Claims Analyst III Integrated Resources, IncClaims Analyst IIIDoral, FloridaContractorWill be utilizing Microsoft Excel heavily.*A minimum of 1-2 years' experience in claims processing with professionals or hospitals *Top 3 skills:Computer skills - Microsoft Excel (intermediate to advanced skills, i.e. pivot tables, v-look ups)Attention to detailStrong written communication skillsMust Haves:Claims backgroundKnowledge of billing guidelinesKnowledge of contract interpretationKnowledge of billing/coding - CPT & ICD-10Kind Regards,Arnab GhatakTechnical RecruiterIntegrated Resources, Inc. IT Life Sciences Allied Healthcare CROCertified MBE | GSA - Schedule 66 I GSA - Schedule 621IGold Seal JCAHO Certified for Health Care Staffing"INC 5 0 0 0 's FASTEST GROWING, PRIVATELY HELD COMPANIES" (8th Year in a Row)
Bilingual Claims Administrator - R2710 Fort Myer Construction CorpBilingual Claims Administrator - R2710Washington, DCIf you do not mind hard work, desire job security associated with essential infrastructure projects, and want to make a difference in our communities, then please consider joining the Fort Myer Family. Summary:The Bilingual Claims Administrator manages the intake, processing, and resolution of workers compensation claims from the initial report of injury through claim closure.
MRSGM NA Logistics Claims Manager - First Party Munchener Ruckversicherungs-Gesellschaft Aktiengesellschaft (Munich Re)MRSGM NA Logistics Claims Manager - First PartySchaumburg, ILWe are in search of an experienced insurance professional responsible for investigating, evaluating, and settling complex cargo damage claims by examining policies, gathering evidence, analyzing loss details, negotiating settlements with involved parties, and ensuring compliance with company guidelines, often handling high-value or intricate claims with a focus on minimizing losses; requiring strong knowledge of cargo insurance policies, shipping regulations, and claims handling procedures. Complex Claim Management - Leading the handling of large or complex cargo claims involving multiple parties, legal disputes, or significant financial exposure.
Insurance Claims Coordinator IrvineInsurance Claims CoordinatorIrvine, California$60,000–$75,000 / yearPosition Overview As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call.
Associate Claims Adjuster, Workers Compensation Liberty Mutual Holding Company IncAssociate Claims Adjuster, Workers CompensationWestborough, MAAssesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves as necessary, during the processing of the claims, and refers claims to the subrogation group or Special Investigations Unit as appropriate. In this role, you'll manage a caseload of routine to moderately complex claims, making key decisions on compensability, evaluating losses, and negotiating fair outcomes.
Claims Auditor Senior Elevance HealthClaims Auditor SeniorMendota Heights, MinnesotaThe Claims Auditor Senior is responsible for pre and post payment and adjudication audits of high dollar claims across multiple lines of business, claim types and products including complex specialized claims within Service Experience. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Supervisor, Claims Zenith American SolutionsSupervisor, ClaimsSan Francisco, CaliforniaZenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.
Epic HB/PB Resolute Claims Analyst InterscriptsEpic HB/PB Resolute Claims AnalystChantilly, VirginiaWe are seeking an experienced Epic Resolute Hospital Billing (HB),or Professional Billing (PB), and Claims Analyst to support, maintain, and optimize Epic Revenue Cycle applications. The ideal candidate will have hands-on experience with Epic Resolute HB, PB, Claims, and Revenue Cycle workflows, along with strong analytical and troubleshooting skills.
Revenue Cycle Claims Specialist NOCDRevenue Cycle Claims SpecialistWorking knowledge of the full claims lifecycle: eligibility verification, claims submission, denial management, appeals, and payment posting. • Identify and resolve underpayments, overpayments, and contractual adjustments in.
Claims Examiner Baystate HealthClaims ExaminerSpringfield, MA$23.46–$26.97 / hourThe Claims Examiner is responsible for providing claims production to the Claims Production Team to enable the administration of non-auto adjudicated claims which contributes to the overall success of Claims Production ensuring specific individual goals, plans, initiatives are executed and delivered in support of the team’s business strategies and objectives. • Actively pursues effective and efficient operations of their respective areas in accordance with Health New England’s Values, its Code of Conduct and the Associate Handbook, while ensuring the adequacy, adherence to and effectiveness of day-to-day business controls to meet obligations with respect to operational, compliance, and conduct.
NewClaims Representative RedionClaims RepresentativePembroke Pines, FLPrimary responsibilities include efficient adjudication of insurance claims, both phone and written communication with insureds, travel suppliers, medical facilities, and others, as well as maintaining all state Department of Insurance regulations for claims files. From assisting with emergency medical claims to guiding customers through trip disruptions or ID theft, your work helps turn travel challenges into stories of resilience.
Claims & Denials Analyst LawallClaims & Denials AnalystClaims & Denials Analyst - full-time - in-office - Langhorne, PA - M-F, 8am to 4:30pm We’re a fast-growing, employee-friendly prosthetics and orthotics company seeking a Claims & Denials Analyst to join our dedicated team in Langhorne. This is a great opportunity for someone with a positive attitude, strong attention to detail, and some experience with health insurance claims—especially if you’re eager to learn and grow in a meaningful healthcare environment.
Individual Disability Claims Specialist II MetLife IncIndividual Disability Claims Specialist IITampa, FL$60,000–$70,000 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
Claims Adjuster II Marriott International IncClaims Adjuster IIBethesda, MDThis role will manage a caseload ranging from 100-150 causality claims (the acceptable caseloads vary based on the jurisdiction(s), mix and complexity of cases as determined by the Claims Unit Manager). Full-time positions also offer coverage for medical, dental, vision, health care flexible spending account, dependent care flexible spending account, life insurance, disability insurance, accident insurance, adoption expense reimbursements, paid parental leave and educational assistance.
NewSecurity Jail Processor and Inmate Transporter Allied UniversalSecurity Jail Processor and Inmate TransporterSignal Hill, CAAs a Security Jail Processor and Inmate Transporter in Signal Hill, CA, this role is designed to provide reliable, consistent hours at an assigned site with the flexibility for you to earn more by picking-up additional shifts when it works for you. Earn More, Claim-A-Shift Program: In addition to your fixed shift, you may pick-up extra shifts through our scheduling platform, allowing you to increase earnings and gain experience across multiple sites.
NewSecurity Officer - Inmate Processor and Transporter Allied UniversalSecurity Officer - Inmate Processor and TransporterSignal Hill, CaliforniaFull timeAs an Armed Security Officer supporting a government location, you will monitor and patrol assigned areas, maintain a visible presence to help deter security-related incidents, and provide professional customer service and communication. Provide customer service to visitors, employees, and members of the public by carrying out security-related procedures, site-specific policies, and, when appropriate, emergency response activities at a government location.
NewSecurity Jailer and Inmate Processor Allied UniversalSecurity Jailer and Inmate ProcessorSignal Hill, CaliforniaPart timeIn this primarily driving role, you will conduct routine vehicle and foot patrols, maintain a visible presence to help deter incidents, respond to security-related concerns, and provide professional customer service and communication. Conduct regular and random patrols of assigned buildings, public areas, parking locations, and perimeter areas to help deter unauthorized activity and identify potential concerns.
Security Guard - Jail Processor Allied UniversalSecurity Guard - Jail ProcessorBell Gardens, CaliforniaConduct regular and random foot and/or vehicle patrols throughout buildings, parking areas, and perimeter locations to help identify unusual activity, unsecured access points, and/or conditions requiring attention. Join Allied Universal as an unarmed patrol officer at a government location, where you will monitor assigned areas, conduct routine patrols, and remain visible to help deter security-related incidents.
Security Officer - Jail Processor Allied UniversalSecurity Officer - Jail ProcessorDowney, CAAs a Security Officer - Jail Processor in Downey, CA, this role is designed to provide reliable, consistent hours at an assigned site with the flexibility for you to earn more by picking-up additional shifts when it works for you. Earn More, Claim-A-Shift Program: In addition to your fixed shift, you may pick-up extra shifts through our scheduling platform, allowing you to increase earnings and gain experience across multiple sites.
Reassessment Sr. Long Term Disability Claims MetLife IncReassessment Sr. Long Term Disability ClaimsNY$58,000–$69,000 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. The Reassessment Senior LTD Claims Specialist is responsible for evaluating and managing ongoing long-term disability claims to ensure accurate, timely, and customer-focused claim decisions that support MetLife's commitment to making a meaningful impact in the lives of our customers and communities across the United States.