Insurance Claims Specialist

PRIMARY RESPONSIBILITIESHandles all incoming inquiries related to commercial insurance claims.Collects all necessary details regarding the claim from the producer and/or client.Maintains neutrality regarding coverage decisions for claims.Identifies relevant coverage and policy details related to the claim and completes the necessary ACORD...

Job Summary:We are seeking a highly skilled and detail-oriented Insurance Claims Service Representative Assistant to join our team at DiBuduo & DeFendis Insurance Brokers, LLC. As a key member of our claims team, you will be responsible for providing exceptional customer service and ensuring seamless claims processing.Key Responsibilities:Claims Processing:...

Job SummaryWe are seeking a highly motivated and detail-oriented Health Insurance Specialist to join our team at Ultimate Staffing. As a Health Insurance Specialist, you will be responsible for assisting clients with health insurance inquiries and issues, processing and managing health insurance claims and billing, and maintaining accurate records and...

Job OverviewPosition: Workers Compensation Adjuster IIISummary:This role reports directly to the Claims Supervisor and may involve providing technical support in their absence. The Adjuster is responsible for managing a portfolio of claims, including those of significant complexity or unique circumstances, in compliance with relevant regulations and company...

Job DescriptionThe Benefits Verification Specialist will contact insurance companies, on behalf of the physician's office, to verify patient-specific benefits. The Benefits Verification Specialist will ask appropriate questions regarding patient benefits and complete data entry and/or appropriate forms to document patient benefits...

Job OverviewPosition: Workers Compensation Adjuster IIISummary:This role reports directly to the Claims Supervisor and may provide technical support in their absence. The Adjuster is responsible for managing a portfolio of claim files, which may involve complex cases or unique challenges, in compliance with relevant laws and company policies.Key...

Job DescriptionThe Benefits Verification Specialist will contact insurance companies, on behalf of the physician's office, to verify patient-specific benefits.Key Responsibilities:Collects and reviews all patient insurance information needed to complete the benefit verification process.Verifies patient-specific benefits and precisely documents specifics for...

Job SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at TEKsystems. As a Medical Claims Examiner, you will be responsible for processing medical claims in a computerized environment, ensuring accurate and timely processing of claims.Key ResponsibilitiesMaintain multiple groups and process CMS-1500, UB-04, and high dollar...

Job DescriptionJob SummaryWorld Insurance Associates, LLC. is seeking a highly skilled Insurance Placement Specialist to join our team. As an Insurance Placement Specialist, you will be responsible for coordinating placement activities on new and renewal business in support of business retention and production goals.Key ResponsibilitiesCoordinate placement...

Position Overview:The Insurance Benefits Specialist will engage with insurance providers on behalf of healthcare practitioners to confirm patient-specific coverage details. This role involves posing relevant inquiries about patient benefits and accurately documenting the findings through data entry and required forms.Key Responsibilities:Gather and assess...

Form a partnership with the medical case manager to maximize early return to work potential thereby reducing the need for extended disability payments, vocational rehabilitation, and other protracted claims costs.Initiate the referral to the SIU of cases with suspected fraud.Aggressively pursue subrogation from culpable third parties, contributions on...

Job SummaryCedars-Sinai is seeking a highly skilled Medical Claims Specialist III to join our team. As a key member of our Patient Financial Services department, you will play a critical role in ensuring accurate and timely reimbursement for medical services provided by our clinicians.Key Responsibilities:Coding and Compliance: Provide coding and educational...

Job SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at TEKsystems. As a Medical Claims Examiner, you will be responsible for processing medical claims in a computerized environment, ensuring accurate and timely processing of claims.Key ResponsibilitiesMaintain multiple groups and process CMS-1500 and UB-04 claimsProcess...

Job OverviewWe are seeking a dedicated and experienced individual to take on the role of a Full-Time Account Manager at Brittany Ross Insurance Agency- Farmers. This position is essential for fostering robust business relationships and ensuring a high level of customer satisfaction. As an Account Manager, you will be instrumental in expanding and managing...

Job OverviewThe Brittany Ross Insurance Agency- Farmers is seeking a dedicated and experienced professional to fill the role of a Full-Time Account Manager. This position is essential for fostering robust business relationships and ensuring a high level of customer satisfaction. As an Account Manager, you will be instrumental in managing and expanding our...

This position is eligible for Zenith's hybrid work model, allowing flexibility to work remotely on designated days based on the in-office schedule set by regional leadership. Essential Qualifications: Must possess experience in Workers' Compensation and hold the necessary state certifications. Under general oversight, this role involves supervising a Claims...

Job OverviewWe are seeking a dedicated and experienced individual to fill the role of Account Manager at Brittany Ross Insurance Agency- Farmers. This position is crucial for maintaining robust client relationships and ensuring overall customer satisfaction. As an Account Manager, you will be instrumental in expanding our client base and enhancing customer...

Job OverviewWe are in search of an Insurance Sales Specialist who will play a pivotal role in enhancing our clientele base. Your primary responsibility will be to market and sell a variety of insurance products to both prospective and current clients.Key Responsibilities:Effectively present and promote insurance solutions to new and existing customersAssess...

Job Title: Patient Access Follow-Up SpecialistCompany: Community Medical CentersCommunity Medical Centers, situated in Fresno/Clovis CA, stands as a premier healthcare institution in central California. Our facility, Community Regional Medical Center, ranks as the 3rd largest in the state with 685 beds, providing exceptional medical services, including a...

Why You Will Appreciate This RoleJoin the TalentCare team as a Client Support Specialist, where you can build a rewarding career in a dynamic and innovative environment. We believe that work can be both enjoyable and fulfilling.As a Client Support Specialist, you will thrive in a supportive and growth-oriented atmosphere, perfect for individuals who are...