Current jobs related to Claims Coordinator - Salt Lake City - Salt Lake County

  • Claims Specialist

    1 week ago

    Salt Lake, Utah, United States ManhattanLife Insurance & Annuity Company Full time

    Job Title: Claims SpecialistManhattanLife Insurance and Annuity Company is seeking a Claims Specialist to join our team in Utah. As a Claims Specialist, you will be responsible for evaluating medical claims submissions, processing claims on our systems, and ensuring data is up-to-date. You will also provide customer service to policyholders over the...

  • Dental Claims Coordinator

    2 weeks ago

    Spring Lake, North Carolina, United States CarolinasDentist Full time

    About UsAt CarolinasDentist, we prioritize our patients' comfort and well-being. Our team in Spring Lake is dedicated to providing personalized treatment plans and staying up-to-date on the latest advancements in dental care.Job DescriptionThe Claims Coordinator plays a crucial role in ensuring the accuracy and timely filing of dental claims for assigned...

  • Pharmacy Claims Adjudicator

    6 days ago

    Salt Lake, Utah, United States Intermountain Health Full time

    Job SummaryAs a Pharmacy Benefit Specialist I, II at Intermountain Health, you will be responsible for the expeditious and accurate adjudication of pharmacy claims. You will provide excellent customer service to all members, employer groups, providers, and other departments or teams.Key ResponsibilitiesProcess and/or communicate multiple types of pharmacy...

  • Insurance Claims Specialist

    6 days ago

    Salt Lake, Utah, United States University of Utah Health Full time

    As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research, and education.University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality, and trust that are integral to our...

  • Office Coordinator

    1 week ago

    Salt Lake, Utah, United States AppleOne Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Office Coordinator to join our team at AppleOne. As an Office Coordinator, you will be responsible for providing exceptional client support, managing client interactions, and assisting with insurance claims.Key ResponsibilitiesGreet and assist clients upon arrivalRegister clients following...

  • Claims Examiner

    1 month ago

    Lake Mary, Florida, United States Sedgwick Full time

    About the RoleSedgwick is seeking a skilled Claims Examiner to join our team. As a Claims Examiner, you will play a critical role in analyzing complex workers' compensation claims and determining benefits due. Your expertise will be essential in managing claims through well-developed action plans to achieve timely and cost-effective resolutions.Key...

  • Dental Claims Specialist

    1 month ago

    Spring Lake, North Carolina, United States CarolinasDentist Full time

    About the PracticeAt CarolinasDentist, we prioritize our patients' comfort and well-being. Our dedicated team in Spring Lake offers personalized treatment plans tailored to each patient's unique needs. We stay up-to-date on the latest advancements in dental care to ensure our patients enjoy excellent oral health and a beautiful smile for a lifetime.Job...

  • Claims Resolution Specialist

    2 weeks ago

    Lake Ariel, Pennsylvania, United States InterDent Service Corporation Full time

    Job Title: CBO Coordinator - Claims Resolution SpecialistInterDent Service Corporation is a leading provider of dental services, supporting 180 dental offices across 8 western states. We are seeking a highly skilled CBO Coordinator - Claims Resolution Specialist to join our team.The successful candidate will be responsible for supporting our clinics with...

  • Cargo Claims Adjuster

    6 days ago

    Lake Mary, Florida, United States North American Risk Services, Inc. (NARS) Full time

    Job DescriptionWe are seeking a skilled Cargo Claims Adjuster to join our team at North American Risk Services, Inc. (NARS). As a Cargo Claims Adjuster, you will be responsible for handling a caseload of complex claims, investigating losses, determining coverage, and coordinating medical care.Key Responsibilities:Investigate losses and determine...

  • Claims Examiner

    2 months ago

    Lake Mary, United States Sedgwick Full time

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...

  • Auto Claims Adjuster

    6 days ago

    Lake Mary, Florida, United States North American Risk Services, Inc. (NARS) Full time

    Job SummaryWe are seeking a skilled Auto PD Claims Adjuster to join our Commercial Auto/Commercial Trucking Team at North American Risk Services (NARS).As an Auto PD Claims Adjuster, you will be responsible for handling a caseload of claims, investigating losses, determining coverage, coordinating medical care, managing litigation, assessing damages,...

  • Pharmacy Coordinator

    2 weeks ago

    Salt Lake, Utah, United States Intermountain Healthcare Full time

    Job Title: Pharmacy CoordinatorAt Intermountain Healthcare, we are seeking a highly skilled Pharmacy Coordinator to join our team. As a Pharmacy Coordinator, you will play a critical role in providing clinical pharmacy support to our members and affiliated providers.Key Responsibilities:Provide clinical pharmacy support for SelectHealth and affiliated...

  • Senior Claims Specialist

    6 days ago

    Jefferson City, Missouri, United States Sedgwick Full time

    At Sedgwick, we're committed to delivering exceptional service and expertise to our clients. As a Senior Claims Specialist, you'll play a critical role in analyzing complex medical malpractice claims and providing resolution through well-developed action plans.Key Responsibilities:Analyze and process complex medical malpractice claims, investigating and...

  • Office Coordinator

    1 month ago

    Salt Lake City, United States AppleOne Full time

    Job DescriptionJob DescriptionThis Office Coordinator Position Features: General Purpose Provide exceptional client support both on the phone and in person, ensuring efficient coordination of appointments and documentation. Facilitate a smooth operational environment and contribute to the delivery of quality care by managing client interactions and assisting...

  • Senior Financial Analyst

    2 weeks ago

    Jersey City, New Jersey, United States Claims Solutions Full time

    Job Title: Senior Financial AnalystAbout the Role:We are seeking a highly skilled Senior Financial Analyst to join our team at Claims Solutions. As a Senior Financial Analyst, you will play a critical role in supporting financial planning, analysis, and reporting within the business. You will utilize advanced accounting principles and financial modeling...

  • Care Coordinator

    4 weeks ago

    Salt Lake City, United States Avalon Health Care Full time

    Brighten Life Home Health is looking for aCare Coordinator to join our team for Home Health and Hospice in Salt Lake City.Full time - $22.00 - $25.00/hrAt Brighten Life Home Health we are committed to making life better for the brave men and women who have risked so much to protect our freedom and country. Through our home health services, we strive to make...

  • Care Coordinator

    1 week ago

    Salt Lake City, United States Avalon Health Care Management Inc. Full time

    Brighten Life Home Health is looking for aCare Coordinator to join our team for Home Health and Hospice in Salt Lake City.Full time - $22.00 - $25.00/hrAt Brighten Life Home Health we are committed to making life better for the brave men and women who have risked so much to protect our freedom and country. Through our home health services, we strive to make...

  • Complex Claims Consulting Director

    2 months ago

    Lake Mary, Florida, United States CNA Full time

    Job Title: Complex Claims Consulting DirectorCNA is seeking a highly skilled and experienced Complex Claims Consulting Director to join our team. As a key member of our organization, you will be responsible for managing complex and high-exposure Lawyers Professional Liability Claims.Key Responsibilities:Manage and oversee all aspects of claim handling,...

  • Senior Claims Advisor

    2 weeks ago

    Kansas City, Missouri, United States Risk Strategies Full time

    Job Title: Claims AdjusterThe Claims Adjuster plays a crucial role in the management of claims administered by the Risk Management department. As a dedicated resource to Risk Management customers, the Claims Adjuster is responsible for handling and communicating property and casualty claims.Key Responsibilities:Oversee claims, including complex litigation...

  • Insurance Coordinator

    6 days ago

    Salt Lake, Utah, United States FRESENIUS MEDICAL CENTER Full time

    Job SummaryWe are seeking a highly skilled Insurance Coordinator to join our team at Fresenius Medical Care North America. As an Insurance Coordinator, you will play a critical role in ensuring that our patients receive the best possible care by coordinating their insurance benefits and financial assistance options.Key ResponsibilitiesMeet with patients to...

Claims Coordinator

2 months ago

Salt Lake City, United States Salt Lake County Full time

Job Description:

JOB SUMMARY

Assists with the direct processing of claims, billings or payments related to County liability, subrogation or workers compensation. Facilitates the movement of claims through the process, gathers and verifies information required to process a claim, payment or subrogation.

MINIMUM QUALIFICATIONS

Two (2) years of related experience; OR an equivalent combination of related education and experience.

Preference will be given to candidates with experience administering workers compensation, automobile, property, liability claims and/or medical billing.

Due to the nature of this position, the successful applicant must successfully pass an initial criminal background check as well as every two years thereafter and continuously meet the requirements of the Bureau of Criminal Identification (BCI).

ESSENTIAL FUNCTIONS

  • Assists attorneys, risk manager and adjustors with processing claims, subrogation and workers compensation paperwork.
  • Reviews files for missing documentation, contacts third parties to request claim documentation, prepares incoming information and enters the information into a claims information system.
  • Prepares files, reports and related materials for review to document claims, subrogation and workers compensation.
  • Obtains insurance information, medical documentation, payment and billing records or records supporting claim. Coordinates with adjustors, attorneys or risk manager in finalizing documentation for claims, subrogation or workers compensation.
  • Reviews and prepare files, archives files and gathers supporting documentation from claimants, witnesses, law enforcement, medical professionals or insurance companies.
  • Compiles information and enters data into a claims management system. Updates the claim management system with incoming data, updated losses, medical, billings or payments made.
  • Prepares and drafts correspondence, claimant notices, requests for information, settlements, releases, and discharges of title.
  • Prepares and files electronic workers compensation forms, first report of injury (FROI) and supplemental claim documentation.
  • Interacts with attorneys and opposing counsel, law enforcement, claims adjustors, risk manager, safety manager, claimants, insurance agencies, other agencies and the public.
  • Performs computer searches, data inquiries, and creates reports to coordinate billings and payments.
  • Prepares and maintains insurance files and claimant files.
  • Searches public and private records.


Additional Information:

KNOWLEDGE, SKILLS AND ABILITIES (KSA)

Knowledge of:

  • Liability insurance, workers compensation reporting and claims process, medical billing and adjusting process, subrogation process
  • General secretarial/clerical and office procedures and techniques
  • Legal terminology
  • Medical terminology including ICD-9 codes
  • Office technology systems
  • Business English, proofreading and editing techniques
  • Insurance claims practices
  • Civil and workers compensation court procedures
  • Process for payments and billing documentation
  • Filing systems and procedures for workers compensation and County web portals
  • Document control

Skills and Abilities to:

  • Type accurately at 40+ words-per-minute
  • Perform claims processing tasks using independent judgment
  • Work with computer software related to job specific duties
  • E-file with administrative agencies
  • Initiative and ability to work independently with minimal supervision
  • Organize workloads and prioritize tasks to adhere to deadlines
  • Work and communicate with public, outside agencies, attorneys and risk management staff
  • Respond to inquiries in a prompt, courteous and professional manner
  • Communicate effectively both verbally and in writing