CPC-Certified Denials & Claims Resolution Specialist
Brown University Health
Brown University Health in Providence, RI, is seeking a claims follow-up specialist to review denied claims and correct them for adjudication. The role requires 1–3 years of billing experience and knowledge of ICD, CPT, HCPCS, and 1500 forms, with Epic experience a plus. Under supervision, you will work with payer updates, maintain HIPAA compliance, and collaborate with internal teams to resolve issues and improve revenue cycle processes. #J-18808-Ljbffr Brown University Health
$100k
...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best... ...Financial Services & Insurance Sr. Claims Specialist, Professional Liability | Medical... ...long term care facilities; to provide resolution of highly complex nature and/or severe...SuggestedFull timeLocal areaFlexible hours$100k
...meet the unique coverage and claims-handling needs of businesses.... ...Construction Defect Technical Claims Specialist Employment Type: Full-Time... ...financial outcome and timely resolution. Properly setting claim... ...language use restrictions), denial of family and medical care leave...SuggestedFull timeLocal areaRemote work$59.9k - $98.2k
...Workers Compensation Claims Specialist (NE Region) 135388 Zurich is looking for an accomplished... ...the coverage. Work to have a timely resolution to claims by developing case strategy;... ...the Claims or Insurance areaOR Zurich Certified Insurance Apprentice, including an Associate...SuggestedFull timeTemporary workFor contractorsApprenticeshipWork at officeLocal areaRemote workVisa sponsorship$132.8k - $219.1k
...and where you do it. Job Category Claim Compensation Overview The annual base... ...litigation management, negotiating and resolution. Provides consulting and training and... ...Field Severity Support: Some Complex Claim Specialists may be responsible for all or some of...SuggestedLocal area$101.18k - $119.78k
...designed to meet the unique coverage and claims-handling needs of businesses. The Argo... ...to the best financial outcome and timely resolution. Creates and reviews reserves in line with... ...(including language use restrictions), denial of family and medical care leave,...SuggestedFull timeLocal areaRemote work- ...North America is seeking an accomplished Workers Compensation Claims Specialist II to join our Northeast region. The role offers a hybrid... ..., liability and coverage analysis, case strategy and timely resolutions, reserving, and settlements #J-18808-Ljbffr Zurich North AmericaRemote job
- ...doing it well. Whether you're managing claims, supporting clients, or improving processes... ...to ensure effective communication and resolution Provide exceptional customer service to... ...experience Appropriately licensed and/or certified in all states in which claims are being...Full timeLive outWork at officeLocal areaRemote workFlexible hours
$37.66 - $44.33 per hour
...designed to meet the unique coverage and claims-handling needs of businesses. The Argo... ...to the best financial outcome and timely resolution. Properly setting claim reserves. Identifying... ...(including language use restrictions), denial of family and medical care leave,...Temporary workLocal areaRemote work- ...12 months Auto Damage experience and excludes trainees. You will provide high‑quality customer service and promptly settle complex claims, applying technical knowledge to reach fair settlements. Schedule is primarily Monday through Friday, 8:00 AM to 4:30 PM, with some...TraineeshipMonday to Friday
$82.5k - $171.45k
...special! This position will be responsible for the resolution of high complexity and high exposure Workers Compensation claims in multiple jurisdictions. The position will... ...holding company for insurance, reinsurance, specialist advisory and investment operations around the...Full timeWork at officeLocal areaWork from home- ...Claims Examiner Investigates, evaluates, reserves, negotiates and settles assigned claims in accordance with Best Practices. Provides... ...representatives. Recognizes and implements alternate means of resolution. Maintains and document claim file activities in accordance...Work at officeNight shift
$19.39 per hour
...quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following... ...Preferred ~1 year of claims processing experience ~ Inquiry resolution system, OCWA, Oscar, Outlook experience LICENSES or CERTIFICATIONS...For contractorsWork at officeLocal area$17.79 - $21.64 per hour
...Claims Call Centre Representative 135927 Zurich is a leading multi-line insurer that serves its customers in global and local markets... ...required in the Clerical Support area ~ OR ~ Zurich Certified Insurance Apprentice including an Associate Degree and No prior...Hourly payFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeVisa sponsorshipShift work- ...prevention, and updates procedures to improve service processes. Responsibilities include handling warranty claims, process optimization, and collaboration with supply chain to ensure timely resolutions and customer satisfaction. #J-18808-Ljbffr Carrier Global Corporation
- Progressive Insurance is seeking a claims adjuster specialist in Warwick, RI to independently manage attorney represented bodily injury claims. The role includes liability assessment, settlement negotiations with attorneys, and cost estimation for treatments and compensation...Work at office
- Ryder System, Inc. is seeking a Senior Claims Representative to handle complex and mid-to-high exposure bodily injury and property damage claims under Ryder's self-administered liability program. The role involves investigating, adjusting, and directing defense counsel...Remote job
- Zurich North America is seeking an accomplished Senior Workers’ Compensation Claims Specialist to join our Northeast Region team. This role offers a hybrid schedule from Parsippany, NJ or Boston, MA offices, or remote work in multiple states including RI, MA, NY, PA and...Remote jobWork at office
- ...A dynamic organization supplying quality claims outsource solutions to insurance carriers, countrywide is seeking multi-line adjusters... ...Experience in preparing Statements of Loss, Proofs of Loss, and denial letters State adjuster’s license where required Must have...Immediate startRemote work
$26.49 - $37.5 per hour
...Field Auto Claims Adjuster – Rhode Island National General is hiring a Field Auto Claims Adjuster in Rhode Island. The role involves... ...Business Acumen Business Management Claims Administration Claims Resolution Critical Thinking Customer Service Insurance Claims...Work at officeVisa sponsorshipWork visa- ...Multi-Line Claims AdjusterA national independent insurance adjusting firm has immediate openings for Multi-Line Claims adjusters that... ...representativesExperience in preparing Statements of Loss, Proofs of Loss, and denial lettersState adjuster's license where requiredMust have valid...Immediate startRemote work
- ...Adjuster to investigate and adjust residential and commercial property claims. This role is ideal for a detail-oriented, customer-focused... ...information required by client. Prepares settlement letters, denial letters, Reservations of Rights and other letters as needed....Temporary workFor contractorsLocal area
$91k - $150k
Job Description:At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients, teammates, communities and shareholders every day.Being...Full timeWork experience placementWork at officeFlexible hoursDay shift- ...Shepley Insurance Brokerage Inc. in Rhode Island seeks an experienced Claims Specialist to proactively manage the claims process for Tier 1 clients, serving as the primary contact through resolution and advocating on coverage analysis. The role includes reviewing loss...
- ...Claims AdjusterAt Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than... ...5 years related claims experienceAppropriately licensed and/or certified in all states in which claims are being handledKnowledge of accepted...Local areaRemote work
$37.66 - $44.33 per hour
...products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned... ...that cases move to the best financial outcome and timely resolution. Properly setting claim reserves. Identifying, assigning, and coordinating...Temporary workFor contractorsLocal areaRemote work- ...HealthTECH Resources is seeking a Configuration Management Analyst to support analysis, design, build, testing, and maintenance of claims system configuration at a Rhode Island-based health plan. Entry to mid-level role with HealthRules Payor as the primary platform. Training...Contract work
$40k - $55k
...detail-oriented and experienced Automotive Claims Adjuster to join our team. This role... ...negotiating settlements, and ensuring efficient resolution of claims related to vehicle damages.... ...body repair shops, auto restoration specialists, and service providers to facilitate repairs...Full timeFlexible hours- ...Hybrid :3-Onsite & 2-Remote) Job Description: Job Title: Contract Specialist Duration: 2 years 1 days Hours per week: 35 Hours per week... ...inaccuracies in budgets, invoices, and fiscal documents and coordinate resolution with appropriate staff. Review fiscal documents and supporting...Ongoing contractContract workRemote work
- ...Flood Claims Examiner This is an intermediary level examiner position within Allcat's Flood program. This is a predominantly Flood QA review position with desk adjusting possibilities. In this position you will be required to review flood claims and provide feedback...Work at officeImmediate startRemote workMonday to Friday
$26.49 - $37.5 per hour
...customer‑focused Field Auto Adjuster or Appraiser to join our Claims team. Job Description In this role you will inspect damaged vehicles... ...Acumen Business Management Claims Administration Claims Resolution Critical Thinking Customer Service Insurance Claims...Work from homeVisa sponsorshipWork visa
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