Current jobs related to Medical Claims Specialist - Burlington - Connexion Systems & Engineering, Inc.
-
Field Claims Specialist
2 months ago
Burlington, Vermont, United States Cincinnati Insurance Company, Inc. Full timeMake a Positive Impact in the Insurance SectorAt Cincinnati Insurance Company, we prioritize people and adhere to the Golden Rule in our operations. We are in search of exceptional individuals to enhance our skilled team.Our dedicated, ethical, and knowledgeable associates form the core of our mission to be the leading company serving independent agents. We...
-
Claims Investigator
5 days ago
Burlington, Vermont, United States Concord Group Insurance Full timeJob SummaryWe are seeking a skilled Claims Investigator to join our team at Concord Group Insurance. As a Field Claims Representative, you will be responsible for investigating, evaluating, and settling assigned claims involving 1st Party Homeowner and Commercial Property claims.Key ResponsibilitiesInvestigate assigned claims – confirm coverage – verify...
-
Insurance Claims Investigator
2 weeks ago
Burlington, Vermont, United States Allied Universal® Compliance and Investigations Full timeJob SummaryAllied Universal Compliance and Investigations is seeking a highly skilled Insurance Claims Investigator to join our team. As a Special Investigations Unit (SIU) Investigator, you will be responsible for investigating claims with red flags that suggest fraudulent behavior. You will use your extensive knowledge of insurance policies and the...
-
Burlington, Vermont, United States Cobalt Benefits Group LLC Full timeJob SummaryWe are seeking a highly skilled Stop Loss Claims Analyst/Risk Management Specialist to join our team at Cobalt Benefits Group LLC. In this dynamic role, you will be responsible for overseeing the stop-loss insurance process, managing claims, coordinating with vendors, and ensuring compliance with industry regulations.Key ResponsibilitiesClaims...
-
Burlington, United States Cobalt Benefits Group LLC Full timeJob DescriptionJob DescriptionDescription:Stop Loss Claims Analyst/Risk Management SpecialistFull-timeReports to Director of Stop LossOnsite/HybridIn this dynamic role, you will oversee the stop-loss insurance process, manage claims, coordinate with vendors, and ensure compliance with industry regulations. Your analytical mindset and industry knowledge will...
-
Burlington, United States Cobalt Benefits Group LLC Full timeJob DescriptionJob DescriptionDescription:Stop Loss Claims Analyst/Risk Management SpecialistFull-timeReports to Director of Stop LossOnsite/HybridIn this dynamic role, you will oversee the stop-loss insurance process, manage claims, coordinate with vendors, and ensure compliance with industry regulations. Your analytical mindset and industry knowledge will...
-
Burlington, United States Cobalt Benefits Group LLC Full timeJob DescriptionJob DescriptionDescription:Stop Loss Claims Analyst/Risk Management SpecialistFull-timeReports to Director of Stop LossOnsite/HybridIn this dynamic role, you will oversee the stop-loss insurance process, manage claims, coordinate with vendors, and ensure compliance with industry regulations. Your analytical mindset and industry knowledge will...
-
Claim Representative
2 weeks ago
Burlington, Massachusetts, United States A.I.M. Mutual Insurance Companies Full timeJob SummaryWe are seeking a highly motivated and organized Claim Representative to join our team at A.I.M. Mutual Insurance Companies. As a key member of our staff, you will be responsible for handling the claim process from beginning to end, working closely with injured workers, employers, doctors, insurance companies, and co-workers in other...
-
Regional Claims Supervisor
2 weeks ago
Burlington, Vermont, United States PMA Companies Full timeJob Title: Regional Claims SupervisorAs a Regional Claims Supervisor at PMA Companies, you will play a critical role in ensuring the successful execution of our claims management strategy. This position requires a strong leader who can motivate and guide a team of claims professionals to achieve business objectives and maintain compliance with regulatory...
-
Property Claims Field Adjuster
2 weeks ago
Burlington, United States Concord Group Insurance Full timeOur role as a Field Claims Representative will be responsible for the investigation, evaluation and settlement of assigned claims involving 1st Party Homeowner and Commercial Property claims. This role is a field-based position and will require travel to loss sites to evaluate the damages. This also includes special investigation activities with an emphasis...
-
Burlington, Vermont, United States Cobalt Benefits Group LLC Full timeRisk Management Specialist for Healthcare BenefitsJob SummaryWe are seeking a highly skilled Risk Management Specialist to join our team at Cobalt Benefits Group LLC. As a key member of our team, you will be responsible for overseeing the stop-loss insurance process, managing claims, coordinating with vendors, and ensuring compliance with industry...
-
Medical Care Specialist
4 weeks ago
Burlington, North Dakota, United States OneStaff Medical Full timeJob Summary:We are seeking a highly skilled Medical Care Specialist to join our team at OneStaff Medical. As a Medical Care Specialist, you will be responsible for assisting patients with medical problems in the blood vessels, heart, and lungs. This includes interviewing and examining patients with breathing or cardiopulmonary disorders, as well as providing...
-
Burlington, Vermont, United States Cobalt Benefits Group LLC Full timeJob SummaryWe are seeking a highly skilled Risk Management Specialist for Healthcare Benefits to join our team at Cobalt Benefits Group LLC. As a key member of our team, you will be responsible for overseeing the stop-loss insurance process, managing claims, and ensuring compliance with industry regulations.Key ResponsibilitiesClaims Management: Analyze and...
-
Medical Specialist
2 weeks ago
Burlington, Vermont, United States U.S. Army Full timeJob SummaryThe U.S. Army is seeking highly skilled and dedicated individuals to fill the role of Combat Medic Specialist. As a member of this team, you will provide emergency medical treatment to battlefield casualties, assist with outpatient and inpatient care, and instruct Soldiers on Combat Lifesaver/First Responder training courses.Key...
-
Healthcare Billing Specialist
6 days ago
Burlington, Vermont, United States LabCorp Full timeJob Title: Healthcare Billing SpecialistLabCorp is seeking an entry-level Healthcare Billing Specialist to join our team in the Revenue Cycle Management Division. As a Healthcare Billing Specialist, you will play a critical role in improving health and improving lives by ensuring accurate and timely billing activities.Responsibilities:Billing Data Entry:...
-
Medical Laboratory Specialist
6 days ago
Burlington, Vermont, United States K.A. Recruiting Full timeJob Title: Medical Laboratory SpecialistAt K.A. Recruiting, we are seeking a highly skilled Medical Laboratory Specialist to join our team in Burlington, ND.Responsibilities:- Perform testing in hematology, chemistry, urinalysis, coagulation, basic blood bank, and microbiology- Collaborate with healthcare professionals to ensure accurate and timely...
-
Medical Laboratory Specialist
4 weeks ago
Burlington, Colorado, United States Planet Healthcare Full timeJob Title: Medical Laboratory SpecialistWe are seeking a highly skilled Medical Laboratory Specialist to join our team at Planet Healthcare. As a Medical Laboratory Specialist, you will be responsible for performing laboratory tests and procedures to aid in the diagnosis and treatment of patients.Job Summary:The Medical Laboratory Specialist will work in a...
-
Paralegal Specialist
1 month ago
Burlington, Kentucky, United States Army National Guard Full timeJob Title: Paralegal Specialist About the Job: As a Paralegal Specialist in the Army National Guard, you will play a critical role in providing legal support to judges, Army lawyers, and unit commanders. Your responsibilities will include assisting with legal matters, judicial work, and administrative tasks. Key Responsibilities: • Provide legal...
-
Combat Medic Specialist
6 days ago
Burlington, Vermont, United States U.S. Army Full timeJob SummaryThe Combat Medic Specialist is a critical role in the U.S. Army, responsible for providing emergency medical treatment to soldiers in the field. This position requires a strong foundation in patient care, emergency medical techniques, and advanced medical care.Key ResponsibilitiesAdminister emergency medical treatment to soldiers in the...
-
Medical Laboratory Specialist
4 weeks ago
Burlington, North Carolina, United States Pride Health Full timeJob Title: Medical Laboratory SpecialistPride Health is seeking a Medical Laboratory Specialist to support our client's medical facility in Burlington, NC. This is a contract job with a possible extension opportunity.Job Type: Contract, 03-06+ months, W2Location: Burlington, NCPay Range: $19-$28 per hour (based on education, experience, and healthcare...
Medical Claims Specialist
3 months ago
Description:
Purpose
- Review and carry out processes on all out of network claims.
Duties and Responsibilities
- Responsible for daily review of IDR emails and carrying out responses
- Organize and file IDR emails and responses in corresponding files
- Monitor and track all fee requests from arbitrators
- Compile supporting documentation and send to arbitrator within timeframe
- Review and monitor automation reports to make sure processes are being carried out appropriately
- Sort and file Good Faith negotiations
- Respond to carrier and/or arbitrator inquires in response to good faith negotiations
- Submit claims through necessary state arbitration portals
- Prepare documents using Microsoft Word, Excel, PowerPoint, Adobe PDF
- Complete special projects as assigned
- Support management and assist staff as needed
- Uphold company mission, vision, and values
- Adhere to the Code of Conduct and be familiar with all compliance policies and procedures
