Health/Medical Claims Processor I
Trend Health Partners
Trend Health Partners, Inc. is seeking a Claims Analyst to identify, analyze, and recover claim overpayments for commercial health insurance companies. This role involves collaborating with clients and team members to improve healthcare access while maintaining strong analytical and communication skills.
The ideal candidate will hold a Bachelor’s degree or equivalent experience, be proficient in Excel, and demonstrate a meticulous attention to detail. Join us to contribute to meaningful healthcare initiatives and be part of a supportive, innovative environment.
#J-18808-Ljbffr
$18.5 - $35.29 per hour
...something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary The Medical Claim Analyst will be part of the Provider Coding and Reimbursement (PCR) team who reviews provider coding and reimbursement denial...MedicalHourly payFull timeLocal area$60 - $65 per hour
Data Quality Analyst / Claims Operations Specialist Location: Hybrid Schedule: Monday-Friday | 9:00 AM-5:00 PM (35 Hours/Week) Start Date... ...including overpayments and underpayments. Coordinate with Claims, Medical Management, Provider Relations, and Member Services to...MedicalMonday to Friday$61.9k - $96.1k
...Summary Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Mid Corp Casualty Team as a Claims Examiner,... ...our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive...MedicalFull timeTemporary workWork experience placement$53k - $77k
...comfort of your home office? Join our team as we navigate complex claims, advocate for injured workers, and deliver exceptional outcomes... ...claims. Work with both the claimant and their physician to medically manage the claim, from initial medical treatment to reviewing and...MedicalFull timePart timeWork experience placementLocal areaHome officeFlexible hours$23.16 per hour
...various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround... ...claims 3 years of experience with medical terminology Preferred: 3 years of experience in a Stop Loss Claims Analyst role. Skills Ability to communicate concise...MedicalWork at officeLocal area$18.58 - $28.62 per hour
...hear from you! We are seeking an organized professional for our Claim Assistant role to provide administrative support to our Worker's... ...include responding to customer inquiries, scheduling medical appointments, entering information in claim files, completing...MedicalHourly payLocal areaFlexible hours- ...Health Program. In this role, you will leverage your strong attention to detail and commitment to accuracy in processing complex medical claims. If you are eager to make a positive impact in the community through your administrative skills, we encourage you to apply....MedicalFull timeFor contractorsWork at officeRemote workMonday to FridayFlexible hours
$77.5k - $141.4k
...Position Summary : To handle claims associated with GNY Custom book and other select accounts from inception to closure. To assure that... ...documents, the insured's business records, public records, medical records, property damage scopes, etc. Setting proper reserves timely...Medical$75k - $130k
...Capital, a global specialty lines insurer and reinsurer, is hiring a Claims Specialist – Primary Casualty to join its North America Claim... ...performance. Comprehensive benefits package including medical plans for employee and family, health and wellness programs, retirement...MedicalWork at office3 days per week- ...Position Overview The Claims Examiner I is responsible for the data entry and system adjudication of provider claims. The incumbent... ...manner. Scope Of Role & Responsibilities Process claims involving medical and/or surgical services; screens for complete member/provider...Medical
- ...Responsibilities Responsible for daily administrative tasks to support the Claims Department. Answer phones, route calls and take messages.... .... Utilize the MCS portal to submit HIPAA authorizations for medical records. Process Summons & Complaints. Share GNY’s files with...MedicalWork at office
- ...We are seeking an experienced specialist to manage high-exposure medical professional liability claims. This role is designed for a technical expert who can navigate complex litigation and indemnity strategies while maintaining a high level of service for our insured clients...MedicalFull timeWork at officeRemote workShift work
$30 - $31 per hour
...Job Title : Claims Examiner/Claims Processor / Claims Adjudicator (Healthcare Insurance) Duration : 3-6+ months possibility for extension... ...guidelines. The ideal candidate will have experience in medical claims processing and strong knowledge of coding systems and insurance...Medical$32.3k - $65.7k
...Claims Assistant - NY Hybrid • NEW YORK HEADQUARTERS - NEW YORK, NY 10118 Overview Position Type Full Time Category Admin -... .... Utilize the MCS portal to submit HIPAA authorizations for medical records, cancel requests, and import records received into the...MedicalFull timeWork at officeNight shift- ...The Workers’ Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers... ...is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health...MedicalMinimum wageFull timeWork at officeLocal areaWork from homeFlexible hours1 day per week
$94.8k
...Full-time Employment Practices Liability Claims Professional.This is not your average Claims... ...LTC, and Hospital Indemnity.As a Claims Analyst specializing in Accident, Critical... ...to an ADA-compliant exam space to conduct Medical Disability Examinations for U.Partnering...MedicalHourly payFull timeTemporary workPart timeReliefWork at officeRemote workWork from homeFlexible hours$60k - $75k
...Position Description E-J is seeking a Claims Assistant who will work closely with the Vice President of Risk Management & Compliance... ...Competitive compensation packages Comprehensive benefits, including medical, dental, vision, and a 401K plan Paid holidays and vacation...MedicalFor contractorsWork experience placementWork at officeLocal area$100k
...Senior Commercial General Liability Claims Adjuster Job Description Our client is looking for a Senior General Liability and Casualty... ...disability, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including...MedicalFull timeTemporary workWork at officeLocal area- Education : High School Diploma or GED required. General Description Process claims involving medical and/or surgical services; screens for complete member/provider information Applies administrative policies when necessary, utilizing the claims processing manuals...Medical
$10k
Strategic Comp is hiring a Senior Medical Only Claims Representative to work from home in the United States. The role focuses on investigating and managing medical-only claims with authority to reserve up to $10,000. Must handle claims across MD, NJ, and PA, with PA being...MedicalWork from home- ...resolution of high complexity and high exposure Workers Compensation claims in multiple jurisdictions Confirms coverage of claims by... ...counsel Evaluates information on coverage, compensability, and medical management to determine the extent of insured's exposure Sets...MedicalWork at office
$80k - $95k
Sr. Commercial General Liability Claims Specialist | Remote This range is provided by King's Insurance Staffing. Your actual pay will... ...20% bonus Ability to work remotely Extremely competitive Medical, Dental, Vision and Life plans Employer matching 401(k) plan...MedicalFull timeRemote work- ...The ideal candidate will have experience processing healthcare claims in a high-volume Claims Department. Must be computer literate and... ...are essential. In-depth knowledge of adjustment processing, medical terminology, CPT, ICD‑P, and revenue codes is required. Proficiency...MedicalWork at office
$130k - $160k
...Senior Claims Specialist - EPL/Fiduciary AXIS Capital is hiring a Senior Claims Specialist – EPL and Fiduciary Claims for its North... ...comprehensive and competitive benefits package which includes medical plans for you and your family, health and wellness programs, retirement...MedicalWork at office3 days per week$105k - $160k
...protected characteristic. About the Team We are hiring a Senior Claims Specialist – Primary Casualty for our North America Claim Team.... ..., and a comprehensive benefits package that includes medical plans for you and your family, health and wellness programs, retirement...MedicalWork at office3 days per week$20 - $26 per hour
Claims Specialist Remote | Full-Time Base pay range $20.00/hr - $26.00/hr About Zaya Zaya... ...documentation aligns with each insurer’s medical policies and guidelines. Verify that all... ...type Full‑time Job function Finance, Other, and Analyst #J-18808-Ljbffr Zaya CareMedicalFull timePrivate practiceRemote workShift work$105k - $160k
...Senior Specialist II, Claims Technician This is your opportunity to join AXIS Capital – a trusted global provider of specialty lines... ...comprehensive and competitive benefits package which includes medical plans for you and your family, health and wellness programs,...MedicalWork at office3 days per week$22 - $28 per hour
...experience and affordable benefits, join us! We’re currently seeking a Claims Processor who will be responsible for processing insurance... ...do: Ensure the timely and accurate adjudication and payment of medical claims, following health plan policies and procedures,...MedicalHourly payRemote work$50k - $55k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto | Property Damage PRIMARY PURPOSE OF THE... ...comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life...MedicalContract workWork at officeLocal areaFlexible hours- **Job Title: Claims Examiner - Life, Accident, Critical Illness, LTC, and Hospital Indemnity****Overview:** As a Claims Analyst specializing in Accident, Critical Illness, Short-Term Disability... ...investigations, including reviewing medical records and other relevant...MedicalTemporary workWork experience placementCasual workWork at officeRemote work
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