Senior Claims Specialist

PROPERTY CLAIMS SPECIALISTWe are seeking a detail-oriented and organized Property Claims Specialist to join our dynamic team at Allcat Claims Service. In this role, you will be responsible for investigating, assessing, and managing claims related to water damage that is not weather-related, ensuring timely and accurate resolution of claims.JOB...

Job SummaryWe are seeking a highly skilled Claims Recovery Specialist to join our team at Alternative Claims Management. As a key member of our team, you will be responsible for negotiating and settling claims on behalf of our clients.Key Responsibilities:Recover claims through direct contact with responsible partiesReview and evaluate new damage recovery...

Optum Job DescriptionAt Optum, we deliver care and technology to help millions of people live healthier lives. We're seeking a Senior Claims Examiner to join our team in reviewing, analyzing, and researching complex health care claims. As a Senior Claims Examiner, you will be responsible for identifying discrepancies, verifying pricing, confirming prior...

POSITION SUMMARY/RESPONSIBILITIES As a Claims Resolution Specialist at University Health, you will analyze complex problems related to claim payments, eligibility, and system issues that affect claims payment. You will work cooperatively with Configuration in testing of contracts used in business operations and reporting to assure auto adjudication....

Job SummaryWe are seeking a skilled Senior Customer Service Representative to join our team at UnitedHealth Group. As a key member of our customer service team, you will be responsible for reviewing and researching incoming healthcare claim calls from providers, verifying data and information necessary for processing, and ensuring accurate and timely...

Job DescriptionClearsight Billing is seeking a skilled Medical Billing Specialist to contribute to our team's success. Key responsibilities include:Managing insurance accounts receivable and resolving claim denials, EDI rejections, and unpaid claims.Processing electronic claim files and posting payments.Providing exceptional customer service and support for...

About the RoleUSAA is seeking a highly skilled and experienced Senior Injury Claims Adjuster to join our team. As a key member of our claims resolution team, you will be responsible for adjusting attorney-involved moderately complex bodily injury and UM claims, as well as catastrophic auto PIP/MP medical claims.Key ResponsibilitiesIdentify and manage...

Job SummaryFlooring Services is a trusted industry leader in the home building industry, committed to integrity and respect for clients, employees, and the environment. We seek a highly motivated and positive individual to join our team as a Claims Specialist.Key Responsibilities:Handle claims notifications of defective materials and/or installationVerify...

Job SummaryArgo Group is a leader in specialty insurance with a strong focus on employee well-being and professional development. We're seeking a highly skilled and detail-oriented Insurance Claims Specialist to join our team.As an Insurance Claims Specialist, you will be responsible for analyzing and negotiating complex endorsement requests, assisting with...

Job SummaryWe are seeking a highly skilled Senior Claims Representative to join our team at The Hartford. As a key member of our claims department, you will be responsible for investigating and managing Workers' Compensation claims to ensure timely and fair resolutions for our customers.Key ResponsibilitiesInvestigate and manage complex Workers' Compensation...

Key Responsibilities:As a Senior Customer Service Representative at UnitedHealth Group, you will be responsible for reviewing and researching incoming healthcare claim calls from providers. This involves navigating multiple computer systems and platforms to verify the necessary data for processing, including pricing, prior authorizations, and applicable...

We are seeking a skilled Guidewire Claim Center Integration Specialist to join our team at Diverse Lynx LLC. As a key member of our team, you will be responsible for working on Guidewire claims center integration, writing programs in GOSU programming language, and integrating different vendor points with Claims center.The ideal candidate will have excellent...

Job Title: Medical Claims ExaminerJob Summary:TRIAD is seeking a highly skilled Medical Claims Examiner to join our team. As a Medical Claims Examiner, you will be responsible for accurately processing health plan delegated claims, addressing provider inquiries, and handling various administrative tasks within the department.Key Responsibilities:Process...

Job SummaryWe are seeking a highly organized and detail-oriented Claims Support Specialist to join our team at the City of San Antonio Texas. In this role, you will provide administrative support for the Claims Section in the Office of Risk Management, assisting with the processing and administration of claims information.Key ResponsibilitiesAssist with the...

Creative Financial Staffing has partnered with a reputable healthcare provider to find a skilled Medical Biller to join their team. This opportunity offers a chance to work in a dynamic healthcare environment and contribute to the organization's financial success.About the Role:The Medical Biller will be responsible for processing and submitting medical...

Job SummaryOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and...

Claims Adjudicator for Argo GroupWe're seeking a highly skilled Workers' Compensation Claims Adjudicator to join our team at Argo Group. As a Claims Adjudicator, you will be responsible for adjudicating indemnity workers' compensation claims of higher technical complexity for our customers in the states of AR, LA, MA, and TX.Key Responsibilities:Adjudicate...

As a Payment Processing Specialist at Medix, you will be responsible for data entry of payments into patient accounts, reviewing and adjusting claims and patient accounts according to EOB to bill or credit patients as needed, and data entry of capitation payments.Additionally, you will be responsible for data entry and search of patient accounts for our...

About the Role:USAA is seeking a dedicated professional to work in our San Antonio Home office as an Entry Level Property Claims Adjuster. This role may be a new career for you, and we are willing to invest in your growth and development.As an Entry Level Property Claims Adjuster, you will work within defined guidelines and framework to investigate,...

About UsSedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Our mission is to help organizations protect their employees, customers, and assets, while also promoting a culture of caring and inclusivity.Job SummaryWe are seeking a highly skilled Claims Assistant to join our Professional Liability...