NewClaims Processor - Entry Level (Medical Billing/Coding Certificate Graduates) TEKsystemsClaims Processor - Entry Level (Medical Billing/Coding Certificate Graduates)Fresno, CARemote$20–$22 / hourClaims Examiner I is responsible for reviewing and processing medical, dental, vision and electronic claims in accordance with state, federal and health plan regulatory requirements, department guidelines, as well as meet established quality and production performance benchmarks to include research and review of applicable documentation. • Recognize issues, analyzes, solves problems, researches, identifies trends and determines actions needed to advance the decision-making process within a realistic timeframe.
Claims Legal Specialist - Conditional Demands Sentry InsuranceClaims Legal Specialist - Conditional DemandsGoldsboro, NC$31.25–$37.50Experience in handling conditional demands, preferably including bodily injury claims, on behalf of an insurer as an attorney, technical specialist, claims manager or similar role sufficient in one more of the following states to develop a high degree of technical expertise: CA, FL, TX, GA, or SC. Act as a subject matter expert, provide technical advice, direction, and guidance to other claims associates as need arises including instruction and authority on all complex conditional settlement demands received by enterprise.
Claims Adjuster Synerfac Technical StaffingClaims AdjusterMiami, FL$50,000–$65,000 / yearSupervise all investigative activities and litigation for major claims, ensuring timely reserve postings. * Analyze claim activities and present comprehensive reports to management and stakeholders.
NewLegal Processor United Nations Federal Credit UnionLegal ProcessorNew York, NY$55,130 / yearRegardless of seniority or role, uphold UNFCU’s mission, core values, and guiding principles by providing an exceptional service experience to colleagues and members alike through consistent demonstration of our service excellence behaviors. Under general supervision, performs moderately difficult processing of legal and organizational documents while verifying member information and ensuring compliance with both governmental and internal regulations.
Hybrid Supplemental Health Claims Examiner Jepsen Investments, Inc.Hybrid Supplemental Health Claims ExaminerLombard, IL$25 / hourFull timeCalculate multiple benefits due based a combination of information on claim forms, medical information, plan certificates/contract and regulatory guidelines and administer provisions accurately, including, but not limited to, misrepresentation or pre-existing Investigation, Evidence of Insurability Review, Benefit Entitlement Review, Financial Accuracy, ERISA Guidelines, MAR Requirements, State Regulations, Company Financial Liability as applicable. Responsible for examining and processing all claim types including Accident Insurance, Critical Illness/Specified Disease, Hospital Indemnity Life product claims and weekly income claims in accordance with established policies and procedures.
Claims Supervisor Health Source MSOClaims SupervisorAlhambra, CAFull timeProviding expertise or general claims support to teams in reviewing, researching, investigating, negotiating, process, and adjusting claims. Responsibilities include, but not limited to: • Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including: Contractual agreement rates.
Claims Auditor Health Source MSOClaims AuditorAlhambra, CAFull timeResponsibilities include, but not limited to: Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including: Contractual agreement rates. Job Description : Claims Auditor will be responsible for auditing claims processed by Claims Examiners.
Claims Processer IconmaClaims ProcesserDes Moines, IA$19–$20 / hourOur Client, an IT Services and Consultant company, is looking for a Claims Processer for their Des Moines location (will be working remotely but must be located in Iowa). Documentation: Record claim activity, maintain audit trails, and prepare reports for management.
NewClaims Auto Adjuster - Non Injury USAAClaims Auto Adjuster - Non InjuryPhoenix, AZ$51,370–$86,680 / yearSupports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through exceptional service. Within defined guidelines and framework, responsible to adjust moderately complex auto insurance claims presented by or against our members to include the end-to-end claims process and settling claims in compliance with state laws and regulations.
NewClaims Examiner Senior \ Direct Placement60 - Contract TalentBurst, Inc.Claims Examiner Senior \ Direct Placement60 - ContractIrving, TX$23–$24 / hourThis role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing. Work claim projects resulting from overpayments or underpayments related to manual processing errors, benefit updates, and/or contract, fee schedule changes.
NewSenior Claims Auto Adjuster - Non Injury (Sign-On Bonus) USAASenior Claims Auto Adjuster - Non Injury (Sign-On Bonus)Phoenix, AZ$54,550–$92,060 / yearDispute resolution experience: Liability Investigation/Comparative Negligence, Unrelated Prior Vehicle Damages, Total Loss Valuation/Negotiation, Non-Owned Vehicles/Rideshare/Permissive Driver, Exceeding Coverage Limits. Supports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through exceptional service.
NewSenior Claims Auto Adjuster - Non Injury USAASenior Claims Auto Adjuster - Non InjuryColorado Springs, CO$56,240–$94,910 / yearDispute resolution experience: Liability Investigation/Comparative Negligence, Unrelated Prior Vehicle Damages, Total Loss Valuation/Negotiation, Non-Owned Vehicles/Rideshare/Permissive Driver, Exceeding Coverage Limits. Supports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through exceptional service.
Insurance Claims Specialist JobotInsurance Claims SpecialistCicero, IL$80,000–$100,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. We are a well-established, growing insurance company offering a great team, hybrid work environment, long-term stability and excellent career growth opportunities!
NewVP, Claims Operations USAAVP, Claims OperationsPhoenix, AZ$257,250–$463,050 / year10 years of progressive financial services experience to include P&C industry work experience in Claims developing strategies, managing major P&C initiatives and delivering results within a complex matrix environment. Demonstrated experience leading large-scale claims or contact center operations, including oversight of sizable, geographically dispersed teams and complex service delivery environments.
NewInside Senior Property Claims Adjuster USAAInside Senior Property Claims AdjusterPhoenix, AZ$63,590–$121,530 / yearWhat you'll do: Proactively manage assigned claims caseload comprised of claims with moderate complexity damages that require commensurate knowledge and understanding of claims coverage. Apply proficient knowledge of estimating technology platforms and virtual inspection tools; Utilize platforms and tools to prepare claims estimates to manage moderate complexity property insurance claims.
NewSenior Personal Property Claims Adjuster - Field USAASenior Personal Property Claims Adjuster - FieldPhoenix, AZ$63,590–$121,530 / yearApplies proficient knowledge of estimating technology platforms and virtual inspection tools; Utilizes platforms and tools to prepare claims estimates to manage moderate complexity property insurance claims. Proactively manages assigned claims caseload comprised of claims with moderate complexity damages that require commensurate knowledge and understanding of claims coverage.
Senior Claims Representative - 11717 Metro Public AdjustmentSenior Claims Representative - 11717NJLocal Opportunities – Serve homeowners across Philadelphia, Bucks County, Montgomery County, and nearby parts of South Jersey. Whether you’re looking for a new career or supplemental income, you’ll find success here if you bring a positive attitude, professionalism, and the drive to help others.
Remote Claims Representative - 11717 Metro Public AdjustmentRemote Claims Representative - 11717RemoteWork from Home Office | Senior Claims Rep | Flexible Schedule Flexible, High-Growth Career (No Experience Needed) Location: Bucks County, PA Are you ready to take control of your career while making a real difference for homeowners in your community? Metro Public Adjustment, Inc. has been a trusted leader in the public adj...
Claims Representative - 595081 Metro Public AdjustmentClaims Representative - 595081NJLocal Opportunities – Serve homeowners across Philadelphia, Bucks County, Montgomery County, and nearby parts of South Jersey. Whether you’re looking for a new career or supplemental income, you’ll find success here if you bring a positive attitude, professionalism, and the drive to help others.
Public Adjusting Services Claims Rep - 11717 Metro Public AdjustmentPublic Adjusting Services Claims Rep - 11717PALocal Opportunities – Serve homeowners across Philadelphia, Bucks County, Montgomery County, and nearby parts of South Jersey. Whether you’re looking for a new career or supplemental income, you’ll find success here if you bring a positive attitude, professionalism, and the drive to help others.