Health Insurance Claims Examiner-Claims Processor

Job OverviewNO STRESS CLAIMS is seeking a skilled Public Adjuster to represent policyholders in claims negotiations and assess property damage.Key Responsibilities:Advocate for clients' interests in claims negotiations.Conduct thorough property damage assessments and prepare detailed reports.Communicate effectively with clients, insurance companies, and...

Job SummaryWe are seeking a skilled Medical Claims Examiner to join our team at Insight Global. As a Medical Claims Examiner, you will be responsible for analyzing and adjudicating routine claims, determining approval on file, eligibility, identifying discrepancies, and applying all cost containment measures to assist in the claim adjudication process.Key...

About UsPayerFusion Holdings LLC is a service-based company that excels in delivering innovative solutions to the healthcare industry.We're seeking a top talent and experienced Claims Processor Specialist to join our team and help us meet and exceed our client's expectations.Job DescriptionAs a Claims Processor Specialist, you will be responsible for...

Claims Adjudication RoleWe are seeking a detail-oriented Claims Adjudication Specialist to review, process, and resolve insurance claims at Staffing Now.Key Responsibilities:Review and analyze insurance claims to ensure compliance with company policies and guidelines.Communicate with claimants and healthcare providers to resolve claims efficiently.Maintain...

Job Title: Claims AdjudicatorLocation: Miami, FLPay: $20 per hour Monday - Friday 8:30am - 5PMWe are seeking a detail-oriented Claims Adjudicator to review, process, and resolve insurance claims.Key Responsibilities: Review and analyze insurance claims. Communicate with claimants and healthcare providers. Ensure compliance with company policies and...

About Us:We are a service-based company, and as a licensed third-party administrator, we are seeking top talent and experienced personnel to meet and exceed our client's expectations.We're an innovative company creating a unique experience for healthcare professionals. Our ground-breaking approach sets us apart from industry-wide solutions. We're looking for...

Job DescriptionWe are seeking a detail-oriented Claims Examiner to review, analyze, and process claims to ensure compliance with company policies and regulations.Key Responsibilities:Review and evaluate claims submitted by policyholders to determine eligibility and coverage.Analyze documentation and assess the validity of claims based on company policies and...

Job Title: Project Manager - Insurance Claims ExpertJob Summary:We are seeking a highly skilled Project Manager to oversee complex projects within our P&C insurance sector. As a Project Manager - Insurance Claims Expert, you will be responsible for planning, executing, and delivering projects on time, within budget, and in line with business objectives.Key...

Job SummaryWe are seeking a highly skilled Insurance Claims Sales Representative to join our team at Insurance Litigation Group PA. The ideal candidate will have a proven track record of success in outbound sales and a strong understanding of customer experience principles.Key ResponsibilitiesMake outbound calls to potential clients to educate them on our...

Job OverviewMarcos Consulting Group Inc is seeking a skilled Insurance Claims Specialist to join our team. As an Insurance Claims Specialist, you will be responsible for verifying patient insurance coverage and ensuring accurate claim submission and payment.Conduct thorough insurance verification and authorization validation to ensure patient eligibility and...

Job Title: Medical Claims ManagerWe are seeking a highly skilled Medical Claims Manager to join our team at PayerFusion. As a Medical Claims Manager, you will be responsible for supervising and managing day-to-day claims operations, including claims evaluation, adjudication, and customer service.Key Responsibilities:Supervise the claims departments to ensure...

PayerFusion is seeking an experienced Senior Medical Claims Operations Manager to lead our claims department. As a member of our team, you will be responsible for supervising the claims operations, ensuring timely and accurate processing of claims, and maintaining a high level of customer satisfaction.**About Us:**We are a leading provider of medical claims...

About Secure Eclaims LLCSecure Eclaims LLC is a leading benefits management company serving Puerto Rico and South Florida.Job OverviewWe are seeking a highly skilled Medical Claim Analyst to join our team. The selected candidate will be responsible for reviewing medical/surgical billings, examining coding of operative reports, and performing hospital length...

COMPANY OVERVIEW:United Automobile Insurance Company is a leading provider of property and casualty insurance solutions. As a Property Damage Litigation Adjuster, you will play a critical role in managing and resolving comprehensive, collision, and property damage claims in litigation.SCOPE:As a PD Litigation Adjuster, you will be responsible for evaluating...

Baptist Health Enterprises is seeking a highly skilled Medical Claims Collector to join our team. This is a full-time, remote position.The ideal candidate will have a strong background in insurance collections and a proven track record of successfully resolving medical claims disputes.In this role, you will be responsible for:Conducting thorough...

Job SummaryWe are seeking a highly skilled Medical Claims Specialist to join our team at Secure Eclaims LLC. As a Medical Claims Specialist, you will be responsible for reviewing medical/surgical billings for reasonable and necessary charges, examining coding of operative reports, procedures, and multiple and complicated surgeries.Key ResponsibilitiesConduct...

Medical Claims Specialist OpportunityMount Sinai Medical Center of Florida is seeking a skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for working on payer claims projects and collections work queues, including denials and/or underpayment patterns. You will identify edits and errors for corrected...

Job Title: Claims AdjudicatorSeeking an experienced Claims Adjudicator to join our team at SNI Companies.Job Summary:This role is responsible for adjudicating medical and non-medical provider claims, ensuring accurate capitation reimbursement from Medicaid and Medicare.The successful candidate will be key to our revenue and expense process, procuring...

Job OverviewHancock Claims Consultants Technicians is seeking a skilled Roofing Expert to join our dynamic field team. As an independent contractor, you will have the opportunity to work on a variety of assignments, including steep and high roof damage assessments, exterior and interior damage evaluations, and underwriting property inspections.Our Roofing...

Job Summary We are seeking a skilled Medical Claims Adjudicator to join our team at SNI Companies. As a key member of our revenue and expense process, you will be responsible for adjudicating medical and non-medical provider claims and submitting enrollments/disenrollment to Florida Medicaid and CMS. This position is crucial to our organization's success,...