Medicare Claims Overpayment Specialist
your Jared
BlueCross BlueShield of South Carolina is seeking a Medicare Claims Overpayment Claims Processor to identify, investigate, and recover incorrectly paid medical claims by analyzing payment data and coordinating with providers for adjustments in line with Medicare guidelines. The role requires strong analytical and communication skills, knowledge of medical terminology and claims processing, and the ability to maintain organized records and report recovery efforts to ensure timely collection of #J-18808-Ljbffr your Jared
- ...Bodily Injury Claims Representative A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. We offer a merit-based work-from-home program...SuggestedWork at officeLocal areaWork from home
$132.8k - $219.1k
...Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range... ...bench strength. Field Severity Support: Some Complex Claim Specialists may be responsible for all or some of the following: Collaborate...SuggestedLocal area$69.6k - $92.4k
...customer relationships. Summit is who you turn to when you need a specialist who not only knows workers’ comp but also gets to know your... ...Essential Job Functions And Responsibilities Manages an inventory of claims to evaluate compensability/liability. Plans and conducts claim...SuggestedFull timePart timeSeasonal workWork at officeRemote work- ...Ryder System, Inc. in Nashville, TN seeks a Senior Claims Representative to handle mid-to-high exposure bodily injury and property damage claims under Ryder's self-administered liability program. This role investigates, adjusts, and directs defense counsel, adjusters,...Suggested
$100k
...National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | Medical Malpractice | Long Term Care PRIMARY PURPOSE OF THE ROLE: To analyze complex or...SuggestedFull timeLocal areaFlexible hours$100k
...products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned... ...Business Title(s): Senior Construction Defect Technical Claims Specialist Employment Type: Full-Time FLSA Status: Exempt Location: In-...Full timeLocal areaRemote work- ...loss occurs. Job Description Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The position requires the person to Assemble facts, determine coverage, evaluate...Work at officeLocal area
- Allsup LLC is seeking a dedicated claims-support specialist to serve as the primary contact for VA disability appeal inquiries. The role involves reviewing questionnaires, interviewing claimants by telephone, and guiding them through the required forms with careful data...
$35.36k - $45k
...veteran’s disability, return to work and Medicare. Drive your expertise and advancement... ...telephone to complete various disability claim forms. Places outgoing calls to claimants... ...in the training and development of other specialists; shares information. Maintains strict...Temporary workCasual workLocal areaWork from homeFlexible hours$24.99 - $36.11 per hour
...communities. About the role Responsible for reviewing and processing claims including, identifying irregularities and reviewing for... ...activities which may include tax reporting, journal vouchers, overpayments or special investigation duties. Reviews and understands basic...Hourly payContract work$85k - $106k
...sharing basis (Agency, Association or Group Captives). Alternative Markets focuses on niche programs. Markets is looking for a Claims Specialist/Senior Claims Specialist to join their team. Job title and salary will be dependent upon successful applicant's level of...Full timePart timeSeasonal work- Allsup, LLC in Nashville, TN seeks a detail‑oriented contact center associate to handle VA disability claim inquiries. You will review questionnaires, conduct claimant interviews by phone, and guide applicants through forms with minimal supervision. You will perform heavy...Remote job
- Trustmark is seeking a claims processor to review and process Wellness, Hospital Indemnity, Accident, Life, LTC, Disability, and Critical... ...to insureds, and may involve tax reporting, journal vouchers, overpayments, or investigations while reviewing medical #J-18808-Ljbffr...Contract work
- Auto-Owners Insurance is seeking an experienced Casualty Claims professional to investigate claims, analyze policy coverage, and negotiate settlements. The role requires collecting statements, evidence, and documentation, with travel for onsite investigations as needed...Remote job
- City Enterprises seeks a Warranty Administrator in Nashville to manage the full lifecycle of warranty claims, liaise between customers, service departments and manufacturers, verify coverage, and ensure accurate submission. As part of the role you will document and track...
- ...and onsite attendance at the Nashville office. Candidates must have a high school diploma and at least one year of administrative/claims experience, plus strong organizational and communication skills. Proficiency in Microsoft Office is required. #J-18808-Ljbffr SouthcarolinabluesFor contractorsWork at office
- Zenith Insurance Company is seeking a Claims professional to investigate and determine liability, interview medical specialists and witnesses, and calculate benefit payments within authority limits. The role emphasizes maintaining data integrity, reserves management, and...
- ...EDI Claims Filing Specialist Location: Brentwood, TN 37027 Shift: 8 hours-flexible between 6 am-6 pm, Monday through Friday Job Summary: The EDI Claims Filing Specialist is responsible for ensuring that claims are accurately submitted to payors, either electronically...Work at officeLocal areaMonday to FridayFlexible hoursShift work
- SCI Summit Consulting, LLC is hiring for a claims professional to manage a growing portfolio of workers’ compensation claims. You will investigate coverage, determine liability, and negotiate settlements, while maintaining detailed files and communicating clearly with...Work at officeRemote work
$74.49k - $93.11k
Zenith is a team of Workers' Compensation Specialists committed to helping businesses succeed by protecting against the financial and human... ..., and determine the extent of company's liability concerning Claims and attempt to effect settlement with claimants. Correspond...Work experience placementFlexible hours- Sedgwick is seeking a Claims Adjuster for Workers' Compensation with remote licensing. You will analyze mid- to high-level claims, determine benefits, and pursue subrogation opportunities while upholding company standards and industry best practices. Ideal candidates have...Remote jobFlexible hours
$50.18k - $62.73k
...environment where all team members belong and have the opportunity to thrive. Lyft is looking to add a Quality Assessment Specialist to its growing Claims Operations team. This role is responsible for auditing the accuracy, compliance, and customer experience quality of...Hourly payLocal areaRemote work$74.56k - $85.08k
...enterprise risk management program by coordinating insurance claims, analyzing loss trends, and advancing housing risk mitigation... ...retroactive charges based on corrections. Track and document overpayments and underpayments to HUD and coordinate resolution with Finance...For contractors- Description Join our thriving Construction team! We are seeking a committed specialty construction casualty Senior Underwriter to drive profitable growth in the Southeast region. Our team handles specialized knowledge of construction and risk management, catering from...Local area
- DXC Technology Inc. in Nashville, TN is seeking a Death Claims Processor to process death claim transactions by liaising with agents, beneficiaries, and internal teams. You will handle transactions timely on our systems and maintain accuracy per client guidelines. Responsibilities...
- ...insurance solutions that address your business’s unique risks. Summary/Job Purpose This position is responsible to adjust assigned claims within delegated limits of authority, conduct timely and thorough investigations, handle subrogation claims, and complete fair and...Local area
$72k - $141k
...potential. This individual contributor position works under general direction, and within broad authority limits, to manage commercial claims with high complexity and exposure for a specific line of business. Responsibilities include the coordination of all claim...Full timeWork experience placementWork at officeLocal areaShift work- ...from each other and solve the world’s most complex client challenges.You are:An experienced Epic Resolute Professional Billing and Claims Certified ConsultantThe Work:Depending on the client engagement, the candidate will be responsible for collaborating with Accenture...Full timeWork experience placementLive inWork at officeLocal area3 days per week
$50.18k - $62.73k
...cultivating a work environment where all team members belong and have the opportunity to thrive. Lyft is looking to add a Claims Operations Specialists to its growing Risk Team. The Operations Specialist position is an integral role assisting with the processing of claims...Hourly payLocal areaRemote work- ...Adjuster to join our team in Nashville. You will perform field property inspections, use Xactimate for estimates, and investigate claims through interviews and official reports to determine coverage and reserves. This role requires strong communication and timely, accurate...
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