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...
Investigates fraud claims involving ACH, Pre-authorized drafts, altered check, forged endorsements, unauthorized third party transfers, elder fraud, identity theft or other operations fraud issues. Assists in the preparation of filing bonded claims and un-bonded charge off recommendations. ...
We are excited to bring on a highly motivated Long-Term Disability (LTD) Claims Specialist to our claims organization. Managing a workload of Long-Term Disability claims independently in accordance with established procedures and guidelines. Communicating with claimants, employers, and various medic...
The Claims Research Specialist is responsible for the day to day handling of claim issues. This role serves as a claims subject matter expert (SME) and is responsible for incoming inquiries regarding escalated claims issues. They assume ownership and accountability for the timely and accurate identi...
We are excited to bring on a highly motivated Integrated Absence Claims Specialist to staff our ever-growing claims organization. As an Integrated Absence Claims Specialist, you will manage a workload of Short-Term Disability claims and their associated leaves. Lincoln Financial Group Integrated Abs...
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, ...
As a Group Claims Specialist, you will support our Short Term Disability or Integrated Absence teams. ...
This position will be responsible for the resolution of claims of average complexity and low to mid exposure claims. Confirms coverage of claims by reviewing policies and documents submitted in support of claims. The primary purpose of this job is to investigate, evaluate, negotiate and settle assig...
Claims Specialist Professional Liability, Public Entity Providence, Rhode Island. To analyze complex public entity claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within Company standards, industry best practices and specific client s...
Senior Auto Claims ExaminerOur client, a respected company in RI, is looking to add a Senior Auto Claims Examiner to their staff! 5+ years of industry-specific experience is ;. Manage a caseload of Commercial claims from start to finish. Commercial auto claims experience and ability to. ...
This role serves as a claims subject matter expert (SME) and is responsible for incoming inquiries regarding current claims and escalated issues. The Senior Claim Adjuster is responsible for assisting in the day to day managing of claim issues for high profile providers. The Senior Claim Adjuster wo...
The Research Billing Compliance Specialist is primarily responsible for reviewing research participant billing in compliance with all applicable regulations, guidelines, and policies related to research billing. This role involves a timely detailed r Compliance Specialist, Billing, Clinical Research...
Competitive pay - As a Customer Service Rep you'll: Receive and resolve a high call volume of inbound and outbound calls via the ACD system; Answer questions from providers, health insurances and members, regarding referrals and claims; Provide education regarding managed care processes and services...
No customer service representative agent experience needed. Customer Service Representative Agent Work From Home - Remote Online Panelists. Customer service representative agent experience is not necessary. If you are a customer service representative agent or someone just looking for a flexible par...
No Customer Service Representative Agent experience needed. Customer Service Representative Agent Work From Home - Part Time Remote Focus Group Panelists. Customer service representative agent experience is not necessary. If you are a customer service representative agent or someone just looking for...
As a Telephonic Initiation Representative, you will be responsible for answering claimants calls regarding disability and FMLA claims in a call center environment. Requisition #: 73121The Role at a GlanceWe are excited to bring on a Telephonic Initiation Representative to join our claimant excellenc...
Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. To analyze mid- and higher-level general liability claims to determine ben...
The billing specialist will maintain compliance with insurance companies and notify the Senior billing specialist when further investigation is necessary. The Billing Specialist is responsible for all revenue cycle activities which include: posting payments, analyzing explanation of benefit (EOB) st...
Does your claims management job feel stale? A process driven organization can lose sight of the true purpose of managing claims -- good outcomes on each claim. In order to make sure that this happens on EVERY claim, we need strong managers overseeing the claims process and customer service. Addition...
Northeast Family Services is currently seeking a Billing Specialist to join their growing team!. We are currently looking for a passionate and dedicated Billing Specialist to join our team. The Billing Specialist will work with a team to conduct a variety of daily tasks, including preparing clean an...
As a Customer Service Representative, you will help TurboTax customers by answering their questions concerning TurboTax products and tax return software. The ability to understand and empathize with our customers needs while driving innovation and providing top-notch service. Lead Generation (the ac...
Claims Adjuster TraineeJoin Forbes' 2024 Best Employer for Diversity!. In a fast-paced environment, you'll learn how to resolve a fullcase load of claims efficiently while managing the claims process from start to finish. We'll also teach you the insurance stuff - providing in-depth training on prop...
Provide exceptional customer service, engaging with members, potential customers, and general travelers. The CLEAR Service and Sales Representative (Ambassador) makes magic happen every day by creating frictionless experiences for our members. Previous customer service and/or sales experience is a p...
Experience in handling provider calls/complaints pertaining to Benefits & Eligibility, claims/appeals/denials is a plus. ...
The Senior Claims Representative handles complex and mid-to-high exposure bodily injury and property damage claims under Ryder's self-administered liability program. RyderSenior Claims Representative - REMOTE. This position investigates and adjusts claims, as well as directs defense counsel, indepen...