Claims Resolution Specialist
Molina Healthcare of Illinois
Molina Healthcare seeks a Claims Processing Associate to support adjustment activities, administer payments, and maintain claim records. You will counsel claimants on coverage amounts and benefit interpretation while helping control backlog and ensure timely settlements. In this role you will research tracers and resubmissions, adjudicate or readjudicate claims, and contribute to departmental efficiency. Strong data entry, organization, and communication skills are essential. #J-18808-Ljbffr
Vacancy posted 18 hours ago
Similar jobs that could be interesting for youBased on the Claims Resolution Specialist in Florida, NY vacancy
- ...The Early Bodily Injury (EBI) Adjuster handles low-complexity auto claims from investigation through settlement with emphasis on coverage evaluation, liability assessment, and timely, compliant resolutions. You will manage a high-volume caseload, review police reports,...Suggested
$59.9k - $98.2k
Claims Specialist II, Workers Compensation Zurich North America is seeking a skilled and experienced Claims Specialist II to join our dynamic... ...the loss falls within the coverage. Work to have a timely resolution to claims by developing case strategy; developing a case...SuggestedFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship- Position Title: Claims Specialist Department: Claims Reports To: Claims Manager or Director of Claims Location: Florida (Hybrid/Remote as... ...analysis, claims strategy, litigation management, and complex loss resolution. This role partners closely with leadership to improve...SuggestedRemote work
$54k - $103k
...direction, and within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific... ...policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits...SuggestedWork experience placementWork at officeLocal areaFlexible hours- ...Role We are seeking a dedicated and detail-oriented Insurance Claims Specialist to join our dynamic law practice. In this vital role, you... ...documentation, and evaluating claim validity to support timely resolutions. By combining strong analytical skills with knowledge of...SuggestedTemporary workWork at officeMonday to FridayNight shiftWeekend work
$62.46k - $69.4k
Claims Specialist, Commercial Casualty - Remote Requisition Number R7908 Claims Specialist, Commercial Casualty - Remote (Open) Location Colorado... ...all claims efficiently and effectively to an appropriate resolution with minimal supervision. Handle all aspects of liability...Remote jobH1bWork from homeFlexible hoursShift workAfternoon shift$80k - $120k
...organizations across the country. SHS is currently looking for a Casualty Claim Professional. The job grade and title will depend on the... ...ability to organize and prioritize caseloads, ensuring timely resolution of claims. Excellent interpersonal and communication skills...Full timePart timeSeasonal workRemote work- The Hartford is seeking a Claims Specialist to manage a portfolio of complex auto and general liability claims, from inception through resolution. The role requires handling litigated matters, working with defense counsel, and applying coverage knowledge to analyze and...
$75.8k - $124.1k
Sr. Claims Specialist, Workers Compensation Zurich North America is looking for an exceptional Senior Workers' Compensation Claims Specialist... ...the loss falls within the coverage. Work to have a timely resolution to claims by developing case strategy; developing a case...Full timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship$107.6k - $161.4k
Specialist Claims - CH07DE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages... ...above established authority levels; Developing and implementing resolution strategies to achieve high quality outcomes; Proactively...Temporary workWork at officeRemote work3 days per week$54k - $103k
...contributor position works under moderate direction to manage commercial claims with moderate to high complexity and exposure for a specific... ...commercial claims, verifying policy coverage and developing resolution strategies within authority limits. Investigates claims to...Work at officeLocal area- Tenet Healthcare is seeking a Billing Lead to actively assist with problem solving and conflict resolution within the billing team, and with customers and insurers. The role involves organizing and assigning daily workflow, reviewing receivables reports, and identifying...
- My name is Pondsy Anthony , and I am Recruiting Specialist with Mindlance Inc . I have reviewed your resume and at a first glance find it... ...primary function/purpose of this job: Verify member submitted claims forms, member’s eligibility and pharmacy information is complete...Contract workFor contractorsShift work
- ...are seeking a highly skilled and experienced Global Third Party Claims Handler to oversee the technical handling of claims across... ...such as loss adjusters and legal teams to ensure efficient claims resolution and stakeholder alignment across regions. Customer & Third-Party...Work at officeLocal areaFlexible hours
- A staffing agency is looking for a Claims Specialist to handle claims processing for their client in Lake Mary, FL. The ideal candidate should have a High School Diploma or GED and 1-3 years of Call Center and Reimbursement experience. Responsibilities include verifying...
- Great American Insurance Group, part of American Financial Group, is seeking a Claims Representative/Senior Claims Representative/Claim Specialist for the Reinsurance Claims team in Cincinnati, OH. On-site four days a week with one day remote; flexible WFH for those outside...Remote workWork from homeFlexible hours
$72k - $141k
...contributor role operates under broad authority to manage commercial claims of high complexity and exposure within the Commercial Auto/... ...is responsible for coordinating all aspects of the claim resolution process in accordance with company guidelines, while consistently...Work experience placementWork at officeFlexible hours- Subrogation Claims Specialist The position plays a vital role in identifying and pursuing subrogation opportunities within workers’ compensation claims across Florida and other designated jurisdictions. The successful candidate will be responsible for conducting thorough...
$15 - $16 per hour
...If you only make one career connection today, connect with Kelly. Job Description Kelly Services is currently seeking several Claims Specialist for our client's Lake Mary, FL location. In addition to working with the world’s most recognized and trusted name in staffing...Hourly payPermanent employmentTemporary workImmediate startMonday to Friday$30.91 - $41.2 per hour
...appropriate schedules of fees and charges Review and approve transaction documentation including deeds, operating agreements, corporate resolutions, entity documents, and settlement‑related materials Select appropriate commitment and policy language for standard and extended...Hourly payWork at officeLocal areaRemote workFirst American
Florida, NY3 days ago- Holmes Murphy, through its Creative Risk Solutions team, seeks a Liability Claims Specialist to handle commercial auto and general liability claims with licensed authority and strong client service. The role emphasizes adjudication, negotiation, and collaboration within...
$14.9 - $29.06 per hour
Molina Healthcare in California seeks a Senior Claims Examiner to provide support for claims examination, focusing on evaluating claims for coding errors and fraud. You will manage a caseload and ensure compliance with state and federal regulations while maintaining meticulous...Hourly payWork at office- The Hartford is seeking an experienced A&E claims professional in the Global Financial Lines group to manage a litigious caseload from inception to disposition. You will handle claims across professional liability and architects & engineers, coordinating with defense counsel...Remote job
$116k - $165k
...interact with these key customers. In this Medical Malpractice focused Complex Claims Consultant position, you will be responsible for the overall investigation, management and resolution of Allied Healthcare Provider claims in multiple states within your assigned jurisdiction...Work experience placementWork at officeLocal areaFlexible hoursShift work- ...analyze complex or technically difficult auto and general liability claims to determine benefits due; to work with high exposure claims... ...well-developed action plans to an appropriate and timely resolution. Assesses liability and resolves claims within evaluation. Negotiates...Work at office
- Integrated Home Care Acquisition is seeking a Claims Processor to support our health plan operations in a fast-paced home-based care environment. You will review, validate, and scan Health Plan claims with supporting documents, ensuring accuracy and timely submission....
- Senior Claims Examiner (Commercial GL) - Remote or Hybrid Location: Lake Mary, FL Job Id: 1585 # of Openings: 2 FLSA Status: Exempt... ...between claimants, clients, brokers, and attorneys in resolution of liability claims Participate and/or conduct department meetings...Full timeFor contractorsWork at officeLocal areaImmediate startRemote workMonday to Friday1 day per week
$60k - $85k
...are growing and in search of experienced Liability and Property Claims Examiners to join our team! This is a hybrid position and... ...medical payment claims from initial claims set up through final resolution of the claim, including litigation. Who are we? Following the...Full timeFor contractorsCasual workWork at officeLocal areaMonday to Friday3 days per week- ...Baptist Health in Florida seeks a Billing Specialist I to manage daily download/edit of managed care claims, ensuring accurate, timely transmission to payers. You will coordinate with other departments to resolve data issues and maintain compliance with HIPAA, coding and...
Baptist Health
Florida, NY1 day ago - National General Insurance, part of The Allstate Corporation, is hiring an Attorney Represented Bodily Injury Claims Adjuster to manage complex auto claims for Georgia and/or Florida. The role suits an experienced adjuster who delivers strong outcomes while enhancing team...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Resolution Specialist. Be the first to apply!
Related searches
- remote medical claims processor Florida, NY
- claims assistant Florida, NY
- claim representative (remote) Florida, NY
- claim specialist Florida, NY
- medical insurance claims specialist Florida, NY
- claims resolution specialist Florida, NY
- senior claims specialist Florida, NY
- medical claims analyst Florida, NY
- claims specialist remote Florida, NY
- claims consultant Florida, NY