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...
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 th...
This position may be filled as a Workers Compensation Associate Claims Specialist, Workers Compensation Claims Specialist I or a Workers Compensation Claims Specialist II. The Workers Compensation Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseloa...
Handle claims including injury and third party property damage claims primarily under personal and commercial auto and garage, uninsured and underinsured motorists, homeowner’s liability and commercial liability coverages. Comply with practices and procedures for contact and communication, verificat...
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...
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...
Great American Risk Solutions is adding experience Claims Specialist or Senior Claims Representative. This team focuses on first party surplus lines property claims and condominium claims. We emphasize teamwork, collaboration – among underwriting, claims, and shared services teams – and continuous d...
Position Summary* Reviews and adjudicates routine Medicare claims on HRP system in accordance with claim processing guidelines. Proofs claim or referral submission to determine, review, or apply appropriate guidelines, coding, member identification processes, provider selection processes, claim codi...
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...
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...
Settle claims within authority granted by the Claims Director, Claims Supervisor and/or insurance carrier, as appropriate. Professional Protector Plan is seeking a Claims Specialist to join our team. Reports to the Claims Director or Senior Claims Counsel. Process assigned primary and excess Profess...
JR3422 Specialist Claims l (Open). Proactively investigate, evaluate, and negotiate resolution of assigned Liability claims in accordance with established best practices and assure claims are handled within granted autonomy limits. The adjuster will primarily manage claims valued under $500k, includ...
Maintaining a database and claim file with all claim activity and complying with internal claims management protocols. General Liability/Construction Defect Claims Specialist. General Liability Claims Specialist. Additionally, you will also work closely with our Third-Party Administrator (TPA) and l...
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...
Maintaining a database and claim file with all claim activity and complying with internal claims management protocols. General Liability/Construction Defect Claims Specialist. General Liability Claims Specialist. Additionally, you will also work closely with our Third-Party Administrator (TPA) and l...
The Claims Resolution Specialist plays a key role in resolving open receivables for our clients. The Claims Resolution Specialist will work toward increased reimbursement and account resolution. You will process medical (physician and hospital) bills that involve motor vehicle accidents, workers' co...
Dental Claims Accounts Receivable Specialist-1. The Ohio State University College of Dentistry is seeking a full time, Dental Claims Accounts Receivable Specialist. The Dental Claims Accounts Receivable Specialist functions as an integral member of the Patient Financial Services team in the College ...
Operations - Insurance Operations.When you join Prudential, you’ll unlock a motivating and impactful career – all while .Departments, or Executive Offices.The current employee work arrangement for .While this position does not require your on-site presence on a regular basis, depending on business p...
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, ...
This position may be filled as a Workers Compensation Associate Claims Specialist, Workers Compensation Claims Specialist I or a Workers Compensation Claims Specialist II. The Workers Compensation Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseloa...
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...