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 WellCove
- 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 service...SeniorClaimsRemote job- ...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
- 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 job
$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 business... ...with colleagues in all disciplines including Actuarial, Claims, and Risk. Adhere to Letter of Authority without exception...SeniorClaimsWork at officeRemote 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- ...A national insurance claims firm is seeking a Senior Level Bodily Injury Claims Adjuster to manage claims while working from home. The ideal candidate will have over 5 years of claim adjusting experience and strong negotiation and litigation skills. Job responsibilities...SeniorClaimsRemote workWork from home
$18 - $22 per hour
...Firstsource Healthcare is seeking a Revenue Cycle Billing Specialist to work remotely. The role involves collecting on aging medical insurance claims, filing claims, and handling outbound calls among various software systems. Qualifications include a high school diploma...ClaimsHourly payRemote work- A leading global insurance company is seeking a Claims Adjuster in Georgia. The role involves delivering superior customer service, managing Workers Compensation claims, and ensuring compliance in investigations and assessments. Candidates must have at least 3 years of...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 significant...SeniorClaims$100k - $130k
RSC Insurance Brokerage, Inc. is seeking a Claims Consultant who serves as a trusted advocate for clients throughout the insurance claims lifecycle. This role involves providing strategic guidance and advocacy in complex claims scenarios while managing multiple priorities...SeniorClaims- ...QVC is seeking a qualified QA Performance Claims Specialist to support product performance claims for QVC and HSN. In this role, you will evaluate claims... ..., NJ, or DE. QVC offers competitive compensation, health care benefits from day one, and various employee perks. #J-1880...ClaimsRemote work
- 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
- Wells Media Group is seeking a Bodily Injury Adjuster in New York to investigate advanced automobile accident claims. Responsibilities include determining coverage and negotiating claims, requiring a solid understanding of insurance policies and claims management. Ideal...SeniorClaims
- Psychotherapy Associates of North Reading and Amesbury is seeking a detail-oriented Medical Claims Collector in Amesbury, MA. In this role, you will review and process medical insurance claims, ensure accurate payments with insurance companies, and maintain detailed records...Claims
$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- 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 job
- ...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...ClaimsRemote jobFull time
$110k - $150k
Remote Jobs is looking for an Insurance Claims Specialist to manage healthcare-related claims. The ideal candidate will have a valid P&C Brokers... ...in the field. Responsibilities include researching policy terms, advocating for clients, and overseeing claims with carriers....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
$130k - $170k
AON PLC is seeking a Property Claim Consultant specializing in complex property and construction losses. This senior-level role involves advising clients on large commercial property insurance claims, leading the claim preparation process, and providing strategic guidance...SeniorClaimsRemote job$23.16 - $35.88 per hour
A major healthcare provider is seeking a Stop Loss Claims Analyst who will review, evaluate, and process claims. This role involves building client relationships, analyzing claims, and ensuring compliance with standards. The ideal candidate must have at least 5 years of...SeniorClaimsHourly payWork at office- CLARA Analytics is seeking a Senior Data Scientist to lead the development of our Claim Clustering Platform, enhancing outcomes for casualty claims. This role requires 4-7 years of Data Science experience, particularly with Workers' Compensation and General Liability....SeniorClaimsRemote jobFlexible hours
- 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
$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- Marubeni America Corporation is seeking an experienced Insurance Claims Specialist in New York, NY. The ideal candidate will handle multi-line claims across various domains while also providing support during contract reviews. The role requires at least 7 years of relevant...SeniorClaimsContract 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 job- A leading professional liability firm is seeking a Senior Claims Examiner responsible for managing complex professional liability claims, particularly within educational environments. The ideal candidate will have at least 10 years of experience in claims management, a...SeniorClaimsRemote work
- ...A leading environmental consultancy in the United Kingdom is looking for a Senior Environmental Consultant to manage environmental claims projects. Responsibilities include project management, fieldwork data gathering, and reporting. Candidates should have a degree in...SeniorClaims
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