Claims Specialist - Medical & Short-Term Claims
Crawford & Company
Crawford & Company is seeking an administrator for non-complex short-term claims of low monetary value in the Virginia area. The role involves documenting and monitoring open cases, closing files timely, and making decisions within delegated authority. The candidate should have a college degree or equivalent, knowledge of claims terminology, basic medical terms, and strong communication skills. State licenses and a valid driver's license are required, with ongoing CE as outlined by Crawford. #J-18808-Ljbffr Crawford & Company
$2,500 per month
Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims. Documents and monitors open case inventory and ensures proper and timely closing of files. Makes decisions on claims within delegated limited authority. College...Temporary workMedical$76.5k - $103.5k
...working against a multi-billion record claims warehouse assembled from dozens of public... ...policy (LCDs, NCDs, private carrier medical policies) and common industry claim edits... ...their income, other offerings such as short and long-term disability benefits, life, accidental death...Temporary workMedicalPermanent employmentFull timePart timeImmediate startRemote workWorldwideFlexible hours$145k - $210k
...(2) avoidance of malpractice claims and ethical violations, and (3... ...the Firm’s client engagement terms program including review and coding... ...elective benefits including medical, health savings account (with... ...paid life insurance, AD&D, LTD, short term medical benefits as well...Temporary workMedicalFull timeWork at officeFlexible hoursWeekend work$41.84 - $62.76 per hour
...health, social services and long term services and supports. How... ...care plan. Establishes short and long term goals in collaboration... .... Interfaces with Medical Directors, Physician Advisors... ...problem solving with providers, claims or service issues. Directs...Temporary workMedicalContract workWork at officeLocal area$130k - $150k
...highlights and tags to substantiate points claimed, and experience summaries. Must have the... ...its People! Benefits Health Care Plan (Medical, Dental & Vision) Retirement Plan (401k,... ...) Family Leave (Maternity, Paternity) Short Term & Long Term Disability Training & Development...Temporary workMedicalFor subcontractorWorldwide$50k - $60k
...Day‑to‑Day Responsibilities Verifying medical health benefits and eligibility Submitting... ...insurance companies Following up on claims Billing clients for Patient Responsibility... ...match Employee Assistance Program Short‑Term Disability, Term‑Life/AD&D Insurance, Critical...Temporary workMedicalFull time- ...Location: Tysons, Virginia 22102 Duration: Short term Job ID: 174589 Job Overview We are... ...consultants have access to benefits, including medical, dental, vision, and 401K contributions,... ...message, email, or phone call claiming to be from PTR Global do not respond or...Temporary workMedicalFull timeMonday to Friday
- ...Risk Management Department to mitigate claims by ensuring Safety is a priority on the... ...including:* 100% company-paid premiums for Medical, Dental & Vision for all dependents (... ...Voluntary Life Insurance Plans* Company-paid Short Term and Long Term Disability* Flexible...Temporary workMedicalWork at officeLocal areaFlexible hours
$67.65k - $108.07k
...day of work. ~ Low contributions to medical and prescription premiums. We currently... ...include company-paid basic life insurance; short-and long-term disability insurance; orthodontic... ...discretion or judgment in handling property claims within designated level of authority....Temporary workMedicalFull timeLive inWork at officeRemote workWork from homeHome office- ...candidate to join our talented Team. Job Title: Claims Processor Location(s): Fairfax, VA Job Description... ...send pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely...MedicalRemote work
$21.1 - $40.9 per hour
...position is with Aetna's Long-Term Services and Supports (LTSS) team... ...with members to evaluate the medical needs of the member to... ...issues presented to enhance the short and long-term outcomes as well... ...functionality. Reviews prior claims to address potential impact on...Temporary workMedicalHourly payFull time- ...and face-to-face) to evaluate members’ medical, behavioral, and social needs Develop and... ...care plans that promote both short- and long-term wellness Coordinate care across providers... ...teams to optimize care strategies Review claims history and benefit eligibility to inform...Temporary workMedical
- ...Risk Management Department to mitigate claims by ensuring Safety is a priority on the... ...~100% company-paid premiums for Medical, Dental & Vision for all dependents (effective... ...Voluntary Life Insurance Plans ~ Company-paid Short Term and Long Term Disability ~ Flexible...Temporary workMedicalWork at officeLocal areaFlexible hours
$80k - $120k
...and sick time off Healthcare insurance (medical, dental, and vision) 401(K) company... ...matching contribution Basic life insurance, short- and long-term disability Mental health, wellbeing,... ...coordinate care and services, assistance with claim and billing issues, understanding...Temporary workMedicalWork at officeLocal area- ...significantly on a daily basis with management and medical personnel to recommend courses of action... ...assessment, referral, case management, short-term counseling, and EAP surveillance alcohol... ...Compliance in response to unemployment claims and arbitrations Assists in preparation...Temporary workMedicalFlexible hours
- ...resolve client inquiries, concerns, and claims effectively to maintain high satisfaction... ...of a team Benefits: ~ Subsidized Medical Plans (HSA & PPO options) ~ Company-... ...~100% Company-Paid Vision Insurance ~ Short-Term Disability (STD) ~ Long-Term Disability...Temporary workMedicalWork at office
- ...and tags to substantiate points claimed, and produce experience... ...with turnaround deadlines as short as 7‑ or 10‑day periods. Qualifications... ...Benefits Health Care Plan (Medical, Dental & Vision) Retirement... ...(Maternity, Paternity) Short Term & Long Term Disability...Temporary workMedicalFor subcontractor
$145k - $175k
...Salesforce and enterprise systems such as claims platforms and EHRs Collaborate... ...Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match Generous... ...options Employer-paid Life Insurance, Short Term Disability, Long Term Disability Charitable...Temporary workMedicalWork at officeFlexible hours- ...carriers vendors and internal teams to resolve claims billing eligibility enrollment and... ...30 days of employment We offer Medical Dental and Vision Benefits Flexible Spending... ...and Commuter Transit ProgramsCompany paid Short Term Disability Long Term Disability and Group...Temporary workMedicalFull timeWork at officeLocal areaRemote workFlexible hours
$41.84 - $62.76 per hour
...health, social services and long term services and supports. How... ...care plan. Establishes short and long term goals in collaboration... .... Interfaces with Medical Directors, Physician Advisors... ...problem solving with providers, claims or service issues. Directs...Temporary workMedicalFull timeContract workWork experience placementWork at officeLocal area1 day per week- ...significantly on a daily basis with management and medical personnel to recommend courses of action... ...assessment, referral, case management, short-term counseling, and EAP surveillance alcohol... ...Compliance in response to unemployment claims and arbitrations Assists in preparation...Temporary workMedicalWork at officeFlexible hours
- ...home office for the Long-Term Services and Supports (... ...Interfaces with Medical Directors, Physician Advisors... ...solving with provider, claims or service issues.... ...provider network, including specialists, primary care... ...Backup Care Long-Term, Short-Term Disability, and Critical...Temporary workMedicalRemote jobPermanent employmentFull timeHome office
$60.52k - $129.62k
...and face-to-face) to evaluate members' medical, behavioral, and social needs Develop... ...care plans that promote both short- and long-term wellness Coordinate care across providers... ...to optimize care strategies Review claims history and benefit eligibility to inform...Temporary workMedicalHourly payFull timeLocal area$125.53k - $169.83k
...for 567 tribes, 37 states and over 600 medical facilities. Our work depends on a Revenue... ...related to charging, coding, billing, claims management, and revenue integrity... ...their income, other offerings such as short and long-term disability benefits, life, accidental death...Temporary workMedicalImmediate startWork from homeWorldwideFlexible hours$84k - $102k
...Experience with healthcare claims analytics and/or network analytics... ...language, and key terms Experience with AArete's other... ...majority employer-paid benefits: Medical, Dental, Vision, 401K Match... ...Employer paid Life Insurance, Short-Term Disability, and Long-Term...Temporary workMedicalInternshipWork at officeFlexible hours$114.8k - $164k
...and sick time off Healthcare insurance (medical, dental, and vision) 401(K) company... ...matching contribution Basic life insurance, short- and long-term disability Mental health, wellbeing,... ...coordinate care and services, assistance with claim and billing issues, understanding...Temporary workMedicalWork at officeLocal area$151.7k - $227.6k
...Potential COs, negotiations, documentation) and claims avoidance/resolution with Legal/... ...least 20 hours per week) have access to medical, dental, and vision plans, a wellness program... ...death & dismemberment (AD&D) insurance, short-term/long-term disability plans, emergency...Temporary workMedicalFull timePart timeFor contractorsCasual workWork at officeLocal areaFlexible hours- ...meetings including renewals, claims reviews, benchmarking, and open... ...generate new business and build long‑term client relationships... ...professional team. Benefits Medical, Dental, and Vision Benefits... ...Transit Programs Company paid Short‑Term Disability, Long‑Term Disability...Temporary workMedicalFull timeWork at officeLocal areaFlexible hours
- ...operational plans that align with Somatus’ short- and long-term goals, across population health and... ...Payment Integrity Product Areas: Clinical Claim Review, Payment Analytics, Fraud... ...Subsidized, personal healthcare coverage (medical, dental, vision) Flexible Paid Time Off...Temporary workMedicalContract workLocal areaFlexible hours
$69.3k - $99k
...and sick time off Healthcare insurance (medical, dental, and vision) 401(K) company... ...matching contribution Basic life insurance, short‑ and long‑term disability Mental health, wellbeing,... ...coordinate care and services, assistance with claim and billing issues, understanding...Temporary workMedicalWork at officeLocal area
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