The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of claims department and of CorVel. Receives claims, confirms policy coverage and acknowledgement of the clai...
The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers' compensation claims under close supervision, supporting the goals of claims department and of CorVel. Receives claims, confirms policy coverage and acknowledgement of the clai...
Digitech is seeking a Claims Resolution Specialist (Insurance Biller) to work claims after they've been submitted to commercial insurance carriers. Medical Claim Resolution Specialist - Digitech - Remote. The Claims Resolution Specialist will work Monday through Friday, standard business hours. Work...
Encova Insurance has an immediate opening for a Senior Claims Resolution Specialist. Handle claims including injury and third party property damage claims primarily under personal and commercial auto and garage, uninsured and underinsured motorists, homeowners liability and commercial liability cove...
The Failed Claims Specialist 2 reviews hospital claims to compliantly apply and resolve claim edits specific to non-Medical Information Management CPT/HCPCS coded charges. Familiarity with medical claims processing and pre-bill edit experience for hospital accounts services which includes: modifiers...
Performs field inspections on large and complex personal and commercial property claims, such as fire, wind and hail, gas leaks, explosions, water pipe breaks, building collapses, vehicle damage, etc. Prepares estimates, negotiates and adjusts assigned claims. Performs re-inspection of property file...
A company is looking for an Insurance Biller for a remote position....
This position may be filled as a Workers Compensation Associate Claims Specialist, Workers Compensation Claims Specialist I or a Workers Compensation Claims Specialist II. Description The Workers Compensation Claims Specialist works within a Claims Team, using the latest technology to manage an assi...
A company is looking for a Clinical Claims Appeals Specialist. ...
Digitech is seeking a Claims Resolution Specialist (Insurance Biller) to work claims after they've been submitted to commercial insurance carriers. Claims Resolution Specialist - Digitech Computer - Remote. The Claims Resolution Specialist will work Monday through Friday, standard business hours. Wo...
A company is looking for a Medicaid Claims Resolution Specialist for a fully remote position. ...
Handles claims related financial transactions including transfers, recoveries, and recodes for claims files as needed. Under minimal supervision, performs claims/zone support activities. Provides inbound and outbound phone support and customer service to all customers including policyholders, claima...
Encova Insurance has an immediate opening for a Senior Claims Resolution Specialist. Handle claims including injury and third party property damage claims primarily under personal and commercial auto and garage, uninsured and underinsured motorists, homeowners liability and commercial liability cove...
This position may be filled as a Workers Compensation Associate Claims Specialist, Workers Compensation Claims Specialist I or a Workers Compensation Claims Specialist II. Description The Workers Compensation Claims Specialist works within a Claims Team, using the latest technology to manage an assi...
Manage insurance claims and invoicing process. Insurance claims experience required. ...
Handle claims including injury and third party property damage claims primarily under personal and commercial auto and garage, uninsured and underinsured motorists, homeowners liability and commercial liability coverages. Comply with practices and procedures for contact and communication, verificati...
Hastings Mutual is currently looking for a Property Claim Specialist to join its Large Loss Claim Team! This is an excellent opportunity for an experienced property claim professional located in Michigan or Ohio to provide responsive and consultative-level responses for large loss claims throughout ...
As a PIP Specialist, you will handle to conclusion moderately complex claims involving first-party Personal Injury Protection (PIP) and Medical Pay claims. We are actively hiring for a PIP Claims Specialist!. Our team handles claims in multiple states and may assist with FNOL calls, Claims Advisory ...
Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Identifies and reports possible claim overpayments, underpayments and any...
The Failed Claims Specialist 2 reviews hospital claims to compliantly apply and resolve claim edits specific to non-Medical Information Management CPT/HCPCS coded charges. Familiarity with medical claims processing and pre-bill edit experience for hospital accounts services which includes: modifiers...
As a Field Claims Specialist, you'll investigate and resolve moderate to severe property damage claims by phone and face-to-face. Claims inspections will include onsite and virtual inspection. Solid experience writing own estimates and handling claims start to finish. No two property claims are ever...
Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. Required Qualifications* Required 2+ years of Medical claims processing experience Familiar with ICD and CPT coding Ability to multitask while working independently *Preferred Qualifications...
This individual will analyze IP and OP claims with problems that are holding the claims from billing, investigate these problems, recognize the issue, make necessary corrections and release the bill for payment. This position provides support to the Clinical Departments as necessary regarding claims...
Administration of minor auto claims by working directly with the third-party administrator claims management team, employees, and branch locations. The ideal candidate will possess strong communication skills, excellent analytical abilities, and a customer-centric approach to claims handling. Works ...
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 improving our in-house certification functions by providing updates to the plan of care, in-house certificatio...