Degrees: High School,Cert,GED,Trn,Exper Licenses & Certifications: AHIMA Certified Coding Specialist-Physician-basedAHIMA Certified Coding SpecialistAHIMA Certified Coding AssociateAAPC Certified Professional Coder Additional Qualifications:Minimum two years of charge entry or claims/billing managem...
Job Description: Disability Claims Specialist. Must have at least + years prior LTD/IDI Insurance Claims Experience. The LTD Claim Consultant evaluates long term disability insurance claims in accordance with plan provisions and within prescribed time service standards. In this role, the LTD Claims ...
Are you looking for an opportunity to join a claims team with a fast-growing company that has consistently outpaced the industry in year-over-year growth? Liberty Mutual has an excellent claims opportunity available for a Claims Specialist within our Commercial Lines division!. The Claims Specialist...
Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collectio...
Are you looking for a claims position within our Commercial Claims division that will allow you to showcase your strong claims handling skills in our Specialty Claims Unit? If you have experience with Environmental Claims handling, this is the role for you!. The Senior Technical Claims Specialist, u...
The Senior Claims Specialist will be responsible for the claims within the construction defect and general liability sector. Investigate all aspects of assigned claims from cradle to grave including coverage determination, resolving informally postured claims directly, working with defense counsel w...
Liberty Mutual has an immediate opening for an Excess and Coverage Senior Technical Claims Specialist as part of our Excess, Coverage and Specialized Claims Unit. If you are an experienced claims professional with Commercial Excess Claims experience, this is the role for you!. If you have experience...
The Unemployment Claims Appeals Specialist will work within the Risk & Insurance team to assist with resolving vendor inquiries, and remitting information to state agencies. As a Unemployment Claims Appeals Specialist, how results are achieved is paramount for your success and ultimately result in o...
Client is currently looking for a Refund Specialist for our Credits Team in our Revenue Operations Department. Autonomously research, initiate follow-up and resolve all health care insurance claim accounts with existing credit balances (claim(s) paid more than expected by payer); actions included bu...
Supervisor - Claims Specialist Team. The Claims Supervisor is responsible for the coordination and control of the Claim Specialist Team, ensuring that effective operations run smoothly and staff-assigned work queues are maintained within the budgeted benchmarks. Effectively resolves problems and dis...
A Homecare Billing and AR Specialist is responsible for handling the billing and accounts receivable processes within a homecare or healthcare organization. Key responsibilities of a Homecare Billing and AR Specialist may include:. Billing Cycle Management: Generating and submitting claims to insura...
AR Specialists are responsible for accurately identifying insurance claims denials and/or claims processing errors to resolve accounts. Qualified candidates must have at least 1-2 years medical claims experience. Resolve unpaid/denied claims by leveraging proprietary software system, making phone ca...
As a Claims Specialist, you will be responsible for handling a caseload of higher complexity, higher exposure, construction defect and construction related property damage claims from inception to final disposition. This is a visible and important role within our Complex Claims Unit (CCU) Hartford G...
Confirms coverage of claims by reviewing policies and documents submitted in support of claims. Successful completion of 5 years as a Claims Specialist. Ability to influence claims stakeholders and to effectively direct claims strategy. This position will be responsible for the resolution of moderat...
As a Claims Specialist, you will be responsible for handling a caseload of complex, high exposure, auto and general liability claims throughout the claim’s life cycle. As these claims are often in litigation, experience handling litigated matters and managing defense counsel is required. ...
This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims. Experience handling moderate to high exposure general liability BI and PD claims and/or a legal background as a practicing attorney with litigation or coverage experience is requ...
Claims Documentation Specialist. The Documentation Specialist will be responsible for entering claims documents into our electronic system and procuring veterinary records while interpreting, coding and understanding medical terminology in relation to diagnoses and procedures. Ability to learn quick...
The Claims Resolution Specialist must have excellent knowledge of insurance carrier billing and reimbursement with knowledge of medical terminology, ICD-9, and CPT codes. At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. Since 1984, Flo...
Competitive Pay / Medical, dental and vision / PTO / Paid training - As a Customer Service Rep you'll: Answer inbound client calls to assist and resolve any concerns; Utilize high-performing customer service skills to meet and maintain expected KPI's; Conduct research to provide answers for customer...
Customer Service / Remote] - Residents of MO / Independent Contractor / Full or Part Time / Available at least 20 hours per week / Set your own schedule within hours of operation (Mon-Fri 8am to 7pm ET) / $12 per hour - As a Customer Service Rep you'll: Be the first point of contact for patients nee...
Ensuring all accident claims are registered with updated documents, adjust physical damage claims including unreported damage claims. Evaluate and adjudicate complex claims, including those in litigation, ensuring compliance with all legal and regulatory requirements. Handle stressful calls with pro...
As a Senior Product Manager, within the claims value stream for HealthRules Payor, you will have ownership of system functionality related to claims adjudication, benefits configuration, interfaces to third-party claims editors, and Provider data maintenance processes. With HealthRules Payer, our in...
To analyze complex or technically difficult workers'' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service r...
The Claim Analyst is a key member of the claims team reporting to the Casualty Manager of the associated zone. This person will handle first and third-party claims in a quality manner and meet our high standards of accuracy, efficiency, quality customer service, and regulatory compliance. Resolve cl...
Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and settles claims utilizing claims best practices. Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. Technical claims in...