Claims Investigator - Repo Plus Allied Solutions, LLCClaims Investigator - Repo PlusCarmel, INWill make outbound calls to OICs as directed by REPO Plus Claims Adjusters and Analysts to gather information relative to coverage relative to a specific vehicle or borrower. The REPO Plus Claim Investigator is responsible for investigating and gathering information from outside insurance carriers (OICs) related to collateral being investigated for coverage by the REPO Plus department.
Temp Claims Specialist Planned Parenthood California Central CoastTemp Claims SpecialistSanta Barbara, CAEach year, PPCCC provides 28,000 people on the central coast with health care services; including sexually transmitted infection testing and treatment, birth control, breast and cervical cancer screenings, vasectomies, and safe and legal abortion care at our six health center locations. EDUCATION and/or EXPERIENCE: ·High School diploma or equivalent ·Experience with NextGen Practice Management Application is required Planned Parenthood California Central Coast’s (PPCCC’s) compensation philosophy supports the organization’s mission,vision, and values.
NewTelephone Claims Adjuster Allstate Insurance CompanyTelephone Claims AdjusterUTAs a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
NewClaims Adjuster Trainee Allstate Insurance CompanyClaims Adjuster TraineeORAs a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Non-Attorney Represented Bodily Injury Claims Adjuster - PST/MST (Remote) Allstate Insurance CompanyNon-Attorney Represented Bodily Injury Claims Adjuster - PST/MST (Remote)NMRemote$47,500–$61,600 / yearCase Management, Claims Administration, Claims Resolution, Claims Review, Customer Centricity, Customer Service, Digital Literacy, Inclusive Leadership, Insurance Claims Investigations, Learning Agility, Personal Injury Claims, Problem Solving, Results-Oriented, Time Management, Written Communication. As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.
Attorney-Represented Bodily Injury Claims Adjuster - PST/MST (Remote) Allstate Insurance CompanyAttorney-Represented Bodily Injury Claims Adjuster - PST/MST (Remote)CARemoteAs a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
NewClaims Representative II (Workers Compensation) Society Insurance CompanyClaims Representative II (Workers Compensation)Fond du Lac, WIRemoteThis role will investigate, evaluate, and resolve moderate-to-severe complex Workers’ Compensation claims by determining coverage and liability, coordinating with injured workers, employers, and medical providers, and negotiating appropriate claim resolutions in accordance with company guidelines, policy provisions, and state regulations. Determines insurance coverage by examining claim forms, policies, and other records; interviewing claimants/injured workers, insureds, and witnesses; reviewing police and hospital records; and consulting with experts when appropriate.
Specific Claims Auditor Tokio Marine HCCSpecific Claims AuditorThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the “VCCLEA”), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. As an insurance company, we comply with certain federal, state and local laws such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e)), which restricts our ability to employ individuals with certain types of criminal convictions.
Sr. Technical Claims Specialist W. R. Berkley CorpSr. Technical Claims SpecialistHouston, TXThis includes specialized coverages, risk services that complement existing safety practices, and claims management that reflects our in-depth knowledge of hazards and losses normal to this industry. Technical Claims Specialist position will be responsible for handling, negotiating and resolving third party commercial general liability and automobile bodily injury and property damages claims to conclusion.
Auto Claims Adjuster (Experienced) AllstateAuto Claims Adjuster (Experienced)KansasThe Claims Auto Adjuster plays a key role in supporting customers during automobile accidents by thoroughly investigating each claim and confirming the facts of loss. As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.
Medical Billing Claims Specialist Summit SpineMedical Billing Claims SpecialistLawrenceville, FloridaRemoteCompany Overview: Summit Spine and Joint Centers (SSJC) is a rapidly growing, multi-state Interventional Pain Management practice providing comprehensive clinical, surgical, and imaging services. With locations across Georgia, North Carolina, South Carolina, Tennessee, Florida, and Texas, our team is committed to delivering exceptional, patient-centered care through collaboration, innovation, and clinical excellence.
Workers' Compensation Claims Assistant King'S Insurance StaffingWorkers' Compensation Claims AssistantCaliforniaCoordinate with injured workers, medical providers, employers, and attorneys to obtain necessary documentation and schedule appointments. Requirements: 2 - 5+ years of experience in a Workers' Compensation Claims Assistant or Claims Support role (California experience preferred) .
NewClaims Examiner I Western Health AdvantageClaims Examiner ISacramento, CAFull timeCollaborating with the best and the brightest means a dynamic, fulfilling work experience for you and excellent customer service for our members. If you’re detail-oriented, thrive in a fast-paced environment, and want to contribute to a mission-driven organization, this is an opportunity to grow your career while making a meaningful difference.
Senior Claims Specialist Crum & ForsterSenior Claims SpecialistORANGE, CaliforniaRemoteWith our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work® Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennials, and many others. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions.
NewClaims Operations Quality Assurance Specialist Pacific LifeCorpClaims Operations Quality Assurance SpecialistOmaha, NE$32–$37 / hourHow You'll Make an Impact: Perform detailed quality audits of claims transactions across Pay QA, Set-Up QA, and Follow-Up QA, including claim payment accuracy, interest review and calculation, post-death interest, initial claim setup, documentation, beneficiary/payee information, follow-up requirements, and completion of required claim actions. How you'll help move us forward: Consistently apply sound judgment and accountability when evaluating pay accuracy, interest review and calculation, post-death interest, claim setup completeness, follow-up activity, documentation quality, and adherence to claims procedures.
Commercial Property Claims Adjuster JencapCommercial Property Claims AdjusterPhoenix, ArizonaWe are committed to fostering a work community where every colleague feels welcomed, valued, respected and heard, as we believe that that creating an environment where every employee feels included and empowered, helps us to deliver the best outcome to our clients. The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
Senior Claims Examiner Lowe's Companies IncSenior Claims ExaminerMooresville, NCBased in Mooresville, N.C., Lowe's supports the communities it serves through programs focused on creating safe, affordable housing, improving community spaces, helping to develop the next generation of skilled trade experts and providing disaster relief to communities in need. Collaborates with other claims examiners on a team, focusing on bodily injury or property damage in a particular jurisdiction, acting as a leader for the team of Claims Examiners by integrating Lowe's culture, team training, and jurisdiction-specific training into the on-boarding process.
Sr. Workers' Compensation Claims Professional Tesla IncSr. Workers' Compensation Claims ProfessionalFremont, CA$72,000–$162,000 / yearSupport the internal benefits team with reviewing temporary and permanent disability benefits pertaining to workers' compensation claims,excused and unexcused absences, FMLA exhaustion and denials, short-termdisability claims, and long-term disability claims. Manage catalogue of open workers' compensation claims to focus on cost mitigation and reducing liability through continued medical treatment activity, targeted return-to-work efforts, and ongoing case progression; provide settlement authority within limits.
Manager, Claims Amalgamated LifeManager, ClaimsWhite Plains, NYStrong written and verbal communication skills, including empathetic listening and a high level of customer service, are vital for this role which interacts with Claimants and stakeholders. They lead a small team responsible for the entire claims lifecycle, including but not limited to evaluating medical records, coordinating with providers, and communicating with claimants to determine eligibility for benefits.
Executive Director, Claims Consultant Reinsurance Group of America IncExecutive Director, Claims ConsultantChesterfield, MORemote$126,710–$188,840 / yearManages analyzes of customer competencies, knowledge and claim outcomes to identify and provide any of the following client value-added services: individual claim analysis/planning, focused operational assessments, ad hoc training/presentations, roundtable discussions and special projects. Leads and mentors US Individual Life technical claims consultants and other associates providing the business and claim expertise required to ensure appropriate client service, internal controls, client claim audits, process improvement, and claims management practices related to claim processing.
Title Insurance Claims Counsel (Hybrid) First American Financial CorpTitle Insurance Claims Counsel (Hybrid)Seattle, WAFirst American reasonably believes that a criminal history may have a direct, adverse and negative relationship with the following material job duties for this position potentially resulting in the withdrawal of the conditional offer of employment: handling of confidential, proprietary or trade secret information belonging to First American or its customers, administrating or facilitating financial transactions, and the ability to meet customer-imposed criminal history requirements. As Claims Counsel at First American, you will manage matters from intake through resolution, including evaluating risk, making coverage determinations, resolving complex title claims, and collaborating with internal business partners.
Claims Attorney HCC Life Insurance CompanyClaims AttorneyKennesaw, GATokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry, today offering over 100 products to commercial customers in 180 countries around the world. Knowledgeable of industry changes, legal updates, and technical developments related to applicable area of the Companys business to proactively respond to changing business environment.
NewClaims Representative I (Workers' Compensation) Society Insurance CompanyClaims Representative I (Workers' Compensation)Fond du Lac, WIRemoteThis role will investigate, evaluate, and resolve mildly complex Workers’ Compensation claims by determining coverage and liability, coordinating with injured workers, employers, and medical providers, and negotiating appropriate claim resolutions in accordance with company guidelines, policy provisions, and state regulations. Determines insurance coverage by examining claim forms, policies, and other records; interviewing claimants/injured workers, insureds, and witnesses; reviewing police and hospital records; and consulting with experts when appropriate.
Claims Processor II Medical University of South CarolinaClaims Processor IICharleston, SCAccount maintenance: Updating registration, authorization issues, identifying charge correction,, processing adjustments as needed and denial follow up according to payer rules and departmental policies. Uses payer websites to stay current on payer rules and changes to include reading newsletters and communicating payer/claim issues and trends.
Claims Processor ArsenaultClaims ProcessorLos Angeles, CaliforniaThrough our dedicated associates, Arsenault delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments creating exceptional outcomes for our clients and the millions of people who count on them. It is essential to have a good understanding of EOBs, FSAs, how to read receipts, doctor bills, and basic medical paperwork.
Distinguished Architect, Software Development - Claims Processing Platform CVS Health CorpDistinguished Architect, Software Development - Claims Processing PlatformTX$175,100–$334,750 / yearAs the technical visionary for this initiative, you will define the architectural roadmap, evaluate and recommend the target technology stack-balancing engineering needs with enterprise direction-and guide a large engineering organization through a multi-year transformation from legacy mainframe systems to modern, cloud-enabled, API-driven architectures while maintaining operational stability for mission-critical processing. This ecosystem will unify intelligent workflow tools, operational platforms, a modernized claims adjudication user interface, and supporting services into a cohesive solution that transforms how claims processors interact with adjudication systems across all lines of business.
Medical Claims Resolution Analyst - Remote US Gainwell Technologies LLCMedical Claims Resolution Analyst - Remote USMERemote$26,500–$37,800 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The pay range for this position is $26,500.00 - $37,800.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
Medical Claims Resolution Analyst - Remote Montana Gainwell Technologies LLCMedical Claims Resolution Analyst - Remote MontanaMTRemote$35,000–$50,000 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The pay range for this position is $35,000 - $50,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
NewMedical Claims Analyst SouthEast Alaska Regional Health ConsortiumMedical Claims AnalystJuneau, Alaska$31.83–$44.56 / hourPartners with PRC leadership, Finance, providers, and other stakeholders to resolve complex claims issues, improve claims processing workflows, support provider communication, and ensure accurate and timely payment of authorized services. Supports reporting projects for finance leadership and the executive team by gathering, validating, analyzing, and summarizing claims data, utilization trends, outstanding liabilities, denial activity, payment status, and other information needed for operational, financial, and strategic decision-making.
Medical Claims Recovery Specialist (Subrogation) - Hybrid Arizona Gainwell Technologies LLCMedical Claims Recovery Specialist (Subrogation) - Hybrid ArizonaAZRemote$43,800–$62,500 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. If you have experience in insurance, healthcare claims, or call center operations-and you're looking for a mostly remote position with career growth potential-this is a great opportunity to join a mission-driven organization that helps make healthcare more affordable and efficient.
Associate, Claims Receipt Processor Ametros Financial CorpAssociate, Claims Receipt ProcessorWilmington, MA$20–$23 / hourAmetros's team works closely with patients, insurers, employers, attorneys, brokers, medical providers, and Medicare to create a seamless experience for our clients. Ametros is changing the way individuals navigate healthcare by providing them with the tools and support necessary to make educated decisions on how to spend their medical funds.
Claims Adjuster (Workers'''' Compensation) Saint Francis Health SystemClaims Adjuster (Workers'''' Compensation)New Haven, CTEssential Functions and Responsibilities: Receives, reviews, investigates and establishes incident reports, events, claims and reserves in a timely and accurate manner, including OSHA Log tracking. Job Summary: Reports to the Worker's Compensation Attorney, the Claims Adjuster is responsible for all processes related to Workers' Compensation claims.
Medical Claims Representative - Paid Family Leave/Disability Berkshire Hathaway GUARD Insurance CompaniesMedical Claims Representative - Paid Family Leave/DisabilityWilkes Barre, PAGood things are happening at Berkshire Hathaway GUARD Insurance Companies-an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway. With supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, long‑term careers.
NewEDI Technical Analyst (Claims) - Hybrid Blue Cross Blue Shield of ArizonaEDI Technical Analyst (Claims) - HybridPhoenix, ArizonaIntermediate knowledge of data mapping techniques, data analysis software, computer operating systems, Microsoft Applications and Suites, Windows Server, and Microsoft SQL databases. In this full-time role, you will support Trading Partner EDI and flat files by developing documentation, analyzing data and system processes, testing files and applications, and providing end-user support and training.
Medical Claims Examiner - Madison, WI (On-site) Gainwell Technologies LLCMedical Claims Examiner - Madison, WI (On-site)Madison, WI$30,500–$43,500 / yearGainwell Technologies defines wages and wage rates to include all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The pay range for this position is $30,500 - $43,500 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
Medical Claims Recovery Specialist (Subrogation) - Hybrid - Phoenix, AZ Gainwell Technologies LLCMedical Claims Recovery Specialist (Subrogation) - Hybrid - Phoenix, AZPhoenix, AZ$30,500–$43,500 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The pay range for this position is $30,500.00 - $43,500.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
Senior Commercial Auto PIP Claims Examiner | Remote King'S Insurance StaffingSenior Commercial Auto PIP Claims Examiner | RemoteRemoteResponsibilities include investigating coverage, evaluating liability and damages, coordinating medical management, negotiating settlements, and managing both litigated and non-litigated files. Manage litigated files, direct defense counsel, and participate in mediations and settlement negotiations when appropriate.
NewHPI Claims Attorney Tokio Marine HCCHPI Claims AttorneyNew YorkThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the “VCCLEA”), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. Tokio Marine HCC (TMHCC) is a leading specialty insurance group with offices in the United States, the United Kingdom, Spain and Ireland, transacting business in approximately 180 countries and underwriting more than 100 classes of specialty insurance.
Claims Professional I Aon CorporationClaims Professional IVirtual, Indiana$60,000–$80,000 / yearWe welcome applications from all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to perform essential job functions once onboard. Exhibits excellent verbal and written communication skills and upholds the organizations values and is a positive spokesperson for the Company.
Claims Specialist Project Resources GroupClaims SpecialistCharlotte, North CarolinaResolve and negotiate claims recovery of repair and replacement costs on third-party cable/fiber and utility damages across multiple state lines, via phone, email, and letters. Use photographs, narratives, job costs, site sketches, locate tickets, and other components on-site field investigators provide to visualize and understand the damage scene to defend liability accurately.
Bodily Injury Claims Specialist Auto-Owners Insurance CoBodily Injury Claims SpecialistBroomfield, CO$62,000–$83,200 / yearAdditional benefits include: generous paid time off including holidays, vacation days, personal time, sick leave and parental leave; adoption assistance; discounts on personal insurance; education matching gift program; student loan assistance program, a gym membership and fitness class reimbursement program and a company car. The position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss.
NewClaims Specialist CorVel Enterprise Claims, Inc.Claims SpecialistPortland, ORRemote$52,999–$85,473 / yearPart timeThe Workers’ CompensationClaims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Senior Claims Adjuster, Specialty LotSolutions, Inc.Senior Claims Adjuster, SpecialtyIselin, NJ$90,000–$150,000 / yearPart timeAs a direct report to the Manager of Specialty Claims, you should possess the ability to handle and manage a wide variety of severity/complex claims with coverage issues as well as coverage litigation within our Professional Liability line of business. Please be aware of job fraud(s) – all correspondence emails regarding your candidacy will come from our Fortegra.com email address.
Complex Claims Specialist - E&S/NY Labor Law (Remote) Selective Insurance Company of AmericaComplex Claims Specialist - E&S/NY Labor Law (Remote)RemoteRemote$124,000–$160,000 / yearFull timeSelective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work® in 2025 for the sixth consecutive year. Total Rewards: Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life.
Complex Claims Specialist (Remote) Selective Insurance Company of AmericaComplex Claims Specialist (Remote)RemoteRemote$124,000–$160,000 / yearFull timeSelective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work® in 2025 for the sixth consecutive year. Total Rewards: Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life.
Construction Claims Consultant Aon CorporationConstruction Claims ConsultantChicago, Illinois$120,000–$190,000 / yearVarious other types of leaves of absence; paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, health savings account, health care and dependent care reimbursement accounts, employee and dependent life insurance and supplemental life and AD&D insurance; optional personal insurance policies, adoption assistance, tuition assistance, commuter benefits, and an employee assistance program that includes free counseling sessions. You’ll spend significant time interacting with clients—addressing questions, providing updates, offering strategic guidance, and collaborating with your workers compensation advocate counterpart to get a full view of each client’s claims profile.
Auto Casualty Claims Supervisor Warrior Insurance NetworkAuto Casualty Claims SupervisorBedford Park, IL$52,500–$106,250 / yearFull timeReview reports, design and support the implementation of procedures which improve claim settlement and customer service levels, and ensure that desired quality and quantity levels are maintained. Are you currently an experienced Casualty Claims Supervisor looking to join a growing company where you will be rewarded for your hard work, and have future upward career growth opportunities? .
Property Damage Claims Director Warrior Insurance NetworkProperty Damage Claims DirectorBedford Park, ILFull timeReview reports and support the implementation of procedures which improve overall claim settlement process, customer service levels, and ensure that desired quality and quantity levels are maintained. Determine training needs of the department / unit, establish and participate in programs to ensure training needs of personnel and processes.
Pharmacy Claims Reconciliation Specialist Wellpath IncPharmacy Claims Reconciliation SpecialistFranklin, TNTuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans. Reconcile pharmacy claims and insurance payments by comparing expected reimbursements to actual payments and identifying discrepancies such as underpayments, overpayments, duplicate payments, and missing payments.
NewInsurance Claims Specialist PB West Virginia University MedicineInsurance Claims Specialist PBMonongalia County, WVResponsible for managing patient account balances including accurate claim submission, compliance will all federal/state and third party billing regulations, timely follow-up, and assistance with denial management to ensure the financial viability of the WVU Medicine hospitals. Maintains knowledge of revenue cycle operations, third party reimbursement and medical terminology including all aspects of payer relations, claims adjudication, contractual claims processing, credit balance resolution and general reimbursement procedures.