Empathetic Claims Examiner & Adjudication Specialist
$20 - $25 per hourHarris Computer
A national insurance company in Oklahoma is seeking a Claims Analyst to evaluate and process claims efficiently. The role involves conducting thorough investigations of claims, communication with policyholders, and ensuring compliance with regulations. Ideal candidates should have strong analytical skills and a commitment to customer satisfaction. The position offers a pay rate of $20-$25/hr, reflecting the importance of accuracy and efficiency in the claims handling process. #J-18808-Ljbffr Harris Computer
$20 - $25 per hour
Responsibilities Evaluate incoming claims to determine eligibility, coverage, and validity... ...and maintain professional and empathetic communication throughout the claims process... ...established guidelines for claims adjudication and payment authorization. Identify opportunities...Suggested- ...Primerica is seeking a Life Insurance Examiner to adjudicate individual life claims. This role requires a minimum of 4 years in adjudicating Life, Health, Medical, or Disability Claims, with strong communication and organizational skills. The position offers a remote working...SuggestedRemote work
$68.04k - $118.8k
...Summary of Position Provide Claims project management oversight to ensure that outcomes are within defined parameters of cost, efficacy... .../reprocessing. Work with Cognizant Claims Tower to manage adjudication of problematic claims until system modifications are completed...SuggestedContract work$18.5 - $42.35 per hour
...CVS Health is seeking a Medical Claims Adjudicator in New Jersey. The role involves reviewing and adjudicating medical claims, addressing inquiries, and ensuring compliance with regulatory requirements. Candidates should have at least 18 months of medical claim processing...SuggestedHourly payFull time$15.58 - $31.97 per hour
Molina Healthcare is looking for a Claims Support Specialist to provide support for claims adjudication activities in Kentucky. This role involves resolving provider claims issues, collaborating with internal teams, and ensuring high-quality customer service. Applicants...SuggestedHourly payWork at office$18.5 - $42.35 per hour
Hispanic Alliance for Career Enhancement is seeking a Medical Claims Processor in New York, NY. The position involves reviewing and adjudicating complex medical claims while ensuring compliance with guidelines. Qualified candidates will have a minimum of 18 months of experience...Hourly payFull time$18.5 - $42.35 per hour
CVS Health is seeking a Medical Claims Adjudicator in Idaho to review and adjudicate complex medical claims while supporting customer service operations. The role requires at least 18 months of experience in medical claim processing with specific qualifications in detail...Hourly payFull time$18.5 - $42.35 per hour
CVS Health is seeking a Medical Claims Specialist to review and adjudicate complex medical claims. The role requires minimum 18 months of experience in medical claim processing within a health insurance payor environment. Candidates should have excellent attention to detail...Hourly payFull time- EmblemHealth is seeking a Claims Processing Specialist in New York, NY, with expertise in claims adjudication and procedural oversight. The ideal candidate will have a Bachelor's degree and extensive experience in claims processing, including managerial or supervisory roles...
$18.5 - $42.35 per hour
...A leading healthcare provider in the United States seeks a Medical Claims Specialist to review and adjudicate complex claims. The ideal candidate has at least 18 months of experience in medical claim processing within a high-volume environment and demonstrated attention...Hourly payFull time$20 - $26.6 per hour
...responsibilities: Using a PC /Microsoft Window environment, adjudicates claims with the aid of the Facets and Macess Systems. Reviews... ...and claim line information for all claims for which the examiner is responsible. Knowledge of Facets and Macess systems...Full time$18.5 - $42.35 per hour
A leading health organization is seeking a Full-Time Claims Coordinator to review and adjudicate medical claims, ensuring compliance with guidelines and facilitating positive member experiences. The ideal candidate will have a minimum of 18 months of experience in medical...Hourly payFull time$73k - $75k
...Join Sedgwick Claims Management Services Ltd as a Claims Examiner specializing in Workers' Compensation claims. You will analyze claims for our clients, ensuring accurate adjudication and compliance with service expectations. This is a full-time telecommuting position...Full timeRemote work$18 per hour
...A leading healthcare provider is hiring a Senior Claims Examiner to work from home, ensuring accurate adjudication of complex claims for SCCIPA contracted plans. The ideal candidate will have a high school diploma and two years of experience in claims processing. Responsibilities...Hourly payFull timeRemote workWork from home- ...Sedgwick is seeking a remote Licensed Liability Claims Examiner to analyze Auto Bodily Injury and Property Damage claims. The examiner will adjudicate complex customer claims, negotiate settlements, and communicate with clients while ensuring adherence to service expectations...Remote work
$63.4k - $88.77k
...Sedgwick is seeking a Liability Litigation Claims Examiner in Kentucky to adjudicate complex claims and deliver innovative solutions. This role requires a minimum of 5 years in claims management and experience with GL, Premise, Auto, Bodily Injury & Product litigation....Remote workFlexible hours$120k - $140k
...Senior Claims Examiner A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range... ...and partner with the insured and broker in the handling and adjudication of claims. Analyze and draft coverage letters as...Temporary workWork at officeFlexible hours$160k - $190k
...regarded insurance carrier, is seeking a Senior General Liability Claims Examiner - Bodily Injury to join their team. This role is... ...practices Requirements Minimum of 7+ years of experience adjudicating General Liability Bodily Injury claims Extensive...$80k - $110k
...Senior Claims Examiner Build a brilliant future with Hiscox. Bring your passion and enthusiasm to our team! We are a fun, innovative... ...West Hartford, CT The Role: The Senior Claims Examiner adjudicates assigned claims within given authority and provides...Temporary workWork at office2 days per week- ...exceptional levels of service and courtesy, given in a comfortable and caring environment. We are looking for an innovative and empathetic veterinarian to join our team and help continue to provide great care to our pets. At HOC - Chelsea, we strive to provide the...Full timePrivate practiceRelocation packageFlexible hours
- ...Workers' Compensation Claims Examiner Remote position with NY & VT jurisdiction knowledge, focusing on Medical Only and Lost-Times workers... ...clients to determine benefits due while ensuring ongoing adjudication of claims within service expectations, industry best...Remote workFlexible hours
- ## Workers' Compensation Claims Examiner | NY & VT Jurisdictional Knowledge | RemoteBy joining Sedgwick, you'll be part of something truly... ...Knowledge | Remote* Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic...Remote workFlexible hours
- ...Sedgwick is seeking a Claims Examiner Workers Compensation I to analyze claims and ensure benefits are properly adjudicated. With 5 years of claims management experience, you will be responsible for negotiating settlements and maintaining communication with both claimants...Remote work
$75k - $85k
...Sedgwick is seeking a Workers Compensation Claims Examiner based in New York, responsible for adjudicating Lost-Time claims effectively. Applicants must have a minimum of 4 years of claims management experience and knowledge of New York jurisdiction. This remote position...Remote workFlexible hours$75k - $85k
...Sedgwick Claims Management Services Ltd is looking for a Workers Compensation Claims Examiner in New York to analyze and adjudicate complex claims. The successful candidate will negotiate settlements and communicate with clients and claimants. A Bachelor's degree and...Remote workFlexible hours- ...Alliance for Career Enhancement is seeking a Workers Compensation Claims Examiner for the NY jurisdiction. In this role, you will analyze Lost-Time Workers Compensation claims, ensuring ongoing adjudication within service expectations and client requirements. This...Remote work
- ...PRIMARY PURPOSE OF THE ROLE To analyze Lost-Time Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements...Flexible hours
- ...Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdiction Experience Required | Dedicated Client Are... ...world’s best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic...Work at officeRemote workFlexible hours
- ...Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdictional Experience Required | Dedicated Client... ...world’s best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic...Work at officeRemote workFlexible hours
- ...supervision of the Team Leader/Program Supervisor or designee, Peer Specialists serve as role models, educate recipients about self-help... ...possession of a valid driver's license). # Ability to be empathetic and supportive to residents instructing, demonstrating, modeling...InternshipImmediate start
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