A company is looking for a Claims Resolution Specialist I. Key Responsibilities:Review all medical insurance claims for resolution and paymentResolve inquiries and payment denials from insurance providersContact insurance carriers to collect on open account balancesRequired Qualifications:Excellent ...
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...
A company is looking for a Specialist in Claims Recovery. ...
In addition, the Claims Specialist is also responsible for keeping up to date accounts receivable for both CalAIM and IFMG, claim follow-up, and must have knowledge of billing codes. Follow up on claims on hold and bill when claims are determined ready to bill. Ensure claims meet the standards of ou...
A company is looking for a Specialist, Claims Quality Regulatory Operations to join their Claims Quality team. ...
Claims Operations Specialist 2 We are seeking a Claims Operations Specialist 2. In this role you will provide oversight and subject matter expertise in support of the Claims business unit goals and objectives, as well as leadership in developing proc Operations Specialist, Claims, Operations, Specia...
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...
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...
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...
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...
Communicating with claimants, employers and various medical professionals through phone and e-mail to gather necessary claim information, managing the claim process from the initial request to the return to work.Collaborating with fellow case managers, nurse case managers, and consulting physicians ...
Under moderate supervision performs administrative duties of moderate technical complexity in support of the Claims function. Manage and update the Claims, Medical Legal weekly staffing agenda. Claims administrative support experience preferred with preference given to experience gained in Workers’ ...
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...
A company is looking for a Claims Examiner to manage insurance claims for policyholders. ...
A company is looking for a Senior Property Claims Specialist to enhance its claims experience in a remote setting. ...
A company is looking for a Claims Processing Representative to review and adjudicate complex claims. ...
A company is looking for a Property Claims Adjuster (Remote, US). ...
A company is looking for a Claims Examiner II to adjudicate healthcare claims according to specific policies and procedures. ...
A company is looking for a Medical Billing Specialist responsible for reconciling insurance services and managing patient accounts. ...
A company is looking for a Claims Processor II responsible for accurate and timely claims processing. ...
A company is looking for a Medical Claims Supervisor (Remote). ...
A company is looking for a Senior Customer Service Representative to deliver exceptional customer service in a remote setting. ...