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...
Our client is seeking to hire a remote Senior Claims Specialist to handle Construction Defect claims. The ideal candidate must have a minimum of 4 years experience handling Construction Defect claims and an active Resident license. Years of Construction Defect claims handling experience. ...
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 growing healthcare company based in Pennsylvania that owns long term acute care, inpatient rehabilitation hospitals, occupational health, and physical therapy clinics is looking to add to their Patient Billing Team! In this role, you will be responsible for the daily billing process to ensure that...
Do you enjoy puzzles and research? Are you results-oriented? If so, our Claims Resolution Specialist position may be a phenomenal career for you within Select Medical! Our dynamic team has the responsibility of resolving outstanding insurance claims so that our patients are not impacted. Claims Reso...
As a Field Claims Specialist, you'll investigate and resolve moderate to severe property damage claims by phone and face-to-face. Claims inspections will include onsite and virtual inspection. Solid experience writing own estimates and handling claims start to finish. No two property claims are ever...
A growing healthcare company based in Pennsylvania that owns long term acute care, inpatient rehabilitation hospitals, occupational health, and physical therapy clinics is looking to add to their Patient Billing Team! In this role, you will be responsible for the daily billing process to ensure that...
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...
This role will evaluate end-to-end claims processes, from claims intake to preprocessing, adjudication and post-payment and presentment, to clearly assess process changes and solutions and identify impacts to the business, stakeholders and/or external customers. The Business Analyst is responsible f...
Ensures accurate billing for all cycles (weekly, biweekly, monthly billing, etc. Provides guidance to internal and external customers on various items related to billing and reconciliation, including configuration, retroactive policy, aging balances, and impacts. Performs discovery audits for each g...
This role will evaluate end-to-end claims processes, from claims intake to preprocessing, adjudication and post-payment and presentment, to clearly assess process changes and solutions and identify impacts to the business, stakeholders and/or external customers. The Business Analyst is responsible f...
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?. INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!. Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry ...
Auto Liability Bodily Injury Claims Examiner. To analyze and process complex auto and commercial transportation bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. Processes complex auto commercial and personal line claims...
Customer Service Representative**. Customer Service Representative**. Conduent is hiring immediately for Customer Service Representatives. In this role, you will provided top notch customer service by handling telephone, e-mail, and website inquiries from our valued customers. ...
Apply claims management experience to execute decision-making to analyze claims exposure and litigation, plan the proper course of action, and appropriately resolve claims. Investigate, evaluate, and resolve complex commercial claims with litigation and serious/significant injury (MCU), applying you...
Claims Adjuster TraineeJoin Forbes' 2024 Best Employer for Diversity!. In a fast-paced environment, you'll learn how to resolve a full case 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 pro...
Lead the manual billing, collection, and payment application process. Provide customer service regarding billing/payment questions and resolve underpayments/overpayments. Calculate administrative fees and manage the administrative fee billing or remittance process. Provide other billing and collecti...
Customer Service Representative. This position provides customer service support and resolution of routine problems and questions regarding client's products and/or services. Customer Service Representative. Customer Service Representative. ...
Apply claims management experience to execute decision-making to analyze claims exposure and litigation, plan the proper course of action, and appropriately resolve claims. Construction Defect) claims, applying your claims experience and analytical skills to make informed decisions and bring claims ...
Workers Compensation Claims Examiner | Philadelphia, PA (Agile Schedule). To analyze high-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific clie...
Ideal candidates for this position will have: Claims Background: Construction Defect Prior leadership experience: 5 years Jurisdictional Experience: Countrywide About You High School Diploma Minimum of 10 years related claims experience Appropriately licensed and/or certified in all states in which ...
Business Analyst - Medicaid Claims. Utilize your Medicaid Claims experience to support new client business for the Pennsylvania PROMISe account. ...
As a Customer Service Associate Representative, you'll play a crucial role in delivering exceptional patient care and support while representing Accredo with professionalism and empathy. Our Customer Service Associate Representatives are integral to our mission of elevating patient care. This role r...
The ideal candidate will have a strong background in medical billing, with specific expertise in claim submission, ICD and HCPCS codes, and chart review. While proficiency in all areas is not required, familiarity with a range of billing responsibilities is preferred. Proven experience in medical bi...
To analyze and process low to mid-level auto and transportation claims. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Performs coverage, liability, and damage ana...