Claims Evaluation Specialist
3 weeks ago
Position Overview
Enid Buzz is seeking a dedicated Claims Evaluation Specialist to join our dynamic team. As a leading insurance provider, we are committed to delivering exceptional service and innovative solutions to our clients.
Compensation
We offer a competitive starting salary that reflects your experience and expertise.
Key Responsibilities
- Input initial claims data and send acknowledgment communications to claimants and insured parties; ensure proper documentation is maintained.
- Track and compile reports by gathering and interpreting relevant information.
- Evaluate small first-party claims to assess the legitimacy of denial or recovery options.
- Conduct necessary legal and industry research to substantiate claims payments or denials.
- Document all actions taken to resolve claims in a clear and concise manner within the claims management system.
- Oversee the monitoring, generation, and analysis of claims data, providing insightful reports to management.
- Facilitate the subrogation process for all small claims.
- Establish a review process for claims files to support the Claims Manager.
- Perform additional duties as assigned.
Qualifications
The ideal candidate will possess a high level of attention to detail, organizational skills, and the ability to thrive in a fast-paced, high-volume environment. A bachelor's degree with relevant business experience is preferred, or two or more years of prior insurance claims experience may be considered in lieu of a degree. A high school diploma is required.
Licensing Requirements
A claims adjuster license must be obtained within the first year of employment.
This job posting provides a summary of the essential functions and requirements of the position. A complete job description can be requested upon application.
-
Insurance Claims Evaluator
3 weeks ago
Enid, Oklahoma, United States Enid Buzz Full timePosition OverviewEnid Buzz is seeking a dedicated Claims Processing Specialist to join our team. This role is essential in managing and evaluating claims for our agribusiness insurance products, ensuring that we maintain our commitment to excellence and innovation.CompensationWe offer a competitive salary that reflects your experience and expertise.Key...
-
Property Field Inspection Claims Specialist
2 weeks ago
Enid, Oklahoma, United States State Farm Full timeAbout the RoleWe are seeking a highly skilled Property Field Inspection Claims Specialist to join our dynamic team at State Farm. As a key member of our claims handling process, you will be responsible for handling accidental and weather-related claims for homeowners, commercial properties, and large losses.Key ResponsibilitiesConduct on-site inspections and...
-
Insurance and Claims Management Specialist
2 weeks ago
Enid, Oklahoma, United States Crimson Technologies Full timeWe're looking for a talented professional to join our team at Crimson Technologies as an Insurance and Claims Management Specialist. This role is perfect for someone who is passionate about risk management and insurance.About the Role:As an Insurance and Claims Management Specialist, you will be responsible for managing insurance contracts and claims for our...
-
Insurance and Claims Management Professional
20 hours ago
Enid, Oklahoma, United States Crimson Technologies Full time{"h2":"About the Role ","p":"At Crimson Technologies, we're looking for a highly skilled Insurance and Claims Management Specialist to join our team. As a key member of our organization, you will be responsible for managing insurance contracts, settling claims, and defending against unjustified claims. Your expertise in risk assessment, premium design, and...
-
Insurance Adjuster
3 weeks ago
Enid, Oklahoma, United States Enid Buzz Full timePosition OverviewEnid Buzz is seeking a dedicated Claims Analyst/Adjuster to join our team. As a prominent player in the agribusiness insurance sector, we pride ourselves on delivering innovative solutions to our clients nationwide.CompensationWe offer a competitive starting salary that reflects your experience and expertise.Key ResponsibilitiesInput initial...
-
Travel Nurse RN
2 weeks ago
Enid, Oklahoma, United States TotalMed Staffing Full timeJob Title: Travel Nurse RN - Behavioral Health SpecialistJob Summary:TotalMed Staffing is seeking a skilled Registered Nurse - Behavioral Health to join our team for a travel nursing assignment in a dynamic healthcare setting. As a Behavioral Health Specialist, you will have the opportunity to work with a diverse patient population and make a meaningful...
-
Emergency Department Nurse Specialist
2 weeks ago
Enid, Oklahoma, United States Triage Staffing Full timeJob Title: Traveling Healthcare ProfessionalWe are seeking a skilled Emergency Department Nurse Specialist to join our team at Triage Staffing.Job Summary:Triage Staffing is a leading provider of healthcare staffing solutions, and we are committed to delivering exceptional service to our clients and candidates. As a Traveling Healthcare Professional, you...
-
Sales Route Specialist
3 weeks ago
Enid, Oklahoma, United States Frito-Lay North America, Inc. Full timeWork Schedule: Anticipated 50 hours per week with variable days off based on operational requirements.Position Overview: The Sales Route Specialist is a full-time role focused on the delivery, promotion, and merchandising of Frito-Lay's extensive product range, including popular items such as Lays, Doritos, Cheetos, Tostitos, and Fritos. In this position,...
-
Hospice LPN
5 days ago
Enid, Oklahoma, United States Accentra Home Health Full timeAbout Accentra Home HealthAccentra Home Health is a leading provider of home health care services in Oklahoma, dedicated to delivering high-quality care to patients in the comfort of their own homes. Our team of experienced healthcare professionals is committed to helping patients achieve their optimal level of health and well-being.Job SummaryWe are seeking...
-
Audiology Specialist
2 weeks ago
Enid, Oklahoma, United States Maclean Health Full timeMake a Difference in Veterans' LivesAt Maclean Health, a Service Disabled Veteran Owned Small Business (SDVOSB), we partner with the Department of Veterans Affairs to administer Compensation & Pension (C&P) exams to our nation's heroes. As a Veterans Audiologist, you will play a vital role in supporting veterans' healthcare by conducting comprehensive...
-
Physician Hospitalist
2 weeks ago
Enid, Oklahoma, United States INTEGRIS Health Full timeJob SummaryThe Hospitalist Physician is a key member of the INTEGRIS Health team, responsible for providing direct patient care in the hospital setting. As a Hospitalist, you will be responsible for evaluating and managing patients, documenting information, and collaborating with other healthcare professionals to ensure the best possible...
-
Nurse Specialist
1 day ago
Enid, Oklahoma, United States INTEGRIS Health Full timeJob Title: Registered Nurse - PACUINTEGRIS Health is seeking a skilled Registered Nurse (RN) to join our team in Enid, Oklahoma.About the Role:We are looking for a dedicated and compassionate nurse to provide exceptional care to patients in our Post Anesthesia Care Unit (PACU). As a Registered Nurse, you will be responsible for assessing, planning, and...
-
Physical Therapist Outpatient Specialist
4 days ago
Enid, Oklahoma, United States Universal Health Services Full timeAbout the RoleWe are seeking a highly skilled Physical Therapist to join our team at St. Mary's Regional Medical Center in Enid, OK. As a Physical Therapist, you will be responsible for evaluating, planning, and administering physical therapy modalities of treatment to patients with various conditions.Key ResponsibilitiesEvaluate patients and establish an...
-
Nurse Practitioner
2 weeks ago
Enid, Oklahoma, United States INTEGRIS Health Full timePosition Overview: The Nurse Practitioner is responsible for delivering comprehensive medical evaluations, routine patient management, and follow-up care as required. This role necessitates specific competencies tailored to the patient population served. The Nurse Practitioner adheres to National Patient Safety Goals pertinent to the level of patient...
-
Medical Laboratory Specialist
7 days ago
Enid, Oklahoma, United States St. Mary's Regional Medical Center Full timeJob Summary:St. Mary's Regional Medical Center is seeking a skilled Medical Laboratory Technician to join our team. As a Medical Laboratory Technician, you will play a critical role in the diagnosis and treatment of patients by performing various laboratory tests and procedures.Key Responsibilities:Collect and process patient samples for testing, ensuring...
-
Surgical Nurse Specialist
4 days ago
Enid, Oklahoma, United States Universal Health Services Full timeAbout the RoleWe are seeking a skilled and compassionate Registered Nurse to join our team as a Circulating Nurse in the Operating Room. As a key member of our surgical team, you will play a vital role in ensuring the smooth operation of our ORs and providing exceptional patient care.ResponsibilitiesAssess patient needs and develop individualized plans of...
-
CT Imaging Specialist
7 days ago
Enid, Oklahoma, United States INTEGRIS Health Full timeJob SummaryINTEGRIS Health is seeking a skilled professional to join our Diagnostic Radiology team as a CT Technologist. This is an exciting opportunity to work in a dynamic environment and contribute to the delivery of exceptional patient care.Key ResponsibilitiesOperate computed tomography equipment to perform a variety of technical procedures, including...
-
Clinical Nurse Specialist
3 weeks ago
Enid, Oklahoma, United States Integris Health Full timeJoin Our Team at INTEGRIS HealthINTEGRIS Health, a leading not-for-profit healthcare organization, is seeking a dedicated Registered Nurse to become a vital part of our healthcare team. As a member of the INTEGRIS Health Meadowlake team, you will play a crucial role in delivering outstanding patient care and supporting our healthcare professionals and the...
-
CT Radiography Specialist
3 weeks ago
Enid, Oklahoma, United States INTEGRIS Health Full timeINTEGRIS Health is looking for a skilled CT Technologist to join our dedicated team.Position OverviewThe CT Technologist plays a crucial role in our Diagnostic Radiology department, performing various CT examinations and ensuring the highest standards of patient care.Key ResponsibilitiesConduct all CT imaging procedures, including diagnostic and...
-
Wound Care Specialist
7 days ago
Enid, Oklahoma, United States HealWell, LLC Full timeJob SummaryWe are seeking a dedicated Wound Care Provider to join our healthcare team. The ideal candidate will provide specialized care for patients with chronic or acute wounds, promoting healing and preventing complications.Key ResponsibilitiesRegularly assesses and evaluates the condition of acute and chronic wounds.Performs wound consultation, wound...