Perform Medicare claims processing, claims reviews, and the adjudication of provider claims to administer and monitor contracts with Medicare contractors. Review and provide analysis for claims/transactions processing activities, claims reviews, and program claims related processing systems used to ...
As a National Catastrophe (NATCAT) Field Claims Specialist primarily supporting our Personal Lines (PL) business, you'll investigate and resolve personal lines property damage claims on the phone and/or in person. Maintains and develops current knowledge of assigned insurance lines, court decisions ...
The Medical Economics Specialist will:. Experience with analysis of Healthcare Claims data. Background in Managed Care / Health Plan claims. ...
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 Claims Specialist is responsible for investigating, evaluating, and managing workers’ compensation, auto, liability, property, and other insurance claims through the entire lifecycle of the claim. Obtain incident reports, photographs, video footage, witness statements, and other supporting docum...
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, ...
As a Health Insurance Specialist (Claims Processing & Systems), GS-0107-13, you will perform claims processing and systems work related to national health insurance programs, such as Medicare, Medicaid, the Children's Health Insurance Program (CHIP), and private health insurance. Perform Medicare cl...
Manages disposition of claims and issues appropriate payments on all assigned claims. Berkley Financial Specialists, a member of. Management Liability/Fidelity Claim Specialist. Investigates all assigned claims and analyses coverage applicability/limitations. ...
A recognized healthcare organization in Maryland is currently seeking a new Medical Economics Specialist to join their team in a Remote capacity. Collaborating with a group of Healthcare Economics professionals, the Medical Economics Specialist will be responsible for supporting the organization’s g...
We are seeking a meticulous Medical Billing Specialist for an exciting role. Based in BALTIMORE, Maryland, you will play a crucial role in managing and maintaining accurate medical billing and collections processes for our organization. Minimum 2 years of experience in medical billing or a related 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 ...
The Product Manager works with business owners and creates, maintains and communicates the Product Vision and Product Roadmap to develop technical changes to a moderately large / complex business solution. The Product Manager owns the outcomes at the Agile Release Train (ART) level, breaking down th...
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 ...
Retailer looking for data entry/customer service employees to work in our warehouse/store location in Arts District. Also assisting in sales to our customers. ...
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...
Customer Service Specialist, Customer Service, Specialist, Remote, Healthcare, Medical Equipment, Retail. Ready to tackle a fun and rewarding job? There are Remote Customer Service Representative job openings in your area. Click today and find the job that you have been looking for!This position is ...
Our client has been experiencing continued growth and seeking to add (2) Senior Auto Liability/Bodily Injury Claims Examiners for their Baltimore office. This person would be responsible for handling moderate to complex Auto Liability and Bodily Injury claims for losses throughout the Mid-Atlantic r...
Customer Service Representatives at Sam's Club ensure that customers have a pleasant shopping experience. Provide information to customers on products and services. Ensure customer satisfaction and provide professional customer support. Experience in customer service or retail preferred. ...
Maxim Healthcare Corporate Services' is currently seeking an Open Credit Specialist that will research payment credits and takes appropriate actions based on type or status. ...
Clinical Customer Service Representative (CCSR) - Psychiatry, Meyer 3**. By serving as a central point of contact and communication for patients, families, visitors and members of the healthcare team in patient care units, enhances Hopkins customer service. Performs a variety of customer service and...
The Field Claims department is currently seeking Field Claims Representatives to service the territory surrounding:. This territory allows either an experienced or entry-level representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure ac...
The Field Claims department is currently seeking Field Claims Representatives to service the territory surrounding:. This territory allows either an experienced or entry-level representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure ac...
Our client is seeking to add a Commercial Auto Claims Examiner. Work proactively towards claims resolution with defense counsel and clients, while adhering to audit requirements and resolving claims in a timely manner. This person would be responsible for handling moderate Commercial Auto and some G...
They are responsible for ensuring a high level of service and satisfaction while matching client needs to products and services. Position Benefits: Full training provided No experience needed A fun, energetic and positive office environment Great benefits Career growth and advancement opportunities ...
Customer Service Representative –United States-Hybrid- Danbury, CT, New Britain, CT, Towson, MD or Valley City, OH. As a Customer Service Representative, you’ll be part of our Engineered Fastening team located in Danbury, CT (This is a Hybrid position - 3 days in office/2 days remote). Analyzes cust...