A company is looking for a Claims Specialist I for a remote position. ...
US (90% Client Retention Rate too), is looking for a Claims Processing Specialist!. Job Duties for Claims Processing Specialist:. ...
Key Responsibilities:Maintain knowledge of DMEOPS CPT and ICD-10 codesReview and resolve unpaid, short paid, and denied claimsFollow up with insurance companies, submit corrected claims, and file appealsRequired Qualifications:High school education or equivalent5+ years of related experience in insu...
Claims Specialist, Construction. We achieve this by establishing our claims team as an integral component of the underwriting process and aligning our claims professionals with each of our product lines and geographies. Held to the highest standards in the industry, our in-house insurance claims pro...
A company is looking for a Claims Recovery Specialist. ...
The Claims Resolution Specialist will be the first line of contact for Health providers and will assist providers with questions related to the payment of claims and resolution of claims payment issues. Seeking a highly motivated an experienced - Claims Resolution Specialist (Customer Service) to jo...
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...
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...
Our client, an A-rated Insurance Carrier, is seeking to add a New York Workers' Compensation TPA Claims Oversight Specialist. This person would be responsible for evaluating and reviewing New York Workers’ Compensation claims handled by Third Party Administrators (TPA) for adherence to company’s bes...
Workers’ Compensation Claims Specialist. You’ll maintain phone and written contact with all necessary parties to verify coverage and to investigate, manage and resolve medical-only claims promptly and accurately. This is an excellent career opportunity as a Claims professional. Generally, 6 to 10 ye...
Our client, an A-rated Insurance Carrier, is seeking to add a Workers' Compensation Claims TPA Oversight Specialist This person would be responsible for promptly evaluating and reviewing New Jersey and Pennsylvania Workers’ Compensation claims handled by Third Party Administrators (TPA) for adherenc...
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...
Our client is seeking to bring on a Texas Workers’ Compensation Claims Examiner to join their operations. The ideal candidate will have experience in managing mid to complex Texas Workers' Compensation claims from inception to close, possess strong analytical skills, and demonstrate excellent custom...
Our client is a leading healthcare located in Orange, CA, seeking claims resolution specialist that largely focuses on customer service. Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or agreements, established payment ...
The Claims Resolution Specialist will be the first line of contact for Health providers and will assist providers with questions related to the payment of claims and resolution of claims payment issues. Seeking a highly motivated an experienced - Claims Resolution Specialist (Customer Service) to jo...
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. The incumbent will assist providers with questions related to the payment of claims and resolution of claims payment ...
Working under minimal supervision, the Member Experience Specialist – Claims contributes to Wawanesa’s goal of delivering an exceptional and consistent claims service experience by enhancing relationships with members through tracking and trending feedback utilizing various data sources. Works colla...
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...
As a Field Claims Specialist, you’ll investigate, evaluate and resolve material/physical damage of a moderate to severe nature. You’ll be responsible for handling claims according to prescribed authorization and claims best practices. Maintains current knowledge of insurance and applicable product/s...
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...
One of our most prestigous healthcare clients is seeking a highly motivated an experienced TEMP - Claims Resolution Specialist (Customer Service) to join their team. The Claims Resolution Specialist will be the first line of contact for providers. The incumbent will assist providers with questions r...
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...
The Property Claims Field Adjuster ll will learn apply knowledge of current Company policies, applicable regulatory standards, and procedures to investigate, evaluate and settle moderate Homeowner's property claims in a timely and efficient manner as to prevent unnecessary expense to the Company and...
The Prudential Claims Specialist role is essential in handling retirement claims and processing financial transactions on behalf of clients. The team’s focus areas include claims processing for short-term disability, long-term disability, retirement, and death claims. This position requires high mul...