Claims Coordinator
IICRC
Claims Coordinator
As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow-up, handling service complaints, logistics of dispatching field personnel to jobs while ensuring that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. The Coordinator is responsible to follow up daily with the OPS team to ensure that all required documentation, estimates, and procedures are followed according to required program guidelines. A successful Coordinator will possess tenacity and thrives in a fast-paced environment. The coordinator who is detail-oriented and able to focus on many projects in varying degrees of completion will be most successful in this position.
Job Responsibilities
- Understanding of the claims flow process – Water Mitigation, Reconstruction, Contents, and other Environmental work
- Manages data entry for each claim from First Notice of Loss through to completion of job in the CRM system
- Daily review of compliance tasks and all job tasks are completed on time
- Monitor and update jobs in required operating system making sure the job flows efficiently through the claims process requirements and cycle times
- Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call
- Creates and or assists with job estimate, reviews final estimate to ensure estimate is complete per company standards
- Manages Customer Service issues and complaints, documenting actions and resolution
- Understanding of all company cycle times and SLAs required for each job and phase
- Client Care Calls – ensure constant, often daily, communication with the customer, may communicate with adjuster
- Ensure daily notes are entered in all jobs, contacting relevant participants and escalating to the department manager as required
- May be responsible for creating job estimate and or assisting the Estimator/Project Manager with final estimate
Job Requirements
- High school diploma/GED required
- IICRC Certifications preferred but not required: WTR, ASD, OCT, STC
- Exceptional Customer Service skills
- Experience with Microsoft© Office application (Word, Outlook, PowerPoint, and Excel) required
- Personal time management and organizational skills
- Strong verbal and written communication skills
- Dependable and adaptable to operate within a fast-paced work environment
- Ability to manage highly confidential information
- Strong problem-solving skills
- Proficient at using Microsoft Office, Outlook, CRM software
- Experience do you have with customer interaction and conflict resolution
- On-Call Phone services (by rotation)
Physical Demands and Working Conditions
The physical demands are representative of those that must be met by an employee to perform the essential function to this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Incumbent must be prepared to:
- Move up to 20 pounds occasionally, by lifting, carrying, pushing, pulling, or otherwise repositioning objects.
- Sitting for long periods of time while using office equipment such as computers, phones etc.
- Fingering and Repetitive motions; such as movement of wrists, hands and fingers while picking, pinching and typing during your normal working environment.
- Express or exchange ideas with others quickly, accurately, and receive and act on detailed information.
- Close visual acuity to perform detail-oriented activities at distances close to the eyes, such as preparing and analyzing data, viewing computer screen and expansive reading.
- Be exposed to various inside working conditions: The change of building environment such as with or without air conditioning and heating. May be required to travel for short periods of time.
Disclaimer The above statements are intended to describe the general nature and level of work being performed by associates assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed. The Company reserves the right to modify this description in the future, with or without notice to the employee. This Job Description does not create an employment contract, implied or otherwise, and employment with the Company remains at will. These responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities.
- Livingston HealthCare is seeking a hospital billing associate to ensure timely and accurate submission of insurance claims. You will coordinate billing processes and payer edits while supporting the supervisor with system updates and daily claim processing. Ideal candidates...Claims
$23.82 per hour
...Job Description Job Description JOB SUMMARY: Responsible for the timely and accurate submission of Insurance claims. Coordinate billing procedures and working payer edits in conjunction with updated Payer requirements and guidelines. Schedule: ~1.0 FTE (...ClaimsFlexible hours- JOB SUMMARY Responsible for the timely and accurate submission of Insurance claims Coordinate billing procedures and working payer edits in conjunction with updated Payer requirements and guidelines Schedule 08 FTE 32 hoursMon Fri800am 430pmCompensation 2382hr DOERobust...ClaimsFlexible hours
$21 - $31 per hour
...Position As a BIM Coordinator for Architecture, you will coordinate BIM activities, support design and deliverables, and maintain discipline‑specific models. Responsibilities Work for a specific discipline, under the direct supervision of an Architect/Engineer, or other...SuggestedFull timeTemporary workWork at office$21 - $31 per hour
...This isn't just a job, it's a chance to drive meaningful change and help define the future of our communities. In the role of BIM Coordinator for Architecture, we'll count on you to: Work for a specific discipline, under the direct supervision of an Architect/...SuggestedFull timeTemporary workPart timeWork at office- Livingston HealthCare in Livingston, MT is seeking a detail‑oriented Medical Billing Specialist to ensure timely and accurate submission of claims. You will review final bills, apply payer edits, and maintain compliant billing using UB/HCPCS coding and revenue codes. You will...Claims
- ...What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights...Claims
- ...support strategic and profitable growth. Primary Responsibilities Coordinate, monitor, and improve technical competencies of geotechnical... ...geotechnical aspects deep foundation construction and construction claim mitigation Master of Science or higher in Engineering (...Claims
- ...technicians and dispatch regarding customer and company vehicle repairs to service our customers efficiently and effectively. Set up claims for customer’s extended warranties and service contracts. BENEFITS: Health Insurance Vision Insurance Dental Insurance 401(k) and...Claims
$35k - $75k
...service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer-focused, needs-based review process to educate customers about insurance...ClaimsFor contractors- ...above company standards. Assist in diagnosing vehicle problems; order parts and tools as necessary. Oversee administration of warranty claims. Reinforce company policies and adhere to company standards. Encourages compliance with applicable laws and regulations. Maintains...ClaimsLocal area
- ...service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Develop leads, schedule appointments, identify customer needs, and market appropriate...ClaimsFor contractorsWork at office
- ...departmentalization and delegation of duties. This candidate would also coordinate and integrate administrative management with the program and... ...attorneys, agencies or other parties contacting FHS regarding claims. Financial Management With CFO, implements an effective...ClaimsLocal area
- ...Job Description Methodist Hospital is seeking a compassionate, relationship-focused Volunteer Coordinator to serve as the primary liaison between our organization, our volunteers, and the patients and communities we serve. This role is integral to the growth and success...Local areaDay shift
- ...service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer‑focused, needs‑based review process to educate customers about insurance...ClaimsFor contractorsWork at office
- ...vehicle issues on repair orders. Schedule service appointments and coordinate workflow with technicians. Explain recommended maintenance and... ...systems. Verify warranty coverage and submit warranty claims according to Toyota guidelines. Inspect completed repairs for quality...ClaimsWork at office
$17 - $20 per hour
...ensures accuracy of planograms. Responsible for reviewing and coordinating the proper use of reports and system applications, which have... ...front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not...ClaimsHourly payWork experience placementLocal areaFlexible hoursShift workAfternoon shift$17.63 - $27.34 per hour
...cause of scanning failures and compiles information on disputed deliveries for management review. Reviews and trends loss and damaged claims filed to identify improperly charged claims and brings to the attention of management Additional Linehaul essential functions....ClaimsFor contractorsWork at office- ...Assisting in timekeeping responsibilities as needed Resolving Claim Edit Workqueue accounts and keeping them below the set goal... ...Cycle to enhance system functionality to meet customer needs. Coordinates physician and physician office service requests and incident resolutions...ClaimsWork at officeShift workDay shift
- ...resolution on denied accounts. Responsible for routing appeals relating to technical and clinical issues identified during the billing of claims, denial or receipt of audit. Works with HIM, vendors and facility clinicians to correct deficiencies in a timely manner Identify...ClaimsWork at officeLocal area
- ...Accounts Receivable (40%) Work with assigned customer accounts by coordinating effectively with their procurement and Accounts Payable teams,... ...to senor members of the department for assistance. File claims to dispute or inquire on customer deductions, chargebacks or...ClaimsWeekly payTemporary workWork experience placementWorldwide
- ...overpayment identification, and voluntary refund processes in coordination with legal counsel and finance. Lead root‑cause analysis for compliance... ..., OIG Compliance Program Guidance, HIPAA, the False Claims Act, Anti-Kickback Statute, Stark Law, and applicable state licensure...ClaimsFor contractorsWork at officeLocal area
- ...the lives of those around you. POSITION SUMMARY: Under the direct supervision of the association Sports Director, the Sports Coordinator plays a vital role in organizing, coordinating, and overseeing all sports, Ninja, and sports league programs tailored specifically...Full timeSummer workSummer holidayWeekend workAfternoon shift
- ...Job Title: Bilingual Staffing Coordinator (Spanish/English) Company: Talent Masters Staffing Location: St. Louis Park Position Overview: Talent Masters Staffing is seeking a driven and personable Bilingual Staffing Coordinator to support our recruiting and...Work at officeWeekend work
- ...Act as the first line of support to patient or third party payer contacting the facility with questions concerning an account or claim. Root cause issues and attempt to resolve. Document and communicate resolution as appropriate in the Patient Accounting System...ClaimsWork at officeLocal area
- ...Job Description Job Description Bid Coordinator A bid coordinator manages the bidding process for a company or organization, which can include proposals, tenders, and bids for various projects. They work with different teams and departments to ensure the process is...
$18 - $32 per hour
...Accounts Receivable Billing Clerk position is responsible for validating patient's insurance coverage, processing recurring rentals, claims coding, claims billing including price validation, assisting patient accounts with billing discrepancies, payment posting and...ClaimsHourly payMinimum wageFull timeWork experience placementLive inLocal areaRemote workMonday to FridayShift work$70 per hour
...budgets, and other administrative burdens. Talkspace not only delivers client referrals straight to you but also handles insurance claim submission and billing so you can focus on practicing the craft you love. \n Flexible Scheduling - Create a schedule that works...Remote jobFor contractorsFlexible hoursWeekend workAfternoon shift- ...The Housekeeping Supervisor is responsible for administering and coordinating housekeeping functions in assigned sections. Responsible for inspecting Guest Rooms and ensuring they are cleaned up to standards assist Room Attendants as needed provide necessary training....Hourly pay
$65k - $85k
...commission + bonuses) Tools & Support: CRM, licensing reimbursement, training, and mentorship availablebut results are yours to claim Who You Are Independent, decisive, and unafraid to take charge of your results Resilient and competitive, thriving in a fast...ClaimsFull timeFor contractorsLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Coordinator. Be the first to apply!




