LTD Case Specialist — Claims, Settlements & Benefits
Sedgwick Claims Management Services Ltd
Sedgwick is seeking a LTD Case Specialist (Hourly) in West Hills, CA. You will analyze claims to determine benefits due, assess need for outside vendors or medical evaluations, and negotiate settlements within authority. You will also process payments and revisions to benefits while ensuring compliance with plan provisions. The role requires a Bachelor's degree preferred, four years of medical disability experience, and strong communication, analytical and negotiation skills. #J-18808-Ljbffr Sedgwick Claims Management Services Ltd
$26.55 - $30 per hour
## LTD Case Specialist (Hourly)Applylocations: West Hills, CAtime type: Full timeposted... ...PRIMARY PURPOSE****:** To analyze claims and determine benefits due ensuring compliance with plan... ...medical evaluations; to negotiate settlements and to make claim payments and revisions...ClaimsHourly payWork at officeLocal areaFlexible hours$72.5k - $108.8k
...largest providers of employee and government benefits, helping approximately 50 million... ...at least 2 days per week. The Senior Case Manager I, LTD conducts the review and investigation,... ...and management of long-term disability claims. The Senior Case Manager I, LTD acts independently...ClaimsContract workWork experience placementWork at officeLocal areaFlexible hours2 days per week- ...work model with in-office collaboration at least 2 days per week. The Senior Case Manager I, LTD conducts review and investigation, determines liability, and manages long-term disability claims. This role mentors less experienced analysts and supports segment reviews....ClaimsWork at office2 days per week
$95k - $105k
...Workers' Compensation Specialist AEGIS Insurance Services... ...Workers' Compensation claims at the excess level,... ...assistance and case management direction to... ...evaluation, negotiation, settlement and defense of claims... ...time off and additional benefits: Health &...ClaimsWork experience placementWork at officeImmediate start- The Field Reimbursement Specialist is a critical field-... ...policies, medical device benefit structures, prior authorization... ...appeals processes. Case Management &... ...helping to navigate denied claims, and coordinating with... ...periods. #J-18808-Ljbffr Perspectum Diagnostics Ltd.ClaimsWork at officeWork from homeRelocationHome officeNight shift
- ...Job Title: Insurance Case Manager About Us: Waterview Nursing Care Center is a leading... ...: Prepare and submit insurance claims, appeals, and other documentation as needed... ...and families regarding insurance benefits and coverage. Address any insurance-related...ClaimsFull timeTemporary work
$18 per hour
...will have a strong understanding of medical claims billing, denial management, and insurance... ...when possible. Follow up on assigned cases and work queues within the organization.... ...Ability to read and interpret Explanation of Benefits (EOBs). Excellent written and verbal...ClaimsWork at officeShift work$60k - $85k
...handle every step of pre-lit, from intake and claim opening to medical records, lien... ..., and demands, with humans leading every case. We’re backed by Sequoia, Redpoint, and... ...5,000 annual salary + equity Additional benefits include: 100% coverage for health, dental...ClaimsWork at officeFlexible hours$50k
...process service requests, assess benefits coverage, and manage through... ...to therapy. The Benefits Specialist works in a dynamic and compassionate... ...PharmaCord Lynk, to complete claims processing and keep workflows... ...regarding the status of cases. Provide consultative...ClaimsFull timeTemporary workWork at officeImmediate start- The CareIQ Intake Specialist provides administrative customer service... ...to claimants, providers, and claims management by receiving and entering... ...system Ensures all case stakeholders are updated regularly... ...(ACE-IT!). A comprehensive benefits package is available for full...ClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workMonday to FridayFlexible hoursShift work
$23.17 - $32.44 per hour
...YOUR PURPOSE The BSA & Fraud Specialist II conducts Anti-Money Laundering... ..., alerts, reports, and cases to identify suspicious or fraudulent... ..., assisting with bond claims, and maintaining files. File... ...education, and skill level. Benefits, Perks, and Other Good Stuff...ClaimsFull timeContract workPart timeWork experience placementRemote work$20 - $36 per hour
...people with the care, pharmacy benefits, dataand resources they need... ...& Reimbursement Pharmacy Specialist will be responsible for the benefit... ...initiation of pharmacy claims. To ultimately obtain patient... ...beginning employment. #RPO #GREEN #J-18808-Ljbffr RXinsider LTD.ClaimsHourly payMinimum wageFull timeTemporary workWork experience placementLocal areaRemote workMonday to FridayShift work$57.72k
...available. Continuous if date is blank. Job Posting Title Case Management Specialist Agency 695 OKLAHOMA TAX COMMISSION Supervisory Organization... ...tax compliance and believe it is the career for you! Benefits Generous state-paid benefit allowance to help cover insurance...Full timePart timeWork at officeRemote workMonday to FridayFlexible hours- ...with speed and precisionClaims Solutions — supports end-to-end claims handling with analytic and automation tools that streamline workflow... ...Analytics is an equal opportunity employer.Verisk invests in a benefits package for all employees that includes the following: Health...ClaimsContract workFor contractors
$68.43k - $82.92k
## Senior Specialist, Benefit OperationsTampa - FL - USFind out how well you match with this job**Working with Us** Challenging. Meaningful. Life... ...and provide resolution to Tier 2 benefits operations cases.Oversee the daily administration of company benefits programs...Hourly payFull timeTemporary workPart timeFor contractorsSummer workLive inWork at officeLocal areaRemote workFlexible hoursShift work- ...our mission-driven team! At Matthew 25, we’re proud to offer a benefits package designed to support our employees both professionally and... ...and hope in every interaction.” Overview: Provides medical case management services under the Kentucky HIV/AIDS Care Coordination...Local area
- ...Law Group is seeking an experienced Intake Case Manager to join our growing Personal... ...receive exceptional support while helping move claims efficiently toward resolution. The ideal... ...for Personal Injury Protection (PIP) benefits. Assist clients with property damage matters...ClaimsTemporary work
$20 - $24 per hour
...Accurately post payments, adjustments, and denials from Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to the... ...timely manner. Ensure all transactions are balanced daily. ERA and Claim Management: Proactively identify and resolve ERA gaps (...ClaimsHourly payRemote workFlexible hours- ...drive measurable business value.As a Sr. Specialist, Experiential Marketing - Engagement... ...precisionClaims Solutions — supports end-to-end claims handling with analytic and automation... ...employer.Verisk invests in a benefits package for all employees that includes...ClaimsWork at office2 days per week3 days per week
$17.63 per hour
Ogden Clinic is seeking a Claims Specialist to support the business office under the direct supervision of the... ...operations. We offer competitive pay, comprehensive benefits, and a schedule with no nights or weekends in most cases. Starting pay is $17.63+ per hour, with merit...ClaimsHourly payWork at officeWeekend work- Join our U.S. Benefits Design and Strategy Team as a Senior Associate! Our U.S. Benefits Design and Strategy team is responsible for evaluating... ....Leverage medical and health care data sets, such as medical claims, within a data warehouse to glean insights on program / plan...ClaimsVisa sponsorship
- ...business outcomes.We are seeking a Sr. Specialist, Experiential Marketing - Event Planning... ...precisionClaims Solutions — supports end-to-end claims handling with analytic and automation... ...employer.Verisk invests in a benefits package for all employees that includes...ClaimsWork at officeShift work2 days per week3 days per week
- ...Follow up on billing discrepancies, prepare documents for audits and claims reviews. • Caseload may change based on operational need. •... ...meetings for approximately 20-30 individuals in an assigned case load. • Develop Residential Habilitation Plans/ Staff Action Plans...Claims
- ...IncRegular**Aviation Machinist - C-130 Specialist****Job Summary**We are seeking a... ...created pursuant to the Alaska Native Claims Settlement Act, in accordance with Title 43 U.S.... ..., termination, reduction in force and benefits. **REASONABLE ACCOMMODATION** It is Calista...ClaimsContract workApprenticeshipLocal areaFlexible hoursNight shift
- ...Job Title: A/R Specialist Department: Revenue Cycle Management Reports to: A/R Manager FLSA... ...efforts to quickly resolve unpaid dental claims. Ensures all dental insurance related... ...Understands dental terminology, explanation of benefits, dental billing protocols and coding...ClaimsFull timeContract workTemporary workPart timeWork at officeRemote workFlexible hours
- The Ward Law Group is seeking an experienced Intake Case Manager to join our growing Personal Injury team. This role guides clients through... ..., ensuring they receive exceptional support while helping move claims toward resolution. The ideal candidate has strong PI experience,...Claims
$130k - $170k
...will handle personal injury cases from intake through trial. This... ...draft motions, and negotiate settlements. Responsibilities Manage a... ...liability, and other negligence claims. Conduct client consultations... ...approach to legal advocacy Benefits $130,000 to $170,000 base salary...ClaimsWork at office- We are hiring an Eligibility Verification Specialist to verify patient insurance coverage and benefits before services are rendered. This role is critical in preventing claim denials and improving patient experience. Key Responsibilities Verify patient insurance eligibility...Claims
- ...Services is seeking an Insurance Follow-up Specialist to review and manage hospital and... ...role supports denial management, secondary claims, and patient communications in a remote home... ...Outlook and MS Teams. #J-18808-Ljbffr Omega Healthcare Management Services Pvt. Ltd.ClaimsRemote jobHome office
$22 - $25 per hour
...Reimbursement Specialist# Reimbursement SpecialistEnlightened Solutions, LLC (ES) - Administrative... ...receivable reports, appeals, corrected claims, and reconsiderations within payer... ...incentive programs, and a comprehensive benefits package including:* Health and wellness...ClaimsHourly payWork at officeImmediate start
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