CAP seeks a Claims Specialist (II or III/Senior), for its San Diego office, to perform technical and administrative duties to manage assigned claim files; assumes increased workload of highly complex claims. Manage medical malpractice claims, including the assignment, direction, and control of defen...
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...
In addition to ensuring essential administrative functions run smoothly, you may also interact with customers and medical providers by phone or in person when applicable.High School diploma/GED equivalent or higher and a minimum of one year of administrative or clerical support experience .OR} one y...
Claims Resolutions Specialist Job Description . The Claims Resolution Specialist will be the first line of contact for health providers. The incumbent will assist providers with questions related to the payment of claims and resolution of claims payment issues. Responds and researches issues on prov...
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...
DaVita is currently looking for a Patient Account Specialist. Identify trends and perform root cause analysis on unpaid and underpaid claims. ...
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...
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...
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...
The Workers Compensation Claims Manager is responsible to supervise activities within the worker compensation lost time claims department. Workers Compensation Lien Manager, Claims. AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Workers' Compensa...
A Managerr 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 yo...
Seeking a Claims Adjuster to manage workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. To analyze mid- and higher-level workers compensation claims to determine benefit...
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...
Claims assistant, Insurance claims. Will assist in setting up claims, requesting checks, sending out letters based on direction given, follow up on in status of pending matters, as needed and designated by the staff. ...
Partner with the Human Resources department on the following responsibilities: management of the reporting process of employee on-the- job injuries for all diocesan sites; management of the relationship with the MPN clinics; ensure effective monitoring and updating of open WC claims log and files; c...
TTF places candidates in the revenue cycle, health information management, and healthcare administrative fields with the following specialties and titles: Hospital Collector, Commercial, Government, Managed Care, Billing Representative, Medical Biller, AHCCCS, Medicare, Medicaid, Medical Claims, Med...
At least 2 years of experience in medical practice billing with exposure to working with denials, appeals, insurance collections, and related follow-up. Strong proficiency in MS Office applications (Word, Excel, PowerPoint), and computerized billing systems is required. Responsible for adhering to h...
Are you a skilled Claims Adjuster with a passion for delivering top-notch service and solving complex claims? If so, we want you to join our dynamic team!. Proven experience as a Claims Adjuster with a solid track record in handling various types of claims. We’re Hiring: Experienced Claims Adjuster ...
Job Title: Claims Examiner - Workers Compensation. Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely r...
The Billing Specialist is responsible for all billing related tasks including collection of billing data, data entry into County IRIS, running reports and reconciliation of data. Enters members served information, enrollment, eligibility information and billing data into County IRIS. Assists the Bus...
Investigates, determines liability, confirms coverage, establishes damages, and negotiates settlement of claims. Will also be required to maintain an active adjusters license in states where required. Investigates, confirms coverage, determines liability, establishes damages, reports status and nego...
The Billing Specialist will have excellent communication skills and a high level of professional service to clients, management, attorneys, and other staff in order to effectively, efficiently, and successfully administer monthly billing, and research, respond to, and resolve inquiries or discrepanc...
The Workers Compensation Claims Manager is responsible to supervise activities within the worker compensation lost time claims department. AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Workers' Compensation Lien Claims Manager in Irvine, CA. Thi...
Claims Examiner in an IPA, Medical Group, or Health Plan and knowledge of HIPAA and AB1455. IPA setting claims processing experience. CLAIMS PROCESSING CA HERITAGE SERVICES. ...