Talent.com
Senior Appeals Specialist

Senior Appeals Specialist

VirtualVocationsSouth Bend, Indiana, United States
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Sr. Appeals Specialist.

Key Responsibilities

Review and develop action plans for appealed claims according to policy provisions

Resolve appeals in a timely manner and communicate outcomes to relevant parties

Collaborate with Compliance to manage complaints and maintain accurate recordkeeping

Required Qualifications

Knowledge of ERISA, HIPAA, and relevant insurance laws

Strong understanding of Short-Term Disability, Long Term Disability, and Life claims processing

Experience with specialty reviews and litigated claim matters

Proficiency in Microsoft Office and related software

High School Diploma required

serp_jobs.job_alerts.create_a_job

Senior Specialist • South Bend, Indiana, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Outside Insurance Sales - Bonuses and Travel Incentives

Outside Insurance Sales - Bonuses and Travel Incentives

Platinum Supplemental InsuranceMishawaka, Indiana
serp_jobs.job_card.full_time
Ready to jump-start your career and take charge of your earning potential?.At Platinum Supplemental Insurance, we’re looking for motivated individuals ready to learn, grow, and thrive in a fast-pac...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Account Resolution Specialist

Account Resolution Specialist

VirtualVocationsSouth Bend, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for an Account Resolution Specialist II to assist financially distressed customers and manage loan-related negotiations. Key Responsibilities Work directly with financially di...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
E-Filing Specialist

E-Filing Specialist

VirtualVocationsSouth Bend, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for an E-Filing Specialist to assist clients in electronically preparing documents for court filings. Key Responsibilities Review and electronically prepare client documents f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Charge Capture Specialist

Charge Capture Specialist

VirtualVocationsSouth Bend, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Charge Capture Specialist responsible for revenue capture and auditing of clinical services within revenue-producing departments. Key Responsibilities Conduct auditing a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Complaints Specialist

Complaints Specialist

VirtualVocationsSouth Bend, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Complaints Specialist to handle customer inquiries and improve customer experience.Key Responsibilities Follow communication scripts and clarify customer needs while pr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Senior Claims Adjuster

Senior Claims Adjuster

VirtualVocationsSouth Bend, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Adjuster to manage and resolve complex claims in a fully remote capacity.Key Responsibilities Analyze claims exposure and litigation to determine appropri...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Clinical Denials Specialist

Clinical Denials Specialist

VirtualVocationsSouth Bend, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Denials Specialist responsible for managing accounts receivable related to denied claims to ensure financial viability. Key Responsibilities Investigate denied ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Refund Specialist

Refund Specialist

VirtualVocationsSouth Bend, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Refund Specialist responsible for reviewing and resolving credit balances on patient accounts within the billing system. Key Responsibilities Audit encounters and accoun...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Contracts Analyst

Contracts Analyst

VirtualVocationsSouth Bend, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Deal Desk & Contracts Analyst.Key Responsibilities Draft order documents and review customer-facing documents for accuracy Facilitate the deal process by coordinating ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Sales Operations Analyst

Senior Sales Operations Analyst

VirtualVocationsSouth Bend, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Sales Operations and Strategy Analyst.Key Responsibilities Design and manage lifecycle management processes and systems for renewal sales cycles Convert product...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Resolution Adjuster

Claims Resolution Adjuster

VirtualVocationsSouth Bend, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Resolution Adjuster - Remote (CST / MST / PST).Key Responsibilities Investigate automobile accidents involving bodily injury and assess coverage, liability, and dama...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Illinois Licensed Senior Claims Adjuster

Illinois Licensed Senior Claims Adjuster

VirtualVocationsSouth Bend, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Adjuster - Premises, Slip and Fall / Restaurant and Retail.Key Responsibilities Investigate, evaluate, and settle complex claims with minimal supervision I...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Senior Proposals Specialist

Senior Proposals Specialist

VirtualVocationsSouth Bend, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Research & Proposals Specialist to lead a team providing sales-cycle and administrative support for insurance products. Key Responsibilities Manage and develop a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Enhanced Services Specialist

Enhanced Services Specialist

VirtualVocationsSouth Bend, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for an Enhanced Services Specialist.Key Responsibilities Process dependent eligibility verification requests and support compliance audits Assist with carrier billing reconc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Senior General Liability Adjuster

Senior General Liability Adjuster

VirtualVocationsSouth Bend, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Senior General Liability Claims Adjuster.Key Responsibilities Analyze claims exposure and execute decision-making to resolve claims effectively Interact with various p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Paid Search Specialist

Senior Paid Search Specialist

VirtualVocationsSouth Bend, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Specialist, Paid Search.Key Responsibilities Build, execute, and manage paid search and Performance Max campaigns, optimizing towards performance goals Follow m...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Senior Complaints Management Lead

Senior Complaints Management Lead

VirtualVocationsSouth Bend, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Lead, Complaints Management.Key Responsibilities Develop and execute a comprehensive complaints management strategy aligned with business objectives and regulato...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Senior Contracts Specialist

Senior Contracts Specialist

VirtualVocationsSouth Bend, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Contracts Specialist to manage and execute various contracts while ensuring compliance with policies and regulations. Key Responsibilities Negotiate and develop c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Property & Casualty Licensed Payments Specialist

Property & Casualty Licensed Payments Specialist

VirtualVocationsSouth Bend, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Sr Payments Operations Specialist.Key Responsibilities Oversee payment operations, including processing complex payments and handling escalated disputes Act as the pri...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
PFS Insurance Follow-Up Representative

PFS Insurance Follow-Up Representative

VirtualVocationsSouth Bend, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a PFS Insurance Follow-Up Representative (Ambulatory Denials).Key Responsibilities Follow up with payers on various denials, ensuring timely and accurate reimbursement R...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days