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
- ...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....ClaimsLocal area
$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...ClaimsHourly payRemote work- ...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...ClaimsWork at officeWork from home
$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%...ClaimsContract workWork at officeLocal areaRelocation packageWeekend work- ...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...ClaimsHourly payWork experience placementSeasonal workWork at officeLocal areaImmediate startFlexible hoursShift workAfternoon shift
- ...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...ClaimsRemote work
- ...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...ClaimsRemote work
$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...ClaimsContract workWork at officeLocal areaFlexible hours$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...ClaimsHourly payTemporary workWork at officeLocal areaFlexible hours- ...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...ClaimsContract work
- ...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...ClaimsLive inWork at officeRemote work
$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...ClaimsFor contractorsWork at officeLocal area- ...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...ClaimsFlexible hours
- ...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...ClaimsWork at officeRemote work
- ...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...ClaimsRemote work
$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....ClaimsRemote work- ...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...ClaimsFlexible hours
- ...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...ClaimsRemote work
- ...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...ClaimsRemote workFlexible hours
$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...ClaimsRemote workFlexible hours$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- ...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
- ...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,...ClaimsContract workTemporary workLocal areaMonday to FridayShift workWeekend work
$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...ClaimsRemote workFlexible hours$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.ClaimsLocumRelocation packageMonday to FridayWeekend workAfternoon shift$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!...ClaimsFull timeImmediate start- ...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...ClaimsWork at office
- ...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...ClaimsMonday to Friday
- ...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...ClaimsHourly payFor contractors
- .... 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...ClaimsFull time
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