Talent.com
Senior Appeals Specialist

Senior Appeals Specialist

VirtualVocationsArlington, Texas, United States
job_description.job_card.1_day_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 • Arlington, Texas, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Sourcing Senior Claims Resolution Specialist Bodily Injury

Sourcing Senior Claims Resolution Specialist Bodily Injury

Liberty Mutual Insurance GroupPlano, TX, US
serp_jobs.job_card.full_time
Senior Claims Resolution Specialist.Advance Your Career with a Fortune 100 Company.Opportunities Available in 2026!.Personal Lines Casualty is currently hiring for a Senior Claims Resolution Specia...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Specialist, Appeals & Grievances (Must reside in Dallas, TX area)

Specialist, Appeals & Grievances (Must reside in Dallas, TX area)

Molina HealthcareDallas, TX, US
serp_jobs.job_card.full_time
Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and requ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Settlement Specialist

Claims Settlement Specialist

SBT Global, Inc.Plano, TX, US
serp_jobs.job_card.full_time
Process carrier claim payments (AR) accurately on or before deadlines according to company policy.Collaborate with our Recovery Team to report claim approvals and pending payments.Review essential ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Claims Senior Medpay Adjuster

Claims Senior Medpay Adjuster

ACSC Management Services IncCoppell, TX, United States
serp_jobs.job_card.full_time
The Claims Senior Medpay Adjuster handles moderate to high complexity of PIP and Medpay claims for our Eastern Expansion. The primary functions include liability investigation, coverage evaluation, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Apply Here! Dallas-Fort Worth, Rockwall Metropolitan Area

Apply Here! Dallas-Fort Worth, Rockwall Metropolitan Area

Saxet Equity Holdings Goldmound IncNorth Richland Hills, TX, US
serp_jobs.job_card.full_time
Southern California, Texas, and Florida including the.With a history dating back to 1963, our group has established a reputation for innovation, integrity, and customer-centric services.We are expa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Appeals Representative II

Appeals Representative II

CorVel Healthcare CorporationFort Worth, TX, US
serp_jobs.job_card.full_time
The Appeals Representative is responsible for addressing provider inquiries and appeals via email, fax, telephone, or written correspondence ensuring adherence to client policy, industry standards ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Contract Negotiator

Senior Contract Negotiator

VizientIrving, TX, US
serp_jobs.job_card.full_time
Contract Negotiations And Management.When you're the best, we're the best.We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents wh...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Overpayment Specialist

Claims Overpayment Specialist

Parkland Health and Hospital System (PHHS)Dallas, TX, United States
serp_jobs.job_card.full_time
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family.PCHP is a Medicaid Manage...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Senior Claims Specialist

Senior Claims Specialist

DPR ConstructionDallas, TX, US
serp_jobs.job_card.full_time
The Senior Claims Specialist will be responsible for all aspects of complex Construction Defect and Property Damage incidents and claims for DPR (and DPR-related entities), as assigned.Role reports...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Negotiations Specialist

Negotiations Specialist

TradeJobsWorkForce75220 Dallas, TX, US
serp_jobs.job_card.full_time
Negotiations Specialist Job Duties : Call providers, navigate call trees to get to the right people Negoti...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Loss Reporting Specialist

Claims Loss Reporting Specialist

AAACoppell, TX, US
serp_jobs.job_card.full_time
Claims Loss Reporting Specialist.The Claims Loss Report Specialist is a para-professional position within the Claims Call Center Operation. This position is the first contact for claimants, primaril...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Denial & Appeals Specialist

Claims Denial & Appeals Specialist

Rheumatology AssociatesDallas, TX, US
serp_jobs.job_card.full_time
We are seeking a detail-oriented and experienced.The ideal candidate will have a strong understanding of medical billing processes, coding guidelines, and insurance claim procedures, with a minimum...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Contract Negotiator

Senior Contract Negotiator

Vizient, Inc.Irving, TX, United States
serp_jobs.job_card.full_time
When you're the best, we're the best.We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents. We provide extensive opportunities for ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Overpayment Specialist

Claims Overpayment Specialist

Parkland Health and Hospital SystemDallas, TX, US
serp_jobs.job_card.full_time
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family.PCHP is a Medicaid Manage...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Roofing Claims Supplement Specialist

Roofing Claims Supplement Specialist

Storm Guard - CorporateFort Worth, TX, US
serp_jobs.job_card.full_time
We are currently seeking a highly organized and detail-oriented.Roofing Claims Supplement Specialist.In this role, you will support our franchise owners and help manage the supplements process for ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
AP Specialist - Vendor Management

AP Specialist - Vendor Management

FanaticsCoppell, TX, US
serp_jobs.job_card.full_time
Accounts Payable Specialist, Vendor Management.Fanatics Collectibles is a new company working at the intersection of collectibles and technology. Backed by some of the best investors, sports propert...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Servicing Specialist

Senior Servicing Specialist

Spectraforce TechnologiesDallas, TX, United States
serp_jobs.job_card.full_time
Dallas, TX (Hybrid 3 Days onsite).In this role, you will manage lien releases, UCC filings, and records / documentation for a variety of loan types, including General Account, Institutional, CMBS, Fa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Claims Settlement Specialist

Claims Settlement Specialist

BTI SolutionsPlano, TX, US
serp_jobs.job_card.full_time
Everyone on our team has earned a CPC (Certified Personnel Consultant) or CTS (Certified Temporary Staffing Specialist) accreditation from the National Association of Personnel Services.We are expe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Senior Assignment Specialist

Senior Assignment Specialist

Selene HoldingsDallas, TX, United States
serp_jobs.job_card.full_time
Selene Holdings is a multiple-lines business financial services firm with a mortgage servicing company, a loan diligence company, a title company, an insurance brokerage, and a real estate owned co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Claims Senior Casualty Adjuster

Claims Senior Casualty Adjuster

AAACoppell, TX, US
serp_jobs.job_card.full_time
Claims Senior Casualty Adjuster.The Claims Senior Casualty Adjuster handles moderate to high complexity claims involving material damage, property and / or liability lines of insurance written by the...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30