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. Assists other claims professionals with more complex or problematic claim...
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. Assists other claims professionals with more complex or problematic claim...
The Failed Claims Specialist 2 functions in the revenue management unit supporting hospital claims processing and charge capture processes. The Failed Claims Specialist 2 reviews hospital claims to compliantly apply and resolve claim edits specific to non-Medical Information Management CPT/HCPCS cod...
Selective Insurance is seeking a Property Field Claims Specialist -Ohio (Cincinnati/Columbus). You will manage the process from end to end by investigating property and inland marine claims (generally with dollar exposures of $10,000 to $100,000), reviewing applicable coverage, selecting and utilizi...
This role will handle all personal lines claims and work remote from home in our listed states and report to a Manager, Casualty Claims. Handle claims including injury and third party property damage claims primarily under personal and commercial auto and garage, uninsured and underinsured motorists...
Key Responsibilities:Execute decision-making to analyze claims exposure and litigation, plan the proper course of action, and resolve claimsInteract with various parties involved in the claim process to ensure effective communication and resolutionProvide exceptional customer service to claimants, h...
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...
A company is looking for a Claims Clinical Specialist - Medical Review Team. ...
Handles claims related financial transactions including transfers, recoveries, and recodes for claims files as needed. Under minimal supervision, performs claims/zone support activities. Applies a working knowledge of policies and procedures, verifies and provides claims information, and offers init...
Key Responsibilities:Identify and submit authorization requests to Medicaid payersReview, edit, and submit claims to Medicaid payersResearch denials and underpayments, and formulate appeals to Medicaid plansRequired Qualifications:High School Diploma or GEDWorking knowledge of ICD9, CPT codes, HIPAA...
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...
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...
As a **claims administrative support specialist**, youll play a vital role supporting our claims branch offices. Job Description - Claims Administrative Support Specialist (186770) ****. Claims Administrative Support Specialist **Job Number**. ...
We’re looking for a skilled Invoicing Specialist professional for our Columbus Headquarters to handle invoice processing and project scope reviews on multiple construction projects. Duties include but are not limited to: Manage insurance claims and invoicing process Ensuring that c...
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 ...
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...
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...
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...
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...
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...
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...
The Failed Claims Specialist 2 functions in the revenue management unit supporting hospital claims processing and charge capture processes. The Failed Claims Specialist 2 reviews hospital claims to compliantly apply and resolve claim edits specific to non-Medical Information Management CPT/HCPCS cod...
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...
Duties and Responsibilities (cont'd if applicable) Greets, screens and directs visitors to appropriate personnel Handles claims related financial transactions including transfers, recoveries, and recodes for claims files as needed. Division or Field Office: Columbus Branch Office ...