Talent.com
State Certified Claims Specialist
State Certified Claims SpecialistVirtualVocations • Boise, Idaho, United States
State Certified Claims Specialist

State Certified Claims Specialist

VirtualVocations • Boise, Idaho, United States
2 days ago
Job type
  • Full-time
Job description

A company is looking for a Claims Specialist to manage lower-level, non-complex workers' compensation claims under supervision.

Key Responsibilities

Receive claims, confirm policy coverage, and acknowledge claims

Determine the validity and compensability of claims, establishing reserves and authorizing payments

Manage non-complex medical only claims and communicate claim status with relevant parties

Required Qualifications, Training, and Education

Bachelor's degree or a combination of education and related experience

Minimum of 1 year of industry experience and claims management preferred

State Certification as an Experienced Examiner

Create a job alert for this search

Certified Specialist • Boise, Idaho, United States

Related jobs
Kansas Compliance Specialist

Kansas Compliance Specialist

VirtualVocations • Boise, Idaho, United States
Full-time
A company is looking for a Compliance Specialist (KS Remote).Key Responsibilities Execute the consumer complaint resolution process and manage complaint logs Review, investigate, and resolve con...Show more
Last updated: 1 day ago • Promoted
Medicare Claims Specialist

Medicare Claims Specialist

VirtualVocations • Boise, Idaho, United States
Full-time
A company is looking for a Medicare Specialist to assist with resolving aged medical claims and managing Medicare accounts. Key Responsibilities Resolve cash-generating accounts to enhance revenue...Show more
Last updated: 30+ days ago • Promoted
Priority Claims Specialist

Priority Claims Specialist

VirtualVocations • Boise, Idaho, United States
Full-time
A company is looking for a Priority Claims Specialist III.Key Responsibilities Ensure accurate, timely payment for services and maintain compliance with relevant laws and policies Utilize billin...Show more
Last updated: 1 day ago • Promoted
South Dakota Compliance Specialist

South Dakota Compliance Specialist

VirtualVocations • Boise, Idaho, United States
Full-time
A company is looking for a Compliance Specialist (SD Remote).Key Responsibilities Execute the consumer complaint resolution process and manage complaint logs Review and respond to consumer dispu...Show more
Last updated: 1 day ago • Promoted
Arkansas Licensed Claims Specialist

Arkansas Licensed Claims Specialist

VirtualVocations • Boise, Idaho, United States
Full-time
A company is looking for a Claims Specialist to join their Workers Compensation Claims Adjuster team.Key Responsibilities Investigate, evaluate, and resolve workers compensation claims Collabora...Show more
Last updated: 3 days ago • Promoted
California Licensed Claims Adjuster

California Licensed Claims Adjuster

VirtualVocations • Boise, Idaho, United States
Full-time
A company is looking for a Complex Claims Adjuster, Workers Compensation (California).Key Responsibilities Manage catastrophic and large loss workers' compensation claims from initiation to closu...Show more
Last updated: 30+ days ago • Promoted
California Licensed Claims Team Lead

California Licensed Claims Team Lead

VirtualVocations • Boise, Idaho, United States
Full-time
A company is looking for a Claims Adjusting Team Lead.Key Responsibilities Manages and oversees performance of vendors and adjuster staff Oversees the negotiation of complex claim settlements an...Show more
Last updated: 4 days ago • Promoted
Colorado Licensed Claims Team Lead

Colorado Licensed Claims Team Lead

VirtualVocations • Boise, Idaho, United States
Full-time
A company is looking for a Claims Team Lead - Liability.Key Responsibilities Supervise multiple teams of examiners and technical staff for liability claims Provide technical direction and monito...Show more
Last updated: 4 days ago • Promoted
Claim Specialist - Property Field Inspection

Claim Specialist - Property Field Inspection

State Farm Mutual Automobile Insurance Company • Boise, ID, United States
Full-time
Location US-ID-Boise;US-ID-Meridian Job Category Claims and Investigation Position Type Regular Full Time Req ID 42160 Overview Being good neighbors – helping people, investing in our communit...Show more
Last updated: 15 days ago • Promoted
California Licensed Collection Specialist

California Licensed Collection Specialist

VirtualVocations • Boise, Idaho, United States
Full-time
A company is looking for a PFS Collection Specialist responsible for collecting commercial, government, and patient balances in accordance with established processes. Key Responsibilities Monitor ...Show more
Last updated: 28 days ago • Promoted
Claim Specialist - Property Field Inspection

Claim Specialist - Property Field Inspection

State Farm • Boise, ID, United States
Full-time
Being good neighbors - helping people, investing in our communities, and making the world a better place - is who we are at State Farm. It is at the core of how we operate and the reason for our suc...Show more
Last updated: 30+ days ago • Promoted
Claims Supervisor with Adjusters License

Claims Supervisor with Adjusters License

VirtualVocations • Boise, Idaho, United States
Full-time
A company is looking for a Claim Supervisor - REMOTE.Key Responsibilities Supervise adjusters and handle complex claims within the self-insured liability program Monitor staff performance, provi...Show more
Last updated: 3 days ago • Promoted
Senior Claims Integration Specialist

Senior Claims Integration Specialist

VirtualVocations • Boise, Idaho, United States
Full-time
A company is looking for a Senior Claims Integration Specialist who will manage complex healthcare claims data integrations across multiple platforms. Key Responsibilities Lead carrier partnership...Show more
Last updated: 2 days ago • Promoted
California Licensed Adjuster Team Lead

California Licensed Adjuster Team Lead

VirtualVocations • Boise, Idaho, United States
Full-time
A company is looking for a Management Adjuster Team Lead.Key Responsibilities Oversees complex claims involved in appraisal, arbitration, or mediation Manages specialized claims, including busin...Show more
Last updated: 4 days ago • Promoted
Indiana Licensed Claims Representative

Indiana Licensed Claims Representative

VirtualVocations • Boise, Idaho, United States
Full-time
A company is looking for a Senior Claims Representative to manage high priority accounts and catastrophic claims.Key Responsibilities Maintain a claim inventory and verify coverage on each claim ...Show more
Last updated: 30+ days ago • Promoted
New York Licensed Claims Specialist

New York Licensed Claims Specialist

VirtualVocations • Boise, Idaho, United States
Full-time
A company is looking for a Claims Specialist - Commercial Auto.Key Responsibilities Serve as the main point of contact for inbound claims and provide timely resolutions Review claim documentatio...Show more
Last updated: 30+ days ago • Promoted
Texas Licensed Senior Claims Representative

Texas Licensed Senior Claims Representative

VirtualVocations • Boise, Idaho, United States
Full-time
A company is looking for a Senior Claims Representative (Remote).Key Responsibilities Manage complex workers' compensation claims and conduct investigations into coverage and fraud Develop retur...Show more
Last updated: 30+ days ago • Promoted
California DME Reimbursement Specialist

California DME Reimbursement Specialist

VirtualVocations • Boise, Idaho, United States
Full-time
A company is looking for a DME Reimbursement Specialist.Key Responsibilities Conduct billing review and claim generation for DME / HME orders Manage A / R and denial management, including denied cla...Show more
Last updated: 2 days ago • Promoted