A company is looking for a Medicare Claims Appeals and Grievances Specialist. ...
We are seeking a dynamic Workers' Compensation Claims Specialist who thrives in a collaborative environment and has strong interpersonal communication skills. Investigate, evaluate, and resolve lost time Workers' Compensation claims, including litigated claims. Adjudicate medical only and lost time ...
A company is looking for a Specialist in Claims Recovery. ...
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, ...
A company is looking for a Medicaid Claim Follow Up Specialist to resolve aged, outstanding, and denied Medicaid claims. ...
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...
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 construction defect and other construction related claims. We emphasize teamwork, collaboration – among underwritin...
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...
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. Meet with people involved with commercial auto claims, sometimes outside of the office. Handle claims activities and investigations by phone, mail, ...
A company is looking for a Claims Analyst to manage reimbursement claims and vendor invoices related to mortgage servicing. ...
A company is looking for a Claims Resolution Specialist responsible for reviewing Durable Medical Equipment claims for billing accuracy. ...
A company is looking for a Claims Processor II responsible for accurate and timely claims processing. ...
Key Responsibilities:Guide customers through the claims process and assess bodily injury claimsConduct thorough investigations into injury claims and negotiate settlementsMonitor customer interactions and maintain records of claims issuesRequired Qualifications and Education:Proven experience as a C...
A company is looking for a Claims Program Manager to oversee project and process management for Global Market Insights initiatives. ...
Key Responsibilities:Supervise a team of 5-8 claims adjusters and manage their caseloadsEnsure compliance with file handling standards, state statutes, and company policiesLead corrective action processes and track claims trends for client discussionsRequired Qualifications:High School Diploma or eq...
A company is looking for a Medical Claims Supervisor (Remote). ...
A company is looking for a Claims Processor III to manage claims processing and support related workflows. ...
A company is looking for a Claims Examiner to ensure the financial integrity and efficiency of their healthcare organization. ...
A company is looking for a Claim Manager Assistant I who will manage incoming and outgoing communications while facilitating claim determinations. ...
A company is looking for a Medical Records Outreach Billing Specialist (Remote). ...
A company is looking for a Workers Compensation Claims Supervisor to lead a claims team in New Mexico. ...
A company is looking for an Assistant Claims Manager (Military Move) to assist in claims management and process improvement. ...
A company is looking for a Claims Processing Representative to review and adjudicate complex claims. ...
A company is looking for a Banking Customer Services Representative. ...
A company is looking for a Revenue Cycle Billing Specialist to successfully collect on aging medical insurance claims. ...