A company is looking for a Claims Specialist in Commercial Bodily Injury. AEI, IIA, CPCU)Knowledge of claims investigation techniques, medical terminology, and legal aspects of claims. ...
The Senior Claims Specialist will report directly to the Director of Risk Management. Ensure the timely logging of all new claims (delegate to Claims Assistant if necessary) and timely reporting to our Insurance Carrier, with guidance by the Dir of Risk Management. Vice-Versa the adjuster can commun...
A company is looking for an Assoc Claims Specialist. ...
Team Lead - Medicare Specialist. ...
A company is looking for a Clinical Assistant I/Revenue Claims Specialist-Temp. ...
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...
As an Appeals Specialist, you play a critical role in reviewing and resolving member and provider complaints. ...
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...
Team Lead - Medicare Specialist. ...
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...
Processes all types of medical claims and adjusts medical disputed claims (Professional and Facility) according to department, contract, and regulatory requirements. Responsible for processing, auditing, and adjusting all facility medical claims, appeals and prepayment audits. Troubleshoots claims t...
The Senior Claims Specialist will report directly to the Director of Risk Management. Ensure the timely logging of all new claims (delegate to Claims Assistant if necessary) and timely reporting to our Insurance Carrier, with guidance by the Dir of Risk Management. Vice-Versa the adjuster can commun...
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 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...
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...
A company is looking for a Business Analyst - Long-Term Care Claims. Key Responsibilities:Analyze, plan, design, and document business processes to support client's technological aspirationsAct as a bridge between clients, project managers, and technical personnel to define and communicate business ...
A company is looking for a Claims Examiner in Workers Compensation for multiple jurisdictions. ...
Key Responsibilities:Investigates and adjusts complex bodily injury and property damage claimsSupervises outside vendors and directs defense counsel in claims handling processesRecommends reserves and interacts with insurance carriers and re-insurersRequired Qualifications:Bachelor's degree in a rel...
A company is looking for a Claims Patient Financial Services Representative CBO. Key Responsibilities:Process payments, adjustments, claims, refunds, and denials accurately and timelyResearch payments, denials, and accounts to resolve discrepancies and make necessary correctionsRespond to incoming c...
A company is looking for a Property Claims Processor (Remote). ...
A company is looking for a Medical Claims Processor. ...