Current jobs related to Claims Settlement Specialist - Morristown - Zelis

  • Auto Claims Trainee Specialist

    3 weeks ago

    Morristown, Tennessee, United States Travelers Full time

    Job OverviewCompany Profile:Travelers, a prominent property and casualty insurance provider with a legacy spanning over 160 years, is on the lookout for a dedicated individual to become part of their dynamic team. The organization prides itself on fostering innovation, teamwork, and outstanding customer service.Position Title: Auto Claims Trainee...

  • Auto Claims Trainee

    7 days ago

    Morristown, Tennessee, United States Travelers Full time

    About the RoleWe are seeking a highly motivated and detail-oriented Auto Claims Trainee to join our team at Travelers. As a Claims Handler Trainee, you will be responsible for investigating, evaluating, and resolving claims on losses of lesser value and complexity.Key ResponsibilitiesCompletes required training program, including online, virtual, classroom,...

  • Auto Claims Development Program

    2 weeks ago

    Morristown, Tennessee, United States Travelers Full time

    About This OpportunityWe are seeking a highly motivated and detail-oriented individual to join our team as an Auto Claim Representative Trainee. As a key member of our claims team, you will play a critical role in delivering exceptional customer service and ensuring that our customers receive fair and timely resolutions to their claims.Key...

  • Inside Auto Claim Handler

    2 weeks ago

    Morristown, Tennessee, United States National Guard Employment Network Full time

    Job SummaryThis is a formal training program to advance to a Auto claim representative position within the National Guard Employment Network. The successful candidate will develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity.Key ResponsibilitiesCompletes required training program which...

  • Claims Resolution Specialist

    3 weeks ago

    Morristown, New Jersey, United States A-Line Staffing Solutions Full time

    Job OverviewPosition: Claims Resolution SpecialistLocation: RemoteCompensation: $22.00 per hourWork Hours: 9:00 am to 5:00 pmPayment Schedule: Bi-WeeklyBenefits Offered: Comprehensive Health, Dental, Vision, Life Insurance, and Short-Term Disability after 90 daysRole Responsibilities:Track the status of outstanding accounts receivable, Explanation of...

  • Auto Claims Associate Trainee

    3 weeks ago

    Morristown, Tennessee, United States Travelers Full time

    Job OverviewCompany Background:Travelers, a prominent property and casualty insurance provider with a legacy spanning over 160 years, is in search of a dedicated individual to become part of their dynamic team. The organization emphasizes innovation, teamwork, and outstanding customer support.Position Title: Auto Claims Associate TraineeSalary: Competitive...

  • Auto Claims Trainee Representative

    3 weeks ago

    Morristown, Tennessee, United States Travelers Full time

    Job OverviewCompany Background:Travelers, a prominent property and casualty insurer with a legacy spanning over 160 years, is on the lookout for a dedicated individual to become part of their dynamic team. The organization prides itself on fostering innovation, teamwork, and outstanding customer service.Position Title: Auto Claims Trainee...

  • Auto Claims Associate Trainee

    3 weeks ago

    Morristown, Tennessee, United States Travelers Full time

    Job OverviewCompany Background:Travelers, a prominent property and casualty insurance provider with a rich history spanning over 160 years, is on the lookout for a dedicated individual to enhance their team. The organization prides itself on fostering innovation, teamwork, and outstanding customer service.Position Title: Auto Claims Associate TraineeSalary:...

  • Auto Claims Trainee Representative

    3 weeks ago

    Morristown, Tennessee, United States Travelers Full time

    Job OverviewCompany Background:Travelers, a prominent property and casualty insurance provider with a rich history spanning over 160 years, is on the lookout for a motivated individual to become part of their dynamic team. The organization is dedicated to fostering innovation, teamwork, and outstanding customer satisfaction.Position: Auto Claims Trainee...

  • Senior Claims Examiner, Financial Institutions

    2 months ago

    Morristown, United States The Ladders Full time

    At Coaction, we're a unique mix of leaders, achievers, thinkers, and team players with a high-performance mindset and a diverse skillset. We bring our industry expertise together to continually push the boundaries of what insurance can be for our clients. As a Senior Examiner focused in our Professional Liability unit, you're at the heart of the Claim's...

  • Intake Services Specialist

    2 months ago

    Morristown, United States Zelis Full time

    POSITION OVERVIEW:The Intake Services Specialist efficiently handles the preparation, intake, and administrative processing of all inquiries. That includes the daily coordination of receiving all incoming inquiries (via fax, email, mail), faxing out specified response letters, responding to emails and submitting client requests.KEY...

  • Medical Records Specialist

    1 day ago

    Morristown, Tennessee, United States Insight Global Full time

    Job Title: Document Retrieval Specialist L2We are seeking a skilled Document Retrieval Specialist to join our team at a large healthcare client. This individual will be responsible for handling medical records through various document methods, requiring excellent phone presence and strong interpersonal skills.About the RoleThis is a challenging opportunity...

  • Quality Assurance Specialist

    1 day ago

    Morristown, Tennessee, United States Chili's Grill & Bar Full time

    Job SummaryWe are seeking a Quality Assurance Specialist to join our team at Chili's Grill & Bar. As a Quality Assurance Specialist, you will play a critical role in ensuring that every Guest receives perfectly prepared, high-quality food. You will provide dependable, fast service that is absolutely Chili's.About the RoleThis is a fast-paced environment...

  • Intake Services Specialist

    2 months ago

    Morristown, United States Zelis Healthcare Full time

    POSITION OVERVIEW: The Intake Services Specialist efficiently handles the preparation, intake, and administrative processing of all inquiries. That includes the daily coordination of receiving all incoming inquiries (via fax, email, mail), faxing out specified response letters, responding to emails and submitting client requests. KEY RESPONSIBILITIES: *...

  • Environmental Health and Safety Specialist

    5 days ago

    Morristown, Indiana, United States The Judge Group Full time

    Job SummaryWe are seeking a highly skilled Environmental Health and Safety Specialist to join our team. As a key member of our organization, you will be responsible for implementing and maintaining a safe and healthy work environment, ensuring compliance with regulatory requirements, and promoting a culture of sustainability.Main ResponsibilitiesDevelop and...

  • Paralegal

    4 weeks ago

    Morristown, United States Porzio Bromberg & Newman Full time

    Job DescriptionJob DescriptionPorzio, Bromberg & Newman, P.C., a full service law seeks a Full-time, Non-Exempt Paralegal to join its Bankruptcy team. Bankruptcy Paralegals are responsible for managing complex matters and/or complex projects and work under the direct supervision of an attorney. Bankruptcy Paralegals are expected to perform at a high level of...

  • Licensed Optical Specialist

    3 weeks ago

    Morristown, Tennessee, United States J C REISS INC Full time

    Position OverviewWe are seeking a Licensed Optical Specialist to join our esteemed optical retail establishment. The ideal candidate will possess a strong foundation in optical services, although prior experience is not mandatory. We offer a competitive compensation package along with benefits.The successful applicant should demonstrate the following...

  • Healthcare Customer Service Specialist

    3 weeks ago

    Morristown, Tennessee, United States Pride Health Full time

    Position: Patient Financial Service RepresentativeCompany: Pride HealthContract Duration: 3 Months (Potential for Extension)Compensation: $20 - $22 per hourWorking Hours: 9am - 5pmKey Responsibilities:Monitor and follow up on outstanding accounts receivable for Non-Governmental entities, including Explanation of Benefits (EOBs) and claims with insurance...

  • Litigation Specialist

    2 weeks ago

    Morristown, Tennessee, United States Jobot Full time

    Job SummaryWe are seeking a dedicated and experienced Personal Injury Attorney to join our fast-paced legal team at Jobot.Key ResponsibilitiesRepresent clients who have suffered personal injuries in legal proceedings.Conduct thorough case investigations to uncover all relevant facts and evidence.Draft and file legal documents necessary for personal injury...

  • Human Resources Operations Specialist

    2 weeks ago

    Morristown, Tennessee, United States Covenant Health (Tennessee) Full time

    Job Summary:Covenant Health (Tennessee) is seeking a highly skilled Human Resources Operations Specialist to provide professional support for the administration of human resources policies and programs. As a key member of the HR team, this individual will serve as a liaison between employees and leadership, resolving employee relations issues and providing...

Claims Settlement Specialist

4 months ago

Morristown, United States Zelis Full time

Position Overview: The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement Specialist will be responsible for handling provider telephone calls regarding the payment amount paid to a provider by a payor based on Zelis data points. During this call, the Claims Settlement Specialist must understand: (1) the procedures billed on the claim/bill; (2) the estimate of the fair value of the payment that was remitted to the provider based on Medicare pricing, location/facility/provider comparisons, and Zelis' proprietary evaluation software; (3) identify negotiation points for that particular provider if payment is not accepted, as is; and, when required, negotiate an acceptable payment below the provider's billed charges Responsibilities: * Answering calls from providers who are questioning the paid amount on any claim(s) handled by Zelis for payor. * Returning all calls within one business day of receiving the call. * Address newly assigned work within 48 hours of receipt. * Creating payment negotiation documents using proprietary programs and transmitting those via fax, e-mail, or other methods. * Documenting stages of process and outcome of post payment negotiation in custom database. * Analyzing medical claims and being able to discuss them with specific providers. * Negotiating claims/bills as required. * Performs other related responsibilities as assigned. Qualifications: * 4-year college degree preferred * Three years or more experience in healthcare collections, billing or claim negotiations * Demonstrated success in a sales or contract negotiations setting * Knowledge of the full Microsoft Office Suite of products to include, but not limited to, MS Outlook, MS Word, MS Excel, and MS PowerPoint * A background in healthcare collections, provider billing, retail or sales is beneficial. As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members. We're Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all. We partner with more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4 million providers, and 100 million members, enabling the healthcare industry to pay for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process. Commitment to Diversity, Equity,?Inclusion, and Belonging At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email TalentAcquisition@zelis.com SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you're contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.

#J-18808-Ljbffr