Talent.com
STAT / PFL Claims Specialist

STAT / PFL Claims Specialist

VirtualVocationsSanta Rosa, California, United States
2 days ago
Job type
  • Full-time
Job description

A company is looking for a STAT / PFL Claims Specialist.

Key Responsibilities

Conduct initial and ongoing interviews with claimants and review medical records to determine claims

Collaborate with case managers and medical professionals to make timely claim decisions

Perform financial calculations in accordance with company and state guidelines

Required Qualifications

High School diploma or GED

1-2 years of experience in claims, leaves, or customer service

Experience with disability and / or absence management is a plus

Strong mathematical skills for payment calculations

Create a job alert for this search

Claim Specialist • Santa Rosa, California, United States

Related jobs
  • Promoted
New York Licensed Claims Specialist

New York Licensed Claims Specialist

VirtualVocationsSanta Rosa, California, United States
Full-time
A company is looking for a Medical Claims Resolution Specialist II, Appeals.Key Responsibilities Negotiate healthcare claims and maintain provider relationships to achieve maximum discounts Perf...Show moreLast updated: 30+ days ago
  • Promoted
Insurance Claims Specialist

Insurance Claims Specialist

VirtualVocationsSanta Rosa, California, United States
Full-time
A company is looking for an Insurance Claims Specialist PB.Key Responsibilities Submits accurate and timely claims to third party payers Resolves claim edits and account errors prior to claim su...Show moreLast updated: 30+ days ago
  • Promoted
68L Occupational Therapy Specialist

68L Occupational Therapy Specialist

U.S. ArmyBodega Bay, CA, United States
Full-time +1
L Occupational Therapy Specialist.As an Occupational Therapy Specialist, you'll work under a registered Occupational Therapist to supervise, test, and assist patients in performing daily life tasks...Show moreLast updated: 13 days ago
  • Promoted
Travel Nurse RN - Telemetry - $1,905 to $2,005 per week in Saint Helena, CA

Travel Nurse RN - Telemetry - $1,905 to $2,005 per week in Saint Helena, CA

TravelNurseSourceSaint Helena, CA, US
Full-time +1
TravelNurseSource is working with Converdia Health Staffing to find a qualified Telemetry RN in Saint Helena, California, 94574!. ConVerdia Health Staffing- Staffing temporary and permanent jobs acr...Show moreLast updated: 5 days ago
  • Promoted
Claims Specialist

Claims Specialist

VirtualVocationsSanta Rosa, California, United States
Full-time
A company is looking for a Claims Specialist (Insurance Biller) to manage and resolve insurance claims.Key Responsibilities Work on claims that have been rejected by the clearinghouse Review and...Show moreLast updated: 30+ days ago
  • Promoted
Claims Specialist II

Claims Specialist II

VirtualVocationsSanta Rosa, California, United States
Full-time
A company is looking for a Claims Specialist II.Key Responsibilities : Manage customer interactions and guide them through the claims process, ensuring satisfaction Investigate claims by gatherin...Show moreLast updated: 30+ days ago
  • Promoted
AR Specialist

AR Specialist

VirtualVocationsSanta Rosa, California, United States
Full-time
A company is looking for an AR Specialist.Key Responsibilities Identify errors in claims processing and follow up on unpaid balances Analyze patient accounts and communicate with insurance repre...Show moreLast updated: 30+ days ago
  • Promoted
Travel Nurse RN - Telemetry - $2,041 per week in Saint Helena, CA

Travel Nurse RN - Telemetry - $2,041 per week in Saint Helena, CA

TravelNurseSourceSaint Helena, CA, US
Full-time
TravelNurseSource is working with Coast Medical Service to find a qualified Telemetry RN in Saint Helena, California, 94574!. Coast Medical Service is a nationwide travel nursing & allied health...Show moreLast updated: 5 days ago
  • Promoted
  • New!
Senior Consultant, Supplemental Health Claims

Senior Consultant, Supplemental Health Claims

VirtualVocationsSanta Rosa, California, United States
Full-time
A company is looking for a Senior Consultant, Supplemental Health Claims.Key Responsibilities Process and adjudicate supplemental health insurance claims for accuracy and compliance Collaborate ...Show moreLast updated: 7 hours ago
  • Promoted
A / R Follow Up Specialist

A / R Follow Up Specialist

VirtualVocationsSanta Rosa, California, United States
Full-time
A company is looking for an AR Follow Up Specialist to manage insurance claims and ensure payment resolution.Key Responsibilities Follow up on unresolved claims and check claim status with insura...Show moreLast updated: 30+ days ago
  • Promoted
GL / Excess Claims Adjuster

GL / Excess Claims Adjuster

VirtualVocationsSanta Rosa, California, United States
Full-time
A company is looking for a GL / Excess Claims Adjuster III to manage a caseload of claims in multiple states.Key Responsibilities Manage a caseload of GL / Excess Claims, including new loss assignmen...Show moreLast updated: 2 days ago
  • Promoted
Senior Resolution Specialist

Senior Resolution Specialist

VirtualVocationsSanta Rosa, California, United States
Full-time
A company is looking for a Senior Resolution Specialist to manage complex claims and provide strategic recommendations.Key Responsibilities Conduct detailed analysis to investigate claims exposur...Show moreLast updated: 20 days ago
  • Promoted
Travel Physical Therapist

Travel Physical Therapist

Medical Solutions AlliedSaint Helena, CA, US
Full-time
Medical Solutions Allied is seeking a travel Physical Therapist for a travel job in Saint Helena, California.Job Description & Requirements. We’re seeking talented healthcare professionals...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Travel Registered Nurse - Administration / Management - $2,404 to $2,604 per week in St. Helena, CA

Travel Registered Nurse - Administration / Management - $2,404 to $2,604 per week in St. Helena, CA

TravelNurseSourceSt. Helena, CA, US
Full-time
TravelNurseSource is working with Titan Medical Group to find a qualified Admin / Mgmt RN in St.Travel Nurse RN - Case Management. Titan Medical is looking for travelers to fill a Travel Case Manageme...Show moreLast updated: 18 hours ago
  • Promoted
NY Licensed Medical Claims Specialist

NY Licensed Medical Claims Specialist

VirtualVocationsSanta Rosa, California, United States
Full-time
A company is looking for a Medical Claims Resolution Specialist II, Appeals (Remote).Key Responsibilities Negotiate health care claims and maintain provider relationships to achieve maximum disco...Show moreLast updated: 30+ days ago
  • Promoted
State Licensed Claims Manager

State Licensed Claims Manager

VirtualVocationsSanta Rosa, California, United States
Full-time
A company is looking for a Manager, Claims to handle intricate claims and support the underwriting team.Key Responsibilities Handle the intake of events and coordinate with breach counsel and ven...Show moreLast updated: 30+ days ago
  • Promoted
Virginia Licensed Claims Specialist

Virginia Licensed Claims Specialist

VirtualVocationsSanta Rosa, California, United States
Full-time
A company is looking for a Lost Time Claims Specialist, Workers' Compensation.Key Responsibilities Manage indemnity claims by investigating, evaluating, and determining compensability for work-re...Show moreLast updated: 2 days ago
  • Promoted
  • New!
Travel Nurse RN - Administration / Management - $2,404 to $2,604 per week in St. Helena, CA

Travel Nurse RN - Administration / Management - $2,404 to $2,604 per week in St. Helena, CA

TravelNurseSourceSt. Helena, CA, US
Full-time
TravelNurseSource is working with Titan Medical Group to find a qualified Admin / Mgmt RN in St.Travel Nurse RN - Case Management. Titan Medical is looking for travelers to fill a Travel Case Manageme...Show moreLast updated: 18 hours ago