Client Resolution Specialist: Complex Claims Expert
WebTPA
WEB-TPA, Inc. in San Antonio is looking for a Client Resolution Specialist to enhance customer service by resolving complex client issues. Responsibilities include managing customer inquiries, providing expert assistance, and supporting the customer service team. Ideal candidates should have 1+ years in customer service and a high school diploma. Benefits include medical, dental, vision, retirement plans, and flexible schedules. Join us to make a difference in the healthcare space. #J-18808-Ljbffr
- ...GuideWell is seeking a Client Resolution Specialist in San Antonio, TX. This role focuses on resolving client-related issues and providing support for complex customer service inquiries. The ideal candidate will have over a year of customer service experience, knowledge...ClaimsFlexible hours
- ...GuideWell Mutual Holding Corporation is looking for a Client Resolution Specialist in San Antonio, TX. This entry-level position involves handling inbound customer calls and resolving complex client-related issues. Candidates should have at least 1 year of experience in...ClaimsFlexible hours
- ...plans. What is your impact? The Client Resolution Specialist is an entry level position that maintains... ...‑related issues and providing expert‑level resolution to complex cases. This may include... ...support: Primary client contact for claims and customer service issues and question...ClaimsTemporary workPart timeWork experience placementMonday to FridayFlexible hours
- A healthcare services provider in San Antonio is seeking a Claims Consultant to analyze complex problems related to claim payments and eligibility. The ideal candidate will have at least five years of experience in HMO/PPO claims, be knowledgeable of benefit programs,...Claims
- ...A leading risk and claims administration partner is seeking a skilled... ...involving serious injuries and complex coverage scenarios. The ideal candidate... ...develop strategies for case resolution, engage with legal counsel, and coordinate with clients, all while maintaining a focus...Claims
$75k - $100k
...Job Description Complex Bodily Injury Adjuster - Commercial Trucking... ...Adjusters to join a dynamic claims team. This role involves... ...coverage, and determine appropriate resolutions, including settlement or... ...able to handle challenging client interactions. Self-sufficient...Claims- ...seeking an Injury Adjuster to manage soft tissue bodily injury claims in San Antonio, TX. This hybrid position requires 3 days in... ...and collaborating with various stakeholders to ensure timely resolutions. This position also requires participation in CAT response operations...ClaimsWork at office
- A leading property advisory firm in San Antonio, TX, is seeking a Certified General Appraiser to complete complex appraisal assignments efficiently. The role requires a Bachelor's degree and a minimum of 3 years’ experience in commercial appraisal. Key qualifications include...
$75 per hour
A leading risk and claims administration partner is looking for a Field Adjuster based in... ...insurance adjusting experience, handling complex loss valuations. Responsibilities include... ...work in a dynamic environment focused on client care and collaboration. Relevant professional...ClaimsHourly pay- ...Representatives to support diverse client projects across industries.... ...to manage accounts, process claims, and update records.... ...and consistency. Escalate complex issues to supervisors when necessary... ...goals including first-call resolution and customer satisfaction....ClaimsRemote jobFull timeTemporary workCasual workWork at officeLocal areaShift work
- ...investigate, evaluate, and negotiate auto claims, CPI and GAP, to determine the extent of... ...for multiple lines of business and more complex coverage types of CPI and GAP. Why... ...claims questions regarding claim status and resolution. Maintains an effective claims...ClaimsWork at office
$46.22k - $52.9k
...communication skills to accurately adjudicate PFML claims. As Ability Analyst, you will play a... ...a caseload of PFML claims of moderate complexity, ensuring each claim is handled with... ...of PFML claims from intake through resolution. Conduct thorough reviews of medical...ClaimsTemporary workWork experience placementWork at officeRemote work3 days per week$50k - $55k
...Financial Services & Insurance Claims Representative, Auto PRIMARY... ...prompt and appropriate resolution. Identifies and pursues subrogation... .../processing with insured, client, and agent or broker when appropriate... ...for the rapidly changing and complex risk landscape. For more, see...ClaimsContract workWork at officeFlexible hours- ...organized and detail-oriented Assistant to a Complex Litigation Adjuster to support high-exposure and complex claims. This is an excellent opportunity for a legal... ...pleadings, medical records, discovery materials, and expert reports Coordinate communications with...ClaimsWork at office
$16 - $22 per hour
...members regarding their benefits. Focus on the quality of each call and being able to multitask with complex calls. Research information regarding deductibles, claim status, providers, etc. Answer questions about Medicare and Medicaid. Provide excellent...ClaimsHourly payRemote work$75k - $90k
...Services & Insurance Claims Examiner - Auto - Commercial... ...to adjudicate complex customer claims in the... ...customer-facing solutions to clients who represent... ...broad, global network of experts to both learn from and... ...prompt and appropriate resolution. Identifies and pursues...ClaimsRemote workFlexible hours- ...Analyst manages disputed or denied claims by analyzing medical records and... ..., and terms. Negotiate Resolutions: Communicate with payers to resolve... ...prioritization skills, capable of managing complex and high-priority projects concurrently. Expert proficiency in Microsoft Word,...ClaimsFull timeContract workWork at officeShift work
- ...this job is to ensure account resolution and reconciliation of... ...Functions as a subject matter expert in support of other PFS team... ...payer to verify coverage, submit claims, and follow up on appeals, underpayments... .... Investigate and resolve complex payment denials inclusive of...ClaimsFull timeContract workRemote workMonday to Friday
- ...San Antonio, TX is seeking a skilled Medical Billing Accounts Receivable Specialist with a strong background in A/R and experience in AdvancedMD. In this role, you will manage outstanding claims, resolve denials, and ensure accurate reimbursement. Ideal candidates should...Claims
$85.04k - $162.55k
...Injury Examiner , you will be responsible to adjust complex auto and homeowner bodily injury claims, UM/UIM , and small business claims to include... ...internal business partners to facilitate timely claims resolution. Serves as a resource for team members on complex...ClaimsContract workH1bWork at officeRemote work3 days per week$51.37k - $92.06k
...and framework, you are responsible to adjust moderately complex auto insurance claims presented by or against our members to include the end-to... ...external and internal business partners to facilitate claims resolution. Supports members, business partners, and claimants,...ClaimsFull timeH1bWork at officeRelocation packageAfternoon shift3 days per week$26 per hour
...expectation is to empathize and clearly communicate complex technical solutions to dealers, distributors, or pool... ...service visits and follow up on open service cases to resolution Process parts orders, warranty claims, returns (RMAs), and service documentation as required...ClaimsHourly payFull timeWork at officeMonday to FridayShift work$63.59k - $121.53k
...framework, responsible to adjust attorney involved moderately complex bodily injury claims to include confirming coverage, determining liability,... ...internal business partners to facilitate timely claims resolution. Supports workload surges and/or Catastrophe Operations as...ClaimsContract workH1bWork at officeRemote workRelocation package3 days per week$57.97k - $97.82k
...tissue bodily injury or auto PIP/MP medical claims to include confirming coverage,... ...'ll do: Adjusts soft tissue, moderately complex and complex 1st party PIP/MP medical claims... ...business partners to facilitate timely claims resolution. Delivers a best-in-class member service...ClaimsContract workH1bWork at officeRemote workRelocation packageMonday to FridayAfternoon shift3 days per week- ...Hear From You! Now Hiring: Senior Patient Account Specialist San Antonio, TX 3-Month Contract Onsite... ...Cycle and Patient Account Specialists to help resolve complex healthcare claims and drive account resolution for a leading healthcare organization. What You'...ClaimsContract workImmediate startMonday to Friday
$69.92k - $133.62k
...As a dedicated Property Adjuster Specialist , you will work within established... ...investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members... ...to facilitate complex claims resolution. May also involve external...ClaimsHourly payFull timeH1bWork at officeLocal areaRemote workRelocationAfternoon shift3 days per week- ...efficient manner. The primary purpose of this Job is to ensure account resolution and reconciliation of outstanding balances for CHRISTUS Health... ...written and verbal communication. Billing Review and work on claim edits. Works payor rejected claims for resubmission. Works...ClaimsFull timeWork at office
- ...Company Prestigious provider of risk & claims management services Industry... ...refining solutions to meet current and future client challenges, as well as supporting sales and... ...capabilities, and the ability to manage large, complex programs are essential. The role requires...Claims
$54.38k - $103.87k
...investigate, evaluate, negotiate, and settle low to moderate complexity property insurance claims. You will confirm/analyze coverage, recognize liability... ...to facilitate low to moderate complexity claims resolution. May also involve external regulatory coordination to ensure...ClaimsHourly payFull timeH1bWork at officeLocal areaRemote workRelocation packageMonday to FridayShift workAfternoon shift3 days per week- ...to support Revenue Cycle operations and ensure timely, accurate resolution of patient accounts and outstanding balances. This role plays a... ...within patient accounting systems. Billing Review and correct claim edits. Resolve rejected claims and prepare for resubmission. Process...ClaimsFull timeWork at officeWeekend work
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