Senior Health Claims Specialist: Complex Adjudication
$18.5 - $42.35 per hourHispanic Alliance for Career Enhancement
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 and the ability to manage multiple assignments efficiently. The position offers a full-time opportunity with a pay range of $18.50 - $42.35 per hour, depending on experience and qualifications. Comprehensive benefits are also included. #J-18808-Ljbffr
$18.5 - $42.35 per hour
CVS Health is hiring a Medical Claims Processor in Oklahoma. This full-time position involves reviewing complex medical claims and providing expertise to ensure compliance with guidelines. The ideal candidate should have 18 months of experience in medical claim processing...SeniorHourly payFull time$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...SeniorHourly payFull 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...SeniorHourly payFull time$140k - $170k
...Senior Complex Claims Specialist Build a brilliant future with Hiscox Bring your passion and enthusiasm... ...coverage and severity. This person adjudicates assigned claims within given... ...company matching ~ Comprehensive health insurance, vision, dental and FSA plans...SeniorTemporary workWork at office2 days per week$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...SeniorHourly payFull timeWork experience placementLocal areaRemote work$124k - $160k
...Insurance is seeking a Public Entity Professional Liability Complex Claims Specialist to manage complex claims effectively. You will support... ...60,000, along with an extensive benefits package including health care plans, retirement savings, and paid time off. #J-18808...Senior- ...Beacon Technologies seeks a Sr. Claims Technical Specialist in Chicago to oversee complex claims evaluations and ensure compliance with policy terms. This role involves managing investigations, negotiating resolutions, and engaging with external legal counsel. The ideal...SeniorRemote work
- ...American Specialty Health Incorporated is seeking a Sr Reconciliation Representative to join our Reconciliation department. This remote position involves reconciling complex claims for payment and requires a High School Diploma or GED, alongside 2 years of claims processing...SeniorWork at officeRemote work
- ...American Specialty Health is looking for a Sr Reconciliation Representative to reconcile claims, including complex ones, in a remote work environment. Responsibilities include documenting comments in internal systems, making calls to health plans regarding claims, and...SeniorWork at officeRemote work
$80.96k - $135.52k
...Blue Cross Blue Shield of Michigan is seeking a Claims Specialist to independently handle complex claims with a focus on commercial trucking. This position requires a Bachelor's degree or equivalent experience and at least seven years in claims management, including leadership...Senior- ...AmTrust Financial Services, Inc. is seeking a Complex General Liability Claims Specialist in New York. The role involves evaluating coverage issues, ensuring thorough investigations, and employing effective negotiation strategies. The successful candidate must have a Bachelor...SeniorRemote work
- ...Liberty Mutual Insurance is looking for a Complex Workers Compensation Claims Specialist in the West Region. The role involves investigating and resolving claims, working with management, and collaborating with defense counsel on litigated files. Qualified candidates...Senior
- ...Senior Claims Specialist, Law Division The New York City Comptroller's Office works to promote the financial health, integrity, and effectiveness of New York City government. The Bureau... ...involving administrative appeals and complex legal and/or factual situations;...SeniorPermanent employmentFull timeWork at office
- BHSI has an exciting opportunity for a Complex Claims Professional in New York. This role involves managing and adjusting Casualty claims while ensuring high-quality customer service. The ideal candidate will have at least 5 years of Casualty claims experience, excellent...Senior
- A leading insurance company is seeking a Complex Cyber Claims Specialist in New York City. This role involves investigating and evaluating complex cyber claims, working closely with attorneys and experts. Candidates should have several years of experience in cyber claims...SeniorFlexible hours
$15 - $18 per hour
...ONE80 INTERMEDIARIES INC is seeking a Claims Coordinator to join their team in the United States. In this role, the successful candidate... ...policy provisions. The position requires handling moderate to complex claim issues and obtaining necessary documentation. The ideal...Hourly payWork at office- ...Insurance Administrative Solutions, L.L.C. is seeking a Health Insurance Claims Adjuster in Idaho. The role involves analyzing claims to determine... .... The ideal candidate will have at least 1 year of claims adjudication experience, strong research and communication skills, and...
$98k - $107k
...2,000 employers and health plans trust Maven's... ...Role Overview The Senior Associate, Claims and Benefits Analyst... ...responsible for resolving complex billing... ...understanding of claims adjudication, cost-share structures... ...the full platform and specialists, including care for...SeniorFull timeContract workWork at officeImmediate startRemote workFlexible hours3 days per week$108.8k - $163.2k
...The Hartford is seeking a Senior Claims Analyst to manage complex primary and excess financial lines claims. The role requires a Bachelor’s degree and... ...2-3 years of relevant experience, preferably in allied health or medical malpractice. This position offers a hybrid or...SeniorWork at officeLocal areaRemote work3 days per week- ...NYC Health + Hospitals seeks a Complex Care Coordinator to oversee patients with behavioral health issues in New York. Responsibilities include care management, coordinating services, and utilizing EMR systems for documentation. Candidates must have a master’s or bachelor...Senior
- ...Remote Jobs is seeking an experienced Audiologist Specialist 3 to join the UW Medicine Eastside Specialty Center. This full-time position... ...comprehensive audiologic care and independently managing a complex caseload in a patient-centered environment. The role requires...SeniorFull timeRemote work
$108.8k - $163.2k
...Sr Claims Analyst FL - CV08DE We’re determined to make a difference and are proud to be an insurance... ...shape the future. Global Financial Lines Senior Claims Analyst – Allied Health Professional Liability This role manages complex primary and excess financial lines claims...SeniorWork at officeRemote work3 days per week- RSC Insurance Brokerage, Inc. is seeking a Senior Claims Analyst in St. Louis, Missouri. In this role, you will be responsible for managing and analyzing complex claims across multiple lines of business while ensuring accurate and timely resolution. This position also...Senior
- ...Senior Claim Handler The Senior Claim Handler is responsible for all aspects of claim handling on a book of complex asbestos, long term exposure and environmental claims from first notice... ...personal accident and supplemental health insurance, reinsurance, and life insurance...SeniorWork at officeLocal area
- ...Employment Practices Liability Claims Professional This is not your average Claims role... ...damage investigations and evaluations on complex Employment Practices Liability insurance... ...insurance, personal accident and supplemental health insurance, reinsurance, and life...SeniorFull timeTemporary workWork experience placementLocal area
$151.06k - $181.25k
...Senior Technical New York Labor Law Claims Specialist Argo Group is an underwriter of specialty insurance products... ...profitability. This role will be adjudicating claims of general liability, third... ...the highest degree of technical complexity, potentially with major impact...SeniorLocal area- A leading insurance company is hiring a Senior Technical General Liability Bodily Injury Claims Specialist to adjudicate complex claims and negotiate settlements. This role requires at least seven years of experience in handling general liability claims and strong communication...SeniorWork at office
$100k
...unique coverage and claims-handling needs of businesses... ...Business Title(s): Senior Construction Defect Technical Claims Specialist Employment Type:... ...This role will be adjudicating our most complex construction defect claims... ...program-including health, dental, vision, 401(...SeniorFull timeLocal areaRemote work- ...care. We believe that Health care is a right, not a... ...primary care providers, specialists and participating... ...Position Overview As a Claims Adjustment Specialist... ...analyzing standard to complex post-paid healthcare claims... ...accuracy and adjust/adjudicate as needed using multiple...Contract workShift work
- ...Firstsource Healthcare is seeking a Sr. Revenue Cycle Billing Specialist to efficiently collect on aging medical insurance claims in a call center environment. This role involves filing claims, managing denials, and ensuring the integrity of each claim. The ideal candidate...Senior
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