Claims Resolution Specialist
Independence Blue Cross
Independence Blue Cross in Philadelphia is seeking a claims examiner to ensure accurate and timely handling of Local, Commercial PA and AHNJ, and Government market claims. You will apply knowledge of claims processing systems and perform adjustments as needed. The role requires 1–3 years production experience, strong math and communication skills, and proficiency with Excel and Word. You will respond to inquiries, support special projects, and maintain quality standards. #J-18808-Ljbffr Independence Blue Cross
- PURPOSE STATEMENT The Claims Resolution Specialist is responsible for the accurate and timely submission of healthcare claims for hospital (facility) and/or physician (professional) services. This role ensures claims are properly prepared, validated, and released from...SuggestedWork at office
- POSITION OVERVIEW The Claims Resolution Specialist plays a critical role in the healthcare revenue cycle by ensuring the accurate and timely submission and resolution of insurance and patient claims. This position is responsible for claim billing, follow-up, and resolution...SuggestedWork at office
- Digitech is hiring a detail‑oriented Insurance Account Resolution Specialist to manage claims after submission to Medicare HMOs, Medicaid MCOs, and facilities. The role focuses on timely, accurate, and compliant resolution with thorough documentation in billing systems...SuggestedRemote jobMonday to Friday
- Digitech is seeking a Medicaid Account Resolution Specialist to resolve Medicaid claims after submission, ensuring accurate reimbursement and timely follow‑up. The role requires meticulous attention to detail, the ability to manage multiple priorities, and commitment to...SuggestedRemote job
- UniGroup, Inc. is seeking a Claims Service Representative to reunite customers with items reported during the moving process. Based on-site at the Des Peres, Missouri headquarters, you will investigate overages/shortages and coordinate across customers, agents, and internal...Suggested
- Responsible for accurate and timely handling of claim issues for Local and Commercial PA and AHNJ, and Government market. Applies and... ...inquiry; provide daily feedback, status updates and targeted resolution dates for more complex issues. Complete special projects and participate...Work experience placementWork at officeLocal 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... ...prioritize caseloads, ensuring timely resolution of claims. Excellent interpersonal and communication...Full timePart timeSeasonal workWork at officeRemote work$22 - $24 per hour
The Claims Specialist is responsible for reviewing, investigating, and processing claims accurately and efficiently in accordance with company... ...and customers to support fair, timely, and effective claim resolution. Schedule: Monday-Friday, 8:00am-4:30pm Compensation: $22-...Casual workWork at officeMonday to Friday$29.73 per hour
...chains in the country**Job Summary:**The Workers Compensation Claims Specialist works with a collaborative team of risk, safety, compliance,... ...to administer and manage claims from investigation through resolution and to reduce enterprise risk. Under general direction, the...Work experience placement$70k - $85k
The Claims Specialist is responsible for maintaining the company claims process from initial notice to resolution. This person in this position works closely with customers and insurance carriers, providing support and guidance to ensure a seamless experience throughout...Casual workWork at officeRemote work- Log and respond to all incoming cargo claims through the claims management system Report appropriate claims to the insurance carrier in a timely manner Develop action plans to move claims to resolution Responsible for the adjustment and handling of all cargo liability claims...Work at officeWorldwide
$135k - $155k
Company Details At Berkley Program Specialists, we are dedicated exclusively to program business... ...Specialists is seeking an experienced claims professional in Naperville, IL or... ...and EPLI claims from first notice through resolution. Evaluate liability, damages, coverage,...Full timeWork at office- Claims Specialist page is loaded## Claims Specialistremote type: Hybridlocations: Tulsa, OK (USA): Cincinnati, OH (USA)time type: Full timeposted... ...investigations, evaluate coverage and liability, and drive resolution strategies.* Represent the company in mediations,...Full timePart time
- ...Summit is who you turn to when you need a specialist who not only knows workers’ comp but... ...Manages a large inventory of highly complex claims to evaluate compensability/liability.... ...and prioritize caseloads, ensuring timely resolution of claims. Excellent interpersonal and...Full timePart timeSeasonal workRemote work
$70k - $120k
Old Republic Bitco Corporation is seeking a Sr. Claims Specialist, Workers' Compensation to join our regional office located in Pasadena,... ...determinations through investigation, reserving, evaluation, and resolution. The position ensures timely and effective claim handling in...Temporary workWork at officeRemote workFlexible hoursNight shift- AF Group seeks an intermediate workers’ compensation claims handler to assess coverage, determine compensability, and facilitate timely resolutions. You will review injuries, verify coverage, and determine causal links to ensure proper benefit payments, while supporting...
$58k - $73k
Associate Claims Specialist - Medical-Only - Workers Compensation #4891 Multiple Locations Job Description: As a member of our Claims team... ...for changes in life or work status, implied interest in resolution or marked increases in costs. Demonstrate commitment to Company...Permanent employmentRemote work- ...available to help our insurance carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include:... ...caseload of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-up...Remote jobFull timePart timeWork experience placementWork at officeWork from home
$49 - $53 per hour
...operations and partners with mortgage originators, processors and closers to qualify mortgage loans, clear closings and support resolution of complex underwriting scenarios. Additionally, this role will partner with borrowers and stakeholders to identify financing solutions...Hourly payRemote work- ...If the responsibilities interest you and believe you have met the requirements, we strongly encourage you to apply! Claims Verification Specialist (Entry Level) We're looking for someone detail-oriented to help make sure patient and insurance information is...Full time
$96k - $129k
...part in that transformation. You’ll work with some of the best claims and underwriting minds in the industry addressing challenging claims... ...insureds Formulate and execute strategies for favorable claim resolution; negotiate with insureds and third parties.Advise business...Full timeWork at officeFlexible hours- Currently, Chubb is seeking a Workers Compensation Lost Time Claims Examiner in our Alpharetta office. MAJOR DUTIES & RESPONSIBILITIES... ..., and execution of appropriate strategies to bring early resolutions to assigned claims. Recognize and properly address coverage issues...Full timeTemporary workWork at officeLocal areaImmediate start
$36 - $40 per hour
...engineering applications and automated control systems. Job Summary This position manages workers’ compensation and auto liability claims, supporting safety initiatives and insurance claims activities. It will actively manage the workers’ compensation claims process...Hourly payFor contractorsWork at officeFlexible hours- ...Kendall Auto Group in Marysville is seeking a Warranty Administrator to join our Service team. This role involves processing warranty claims and ensuring accuracy in documentation. Ideal candidates will have 1-2 years of experience in warranty administration and strong...
$152.4k - $219.6k
...up to 6 adjusters. The Environmental team provides specialized claim handling for Chubb insureds nationwide regarding environmental... ...This position will:Assist team members develop and execute claim resolution strategies.Train, develop and manage the team by developing and...For contractorsLocal area- We're Hiring: Claims Specialist - Liability This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise. Why Join Crawford & Company? Excellent Crawford Benefits that Empower Financial, Physical, and...Temporary work
$61.9k - $96.1k
...Summary Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Mid Corp Casualty Team as a Claims Examiner,... ...the handler's care Develop and implement timely and accurate resolution strategies to ensure mitigation of indemnity and expense exposures...Temporary workWork experience placement- ...job opportunities are posted here as they become available. The Claims Analyst partners with internal colleagues, external customers,... ...goals Research claims to determine appropriate action for claim resolution based on warranty, inspection report, lab results, input from...
$70k - $90k
...Risk please visit Responsibilities The Workers’ Compensation Claims Representative III is responsible for the analysis and management... ...action plan to bring the claim to an appropriate and timely resolution Prepares necessary state filings within statutory limits Actively...Full time$19 - $23 per hour
...but not limited to: Configure,implementand administer a robust claims quality and auditingprogram Establish best practice claims paymentmethodologybased... ...hiring, training, scheduling, workallocationand problem resolution Responsible for performance evaluation of team members and...Hourly payFull time
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