Claims Resolution & Coverage Specialist
CRC Group
CRC Group is seeking a Claims Resolution Specialist in Flower Mound, TX. This full-time position involves processing claims, evaluating policies, and coordinating with various stakeholders. Candidates should have a High School Diploma and a Claims Adjuster's license, along with strong communication skills. Eligible employees enjoy a comprehensive benefits package including medical and dental insurance, 401(k) with company match, and generous paid time off. #J-18808-Ljbffr CRC Group
- ## Claims Resolution SpecialistApplylocations: Flower Mound, TXtime type: Full timeposted on: Posted Todayjob requisition id: R0000002801*... ...description:**Process claims, which includes evaluating policy for coverage; working with the insured, outside adjusters, agents and...ClaimsFull timeTemporary workWork at officeShift workNight shiftDay shift
- ...Your Next Opportunity The HSE Specialist II is an experienced level professional safety... ...and addresses or elevates issues needing resolution. What You'll Do Collaborate with internal... ...Support incident, near-miss, and claim investigations and communications. Maintain...ClaimsWork at officeLocal areaFlexible hours
- 200 CRC Insurance Svcs LLC is seeking a full-time Claims Adjuster based in Flower Mound, Texas. The role involves reviewing claims to determine coverage and settling claims within authority. Strong communication and organizational skills are crucial as you will interact...ClaimsFull time
$19.08 - $30.53 per hour
The Order Management Specialist performs troubleshooting on all insurance claims and other order types and assists in identifying and executing various enhancements to all order management processes. They ensure compliance with company and business policies, administer...ClaimsWork at officeLocal areaDay shift$52.54k - $68k
...Senior Revenue Cycle Specialist Hybrid • El Monte - CA 91731 Overview Salary Range... ...Specialists are responsible for problem resolution and payment collection of complex... ...resolve complex billing issues, unpaid claims, and customer complaints, taking all steps...ClaimsFull timeWork at officeFlexible hours3 days per week- ...Credit Balance Specialist (Physician Claims) The Credit Balance Specialist (Physician Claims) will manage credit balance workloads and respond and follow-up on external and internal inquires in a timely manner. This position will be on a hybrid schedule working two...ClaimsTemporary workWork at officeFlexible hours
- A prominent technology solutions firm is seeking a Credit Balance Specialist in Lewisville, TX. This full-time role requires managing credit balance workloads and responding to inquiries. Candidates should have a High School Diploma or GED with 1-3 years in healthcare...ClaimsFull timeWork at office
- ...required. Responsibilities Review policy to determine if loss is covered. If questionable, hire an attorney for coverage counsel and analysis. Settle claims within settlement authority, where applicable. Work with adjusters, insureds, attorneys, agents, and others to ensure...ClaimsFull timeWork experience placementWork at officeNight shiftDay shift
$1,000 per month
Senior Leave Specialist The Senior Leave Specialist administers the company’s leave of absence programs. This in‑office role coordinates... ...documents eligibility, payment and tracking of premiums, claims resolution, and participation statistics. The position acts as a...ClaimsWork at officeLocal areaFlexible hours- Overview HSE Specialist II is an experienced field‑based safety position that supports the implementation of health, safety, and environmental... ...of job hazard analyses. Support incident, near‑miss, and claim investigations and communications. Maintain thorough knowledge...ClaimsWork at officeLocal areaFlexible hours
- ...Technician to join a thriving team of imaging specialists delivering outstanding patient care.... ...inclusive of health, dental, and vision coverage (details provided upon application)... ...starting anew, returning home, or staking a claim in this spirited city, Dallas is not...ClaimsLocal areaFlexible hoursWeekend workDay shiftAfternoon shift
- ...mortgage journey. Overview As a Bankruptcy Specialist III , you will be an expert in all... ...strategies for efficient and effective resolution while mitigating potential losses Document... ...payment analysis, affidavit figures, and claim amounts. Manage bankruptcy account...ClaimsTemporary workWork at officeFlexible hours
- ...Route Coverage Specialist - UniFirst At UniFirst, we Always Deliverfor our customers and our people. Join us as a Route Coverage Specialist, a key service professional integral to the success of our operations. In this role, you'll provide exceptional service by stepping...Work at officeLocal areaDay shift
$55k - $65k
...regarding any issues regarding purchasing, inventory and the team coverage Get cross trained in inventory management and have the... ...receiving details and implement corrective actions for dispute resolution Ensure accurate and timely receipts of invoices and purchase...Full timeRemote workFlexible hours- ...Work Shift: 1st Shift (United States of America) Please review the following job description: Process claims, which includes evaluating policy for coverage; working with the insured, outside adjusters, agents and attorneys on the claim and coordinating the...ClaimsFull timeTemporary workWork experience placementWork at officeShift workNight shiftDay shift
- ...promising future. Position Summary The Claims Advocate serves as a trusted resource to... ...helps ensure timely and equitable claim resolution. The Claims Advocate works closely with... ...needs. Support clients with coverage questions related to active claims and coordinate...ClaimsWork experience placementWork at officeRemote work
- ...Billing Specialist BayMark Health Services is looking for an organized, analytical and... ...Specialist to manage billing processes and claims submissions. Additionally, the billing... ...claims, contact insurance carrier(s) for resolution Reconcile various accounts, post payments...ClaimsWork at officeLocal area
- ...Skilled Nursing Facilities. The specialist will verify patients'... ...Facilities. Follow-up on all claims, moving copays, posting cash... ...Team Members and billing issue resolutions ~ Communicates effectively... ...and determine amount of coverage and benefits, deductible due...Claims
- ...Job Summary: The Spine Team Texas Precertification Specialists are responsible for obtaining pre-certification for surgeries and/or... ...proof of insurance requirements necessary to obtain payment for claims. Position will also assist the Eligibility Coordinator in...ClaimsWork at office
- ...Medical Insurance Billing Specialist Responsible for billing and processing insurance payments... ...needed information regarding denied claims with timely follow-up with insurance... ...verification of patient benefits, eligibility and coverage as needed. Patient Responsible...ClaimsWork at office
$60k
...existing insurance policies and service all claims which include regular and after-hour... ...present options, finalize and bind new coverage, cancel old policies, and negotiate with... ...adjustment, and following up to ensure resolution. Review audits or policies; verify accuracy...Claims$20.75 - $28 per hour
...Division: Group Job Posting Title: Customs Specialist - Entry Writer Time Type: Full Time... ...documents required to support claims or disclaims. * Ensure the proper and timely... ...accounts, short and long-term disability coverage, and wellness resources to support your...ClaimsHourly payFull timeTemporary workWork at officeLocal areaFlexible hours- ...Safety Specialist Provide administrative support to Southland safety department, with heavy emphasis on workers compensation claims management. Responsibilities Provide administrative support to group as directed, including data entry on worksheets or safety documents...ClaimsImmediate startFlexible hours
- ...years, look no further and apply today! The Claims Manager is responsible for overseeing... ...plays a critical part in driving claim resolution efficiency, minimizing delays, and supporting... ...related to scope, pricing, or coverage Maintain strong professional relationships...Claims
- ...HSE Specialist I HSE Specialist I is an entry-level professional safety position. It is a field-based position and supports the implementation... ...risks and control measures. Support incident, near‑miss, and claim investigations and communications. Maintain working knowledge...ClaimsWork at officeLocal areaFlexible hours
$20 - $22 per hour
iks health based in Coppell, Texas is looking for an experienced individual for a billing and claims analysis role. You will be responsible for reviewing claims, adhering to billing guidelines, and communicating with insurance and clinic personnel to resolve claims efficiently...Claims- ...Payer Enrollment Specialist MB2 Dental, a first-of-its-kind Dental Partnership Organization (DPO) founded in 2007 and based in Carrollton... ...Numbers and payer contracts, helping maintain uninterrupted claims payment and compliance with payer requirements. MB2 collaborates...ClaimsContract workTemporary workWork at office
- ...honor our iconic brand by offering quality coverage to millions of customers and being there... .... Come grow with GEICO’s Casualty Claims Team! It’s an exciting time! We’re... ...liability assessments, and bodily injury claim resolutions—through both settlement and litigation....ClaimsWork at officeLocal areaRelocation packageMonday to FridayFlexible hoursAfternoon shift3 days per weekEarly shift
$140k - $285k
...credit and criminal checks; waivers of claims Litigation experience strongly preferred... ...critical to Fidelity's management and resolution of employment issues. You will work closely... ...include comprehensive health care coverage and emotional well-being support, market...ClaimsWork from home- Join to apply for the Ocean Import Specialist (Bilingual English/Korean) role at FNS, Inc. 1 day ago Be among the first 25 applicants Join... ..., TX $88,500.00-$115,100.00 1 day ago Logistics Equipment Claims and Cost Control Specialist Logistics Contract Paralegal (EM667...ClaimsFull timeContract workWork at officeOverseas
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