Claims Resolution Specialist

Job Description Job Description Overview: Demonstrate competency as a claims resolution specialist for a large-scale multi-specialty/multi-site healthcare organizations in the U.S. Perform claims resolution or medical billing and appeals or claims denials in Athena within the last two years. Conduct AR Follow-up both on front end scrubs and back end denials...

Job DescriptionJob DescriptionOverview: Demonstrate competency as a claims resolution specialist for a large-scale multi-specialty/multi-site healthcare organizations in the U.S.Perform claims resolution or medical billing and appeals or claims denials in Athena within the last two years.Conduct AR Follow-up both on front end scrubs and back end denials...

The Claim Specialist, under moderate direction from the manager, investigates and settles claims promptly, equitably, and within established best practices guidelines. **Scope** - Responsible for investigating; settling high exposure, high risk Employment Practices Claims. - Ensure a high level of customer service and claim file quality. - Identifying and...

The Claim Specialist, under moderate direction from the manager, investigates and settles claims promptly, equitably, and within established best practices guidelines. - Responsible for investigating; settling high exposure, high risk Employment Practices Claims. - Ensure a high level of customer service and claim file quality. - Identifying and evaluating...

The Claim Specialist, under moderate direction from the manager, investigates and settles claims promptly, equitably, and within established best practices guidelines. - Responsible for investigating; settling high exposure, high risk Employment Practices Claims. - Ensure a high level of customer service and claim file quality. - Identifying and evaluating...

Do you enjoy solving issues, talking to customers, and not being bored? Join the BankCard team as a Dispute Resolution Specialist. As a Dispute Resolution Specialist, you will work directly with customers to resolve issues. No two days will be alike, as you will work on multiple diverse cases each day. In this role, you will be responsible for receiving and...

Do you enjoy solving issues, talking to customers, and not being bored? Join the BankCard team as a Dispute Resolution Specialist. As a Dispute Resolution Specialist, you will work directly with customers to resolve issues. No two days will be alike, as you will work on multiple diverse cases each day. In this role, you will be responsible for receiving and...

Do you enjoy solving issues, talking to customers, and not being bored? Join the BankCard team as a Dispute Resolution Specialist. As a Dispute Resolution Specialist, you will work directly with customers to resolve issues. No two days will be alike, as you will work on multiple diverse cases each day.In this role, you will be responsible for receiving and...

Chubb is seeking a Claim Director on the Environmental Claims team on a 3/2 hybrid work model. The Environmental team is part of Chubb Environmental Claims and provides specialized claim handling of first- party and third-party voluntary pollution claims. The Claim Director will report directly to an Environmental Claims Manager. The Environmental Claims is...

Job Description Chubb is seeking a Claim Director on the Environmental Claims team on a 3/2 hybrid work model. The Environmental team is part of Chubb Environmental Claims and provides specialized claim handling of first- party and third-party voluntary pollution claims. The Claim Director will report directly to an Environmental Claims Manager. The...

Job Description The Westchester Casualty Senior Claim Specialist is responsible for investigating and settling high exposure, high risk claims while ensuring a high level of customer service and claim file quality. This is a hybrid opportunity, 3 days in the office and 2 days remote. Duties include, but are not limited to: Provides outstanding customer...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Job Description **Position Purpose:** The Pharmacy Resolution Specialist...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Job Description **Position Purpose:** The Pharmacy Resolution Specialist...

**Job Title: Commercial Analytics Specialist - Claims Industry** **Location: Jersey City, NJ(Hybrid)** **Contract** **"PHARMA Experience must"** **Job Overview**: Key Responsibilities: - Analyze Claims Data: Collect, clean, and analyze large datasets related to claims processing, including but not limited to claims volume, trends, patterns, and performance...

Our Company Amerita Overview Come join our closed-door specialty infusion pharmacy Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. As one of the most respected Specialty Infusion providers in America, we service thousands of patients...

Our Company Amerita Overview Come join our closed-door specialty infusion pharmacy Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. As one of the most respected Specialty Infusion providers in America, we service thousands of patients...

We are looking for a problem solver and team player to join our claims department. As a Claims Specialists your knowledge of property and/or vehicle claims, and empathetic communication style will deliver value and success with every interaction. You will proactively address challenges and suggest solutions daily, working closely with internal teams,...

We are looking for a problem solver and team player to join our claims department. As a Claims Specialists your knowledge of property and/or vehicle claims, and empathetic communication style will deliver value and success with every interaction. You will proactively address challenges and suggest solutions daily, working closely with internal teams,...

Chubb is currently seeking a Claim Specialist to join our D&O team. This position will work our of our Jersey City, NJ office ona 3/2 Hybrid Model. (a) Identifying and evaluating coverage issues, preparing comprehensive coverage letters and analysis, retaining, and managing coverage counsel through trial, and developing and managing strategy for complex...

CLIMB to New Heights...And live the American Dream. Become part of something bigger by contracting with the nation's top provider of roof and property inspection services working with insurance carriers and adjusters in your area. This is an independent contractor position.We are seeking professional inspectors to join our dynamic field team. Hancock offers...