Senior Health Claims Specialist: Complex Adjudication
$18.5 - $42.35 per hourHispanic Alliance for Career Enhancement
Hispanic Alliance for Career Enhancement in North Carolina seeks a dedicated Medical Claims Specialist. This full-time role involves reviewing and adjudicating complex medical claims, ensuring compliance with policies and regulations, and mentoring team members. Candidates should have at least 18 months of experience in medical claim processing and a strong attention to detail. The competitive pay range for this position is $18.50 - $42.35 per hour, with comprehensive benefits including medical and retirement options. #J-18808-Ljbffr
$18.5 - $42.35 per hour
We're building a world of health around every individual - shaping a... ...Position Summary Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established... ...specified claims and those that exceed specialist adjudication authority or...SeniorRemote jobHourly payFull timeWork experience placementLocal area$23.16 per hour
...Excess Risk and Reinsurance) claims in accordance with established... ...reviews and analyzes various complex potential claims with... ...Determines whether to pend or adjudicate claims following organizational... ...relevant, progressive experience in health insurance claims 3 years of...SeniorFor contractorsWork at officeLocal area$132.8k - $219.1k
...you do it. Job Category Claim Compensation Overview... ...factors, including the scope, complexity and location of the role; the... ...Support: Some Complex Claim Specialists may be responsible for all or... ...What Is in It for You? Health Insurance : Employees and their...SuggestedLocal area$69.6k - $92.4k
...Summit is who you turn to when you need a specialist who not only knows workers’ comp but... ...Responsibilities Manages an inventory of claims to evaluate compensability/liability. Plans... ..., or trials. Conveys moderately complex information regarding coverage and settlements...SeniorFull timePart timeSeasonal workWork at officeRemote work$67.9k - $182.55k
We’re building a world of health around every individual - shaping a more connected, convenient... ...on earned premium and incurred claims. Approves medical underwriting exceptions... ...balancing turnaround SLAs against case complexity and account ownership. For this role you...SeniorHourly payFull timeTemporary workLocal area- ...A specialty insurance provider is seeking a Workers' Compensation Claims Adjuster for a temporary assignment to adjudicate complex claims in the mining sector. The role is flexible with working remotely from anywhere in the continental U.S. Responsibilities include investigating...Hourly payTemporary workRemote workFlexible hours
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...Management Liability Senior Claims Specialist IAT Insurance Group has an immediate opening for a Management Liability Senior Claims Specialist that can be located in any of our IAT locations. This role works a hybrid schedule that requires working from the office Monday...SeniorWork at officeImmediate startRemote workVisa sponsorship- ...offering innovative system-level solutions. The ideal candidate will have over 12 years of experience in the energy sector, excelling in complex sales and project management. Join us to shape integrated power systems with a company committed to sustainability and innovation...Senior
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Hall CPA LLC in Raleigh, North Carolina is seeking a Real Estate Senior Tax Associate to conduct reviews of various tax returns,... ...client consulting, and mentor staff. The role includes preparing complex tax returns, conducting technical reviews, and ensuring timely...Senior- A leading advisory firm in Raleigh, NC seeks a Tax Senior Manager to provide strategic leadership for complex tax engagements. Ideal candidates should have over... ...competitive benefits including paid time off and comprehensive health coverage. #J-18808-Ljbffr Sorren, Inc.Senior
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Medium is seeking a Senior Process Safety Engineer or Chemical Engineer in Raleigh, North Carolina. This role involves leading compliance investigations and managing complex engineering projects related to safety regulations. The ideal candidate should have 10-15 years...Senior- Dormont Manufacturing Co in North Carolina is seeking a Research Senior Associate to support health and rehabilitation sciences through research and instructional support. The role involves complex laboratory experiments and method development in immunology. Ideal candidates...SeniorFull time
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Marathon Health Inc is seeking a Client Success Manager II to develop and maintain partnerships with medium to large clients in North Carolina. This role involves managing a complex book of business, leveraging data for insights, and ensuring client satisfaction through...Senior- A reputable engineering consulting firm is seeking a Senior Structural Engineer to lead structural engineering efforts on complex projects. This role involves providing technical leadership, overseeing design and analysis, and mentoring junior staff. Candidates should...SeniorRemote work
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- ...Bachelor's Degree in a relevant field and clinical laboratory experience, particularly in moderate and high complexity testing. Join a dedicated team focused on improving community health since 1961, with opportunities for leadership and mentorship. #J-18808-Ljbffr Direct JobsSenior
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PNC is searching for a Project Manager III to oversee complex projects within their Corporate Change Management organization. The role involves leading project teams, managing resources, and ensuring project completion within timelines. Candidates should have a Bachelor...Senior- A leading health services company is seeking a Senior Manager, Business Analytics to enhance mental well-being through data insights. This role involves translating complex data into actionable strategies, collaborating with cross-functional teams, and developing robust...SeniorRemote jobFlexible hours
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