A company is looking for a Claims Specialist I to resolve medical claims that are not automatically adjudicated.Key ResponsibilitiesProcess and resolve pended claims, including data entry and benefit eligibility determinationConduct investigations and communicate with internal staff and medical providers to obtain necessary informationMaintain knowledge of processing procedures and stay current with changes in benefits and systemsRequired QualificationsHigh School diploma or equivalentMinimum two years of college coursework in a related field or one year of relevant office experienceMust pass company proficiency test : Claims AssessmentKnowledge of anatomy, medical terminology, and related subjects is preferredMust adhere to security and confidentiality standards as outlined in company policies
Claims Specialist
A company is looking for a Claims Specialist I to resolve medical claims that are not automatically adjudicated. ...
Specialty/Commercial Casualty Claims Specialist - Remote
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, ...
Claims Resolution Specialist
A company is looking for a Claims Resolution Specialist responsible for correcting, rebilling, and collecting audited patient accounts. ...
Claims Clinical Specialist – Medical Review Team
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...
Claims Specialist III
A company is looking for a Claims Specialist III to investigate, communicate, and settle claims. ...
Claims Legal Specialist - Conditional Demands
The Claims Legal Specialist - Conditional Demands position will provide expert technical guidance on the requirements to properly resolve conditional demands, and participate in the development of technical content and implementation of training programs to ensure understanding of claims standards, ...
Executive Specialist, Contract Surety Claims (Remote)
The Claims Specialist will manage an assigned pending of various types of contract surety bond claims. The Claims Specialist will work closely with the bond underwriting division to assist underwriters on taking appropriate action on the bonded programs and will operate under appropriate levels of s...
Claims Administrative Support Specialist
Claims Administrative Support SpecialistJoin Forbes' 2023 Best Employer for Diversity!. ...
Executive Claims Specialist, Cyber Executive Risk (Remote)
The Executive Specialist will handle a regular diary of Cyber claims and must have experience handling first-party Cyber claims. The Executive Specialist will be expected to handle Incident Response and must analyze and resolve claims from coverage determination through resolution—including Incident...
Commercial Lumber Siding Estimator
A company is looking for a Commercial Lumber Siding Estimator responsible for preparing bids and estimates for various siding products. ...