The Claims Examiner, under direct supervision of the Claims Assistant Manager or Claims Manager, will handle lost time claims with a close period of indemnity benefits and non-complex medical injuries. Claims Examiner - Claims Specialist. The Claims Examiner will ensure that state claims handling re...
A company is looking for an Unemployment Claims Appeals Specialist to assist with resolving vendor inquiries and remitting information to state agencies. ...
The Medical Claims Specialist is responsible for daily follow-up of Accounts Receivable, denials and appeals. Works with patients and insurance carriers to resolve billing and claims issues per individual carrier guidelines. ...
A company is looking for a Medical Claims Specialist (Remote). ...
The WC ROC/RORS Insurance Representative conducts investigations of rejected/denied claims ensuring timely follow up to guarantee reimbursement. Serves as a liaison with adjusters, insurance carriers and case managers to guarantee all claims are reimbursed in a timely manner. ...
A company is looking for a Customer Operations (Workers Compensation Claims) specialist. ...
Technical Specialist Expert (HB PB Claims Analyst). NCDHHS is a seeking an experienced Epic PB HB and Claims Analyst. Knowledge of revenue cycle billing hospital billing professional billing and claims processing operations and workflows. Must have experience with Epic PB HB and Claims. ...
Our client, an A-rated Insurance Carrier, is seeking to add an experienced California Workers' Compensation Claims Specialist to join their team in a fully remote capacity (must reside in the state of California). This person will be responsible for managing moderate to complex California Workers' C...
Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims professional to join our team. Claims may be either first or third. Meet with people involved with commercial auto claims, sometimes outside of the office. Handle claims activities and investigations by phone, mail, ...
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...
The positions will focus on losses in a nationwide book of surplus lines business, including primary and excess claims under commercial general liability policies (CGL) with a focus on construction defect and other construction related claims. We emphasize teamwork, collaboration – among underwritin...
As a National Catastrophe (NATCAT) Field Claims Specialist primarily supporting our Personal Lines (PL) business, you'll investigate and resolve moderate to severe property damage claims by phone. Prior insurance field/property claims handling or adjusting experience. Ability to handle claims of var...
Familiarity with Rapid Retest, payer/plan maintenance, PLBs, Charge Router, contracts, behavioral health, long-term care psychiatric billing, CMS IPF PPS regulations, substance abuse billing, Medicare exhaust, no-pay claims, claim splits/interim claims, cash management, self-pay remittance, and deve...
Responsibilities include finalizing claims processed electronically for payment and reviewing claim adjudication results for both Title XIX and non-title XIX claims, payment, and denial patterns, ensuring adjudication accuracy in the claims processing system, adhering to policy and procedures, respo...
Our client, an A-rated Insurance Carrier, is seeking to add a Senior Commercial General Liability Claims Specialist to their Southeast team. This person would be responsible for directly handling moderate to complex Commercial General Liability claims including Slip and Falls, Premise Liability, and...
Technical Specialist Expert (HB PB Claims Analyst). NCDHHS is a seeking an experienced Epic PB HB and Claims Analyst. Knowledge of revenue cycle billing hospital billing professional billing and claims processing operations and workflows. Must have experience with Epic PB HB and Claims. ...
Familiarity with Rapid Retest, payer/plan maintenance, PLBs, Charge Router, contracts, behavioral health, long-term care psychiatric billing, CMS IPF PPS regulations, substance abuse billing, Medicare exhaust, no-pay claims, claim splits/interim claims, cash management, self-pay remittance, and deve...
Technical Specialist - Expert (HB, PB, Claims Analyst). Technical Specialist - Expert (HB, PB, Claims Analyst). Epic HB/PB Claims Certification. Must have experience with Epic PB, HB, and Claims. ...
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, ...
TechnicalSpecialist Expert (HB PB ClaimsAnalyst). NCDHHS is a seeking anexperienced Epic PB HB and ClaimsAnalyst. Knowledge of revenuecycle billing hospital billing professional billing and claimsprocessing operations andworkflows. Must have experiencewith Epic PB HB and Claims. ...
Familiarity with Rapid Retest, payer/plan maintenance, PLBs, Charge Router, contracts, behavioral health, long-term care psychiatric billing, CMS IPF PPS regulations, substance abuse billing, Medicare exhaust, no-pay claims, claim splits/interim claims, cash management, self-pay remittance, and deve...
The Claims department within IAT has an immediate opening for a Homeowner’s Claims Specialist that can be located in one of the following locations:. Handles claims, moderate to severe in scope, relative to homeowner’s property based on Claim Guidelines. HS degree/GED with 5+ years of relevant claim...