Medical Claims Specialist

Job Title: Claims SpecialistAt Crawford & Company, we are seeking a highly skilled Claims Specialist to join our team. As a Claims Specialist, you will be responsible for administering and resolving non-complex short-term claims of low monetary amounts, including medical-only claims.Key Responsibilities:Claims Investigation: Conduct thorough investigations...

Job SummaryConstellis is seeking a highly skilled Claims Specialist to join our team. As a Claims Specialist, you will be responsible for administering claims and loss control activities, maintaining relationships with third-party service providers, and recommending solutions to implement approved programs.Key ResponsibilitiesReport Defense Base Act claims...

Job SummarySpecialist Office is seeking a highly skilled Medical Office Specialist to join our team. As a Medical Office Specialist, you will be responsible for providing exceptional patient care and administrative support in a fast-paced medical office environment.Key ResponsibilitiesTriage patients and provide clinical support as neededPrepare and maintain...

Job SummarySpecialist Office is seeking a highly skilled Medical Support Specialist to join our team. As a key member of our healthcare team, you will be responsible for providing exceptional patient care and support in a fast-paced medical office environment.Key ResponsibilitiesCollect and process patient specimens, including blood and stool samples, for...

About ECBM Insurance Brokers and ConsultantsECBM Insurance Brokers and Consultants is a family-owned and operated insurance broker and consulting firm based in Media, PA. We specialize in high-risk industries that require dedicated, client-based broker services in the areas of Commercial Insurance, Workers' Compensation, Employee Benefits, Cyber Liability,...

Job Title: Claims Data Operations SpecialistWe are seeking a highly skilled Claims Data Operations Specialist to join our team at Bernard Nickels & Associates.Job Summary:The Claims Data Operations Specialist will serve as a key member of our Business Configuration team, responsible for configuring and maintaining managed vision care products in our system....

Job Summary:As a Claims Specialist - Workers Compensation Professional at Crawford & Company, you will be responsible for administering and resolving non-complex short-term claims of low monetary amounts, including medical-only claims. Your duties will include documenting and monitoring open case inventory, ensuring proper and timely closing of files, and...

Job Title: Medical Claims ExaminerThe Medical Claims Examiner at Ampcus Inc. reviews and adjudicates paper/electronic claims. They determine the proper handling and adjudication of claims following organizational policies and procedures.Key Responsibilities:Examine and resolve non-adjudicated claims to identify key elements of processing requirements based...

Job Summary:The Default Mortgage Servicing Specialist is responsible for managing investor claims, specifically for Ginnie Mae (GNMA) and Fannie Mae (FNMA) loans, as well as overseeing loan-level reviews for Broker Price Opinions (BPOs) and foreclosure processes.Key Responsibilities:Prepare, file, and process investor claims for loans in default, ensuring...

Job SummaryWe are seeking a highly skilled Claims Configuration Analyst to join our team at Bernard Nickels & Associates. As a key member of our Business Configuration team, you will be responsible for ensuring the accuracy and integrity of provider agreements, fee schedules, and network data.Key ResponsibilitiesProvide subject matter expertise for...

About ECBMAs a family-owned and operated insurance broker and consulting firm, ECBM is dedicated to delivering exceptional client-based broker services to high-risk industries. Our team of experts specializes in Commercial Insurance, Workers' Compensation, Employee Benefits, Cyber Liability, Professional Liability, Farm & Agriculture, and Personal...

Job SummaryAs a Medical Collections Specialist at Reston Surgery Center, you will play a crucial role in ensuring timely payment from third-party payers and self-pay accounts. This position requires strong communication and negotiation skills to resolve claims and collect payments.Key ResponsibilitiesPerform follow-up activities on accounts to ensure prompt...

The New Mexico Municipal League is seeking a skilled Claims Examiner to join their team. As a Claims Examiner, you will be responsible for reviewing, processing, and investigating claims for Fund policies and programs.The ideal candidate will have a strong understanding of general liability, civil rights, law enforcement, workers' compensation, life, and...

IDR, Inc. is seeking a skilled Revenue Cycle and Coding Specialist to join our team in Austin, TX. As a key member of our revenue cycle team, you will be responsible for supporting all revenue cycle functions from coding to billing. Your primary role will be to collect medical claims from physicians, conduct chart reviews, and ensure compliance with...

Senior Claims Adjuster, Specialty ClaimsThe Senior Claims Adjuster, Specialty Claims will be responsible for handling claims nationwide. This position will complement the existing specialty claims team that supports the underwriting unit. The successful candidate will be able to provide insight and analysis on Professional Lines, E & O claims and other...

Job SummaryThe Senior Claims Adjuster, Specialty Claims will be responsible for handling claims nationwide. This position will complement the existing specialty claims team that supports the underwriting unit. The successful candidate will be able to provide insight and analysis on Professional Lines, E & O claims and other claims assigned.Key...

Claims Department ManagerTitan Insurance Administrators Inc. is seeking an experienced Claims Department Manager to lead our dedicated team. This is a highly visible leadership position.Job Description:The Claims Department Manager oversees day-to-day claims operations, including claims evaluation, adjudication, analysis, auditing, and customer service, in...

Job Title: Epic PB Claims Analyst (Intermediate)Duration: Contract to Hire OpportunityLocation: Remote Work ArrangementJob Summary:We are seeking an experienced Epic PB Claims professional to support our client in Florida. The ideal candidate will have a strong background in claims analysis and implementation, with expertise in Epic PB Claims...

Job SummaryNew Mexico Municipal League/New Mexico Self-Insurers' Fund is seeking an experienced Claims Supervisor to oversee and manage the review, processing, investigation, and disposition of claims related to various Fund policies and programs.The ideal candidate will have expertise in claims management, including workers' compensation, property,...

Job Summary:Insight Global is seeking a detail-oriented medical coding professional to work as an acute care inpatient facility coder at a healthcare system in Florida. This role involves applying the correct codes to patient charts for data collection, analysis, and claims processing.Key Responsibilities:Apply accurate codes to patient chartsMaintain an...