Search Results: 5,719 vacancies
..., complex audits on individual or random, training and focused claims to identify exceptions to established claims adjudication requirements... ..., authorization process or claims activity
5. Notify management immediately if any report processing deadlines cannot be met....
Claims
Hourly pay
Holiday work
Full time
Traineeship
Casual work
Immediate start
Remote job
Relocation bonus
Flexible hours
As a claims adjuster trainee , you'll learn how to help customers get back on the road after an accident. This is not a field position... ...how to resolve a heavy case load of claims efficiently while managing the claims process from start to finish. You'll have the...
Claims
Hourly pay
Temporary work
Traineeship
Work experience placement
Local area
Home office
Flexible hours
Monday to Friday
...priority sorting, batching logging by provider and provider type for all correspondence
Provide reports and on-going updates to Claims management.
Assist in the processing of appeals (reconsiderations), special projects and reconciliations from all sources.
Oversees...
Claims
Hourly pay
Holiday work
Full time
Contract work
Casual work
Relocation bonus
Flexible hours
...-You will independently handle and monitor all CX operations claim submissions and investigate and identify recurring issues in connection... ...claims made
-You will communicate regularly with the Sr. CX Manager on trends, carrier and 3PL updates
-You will respond to...
Claims
Holiday work
Temporary work
Worldwide
Flexible hours
...Responsibilities:
Join our team as a Property Field Inspection Claim Specialist and showcase your expertise in handling accidental... ...and analytical skills
Proficient in using claims management software and other relevant tools
Physical Requirements:...
Claims
Work experience placement
Local area
Remote job
Work from home
Flexible hours
...Job Description
The Senior Claims Specialist will work in a collaborative environment to investigate and settle claims promptly and... ...coverage positions, as warranted, under direction of manager.
Conducts, coordinates, and directs investigation into loss...
Claims
Local area
...The ESIS Senior Work Comp Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines.
Note: This is a hybrid position requiring 3 days in the Chatsworth office...
Claims
Contract work
Claims Service Representative II - Casualty
The Auto Club of Southern CA is looking for a Claims Service Representative responsible for investigation, evaluation and negotiation of low to moderate complexity claims in compliance with established company technical and...
Claims
Work experience placement
Local area
...Claims Advocate
DEPARTMENT: CLAIMS
STATUS: EXEMPT
EMPLOYEE TYPE: FULL-TIME
LOCATION: VAN NUYS
Our not-so-secret sauce... ...is to provide claims' advocacy for our clients and Business Managers. The ideal candidate will have exemplary customer service abilities...
Claims
Full time
Local area
Night shift
...Working under the direction of the Manager, Claims, this position has direct responsible for the supervision of staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include reporting functions...
Claims
Full time
Local area
Shift work
...Responsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance... ...qualifications:
~2 years HMO claims processing experience in a managed care environment, preferably PMG/IPA setting within the last 3...
Claims
Full time
Local area
Shift work
Summary
The EDI Claims Specialist is responsible for retrieving, processing, validating, and posting electronic claim data files into... ...experience in a similar role and/or extensive experience with managed healthcare eligibility data and requirements.
~Experience working...
Claims
Hourly pay
...comprehensive estimate of damages for 1st and 3rd party material damage claims in either the auto or specialty lines leading to the proper... ...communication skills
Possess effective skills in time management, organization, and the ability to work under pressure
Ability...
Claims
Work visa
Flexible hours
Summary
Responsible for accurate review and input of claims in accordance with outside regulation, internal production standards and... ...and departmental policies and procedures.
Adhere to MedPOINT Management’s Core Values: Accountability, Community, Celebration, Integrity...
Claims
Hourly pay
Flexible hours
...We're on the hunt for a super-skilled Pediatric Dental Office Manager to join our smile-inducing team! If you're looking for a full-... ...You'll be in charge of scheduling patients, submitting insurance claims, and making the connection between our little patients and our...
Suggested
Hourly pay
Full time
...Accurate review, input and adjudication of provider specialty claims, including UB04s, in accordance with outside regulations, internal... ...claims per day and 200-250 IPA claims as established by claims management
~Assists in other IPA’s when needed
~Accurately enter claims...
Claims
Hourly pay
...great place to work.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Workers Compensation Claims Manager | CA Claims Exp. Required | West Hills, CA (Onsite)
PRIMARY PURPOSE: To manage the technical and operational functions...
Claims
Local area
Flexible hours
...excellent technical skills as well as the ability to effectively manage the client relationships that are so important to our success.... ...and P&L reporting solutions.
•Monitor insurance renewals and claims for both institution and individual clients.
•Delivery of Weekly...
Casual work
Flexible hours
...collaboration across SJHH NSS and Care Integration (NSS Support Services, Claims, Claims Auditing, UM, and CM) operations. In addition, this... ..., MTR, Monthly NSS, Board Foundation, and Regional Report. Manage the flow of scheduled reports to ensure customer deadlines and health...
Claims
Full time
Local area
Shift work
...Tri Star Sports and Entertainment Group is a renowned business management firm serving high net-worth clients in the sports and entertainment... ...reports, weekly updates).
* Monitor insurance renewals and claims for both institution and individual clients.
* Review budgets...
