree of technical expertise: CA, FL, TX, GA, or SC. O...
As a Supervisor, you'll lead a team of 7, including 5 Claims Adjusters and 2 Claims Assistants, providing guidance, mentorship, and performance feedback to ensure exceptional claim handling and adherence to company standards and regulations. Workers' Compensation Claims Supervisor - Lead a Dynamic T...
Responsibilities include determining benefits due; ensuring management of claims within internal claims management guidelines and in compliance with applicable laws; and identifying opportunities for, managing subrogation of claims, and negotiating settlements. The Workers Compensation Risk Analyst ...
Overview: As a Customer Service Representative, you’ll build connections and offer a wide range of products and services to our diverse customer base. Skillfully review, validate, and process customer transactions with accuracy including check cashing, money transfer, and customer payments. Proactiv...
Manage all billing-related aspects for assigned payors, including billing set-up in the NextGen system and processing full-cycle billing to all payers including original billing, collections, denials and re-billing, and account maintenance/ accounts receivable and all Claim edits follow up. Billing,...
Customer Service Account Representative. Customer Service handling big box business. Target Customer Service experience a plus. The Customer Account Rep is responsible for assigned Target Brands and is not limited to monitoring receiving, processing, and addressing any/all Target Brand needs. ...
The Billing Specialist is responsible for providing general support to the billing team including, but not limited to, time narrative entry and edits, corrections and edits to invoices, compiling expense back-up for invoice submissions, filing and other administrative functions. Aderant, Elite, Bill...
As a FASTSIGNS Customer Service Representative, you will be the initial contact with current customers as well as prospective customers in our FASTSIGNS Center. At FASTSIGNS we pride ourselves on the best customer service in the Sign Industry and to prove it we survey our customers to ensure we cons...
Customer Service Representatives at Sam's Club ensure that customers have a pleasant shopping experience. Provide information to customers on products and services. Ensure customer satisfaction and provide professional customer support. Experience in customer service or retail preferred. ...
Develop a deep understanding of the company's products or services to effectively address customer needs. Our mission is clear: to deliver an exceptional shopping experience by recommending the perfect products and providing unparalleled service. Serve as a direct point of contact between the compan...
Resolve customer complaints and ensure customer satisfaction. Contribute to improving customer service processes by sharing relevant insights and ideas. Proficient basic computer skills, including knowledge of customer service software and databases. If you thrive in a fast-paced environment, have e...
The Claims Examiner I is in daily contact with team members, clients and providers. This position reports to the Claims Supervisor. Processes claims accurately, efficiently and within quality/quantity requirements. Has the ability to access research tools for accurate claims entry. ...
Workers Compensation Claims Examiner | Long Beach, CA. To analyze high-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirem...
Review claims for accuracy and ensure that claims are clean; contact providers as needed to clarify or verify billed services; educate providers on error/omissions in submitted claims. Our client, a North County healthcare company, is looking to hire a Claims Processing Analyst. Review pending claim...
A Manager within our Disputes, Claims & Investigations group is expected to have assignments in a variety of industries. We believe in timely and proactive performance excellence, ongoing 360 feedback, clear performance expectations at each level, and quarterly check-ins with your manager ensure...
As a Claims Representative II, you’ll ensure the delivery of quality claim service to our customers, and other parties to a claim, while protecting the assets of Sentry. Provides prompt claim investigation, evaluation and settlement or denial of claims with minor to severe exposures. Provides empath...
Providence is seeking an Epic Applications Analyst – AP Claims, who will:. ...
The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements.Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable...
Manages/adjusts assigned claims while meeting company standards and quality, including conducting thorough investigations; determining coverage and validity of claims, interviewing and communicating with insured, claimants and witnesses; inspecting claims sites as required, assigning external vendor...
Patient Account Representative. Insurance Patient Account Representative - Medi-Cal / HMO Emphasis. Representatives are responsible for taking in-coming and making out-going calls to patients and insurance companies to resolve account balances. Representatives will perform any and all job-related du...