No Fault/PIP Insurance Verification Specialist Level I Progressive Spine and Orthopaedics LLCNo Fault/PIP Insurance Verification Specialist Level IEnglewood, NJThe Specialist I communicates with insurance carriers and adjusters to obtain basic claim and benefit information, documents findings in the electronic health record, and escalates complex issues to a senior team member or supervisor. - Coordinate Letters of Protection (LOPs) when appropriate, including obtaining attorney confirmation, sending required requests, and ensuring completed documentation is added to the patient record.
Senior Workers' Compensation Claims Examiner - Federal Claims American International GroupSenior Workers' Compensation Claims Examiner - Federal ClaimsChicago, IL$73,000–$96,000 / yearOur Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. #insurancecareers #insurancejobs #claimsexaminer #WorkersCompClaims #WorkersCompensationClaims #paralegalcareers.
Claims Delegations Oversight Specialist ADPClaims Delegations Oversight SpecialistRemoteAbout Us: MedPOINT Management is a leading Independent Practice Association (IPA) management company serving the greater Los Angeles area, with decades of experience supporting physician organizations and health plan partnerships. Our clients trust us for our deep expertise in managed care operations, and our employees value the collaborative, mission-driven culture we've built.
Claims Intake Specialist Orion180 Insurance ServicesClaims Intake SpecialistIrving, TexasCustomer Support Excellence: Build trust through effective communication and professionalism, fostering long-term relationships with customers, agents, and managing general agents. You’ll play a key part in supporting our claim processes, coordinating with adjusters, and maintaining effective communication to ensure seamless customer experience.
Bilingual Claims Intake/Fnol/Triage Specialist Argo Group International Holdings Ltd.Bilingual Claims Intake/Fnol/Triage SpecialistOmaha, NEOur Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is. Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information.
Claims Resolution Specialist Ultimate Staffing ServicesClaims Resolution SpecialistRoseville, MinnesotaRemote$67,000–$75,000 / hourThis role is responsible for investigating claim issues, managing appeals, conducting payer follow-up, resolving reimbursement discrepancies, and dri. Are you an expert at resolving denied claims, overturning payer denials, recovering revenue, and navigating complex insurance requirements?.
Accounts Receivable Insurance Specialist- Must have Commercial, Claims, Denial and Appeal Carle HealthAccounts Receivable Insurance Specialist- Must have Commercial, Claims, Denial and AppealChampaign, Illinois$17.26–$27.96 / hourFull timeUtilizes clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions, through written appeals, and coding reviews, etc. In addition, follows up on outstanding receivables; completes basic appeals; answers, documents and completes inquiries from, insurance companies, internal departments, and 3rd party payers.
Claims - No-Fault Litigation Specialist I - IV Cincinnati Financial CorpClaims - No-Fault Litigation Specialist I - IVCincinnati, OH$60,000–$95,000 / year166372'',''true'',''166372'',''false'',''Submission for the position: Claims - No-Fault Litigation Specialist I - IV - (Job Number: 2600596)'',''false'',''166372'',''false'',''true'',''Claims - No-Fault Litigation Specialist I - IV'',''2600596'',''US-OH-Fairfield'',''!*! '',''false'',''166372'',''166372'',''true'',''166372'',''false'',''Submission for the position: Claims - No-Fault Litigation Specialist I - IV - (Job Number: 2600596)'',''false'',''166372'',''false'',''true''.
Claims - Management Liability Litigation Specialist II - IV Cincinnati Financial CorpClaims - Management Liability Litigation Specialist II - IVCincinnati, OH$90,000–$150,000 / year167929'',''true'',''167929'',''false'',''Submission for the position: Claims - Management Liability Litigation Specialist II - IV - (Job Number: 2600752)'',''false'',''167929'',''false'',''true'',''Claims - Management Liability Litigation Specialist II - IV'',''2600752'',''US-OH-Fairfield'',''!*! Our Headquarters Claims Department is currently seeking a Management Liability Litigation Specialist to handle and oversee the processing of large and complex management liability claims.
NewSr. Associate, Claims (General Liability) RevantageSr. Associate, Claims (General Liability)Dallas, TexasIn addition to claims handling, the Claims Specialist plays a key role in investigating incidents, evaluating liability, managing reserve strategies, and ensuring consistent engagement with portfolio companies, insurers, and claim handlers (including claim handlers, carriers, and panel counsel). With a corporate purpose of ‘In Pursuit of Better,’ Revantage delivers value-added services and world-class talent for Blackstone Real Estate portfolio companies, spanning diverse asset classes, including residential, logistics, office, hospitality and retail sectors.
Billing Specialist Blanchard Valley Health SystemBilling SpecialistFindlay, OhioThe primary purpose of the Patient Accounting Specialist is to fulfill the billing and collections functions related to all patient or client accounts assigned and maintain compliant and accurate documentation on all account activity. Develops, interprets and utilizes computer reports as required to accomplish timely & accurate reporting within Patient Financial Services and BVRHC for account billing and follow up.
Claims Support Specialist Parsons Commercial Technology Group Inc.Claims Support SpecialistBoise, ID$63,600–$111,300 / yearIn this role you will provide administrative support for the Owner's claims management process by maintaining contemporaneous project records and organizing claim support documentation for disputes and proceedings. Maintain contemporaneous records that support the Owner's position in claims or disputes, including daily logs of correspondence, meeting minutes, photographs, schedule analyses, and delay documentation.
Claims Support Specialist ParsonsClaims Support SpecialistBoise, IdahoIn this role you will provide administrative support for the Owner’s claims management process by maintaining contemporaneous project records and organizing claim support documentation for disputes and proceedings. Maintain contemporaneous records that support the Owner’s position in claims or disputes, including daily logs of correspondence, meeting minutes, photographs, schedule analyses, and delay documentation.
Claims Recovery Specialist II (Remote) CareFirstClaims Recovery Specialist II (Remote)Baltimore, MDRemote$42,624–$78,144 / yearSpecialist will assist to maximize recovery amounts due to refund of payments made in error to members and/or providers, retro terms and/or focused provider audits. Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
NewData Entry Specialist Vaco LLCData Entry SpecialistBethel, CTDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Claim Specialist - WCCS Deployed State FarmClaim Specialist - WCCS DeployedLouisville, KY$63,089.65–$82,000 / yearPhysical agility to allow for: walking; bending, reaching, kneeling, squatting, stooping, frequent lifting, carrying, unfolding, and climbing a ladder; ability to utilizing appropriate equipment in accordance with safety guidelines to traverse roofs at various heights and pitches for inspection of both residential and commercial structures; ability to crawl in tight spaces to gather information needed during the adjustment of a claim. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Bilingual Customer Service and Data Entry Specialist TBI Outsourcing Puerto Rico, Inc.Bilingual Customer Service and Data Entry SpecialistGuaynabo, PR$11–$12.75 / hourWith Staff Management | SMX, you'll get a weekly paycheck, learn new skills, meet new people, and work with a great management team in a clean and safe environment. Perks & Benefits: Casual Dress Code, Climate Controlled Environment, Paid Training, Weekly paychecks, Direct Deposit or Cash Card pay options, Paid Sick Leave, Paid Time Off.
Medical Claims Resolution Specialist Staffmark Group LlcMedical Claims Resolution SpecialistLafayette, LAStep into a Medical Claims Resolution Specialist role in Lafayette, supporting a busy healthcare team with precise coding, clean claims, and expert billing follow-through. By applying, you consent to receive AI-generated and non-AI-generated calls, texts, or emails from Staffmark Group, its affiliates, and partners.
Claims Technical Review Specialist Zenith American SolutionsClaims Technical Review SpecialistPerforms technical review and analysis of all types of claims, including large dollar and technically complex claims, to ensure accuracy and adherence to prescribed procedures and plan guidelines. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide.
Claims & Provider Relations Oversight Specialist Western Health AdvantageClaims & Provider Relations Oversight SpecialistSacramento, CASupport Annual Network Review (ANR), Geo Access, Provider Appointment Availability Surveys (PAAS), Provider Satisfaction Surveys (PSS), after-hours surveys, and related compliance activities. Western Health Advantage is seeking a detail-oriented Claims & Provider Relations Oversight Specialist to support compliance and regulatory operations within our Claims and Provider Relations department.