Complex Claims Resolution & Auto-Adjudication Specialist
Community First Health Plans
A healthcare services provider in San Antonio is seeking a Claims Consultant to analyze complex problems related to claim payments and eligibility. The ideal candidate will have at least five years of experience in HMO/PPO claims, be knowledgeable of benefit programs, and preferably have experience with the Amisys claims processing system. This role requires strong analytical skills and the ability to work cooperatively across departments. #J-18808-Ljbffr Community First Health Plans
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...soft tissue bodily injury or auto PIP/MP medical claims to include confirming... ...evaluating, negotiating, and adjudicating claims in compliance with... ...Adjusts soft tissue, moderately complex and complex 1st party PIP/... ...facilitate timely claims resolution. Delivers a best-in-class...CarClaimsContract workH1bWork at officeRemote workRelocation packageMonday to FridayAfternoon shift3 days per week- ...tissue bodily injury claims. This role is responsible... ...settlements, and adjudicating claims in compliance with... ...expectations, and timely claim resolution. This role... ...varying levels of claim complexity. Key Responsibilities... ..., including related auto physical damage exposures...CarClaimsWork at officeLocal areaRelocation packageMonday to FridayAfternoon shift3 days per week
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- The Hartford is looking for a Specialist Claims in San Antonio, Texas, to manage complex auto and general liability claims throughout their life cycle. This role... ...making coverage determinations, and developing resolution strategies. Candidates should hold a Bachelor’s...CarClaimsRemote job
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...adjust attorney involved moderately complex bodily injury claims to include confirming coverage, determining... ..., disc herniations), as well as all auto physical damage associated with those... ...partners to facilitate timely claims resolution. Supports workload surges and/or...CarClaimsContract workH1bWork at officeRemote workRelocation package3 days per week$107.6k - $161.4k
...Specialist Claims - CH07DE We're determined to make a difference and are proud to be... ...responsible for handling a caseload of complex, high exposure, auto and general liability claims... ...levels; Developing and implementing resolution strategies to achieve high quality...CarClaimsTemporary workWork at officeRemote work3 days per week- ...victimization. This position performs complex public health work in one of... ...as a Health Program Specialist I or other relevant public... ...Convictions, Felony Deferred Adjudication, Class A & B Misdemeanor... ...employment verification. Applicants claiming military service to meet the...ClaimsFull timeLocal area
$51.37k - $92.06k
...The Opportunity As a dedicated auto adjuster, within defined guidelines and... ...are responsible to adjust moderately complex auto insurance claims presented by or against our members to... ...business partners to facilitate claims resolution. Supports members, business...CarClaimsH1bWork at officeRemote workRelocation packageAfternoon shift3 days per week$107.6k - $161.4k
...Specialist Claims - CH07DE We're determined to make a difference and are... ...for handling a caseload of complex, high exposure , Personal... ...complex, high exposure Auto and General Liability claims... ...Developing and implementing resolution strategies to achieve high quality...CarClaimsTemporary workWork at officeRemote work3 days per week$75k - $100k
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- ...Vice President, Auto Insurance & Risk Management Solutions About the Company Prestigious provider of risk & claims management services Industry Insurance Type Privately... ..., and the ability to manage large, complex programs are essential. The role requires...CarClaims
- ...Sr. Claims Specialist BITCO Corporation is seeking a Sr. Claims Specialist... ...insurance solutions to complex industries such as construction... ...on Liability (Commercial Auto, Commercial Property, Construction... ...provides appropriate claims resolution documents Maintain a...CarClaimsTemporary workWork at officeRemote workFlexible hoursNight shift
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$55.37k - $83.05k
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$103.45k - $197.73k
...Opportunity We are seeking a dedicated Claims Litigation Manager Senior- Auto . This role is remote... ...role is responsible for managing complex litigation arising out of the auto... ...defense counsel to secure appropriate resolution. Accountable for delivering a...CarClaimsContract workWork experience placementH1bWork at officeRemote work3 days per week- GuideWell Mutual Holding Corporation is looking for a Client Resolution Specialist in San Antonio, TX. This entry-level position involves handling inbound customer calls and resolving complex client-related issues. Candidates should have at least 1 year of experience in...ClaimsFlexible hours
$80k - $85k
...handle high end cases with serious injuries, complex coverage scenarios and legal inquiries... ...to bring a case to satisfactory resolution. ESSENTIAL FUNCTIONS and RESPONSIBILITIES... ...handling litigation including 5 years of claims management experience or equivalent combination...CarClaimsRemote jobWork at officeLocal areaFlexible hours- ...and completes work log tasks in the system by working through claim edits, denials, and aging tasks; turns in daily productivity reports... ...to payer requests for information/medical records for claim adjudication. Communicates with patients about billing inquiries and...Claims
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$14.9 - $29.06 per hour
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