Senior Healthcare Claims Strategist & Advocate
$110k - $150kRemote Jobs
Remote Jobs is looking for an Insurance Claims Specialist to manage healthcare-related claims. The ideal candidate will have a valid P&C Brokers' license or adjuster license, along with 7-10 years of experience in the field. Responsibilities include researching policy terms, advocating for clients, and overseeing claims with carriers. The salary for this role ranges from $110,000 to $150,000 annually, reflecting the expertise required for successful candidates. #J-18808-Ljbffr Remote Jobs
- RSC Insurance Brokerage, Inc. is seeking a skilled individual to provide ultimate claim service for insurance matters. Responsibilities include receiving loss reports, advocating for clients, and overseeing claims with carriers to ensure timely resolutions. The ideal candidate...SeniorClaims
$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- Molina Healthcare is looking for a professional to provide senior-level support for claims recovery activities. This role involves researching claim payment guidelines, collaborating with health plans, and ensuring timely settlement of claims. Applicants should have at...SeniorClaims
- Baldwin Group Colleague, Inc. is seeking a Sr. Claims Consultant for Private Risk Management to manage high-net-worth personal lines insurance claims. This role involves serving as a trusted advisor for clients, guiding them through complex claims scenarios involving luxury...SeniorClaims
- ...The Gallagher National Risk Control Team is now the Gallagher Claims and Risk Consulting Team. This new team is equipped with experts... ...and operational exposures. How you'll make an impact Acts as an Advocate for complex clients, providing assistance and coverage advice...SeniorClaimsWork at officeLocal areaFlexible hours
$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- ...is seeking a highly experienced candidate to manage medium to large complex claims in New York, NY. The role requires significant client interaction, including leading negotiations and advocating for clients during the claims process. The ideal candidate has a bachelor's...SeniorClaims
$139.5k - $236.5k
QBE Insurance is looking for a Senior Technical Claim Specialist in New York or Chicago. This hybrid role involves managing complex Management and Professional Lines claims. You will conduct investigations, negotiate claims, and collaborate with outside counsel. A Bachelor...SeniorClaims$160k - $180k
BHSI has an exciting opportunity for a Senior Complex Claims Professional in New York. This role involves managing complex casualty claims and advising stakeholders to deliver top-quality outcomes. An ideal candidate has at least 15 years of relevant experience, exceptional...SeniorClaims- A leading insurance firm in New York is seeking an experienced claims professional to manage their US domestic claims portfolio. The role involves overseeing daily claim activities, assessing new claims, and ensuring prompt resolution. Candidates should have a degree in...SeniorClaims
$85.6k - $141.2k
Travelers Canada, located in Georgia, is seeking a Claims Specialist to investigate, evaluate, and resolve claims related to General Liability. The ideal candidate will have at least three years of experience in bodily injury claims handling and must develop strong negotiation...SeniorClaimsFlexible hours- Summit, based in the United States, is seeking an experienced claims handler to manage a portfolio of claims with a focus on evaluating compensability and negotiating settlements. You will work within a hybrid model and must demonstrate at least 5 years of relevant experience...SeniorClaimsRemote job
$118.69k - $189.91k
...Lead to drive audit concepts and reimbursement policies. This role emphasizes using data analysis to reduce overpayments and improve claim accuracy, working closely with various stakeholders. The ideal candidate should have extensive experience in payment integrity and...SeniorClaims- ...and reimbursement policies. You will leverage data models and analysis to identify cost avoidance opportunities and enhance pre-pay claim accuracy. The role offers a hybrid work model, competitive benefits including medical coverage, and opportunities for career development...SeniorClaims
$100k - $120k
The Hispanic Alliance for Career Enhancement is seeking a Sr. Claims Specialist to analyze medical malpractice claims and provide resolutions. You will manage technical claims, coordinate case management, and ensure high customer service levels. Applicants should have...SeniorClaims- Full Time Member Advocate position available for our outpatient family practice located in... ...troubleshoot issues with the complex healthcare system? Are you a person who yearns to support... ...access, prior authorizations, and claim processing Manage certain insurance carrier...ClaimsFull timeFor contractorsWork at office
- Physicians-Practice-Enhancement-LL is seeking a Full Time Member Advocate for their outpatient family practice in Hamilton Township, NJ.... ...assisting members in navigating the complexities of the healthcare system, ensuring satisfaction and support for sensitive health...ClaimsFull timeWork at office
- Integrity Health Products in Hamilton, NJ is seeking a dedicated Member Advocate to assist members with healthcare inquiries and claims processing. This full-time position requires strong interpersonal skills and will support clients in navigating health insurance benefits...ClaimsFull timeWork at office
$150k - $180k
...when adoption stalled. That's what AI Strategists at Tenex are hired to fix. You own the engagement... ...know the ten highest-ROI AI bets across claims, underwriting, and customer ops. The... ...and stays on to ship the first two. A healthcare system has the data but not the workflow...SeniorClaimsWork at officeShift work$65k - $95k
...oriented Medical Billing Accounts Receivable Senior Associate to join their Revenue Cycle... ...involves following up with insurance claims, resolving issues, and preparing reports... ...has at least 2-3 years of experience in healthcare accounts receivable, proficiency in Microsoft...SeniorClaimsWork at office- ...Senior Full Stack Software Developer Judi Health Judi Health is an enterprise health technology... ...Platform (EHP), which consolidates all claim administration-related workflows in one... ...our clients, we’re rebuilding trust in healthcare in the U.S. and deploying the infrastructure...SeniorClaimsLocal areaRemote work
$216.42k - $324.63k
...Lyric, an AI-first healthcare technology company, is seeking a Clinical Ambassador. This full-time role involves engaging with payer clients... ...success is shared. Candidates should have an understanding of claims operations and payment integrity programs. #J-18808-Ljbffr...SeniorClaimsFull time$22 - $23 per hour
...a talented Customer Service Advocate . This is a 04 months contract... ...information regarding benefits, claims, authorizations, and services... ...GED Our client is a leading Healthcare Industry, and we are... ...federal, state or local laws. Seniority level Not Applicable Employment...ClaimsContract workLocal areaImmediate startRemote workShift work$21 per hour
...to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point... ...Center Supervisor, the Member Services Advocate provides exceptional customer service, navigating... ...to health insurance benefits, coverage, claims and eligibility.Health Care System...ClaimsWork experience placementWork at officeRemote workWork from home$171.9k - $289.9k
...in hard numbers and strategic narratives — not fluffy marketing claims. This role will become an expert in how Adobe’s products deliver... ...& Framing) Lead structured discovery and advisory sessions with senior customer collaborators (CMOs, CDOs, CIOs, CFOs) to identify growth...SeniorClaimsTemporary workLocal areaWorldwide$90k - $112k
R1 RCM Holdco Inc. is seeking a Complex Denials Consultant located in Georgia, responsible for representing healthcare providers in claim disputes involving workers compensation, motor vehicle accidents, and more. Candidates must have a law degree and relevant legal experience...Claims$21 per hour
...Included Health, our mission is to raise the standard of healthcare for everyone. As a Member Care Advocate (MCA), you will embody this mission and act as a... ...answering health plan-related questions, billing and claims inquiries, prior authorizations, and benefits coverage...ClaimsHourly payPermanent employmentContract workLocal areaRemote workWork from homeHome officeMonday to Friday$100k - $150k
MedPro Group is seeking a Claims Manager located in New York. The ideal candidate will manage coverage and claims suit processes, providing... ...a minimum of five years of claim experience, preferably in healthcare liability, and strong negotiating skills. With competitive...Claims- A healthcare management firm is seeking a Sr. Pricing Analyst to support pricing and underwriting initiatives. This role involves advanced financial modeling and analysis of pharmacy claims data to inform pricing strategy. Candidates should possess a Bachelor's degree in...Claims
- Role, Inc. is seeking a Senior Engagement Strategist to develop effective engagement strategies in healthcare marketing. The ideal candidate will possess strong communication skills and analytical abilities, with a focus on client presentation development. This position...Senior
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