Senior QA Specialist Long-Term Care Claims
Wellcove
WellCove in Pensacola, Florida, is seeking a quality review specialist to ensure accuracy in LTC Insurance operations. The role involves reviewing transactions, maintaining billing standards, and ensuring compliance with HIPAA regulations. The ideal candidate will possess in-depth insurance knowledge, exceptional customer service skills, and a meticulous attention to detail. Proficiency in MS Word and Excel is required. Join our fast-paced environment and contribute to our commitment to excellence. #J-18808-Ljbffr
$100k - $130k
...Arlo is seeking a Senior Case Manager to oversee the medical journeys of their members.... ...patients to ensure they receive the right care at the right time. The position requires... ...responsibilities ranging from reviewing claims data to coordinating care with providers....SeniorClaims- A leading medical claims company based in the United States is seeking a Clinical Reviewer to evaluate and ensure the accuracy of medical billing and coding. Ideal candidates will have a CPC, APCC, CMBS, or DRG certification and previous experience in a medical office...ClaimsExtra incomeWork at officeRemote workFlexible hours
$87.5k - $129k
...Sedgwick Claims Management Services Ltd is seeking a Sr. Claims Specialist for Professional Liability work. This role involves analyzing complex medical malpractice claims, negotiating settlements, and coordinating legal defenses while ensuring high levels of customer...SeniorClaimsRemote work- ...leading healthcare company is seeking a Senior Clinical Data Analyst to join their Scientific... ...team. This role influences patient care through data analysis and scientific writing... ...SQL and provide insights that impact claims and peer-reviewed publications. Competitive...SeniorClaims
$65k - $90k
Dane Street is looking for a Clinical (RN) QA Specialist specializing in Disability to join our team. The role involves assessing long-term disability claims, ensuring quality of physician reports, and providing outstanding customer service. The ideal candidate will have...ClaimsRemote job- ...Dexcom Inc. is seeking a Sr. Medical Affairs Specialist to provide medical guidance and review promotional materials from its Commercial... ...closely with various departments, ensuring the accuracy of medical claims and efficiently supporting promotional reviews for North...SeniorClaimsRemote work
- ...Eventus WholeHealth is seeking a Medical Billing & Coding Specialist responsible for processing and submitting medical claims for reimbursement in a timely manner. Applicants should have a high school diploma, at least 10 years of billing experience, and a CPC certification...SeniorClaims
$20 - $23 per hour
...government or commercial healthcare insurance receivables. Key responsibilities include verifying eligibility, researching unpaid claims, and contacting payers for secure payments. The ideal candidate will have 2-3 years of relevant medical collections experience and...SeniorClaimsHourly pay- ...Nurse Case Manager Senior - Field Nurse Work location: This field-based role is located... ...hours of receipt. Responsibilities Provide care management for members with complex and chronic... ...in problem‑solving with providers, claims, or service issues. Coordinate referrals...SeniorClaimsFull timeWork at officeLocal areaMonday to FridayAfternoon shift
- ...Remote position for accomplished Med Mal Lit Specialist/Excess Examiner. Investigate, evaluate and resolve professional lines claims and lawsuits of a severe and complex... ...malpractice claims and litigation for hospitals, long term care facilities and rehabs, visiting nursing...SeniorClaimsWork experience placementRemote work
$87.6k - $144.55k
...the contiguous United States. This position supports the Senior Living/Long-Term Care segment of our medical professional liability line of... ...collaborate with colleagues in all disciplines including Actuarial, Claims, and Risk. Adhere to Letter of Authority without exception...SeniorClaimsWork at officeRemote work$65k - $90k
...motivated candidates to join our team as a Clinical (RN) QA Specialist, specializing in Disability. We offer an exciting work environment... ...Specialist, you will leverage your expertise in long‑term disability claims to review and ensure the accuracy and completeness of reports...ClaimsTemporary workWork from home- ...Neolytix is looking for a Medical Billing Specialist to accurately post medical charges and payments, manage claims with insurance companies, and ensure compliance with regulations in a rewarding role that offers the opportunity to work from home. Responsibilities include...ClaimsRemote work
$110k - $125k
...Allied World is seeking a Sr. Claims Analyst in New York to investigate and resolve claims related to primary and general liability policies. The ideal candidate will have at least four years of experience in managing liability insurance claims, particularly in construction...SeniorClaimsFlexible hours$130k - $170k
...Aon Corporation is seeking a Property Claim Consultant for a senior-level role involving complex property insurance claims. This position offers the flexibility of hybrid or remote work and requires strong advisory skills. The consultant will provide strategic guidance...SeniorClaimsRemote work$126.1k - $168.13k
...A prominent title insurance company is seeking a Senior Claims Counsel to manage title insurance and escrow claims from investigation to resolution. The role demands excellent communication, negotiation, and organizational skills. The ideal candidate holds a law degree...SeniorClaims- ...Aspire General Insurance Company is seeking a Claims BI/Lit Supervisor to support management in ensuring service standards. The role involves reviewing claims, providing recommendations, and directing a team to meet quality and service expectations. The ideal candidate...SeniorClaims
$85.05k - $130.41k
...AlphaStaffHCM is looking for a Field Property Adjuster Specialist in New York City area. This role requires investigating and settling complex property insurance claims within strict guidelines, offering a company vehicle for inspections. The ideal candidate will have...SeniorClaims$108k - $200k
...Nationwide is seeking a Claims Consultant to handle unique insurance claims requiring exceptional organizational and investigative skills. You will resolve severe claims and lawsuits, coach team members, and collaborate with business partners. The ideal candidate will...SeniorClaims$81k - $123k
...Next Insurance is seeking a Claims Adjuster experienced in handling General Liability claims. The candidate should have at least 4 years of experience and strong investigative and communication skills. Responsibilities include evaluating claims, analyzing coverage, and...SeniorClaimsFull time- ...Allstate Insurance is seeking a dedicated claims adjuster to investigate and settle advanced automobile accident claims. The role involves determining coverage, liability, and damages while negotiating effectively within authority limits. The ideal candidate will apply...SeniorClaimsRemote work
- ...A leading property claims adjustment firm is seeking a Claims Professional to advocate for property owners and secure fair settlements. You will leverage an AI-powered platform to streamline claim processes and reduce administrative burden, allowing more focus on high...SeniorClaimsRemote work
- ...Chubb Insurance Hong Kong is seeking a Collision Repair Expert to join its Western Claims Service Center team. In this role, you will be responsible for reviewing vehicle appraisals, ensuring compliance with guidelines, and managing external claims vendors. Your expertise...SeniorClaims
$115k - $147.8k
...Starr Companies in New York is seeking a Senior Learning and Development Insurance Trainer to advance the technical expertise of underwriting and claims professionals. This role involves overseeing the design and delivery of impactful training programs and collaborating...SeniorClaims- ...Beta Search is seeking a Claims Business Analyst responsible for developing business and functional requirements for claims processing systems. The role involves leading initiatives, conducting user acceptance testing, and improving claims management processes. The ideal...SeniorClaims
$100k - $120k
...and ensuring comprehensive due diligence and onboarding of new TPAs. The ideal candidate will have a minimum of 7 years of insurance claims experience and TPA knowledge. A Bachelor's degree is required. The position offers a competitive salary between $100,000 and $120,0...SeniorClaims- ...is seeking a full-time Remote Clinical Review Nurse to analyze denied insurance claims, draft appeal letters, and collaborate with legal teams. The role is crucial for optimizing patient care revenue without direct patient interaction. The ideal candidate will have an RN...ClaimsFull timeRemote work
- ...Pets at Home is looking for a Senior Claims Service Champion who excels in delivering exceptional customer experiences, particularly in the pet insurance sector. You will manage complex claims, mentor junior team members, and ensure every claim is triaged for assessment...SeniorClaimsRemote work
$130k - $170k
...Aon is seeking a Property Claim Consultant in New Jersey to provide senior-level advisory services for complex commercial property insurance claims. This role involves leading claim preparation efforts, strategic guidance on loss quantification, and direct client interaction...SeniorClaimsRemote work- ...Penn National Insurance is seeking a Claims Technical Specialist to manage complex casualty claims, particularly those involving litigation and subrogation. The role involves providing expert litigation oversight, controlling claims expenses, and training claims personnel...SeniorClaims
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