Medical Claims Analyst
Alight
Alight Solutions, based in Wisconsin, is seeking a Claims Analyst to deliver consultative support to employees and their families while resolving post-service coverage questions with carriers and providers. You will leverage knowledge of benefits to improve outcomes and satisfaction. The role emphasizes training, accurate claims review, and collaboration with clients to reduce healthcare spend, with a focus on communications and timely resolutions. #J-18808-Ljbffr
$18k
...people we choose to join our growing team. We are seeking a Claims Analyst II to examine and process paper and electronic claims. In... ...accordance with members Certificate of Coverage, established medical policies and procedures, and plan benefit interpretation while...MedicalContract workWork at officeLocal areaWork from homeHome officeMonday to Friday- Review and accurately adjudicate all member and provider submitted medical claims Perform accurate data entry of paper claim forms Validate scanned data recognized by scanning software Document member's response to inquiry letters Requirements High School Diploma or Equivalent...Medical
$15 - $17 per hour
..., WI 6-month contract to hire JOB DESCRIPTION • Processing all claims and using Zendesk to assign claim files (could be up to 500 claims... ...• 2-3 years of claims experience • Experience working in medical claims • Experience with TPAs • Know how to manually process a...MedicalContract work- ...Claims Representative II (Workers' Compensation) Protecting our policyholders' dreams, passions, and livelihoods has a direct impact... ...liability, coordinating with injured workers, employers, and medical providers, and negotiating appropriate claim resolutions in accordance...MedicalLocal areaRemote workFlexible hours
- ...welcome new team members to our Workers’ Compensation team as Claims Administrators. This is a great opportunity to start or build your... ....In this role, you’ll learn how to review and manage medical-only claims while providing helpful, responsive service to our...MedicalWork at office
$50k - $55k
...Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto PRIMARY PURPOSE OF THE ROLE: To analyze... ...comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life...MedicalContract workWork at officeLocal areaFlexible hours$50k - $55k
...Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto | Property Damage PRIMARY PURPOSE OF THE... ...comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life...MedicalFull timeContract workWork at officeLocal areaFlexible hours$17 - $21.25 per hour
...and part‑time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching,... ...complete several pre‑employment requirements prior to starting. Claims Specialist I (Full‑time) PATIENT FINANCIAL SERVICES - 120.8855...MedicalFull timeContract workPart timeWork at officeWorldwideShift work- ...Claims Adjuster ***This role can be FULLY REMOTE or HYBRID (in office days Tuesday-Thursday) if in close proximity to one of our office... ...and obtain pertinent file documentation (i.e., police report, medical records, estimates, photos, etc.). Upon completion of the...MedicalWork at officeRemote work
- ...Claims Specialist The Claims Specialist is responsible for following up directly with commercial and governmental payers to resolve... ...Minimum of one year of relevant experience in mental health or medical insurance billing and/or collections required Demonstrated...MedicalWork at office
$70k - $82k
Liability Claims Adjuster Location: Wisconsin | Hybrid / Primarily Remote Salary: $70,000-$82,000 annually Schedule: Full-Time Classification... ..., including liability, damages, and overall exposure. Review medical records, police reports, witness statements, photographs, and...MedicalFull timeWork at officeRemote work$50k - $55k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto | Property Damage **PRIMARY PURPOSE OF... ...comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life...MedicalFull timeContract workWork at officeLocal areaFlexible hours$60k
...Premium Benefits by investigating, analyzing, and approving or denying Waiver of Premium claims, and approving or denying Waiver of Premium Benefits on active claims. Uses extensive medical, legal, policy and claim knowledge to interpret and analyze pertinent facts to reach...MedicalContract workWork experience placementRemote workFlexible hours- ...Claims Specialist 1 This position is in-office 5 days a week. Walbec produces high-quality construction materials and delivers... ...compensation aligned with industry standards Employer Paid Medical Plan with HRA contribution (eligibility requirements) Dental,...MedicalTemporary workWork experience placementWork at officeLocal area
$21 per hour
Job Title: Claims Examiner - Life, Accident, Critical Illness, LTC, and Hospital Indemnity Overview: As a Claims Analyst specializing in Accident, Critical Illness, Short-Term Disability... ...thorough investigations, including reviewing medical records and other relevant...MedicalHourly payTemporary workWork experience placementCasual workWork at officeRemote work- We are seeking a detail-oriented Claims Processing Specialist to support the Claims Processing Team in managing the day-to-day processing... ...experience Minimum of three (3) years of experience in medical claims processing Customer service experience strongly preferred...MedicalCasual workRemote work
- You will investigate and resolve insurance claims with a focus on accuracy, efficiency, and fair resolution and independently manage... ...and bodily injury claims based on estimates, photos, appraisals, medical reports, medical bills, and other evidence. Working closely...MedicalFor contractorsWork experience placementWork at officeImmediate startWork from homeMonday to Friday
$19k - $23k
Join to apply for the Claims Specialist role at Artera Services Job Purpose Manage all claims while under general supervision of the... ...liability, property, and worker’s compensation coverage. Knowledge of medical terminology and treatment protocols along with laws, legal...MedicalFull time- Claims ExaminerThe work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit... ...submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or...MedicalFull timeContract workWork at officeLocal areaWork from home
$20 per hour
...Office has an exciting opportunity to join our growing team as a Claims Specialist! OakLeaf Clinics is dedicated to providing our... ...physician assistants, dietitians, nurses, respiratory therapists and medical assistants working in concert with laboratory/imaging services...MedicalHourly payFull timeWork at officeMonday to FridayFlexible hours- ...bright future for NTT DATA and for the people who work here. Pay Rate: 18.00 Per hour Responsibilities Processing of Professional claim forms files by provider Reviewing the policies and benefits Comply with company regulations regarding HIPAA, confidentiality, and...MedicalRemote jobHourly pay
- ...A healthcare solutions company is seeking a Claims Specialist in Milwaukee, WI. The role involves reviewing and processing claims while... ...school diploma is required. Preferred qualifications include medical coding certification and strong analytical skills. Benefits include...MedicalRemote workFlexible hours
- Claims Administrative Services, Inc. is seeking a Remote Workers’ Compensation Claims Representative to manage an assigned caseload from... ...experience. You will interact with claimants, clients and medical providers, document daily actions, verify coverage, and coordinate...MedicalRemote job
- Workers Compensation Claims Examiner IIIFully Remote • Milwaukee - Waukesha, WI 53186Salary Range $70,000.00 - $85,000.00 Salary/year... ...state law and following established Company guidelines.Manages medical treatment and medical billing, authorizing as appropriate.Refers...MedicalFull timeWork at officeRemote workShift work
- Workers' Compensation Claims Specialist Join Creative Risk Solutions (CRS), a leading Third-Party Administrator under the Holmes Murphy... ...information. Generate daily checks for indemnity and medical payments. Develop and monitor consistency in procedural matters...MedicalFull time
$18 per hour
NTT DATA North America is seeking a Remote Claims Processing Associate to manage various aspects of claims processing effectively. The role requires a high school diploma and 1-3 years of healthcare claims experience. Key responsibilities include processing claims forms...MedicalRemote jobHourly pay- ...Coverage begins your first day of work. Low contributions to medical and prescription premiums. We currently pay up to 97% of employees... ...discretion or judgment in the handling of assigned property claims. Serves as a consultant to claims adjusters in their handling of...MedicalFull timeTemporary workFor contractorsWork at officeLocal areaImmediate startWork from homeHome office
$250k
.... *Additional Skills & Qualifications* *6 months of work due to retirements, new underwriting system implemented 3 months ago, medical leaves and submittals have increased the workload (big backload) *May have opportunity to convert to FTE *Flexible schedule (within...MedicalFull timeContract workTemporary workRemote workFlexible hours$79.4k - $175.3k
...experience. Demonstrated expertise, knowledge, and proficiency in Medical Stop Loss Underwriting. Demonstrates strategic thinking,... ...interpret documents such as plan of benefits, bid specifications, claim reports, and procedural manuals. Possess and have the ability to...MedicalWork experience placementWork at officeLocal area$30.91 - $41.2 per hour
...Range $30.91 - $41.20 Hourly. Remote. Benefits Based on eligibility, First American offers a comprehensive benefits package including medical, dental, vision, 401k, PTO/paid sick leave and other great benefits like an employee stock purchase plan. EEO Statement First...MedicalHourly payWork at officeLocal areaRemote work
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