Medical Claims Specialist

Job SummaryWe are seeking a highly skilled Medical Claims Administrative Specialist to join our team at DynQuest Inc. in Fairfax, Virginia. As a Medical Claims Administrative Specialist, you will be responsible for timely processing and submission of clean medical claims to all payers, including Medicaid, Medicaid Managed, Commercial plans, and patient...

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...

Job SummaryWe are seeking a skilled Compensation Claims Specialist to join our team at Houston ISD. As a key member of our staff, you will be responsible for coordinating, preparing, and submitting claims filed by injured employees under the Texas Department of Insurance, Workers' Compensation Act.ResponsibilitiesCoordinate and prepare claims for submission...

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 ExaminerThis is an exciting opportunity to join our team as a Medical Claims Examiner in the greater Long Beach/Los Angeles area. As a key member of our Claims department, you will play a crucial role in ensuring the accuracy and efficiency of our claims processing.Responsibilities:Audit claims processing quality and develop reports...

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 Manager to join our team at C. Winchell Agency, Inc. as a Risk Oversight Specialist. This role will be responsible for leading the claims function and ensuring that all claims are handled in a timely and efficient manner.Key ResponsibilitiesOversee the claims process, including reporting and governanceDevelop...

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

Auto-Owners Insurance: A Leader in Insurance ClaimsWe are seeking a highly skilled and experienced Claims Professional to join our team. As a Field Claims Specialist, you will be responsible for handling insurance claims in the field, under general supervision, through the life-cycle of a claim, including investigation, evaluation, and claim resolution.Key...

Claims Division Manager Job DescriptionJob Summary:Cornerstone Staffing Solutions, Inc. is seeking an experienced Claims Division Manager to lead a dedicated team for our progressive client. This leadership role offers the opportunity to oversee critical claims operations and drive performance improvements in a highly visible position.Key...

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...

Role: Insurance Follow-up RepresentativeDuration: 6-Month Contract with Potential for Conversion or ExtensionShift: Onsite, Monday to Friday, 8am-4pm, 8:30am-4:30pm, or 9am-5pm, with the option to transition to a hybrid schedule after one yearAvailability to volunteer for overtime weekend shifts if meeting performance expectationsLocation: White Plains,...

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...