Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Claims Customer Care Specialist

The Health Plan (THP)

The Health Plan (THP) in Charleston, West Virginia, seeks a CDS Representative responsible for processing payment requests for Consumer Driven Product lines while managing customer inquiries professionally. The ideal candidate should possess a high school diploma and demonstrate strong problem-solving, Microsoft Office proficiency, and attention to detail. This full-time position offers a schedule of 8:00am – 5:00pm, requiring adaptability to changes and a positive attitude. #J-18808-Ljbffr

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Claims Customer Care Specialist in Charleston, WV vacancy
  •  ...local insurance agency in Charleston, West Virginia, is seeking a Customer Service Representative to deliver exceptional customer...  ...will answer inquiries, assist with policy changes, and process claims, requiring strong communication skills and attention to detail.... 
    Claims
    Local area

    State Farm Agent

    Charleston, WV
    1 day ago
  • $15k

    A leading claims management company is seeking an Experienced Desk Adjuster to manage claims valued up to $15,000. After training, this remote role involves evaluating insurance claims, conducting thorough investigations, and negotiating settlements. Candidates should... 
    Claims
    Hourly pay
    Remote work

    Sedgwick

    Charleston, WV
    4 days ago
  •  ...Bilingual Customer Service Representative Start your career journey with energy, teamwork...  ...enrollment, third party liability, claims attachments). Having a comprehensive understanding...  ...Assisting members on gaining access to care by locating a network dentist or... 
    Claims
    Work at office
    Work from home

    IBEX

    Charleston, WV
    1 day ago
  • $5,000 per month

     ...Matches dollar for dollar up to 2% of base pay Moving Expense: $10,000 paid to moving company. Malpractice Insurance Coverage: in a claims made insurance, in an amount of $1,000,000, per claim/$3,000,000, aggregate. Bonus Incentives: excellent bonus incentives up to 30%... 
    Claims
    Contract work
    Work at office
    Local area
    Relocation package
    Weekend work

    The Curare Group

    Charleston, WV
    2 days ago
  •  ...and delivers a distinctive and delightful customer experience. Registers sales on...  ...Processes (corrects and resubmits) manual claims for third party program prescription services...  ...responsibilities (monitors orders in Picture Care Plus, fills orders (pick items), delivers... 
    Claims
    Hourly pay
    Work experience placement
    Seasonal work
    Work at office
    Local area
    Immediate start
    Flexible hours
    Shift work
    Afternoon shift

    Walgreens

    Charleston, WV
    4 days ago
  •  ...grow your career with us, experience our caring culture, and enjoy work-life balance. Here...  ...for a specific Line of Business or claims domain. This role partners directly with...  ...understand workflow bottlenecks, leakage drivers, customer friction points, regulatory risks, and... 
    Claims
    Remote work

    Sedgwick

    Charleston, WV
    3 days ago
  •  ...unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to...  ...advanced statistical and machine learning models that improve claims outcomes, operational efficiency, and risk management. Serve... 
    Claims
    Remote work

    Sedgwick

    Charleston, WV
    7 hours ago
  • $50k - $55k

     ...unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to...  ...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto PRIMARY PURPOSE OF THE ROLE: To analyze and... 
    Claims
    Contract work
    Work at office
    Local area
    Flexible hours

    Sedgwick Law

    Charleston, WV
    4 days ago
  • $22.3 - $35.2 per hour

     ...research, developing payment plans with customers, and building relationships of trust with...  ...ensuring accurate and timely processing of claims, including denials and the maximization...  ...CPT, HCPCS, Medicare, Medicaid, Managed Care preferred. Strong knowledge of AR processes... 
    Claims
    Hourly pay
    Temporary work
    Work at office
    Local area
    Flexible hours

    Cardinal Health

    Charleston, WV
    5 days ago
  •  ...training, back-office support, and highly-rated customer and client support to ensure your success...  ...dependable coverage with customer care that goes above and beyond. When you purchase...  ...every step of the way—from quote to claim. Company Description Freedom Warranty... 
    Claims
    Contract work

    Freedom Warranty

    Charleston, WV
    3 days ago
  •  ...licensed clinicians committed to delivering compassionate, effective care for individuals, couples, and families. We make this...  ...Admin Done for You ~ We handle credentialing, billing, claims, EHR, and tech support—so you can focus your time and energy on... 
    Claims
    Live in
    Work at office
    Remote work

    Rula Health

    Charleston, WV
    1 day ago
  • $23.16 per hour

     ...Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround...  ...controlling losses through effective managed care. This includes following a departmental...  ...claim information to TPAs, brokers, or customers utilizing the appropriate application and... 
    Claims
    For contractors
    Work at office
    Local area

    Highmark Health

    Charleston, WV
    1 day ago
  •  ...Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful client relations...  ...with policy changes and inquiries. Process insurance claims and follow up with clients on claim status. Coordinate with... 
    Claims
    Flexible hours

    Wade Walters - State Farm Agent

    Nitro, WV
    9 days ago
  •  ...Sedgwick, a global industry leader, is seeking a Liability Claims Associate to analyze lower-level liability claims. This remote position allows for flexibility while providing essential support in claims adjudication. The ideal candidate will have a high school diploma... 
    Claims
    Work at office
    Remote work

    Sedgwick

    Charleston, WV
    8 hours ago
  •  ...Sedgwick is looking for a Claims Representative to process low-level workers compensation claims in Charleston, West Virginia. The role involves determining benefits, negotiating settlements, and maintaining professional client relationships. No prior experience is... 
    Claims
    Remote work

    Sedgwick

    Charleston, WV
    5 days ago
  • $43k - $56.2k

     ...Humana Inc is seeking a Claims Research & Resolution Representative 3 to manage claims operations involving customer contact and settlement of claims. You will approve all claim settlements and perform advanced operational duties that require initiative and judgment.... 
    Claims
    Remote work

    Humana

    Charleston, WV
    1 day ago
  •  ...Sedgwick is seeking a Claim Adjuster in Charleston, West Virginia, to analyze general liability claims on behalf of clients. You will ensure claims are adjudicated within service expectations and industry best practices. The ideal candidate must have at least 4 years of... 
    Claims
    Flexible hours

    Sedgwick

    Charleston, WV
    2 days ago
  •  ...Carrington is seeking a Loss Mitigation FHA Claims Specialist to work remotely. The role involves preparing and following up on FHA home retention claims, ensuring compliance with investor guidelines, and managing workflow efficiently. Ideal candidates should have a high... 
    Claims
    Remote work

    Carrington

    Charleston, WV
    2 days ago
  •  ...A leading claims management firm is seeking a Claims Examiner for a remote position to analyze workers compensation claims on behalf of clients. Responsibilities include negotiating settlements, processing claims, and communicating with claimants. The ideal candidate... 
    Claims
    Remote work
    Flexible hours

    Sedgwick

    Charleston, WV
    5 days ago
  • $63.4k - $95k

     ...A leading claims management company is seeking a Claims Examiner to analyze California workers compensation claims for clients. The ideal candidate will have at least 5 years of claims management experience along with a High School diploma or GED, and preferably a Bachelor... 
    Claims
    Remote work
    Flexible hours

    Sedgwick

    Charleston, WV
    5 days ago
  • $50.29k

     ...and leave is accurate; preparing disciplinary and adverse action correspondence; processing FMLA; overseeing workers’ compensation claims; initiating processing for all leave of absences; utilizing state operating systems such as UKG, NeoGov, and OASIS; and serving as... 
    Claims

    State-of-West-Virgini

    Charleston, WV
    1 day ago
  •  ...you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations... 
    Claims

    Dreambound Inc.

    Charleston, WV
    1 day ago
  •  ...considered for a travel position. In order to receive travel rate, clinician’s claimed residence must match address on driver’s license. Unit Details: Pre-, intra-, and post-cardiac procedure care for left and right heart caths, PCI (primary and elective), IABP,... 
    Claims
    Contract work
    Temporary work
    Local area
    Monday to Friday
    Shift work
    Weekend work

    Trusted Health

    Charleston, WV
    1 day ago
  • $80k - $90k

     ...Role Overview This role requires an individual to analyze Lost‑Time Workers Compensation claims on behalf of clients to determine benefits due and ensure ongoing adjudication within service expectations, industry best practices, and specific client service requirements... 
    Claims
    Remote work
    Flexible hours

    Sedgwick

    Charleston, WV
    4 days ago
  • $1,000 - $5,000 per week

     ...Physiatrist to serve as the Medical Director of an inpatient rehab care unit. This 21-bed unit, featuring all private rooms, is located...  ...0. Bonus Incentives: excellent bonus incentives up to 10% of salary. Both internal and external admissions. Paid claims made insurance.
    Claims
    Locum
    Relocation package
    Monday to Friday
    Weekend work
    Afternoon shift

    The Curare Group

    Charleston, WV
    4 days ago
  • $3,600 - $8,200 per week

     ...week) The security deposit and company deposit are fully refundable when you leave the company after 45 days. (if we don't get any claims, accidents) Let me know if you have any more questions, my phone number: (***) ***-**** Max You can do better than you do now!... 
    Claims
    Full time
    Immediate start

    K1 TRANSFREIGHT INC

    Charleston, WV
    1 hour ago
  •  ...Great Fit as an Acquisitions Specialist at Elizabeth Carmichael - State...  ...ready to help. You genuinely care about your community and are...  ...first, then guide, making customers feel understood while confidently...  ...helping someone navigate a claim or personalize a plan, we believe... 
    Claims
    Work at office

    Elizabeth Carmichael - State Farm Agent

    Charleston, WV
    1 day ago
  •  ...firm in our Charleston, West Virginia office. MacCorkle Lavender PLLC provides a defense for a myriad of property and personal injury claims, for both businesses and individuals who may be insured or self-insured. Although we would prefer you have some insurance... 
    Claims
    Monday to Friday

    MACCORKLE LAVENDER PLLC

    Charleston, WV
    5 days ago
  •  ...Job Description Position Overview Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered...  ...availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer-focused... 
    Claims
    Hourly pay
    For contractors

    chris niewierowski - State Farm Agent

    Charleston, WV
    25 days ago
  •  .... Qualifications High School graduate or equivalent. Excellent customer service, telephone, and computer skills. Knowledge of medical coding...  ...provided by providers for accuracy and make edits prior to claim generation. Review insurance information and any payer specific... 
    Claims
    Full time

    Familycarewv

    Charleston, WV
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Claims Customer Care Specialist. Be the first to apply!