Claims Validation System

General Requirements: All of our applications that are in production are developed with the following: Visual Studio 2017-2022 Azure DevOps (ADO) SQL Server 2019 or newer .NET 6 or newer and C#, CSS, HTML 5, Bootstrap Minimum Experience Requirements: a. At least 18 months experience maintaining a Prospective Payment System (PPS) in a Mental...

General Requirements: All of our applications that are in production are developed with the following: Visual Studio 2017-2022 Azure DevOps (ADO) SQL Server 2019 or newer .NET 6 or newer and C#, CSS, HTML 5, Bootstrap Minimum Experience Requirements: a. At least 18 months experience maintaining a Prospective Payment System (PPS) in a Mental...

General Requirements:The experience expected from applicants, as well as additional skills and qualifications needed for this job are listed below. All of our applications that are in production are developed with the following: Visual Studio 2017-2022 Azure DevOps (ADO) SQL Server 2019 or newer .NET 6 or newer and C#, CSS, HTML 5, Bootstrap Minimum...

General Requirements:The experience expected from applicants, as well as additional skills and qualifications needed for this job are listed below. All of our applications that are in production are developed with the following: Visual Studio 2017-2022 Azure DevOps (ADO) SQL Server 2019 or newer .NET 6 or newer and C#, CSS, HTML 5, Bootstrap Minimum...

About Claims SolutionsWe empower communities and businesses to make better decisions on risk, faster. Our analytic solutions bridge content, data, and analytics to help companies become stronger, more resilient, and sustainable.

Claims Examiner, remote position Based out of Garden City, New York. Must Have Active New York Adjusters License. $16-$18 hourly rate.Responsibilities:• Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.• Adjust reserves or...

General Requirements: All of our applications that are in production are developed with the following: Visual Studio 2017-2022 Azure DevOps (ADO) SQL Server 2019 or newer .NET 6 or newer and C#, CSS, HTML 5, Bootstrap Minimum Experience Requirements: a. At least 18 months experience maintaining a Prospective Payment System (PPS) in a Mental...

QUALIFICATIONS/REQUIREMENTS:Bachelor of Arts or Sciences degree in business field, related field, or equivalent work experienceAt least 4 years of practical insurance claim experienceThe ability to use resources effectively, exercising good judgment, possessing decision-making ability, and applying knowledge and experience to related situations so that many...

QUALIFICATIONS/REQUIREMENTS:Bachelor of Arts or Sciences degree in business field, related field, or equivalent work experienceAt least 4 years of practical insurance claim experienceThe ability to use resources effectively, exercising good judgment, possessing decision-making ability, and applying knowledge and experience to related situations so that many...

Description: • Carefully examine medical claims documentation, including medical records, bills, and supporting documents, to verify the accuracy and completeness of information submitted by healthcare providers. • Apply appropriate coding guidelines (e.g., ICD-10, CPT, HCPCS) to ensure that diagnoses, procedures, and services are correctly coded, in...

**Job Overview:** Florida Farm Bureau is seeking a highly skilled Florida Claims Specialist to join our team in Panama City, FL. As a key member of our claims department, you will be responsible for resolving damage and injury claims caused by or incurred by insureds.The successful candidate will have a strong understanding of insurance principles and...

Job SummaryWe are seeking a skilled Medical Claims Technician I to join our team at Red Rock Behavioral Health Services. As a Medical Claims Technician, you will be responsible for researching insurance claim denials, determining their validity, and adjusting and resubmitting claims as necessary.

Job Title: Cloud Engineer for Innovative SolutionsCompany: Claims SolutionsWe are seeking a skilled Cloud Engineer to join our team at Claims Solutions. As a Cloud Engineer, you will play a critical role in designing, implementing, and maintaining our cloud infrastructure.Key Responsibilities:Design and deploy cloud-based solutions using AWS and cloud...

Key ResponsibilitiesProcess documents for the claims processing companyMaintain progress of claims through the systemCollaborate with Station Managers and Garage ManagersResolve discrepancies and issuesThe ideal candidate will have proficiency in data entry, management, and MS Office, specifically Excel. A clean driving record and valid driver's license are...

**Job Summary:**We are seeking a highly skilled Insurance Claims Examiner to join our team. In this role, you will be responsible for analyzing claims and determining their validity based on policy provisions, riders, waivers, operating procedures, and state regulations.The successful candidate will have a strong understanding of insurance laws and...

**Job Opportunity:**We are seeking a highly skilled Claims Professional I to join our team. In this role, you will be responsible for analyzing claims and determining their validity based on policy provisions, riders, waivers, operating procedures, and state regulations.The successful candidate will have a strong understanding of insurance laws and...

Job Summary:We are seeking a skilled Claims Representative to resolve damage and injury claims for insureds in Panama City, FL. As a key member of our team, you will investigate, validate, and settle claims while maintaining excellent communication with the public and negotiating settlements.Your responsibilities will include maintaining claim files,...

Job Title: Director of ClaimsReports to: Chief Executive OfficerGeneral Summary:The Director of Claims is responsible for establishing proper procedures and policies to be utilized throughout the lifecycle of the claims resolution process. This position endeavors to ensure company goals are met in conjunction with compliance of legal requirements as they...

Job Title: Director of ClaimsReports to: Chief Executive OfficerGeneral Summary:The Director of Claims is responsible for establishing proper procedures and policies to be utilized throughout the lifecycle of the claims resolution process. This position endeavors to ensure company goals are met in conjunction with compliance of legal requirements as they...

Job OverviewKansas City Life Insurance Company is seeking a highly skilled Claims Associate I to join our team. This role involves analyzing claims, determining their validity, and providing exceptional customer service to policyholders.In this exciting position, you will be responsible for reviewing claims, calculating benefits, and ensuring prompt payment...