Claims Review Specialist
Virtual Vocations Inc
Working remotely, the full-time hourly Claims Correspondence Review Specialist will assist with inquiries and resolve issues related to claims by performing research, interpreting plan documents, and ensuring timely claim processing. Key responsibilities Review and analyze claims processing and eligibility based on plan documents Respond to inquiries via email and phone, managing shared mailboxes and ensuring timely follow-up Collaborate with the Claims Examiner to address and resolve claims processing issues Required qualifications High school diploma or equivalent Two years of claims examiner and/or customer service experience Proficient 10-key and typing skills with a working knowledge of Microsoft Office products Demonstrated ability to work independently and manage multiple tasks in a fast-paced environment Strong written and oral communication skills with attention to detail and accuracy
- ...salaries and a benefits package with flexible work options, career growth opportunities, and much more. Job Description Summary Review claims to ensure accurate coding, appropriate documentation, and compliance with applicable billing regulations and payer guidelines....SuggestedFull timeWork at officeRemote workMonday to FridayFlexible hours
$27.52 per hour
...Position Summary The Claims Technical Review Specialist provides advanced technical review of all types of claims in accordance with Company guidelines, client needs, and regulatory requirements. "Has minimum necessary access to Protected Health Information (PHI...SuggestedLocal areaRemote work- Sedgwick is hiring in Cleveland, Ohio for an auto claims role focused on evaluating claims involving injured parties and managing first... ...PIP or medical payment benefits. Essential duties include reviewing claims, interpreting policy language, assessing medical treatment...Suggested
- Axelon Services Corporation is seeking a remote Claims Specialist to manage a caseload of moderately complex LTD/IDI claims on a 20-hour-per... ...during core hours and training in EST. The role emphasizes timely reviews, careful documentation, professional communication with...SuggestedRemote jobMonday to Friday
- Claims Review Specialist / Medical Coding ** Largely Remote ** Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of the largest health delivery systems in California, seeks an accomplished Claims Review Specialist / Medical...SuggestedRemote jobContract workTemporary work
- Allcat Claims Service, LLC is seeking an intermediary level Flood claims examiner to join our flood program in New York. This role focuses on QA review of flood estimates, with potential desk adjusting opportunities, ensuring alignment with NFIP SFIP guidelines. Responsibilities...
- Support contract performance management of a large health system. Review and analyze suspected underpaid and overpaid claims from hospital, ancillary, and provider groups based on contractual and industry guidelines. Identify and analyze single issues and trends to determine...Daily paidContract workWork experience placement
- ...Job Description Job Description Join Our Team as a Claims Review Specialist at Amwins Self-Funded, LLC! Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self-Funded, LLC., as a Claims Review Specialist. This is an in-office...Work experience placementWork at officeWork from homeFlexible hours2 days per week
- An established industry player is seeking a Medical Review Nurse to join their dynamic team in Phoenix. This role involves reviewing and adjudicating medical claims, ensuring compliance with industry standards, and working collaboratively with healthcare providers. The...Remote job
- ...Underwriter III plays a key role in strengthening the quality of the bank’s commercial credit portfolio by preparing written credit review analyses and recommending appropriate risk ratings for relationships ranging from $1MM to the bank’s legal lending limit. This role...Work at office
- ...support enterprise Third-Party Vendor Risk Management (TPRM) initiatives. The role focuses on risk assessment, IT audit, and SOC report review in a regulated environment. The ideal candidate will conduct end-to-end vendor assessments, review SOC 1 and SOC 2 Type II reports,...
- ...repairs and improvements easy. Position Overview: The Claims Administration Specialist will be responsible for customer claims for reimbursement... ...and invoice processing ~ Receive, process, audit/review, and approve/deny job costs and invoices prior to AP...Full timeFor contractorsCasual workWork from home
- Mass General Brigham Health Plan is seeking a detail-oriented claims processor to work remotely, performing claims adjudication and coding verification to ensure accurate payment and compliance with billing regulations. Ideal candidates will have 2-4 years in healthcare...Remote jobFull time
- ...Quality Review Auditor Perform quality review on claims, enrollment, and customer service personnel on select criteria determined by management. Audit personnel daily of randomly selected output and complete appropriate forms for manager/supervisor feedback. Will work...Work at office
$75k - $140k
...$75000.00 - $140000.00 Job Category: Claims Description If you're looking for a... ...moving, and meaningful. The Senior Claims Specialist works within a Claims Team navigating... ...and may assist in conducting closed file reviews. Performs other duties as assigned....Full timeContract workFor contractorsFor subcontractorWork at officeLocal areaRemote work$46.59k - $81k
...Description Zurich is currently looking for a RCIS Crop Claims Field Adjuster I or a Crop Claims Specialist to join our Rural Community Insurance Services (RCIS... ...principles of negligence. ~Completing claim reviews and audits on lower-level adjusters as assigned....Full timeTemporary work- ...throughout their journey. Job Summary: The Claims Manager is responsible for overseeing... ...to assigned areas · Receive and review insurance policy documents from our dealer... ...scheduled PTO or absences of Collateral Audit Specialists. · Perform all other duties as...Work at officeLocal area
$88k - $134k
...Senior Credit Underwriter Reviewer (Onsite/Hybrid) As a key member of the Credit team, you will be part of AgriBank's mission to support the people who feed the world. The Senior Credit Underwriter Reviewer collaborates with key stakeholders at AgriBank, including senior...Work at office- ...One80 Intermediaries is seeking a Claims Specialist to deliver high-level customer service to retailers and customers. You will handle inbound... .../outbound calls, emails, and claims documentation, while reviewing packets and authorizing actions to facilitate repairs or...Hourly pay
$79k - $158k
...Support the Vi‑US Sales Team with Customer Returns and Warranty Claims. Liaise with customers to process RGA’s. Data management, user support... ...Warranty and Returns by monitoring a shared phone line Review product failures for warranty consideration Visually inspect and...Temporary workWork at officeShift work$17 per hour
...Position Summary The Warranty Claims Specialist is responsible for processing, tracking, and managing HVAC equipment warranty claims with manufacturers... ...Prepare and submit warranty claims to HVAC manufacturers. Review service tickets, technician notes, invoices, and supporting...Work at office- ...Butler Machinery Company in Fargo, ND is seeking a detail-oriented Warranty Analyst to review warranty claims, interpret policies, and guide claim processing. You will collaborate with service teams, vendors, and internal departments to ensure accurate coverage and timely...
$79k - $158k
## Warranty Claims SpecialistApplyremote type: Onsitelocations: RI01: 45 Access Road, Warwick, RI, 02886 USAtime type: Full timeposted... ...regarding Warranty and Returns by monitoring a shared phone line* Review product failures for warranty consideration* Visually inspect...Temporary workWork at officeLocal areaShift work- ...RV Value Mart Inc. is seeking a detail-oriented warranty claims specialist to process and submit warranty claims, verify customer vehicle information, and review repairs for proper authorization. You will monitor claim status, reconcile payments, and maintain warranty...
$50k - $58k
...Warranty Claims SpecialistThe Warranty Claims Specialist administers product warranty claims from initial intake through resolution. The position reviews claim documentation, evaluates information against applicable warranties and installation requirements, coordinates...For contractorsWork at office- ...here! Be part of a vision for a healthier Mississippi as a Claims & Adjustment Specialist. At Blue Cross & Blue Shield of Mississippi, we’re not... ...health outcomes for Mississippians every day. What You’ll Do: Review and process medical claims with accuracy and efficiency by...
- ...Warranty Claims SpecialistWe are seeking a reliable and organized Warranty Claims Specialist to manage and process manufacturer warranty claims with accuracy and efficiency... ...securityMonday to Friday. No Weekends.Responsibilities:Review, prepare, and submit warranty claims to the...Work at officeLocal area
$28 - $35 per hour
...Claims Resolution Specialist The Claims Resolution Specialist is responsible for the day-to-day investigation and resolution of claim rejections... ...Integrity teams, this position performs detailed claim reviews, researches payer requirements, corrects claim errors, and...Hourly payRemote work- ...with intensive hands on training and long-term career growth opportunities from within. The Claims Specialist performs electronic billing/batch submission daily and reviews all claims rejected by EMR and clearinghouse and corrects claims rejected for resubmission....Full timeTemporary workRemote workMonday to Friday
$1,000 per month
...responsibilities or functions required to support the claims unit. Accurate processing of claims... ...fulfill this position, the Claims Specialist II must be in contact with personnel in... ...AND ESSENTIAL FUNCTIONS Reviews, researches, and makes necessary updates...Work experience placementWork at officeLocal areaRemote workRelocation
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