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...
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...
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 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...
Experience in handling conditional demands, preferably including bodily injury claims, on behalf of an insurer as an attorney, technical specialist, claims manager or similar role sufficient in one more of the following states to develop a high degree of technical expertise: CA, FL, TX, GA, or SC. O...
As a Supervisor, you'll lead a team of 7, including 5 Claims Adjusters and 2 Claims Assistants, providing guidance, mentorship, and performance feedback to ensure exceptional claim handling and adherence to company standards and regulations. Workers' Compensation Claims Supervisor - Lead a Dynamic T...
The Medical Billing Specialist II codes patient records, ensures accuracy and compliance for healthcare professional Workers' Comp claims. Assists with assigned projects that pertain to billing under the direction of the Billing and Collections Manger. Maintain databases and audit patient charts...
Claims Service Representative 2 - Total Salvage. You will support the Auto Claims Operation by providing service pursuant to the. The primary functions include investigation, evaluation and negotiation of lower complexity claims in compliance with established company technical and customer service b...
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 req...
Implement electronic billing firmwide within various electronic billing systems, including set ups in billing system and eBillingHub. The Senior Electronic Billing Specialist is responsible for all aspects of electronic billing. Manage, track, and assign new electronic billing implementations and mi...
Description:PRIMARY PURPOSE: 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 an...
The Billing Specialist is responsible for providing general support to the billing team including, but not limited to, time narrative entry and edits, corrections and edits to invoices, compiling expense back-up for invoice submissions, filing and other administrative functions. Aderant, Elite, Bill...
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 req...
The Workers Compensation Risk Analyst 3 will be responsible for managing moderately complex claims, including high exposure and litigated claims. Responsibilities include determining benefits due; ensuring management of claims within internal claims management guidelines and in compliance with appli...
To analyze complex or technically difficult California 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 ...
The Dealer Claims and Registration Analyst is responsible for the handling of Dealer submitted claims and registrations for AHM company and lease vehicles. The objective of this position to work with a team of analysts to validate and approve maintenance and repair claims to ensure timely payment to...
The Billing Specialist will be responsible for assisting with the billing process of the law firm. You will be assisting in the review and processing of invoices, tracking time and expenses, managing budgets, and ensuring that all billing procedures are in compliance with company policies and legal ...
Workers Compensation Claims Examiner I. This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore, consistently being at work in the office, in a timely manner, is inherently req...
Have direct responsibility to foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists. Inform Senior Manager Operations of large or complex claims and claims with potential for media exposure. Me...
Workers Compensation Claims Assistant. Under close supervision performs clerical and data entry tasks that assist in administration of workers’ compensation claims. This position requires considerable interaction with claimants on the phone, and with management, other Claims Examiners, and other TRI...
Customer Service Representative. Communicate with customers regarding any issues with shipments or delays per customers’ requirements. Minimum 1-2 years of customer service experience in drayage trucking. Ensure timely movement and delivery of containers to customers daily. ...
Patient Account Representative - Healthcaremercial Claims Follow-up. Insurance Patient Account Representative -mercial Claims. Patient Account Representative. Representatives are responsible for taking ining and making out-going calls to patients and insurancepanies to resolve account balances. ...
Job Description: Remote Claims Processor. Adjudicate and process PCP claims, applying all claims policies, contracts, practices, and ensuring compliance with industry regulations and guidelines. Work independently to resolve claims and make claims resolution decisions with limited supervision. Meet ...