Healthcare Claims Specialist

**Job Description:**Sedgwick Claims Management Services is seeking a highly skilled General Liability and Disability Claims Specialist to join our team. In this role, you will work closely with our claims professionals to analyze general liability and disability claims.As a General Liability and Disability Claims Specialist, you will apply your knowledge of...

Senior Payment Processing SpecialistAbout the Opportunity:Join our team at Scout Exchange as a Senior Payment Processing Specialist, where you will play a key role in leading our medical payment processing team. As a senior member of the team, you will be responsible for mentoring and coaching junior staff, as well as providing guidance on SAP activities for...

At Vertex Inc, we are seeking a highly skilled Environmental Claims Specialist to join our team.About UsWe are a leading professional services firm that provides forensic consulting, construction project advisory, and compliance and regulatory consulting to clients across various industries. Our team of experts is dedicated to delivering exceptional results...

About the JobWe are seeking a highly skilled and detail-oriented Claims Data Entry Specialist II to join our team at L.A. Care Health Plan.Estimated Salary: $52,000 - $70,000 per yearThe Claims Data Entry Specialist II will be responsible for accurately and efficiently entering claims data into our Core adjudication system.Job DescriptionEnter claims data...

Job Summary">We are seeking a skilled Medical Claims Specialist to join our team at UCLA Health. In this role, you will be responsible for accurately processing inpatient and outpatient claims to all payers, including government and commercial payers.">About the Role">The successful candidate will have excellent knowledge of payer contracts, contractual...

Key ResponsibilitiesThe Investigative Claims Specialist will be responsible for:Conducting thorough investigations into questionable insurance claims, including recorded statements and interviews of claimants, witnesses, and employers.Providing timely status updates to case managers and clients.Maintaining accurate and detailed documentation of claim...

About the Role:We are looking for a skilled Claims Analyst Specialist to join our team at MedPOINT Management. The successful candidate will possess expertise in healthcare financial recovery, medical claims analysis, and process improvement.Main Responsibilities:Review and analyze retro eligibility term reports to identify potential overpayments.Develop and...

Claims Specialist Job SummaryWe are seeking an experienced Claims Specialist to join our team. As a Claims Specialist, you will be responsible for evaluating claims, ensuring compliance with state and federal workers' compensation laws, and communicating with stakeholders.Key Responsibilities:Evaluate claims from initial filing through resolution.Investigate...

Job OverviewPMA Companies seeks a highly skilled Litigation Claims Specialist to join our team. In this role, you will investigate and resolve complex workers' compensation claims in a timely and efficient manner.Key Responsibilities:Evaluate complex workers' compensation claims and develop strategies to mitigate indemnity, medical, and allocated loss...

**Job Overview**PMA Companies is seeking an experienced Claims Resolution Specialist to join our team. As a key member of our workers compensation claims handling team, you will be responsible for investigating, evaluating, and resolving complex and litigated workers' compensation claims.Responsibilities:Evaluate assigned claims and establish strategies to...

We are seeking a Liability Claims Specialist to join our team at JBA International.Job DescriptionThe ideal candidate will have experience in negotiation / reduction of liens with medical providers and third-party payers upon resolution of injured party's claim. Additionally, they will be responsible for preparing client disbursement agreements, compiling...

Job Summary: We are seeking a highly motivated and organized Personal Injury Claims Specialist to join our team. As a Personal Injury Claims Specialist, you will be responsible for managing pre-litigation cases from start to finish, including obtaining medical records and other related documents. You will also be working closely with our attorneys and case...

About the JobThis role is for an experienced Litigation Claims Specialist who will handle complex workers compensation claims and provide superior customer service to internal and external business partners.Promptly evaluates all assigned claims, establishes a strategy to mitigate indemnity, medical, and allocated loss adjustment expense exposure.Tracks...

Job OverviewElite Sourcing LLC is partnering with a leading law firm to seek a skilled Compensation Claims Specialist. This role involves representing clients in workers' compensation matters, providing expert legal counsel and support throughout the claims process.

About the Role:We are seeking a skilled Claims Audit Specialist to join our team at MedPOINT Management. As a key member of our recovery services team, you will be responsible for reviewing and disputing capitation deductions received from various health plans. Your expertise will also be required to analyze retro eligibility term reports, identify...

In this exciting role as a Medical Claims Project Coordinator at Regal Medical Group, you will have the opportunity to work in a fast-paced, dynamic environment where teamwork and learning thrive. Our company culture values employee satisfaction, and we strive to provide a healthy balance between work and life. As a member of our team, you will receive a...

Job OverviewAs a Liability Claim Specialist at JBA International, you will play a crucial role in the negotiation and settlement of medical liens. Your primary responsibility will be to reduce liens with medical providers and third-party payers upon resolution of injured parties' claims.The ideal candidate will have excellent negotiation skills, a strong...

Job SummaryL.A. Care Health Plan is seeking a Healthcare Claims Clerk to join our team. As a member of our team, you will be responsible for the accurate and timely data entry of claims and other documents, which includes:Keying claims for all lines of business, including complex claimsAbout YouTo be successful in this role, you will need:High School diploma...

Company Overview">Vista Del Mar Child & Family Services has a rich history of providing exceptional programs and services for children and families throughout Los Angeles County. Our mission is to empower children, youth, and families in Southern California to lead fulfilling lives by providing a trauma-responsive continuum of services.">Salary...

Job Title: Medical Claims Resolution Specialist    Company OverviewMEDPOINT MANAGEMENT is a reputable healthcare management company seeking an experienced Medical Claims Resolution Specialist to join our team. As a Medical Claims Resolution Specialist, you will play a crucial role in ensuring timely and accurate resolution of provider...