Claims Operations Specialist

Job Title: Claims Operations SpecialistAlohaCare is seeking a highly skilled Claims Operations Specialist to join our team. As a Claims Operations Specialist, you will be responsible for managing business processes within the claims department, including Cost Share, Claims Recovery, and Claims Resolution.Key Responsibilities:Manage member cost share business...

Job SummaryWe are seeking a highly skilled Claims Operations Specialist to join our team at HMSA. This role will be responsible for collecting, analyzing, and utilizing data and feedback related to claims to identify opportunities for improvement in the relationship between HMSA and our vendors.Key ResponsibilitiesCollect and analyze data and feedback...

Job SummaryZenith Insurance Company is seeking a highly skilled Senior Claims Specialist to join our team. As a key member of our claims department, you will be responsible for investigating, analyzing, and determining the extent of company liability concerning claims.Key ResponsibilitiesInvestigate and analyze claims to determine company liabilityCorrespond...

Property Field Inspection Claim SpecialistAt State Farm, we're committed to being good neighbors and helping people. As a Property Field Inspection Claim Specialist, you'll play a critical role in our mission by handling accidental and weather-related claims for homeowners, commercial properties, and large losses.Key Responsibilities:Conduct on-site...

Job SummaryWe are seeking a highly skilled and experienced Insurance Operations Specialist to join our team at Bank of Hawaii. This role will be responsible for overseeing the day-to-day operations, customer service, and accounting responsibilities of Pacific Century Life Insurance Corporation (PC Life) and Insurance Marketing.Key ResponsibilitiesHandles...

Job Title: Claims ProcessorWe are seeking a highly skilled Claims Processor to join our team at Pacific Administrators, Inc. As a Claims Processor, you will play a critical role in ensuring the smooth processing of medical, hospital, vision, chiropractor, and ancillary claims.Key Responsibilities:Coordinate benefit and third-party liability claims in...

Job SummaryAlohaCare is seeking a highly skilled Claims Analyst to join our team. As a Claims Analyst, you will be responsible for leading special project activities to improve the efficiency and reduce costs of processing claims.Key ResponsibilitiesPerform data analysis and trending to identify areas for process improvement and develop new workflows.Review...

Job SummaryThe Senior Claims Representative at Ryder System, Inc. plays a critical role in handling complex and high-exposure claims. This position requires a strong understanding of liability programs, claim investigation, and adjustment processes.Key ResponsibilitiesInvestigate and adjust claims, ensuring compliance with applicable laws and...

Job Title: Claim AssistantWe are seeking a highly organized and detail-oriented Claim Assistant to join our team at HEMIC. As a key member of our Claims Department, you will play a vital role in supporting our injured workers and ensuring they receive the necessary care to return to work and life.Key Responsibilities:Manage critical daily deadlines and work...

About the RoleWe are seeking a highly organized and detail-oriented Administrative Claims Assistant to join our team at GB - Global. As a key member of our team, you will be responsible for providing administrative support to our claims team, ensuring the smooth operation of our claims process.Key ResponsibilitiesProvide administrative support to the claims...

About the RoleWe are seeking a highly skilled and detail-oriented Administrative Claims Assistant to join our team at GB - Global. As a key member of our team, you will play a vital role in supporting our claims process and ensuring that our clients receive the best possible service.Key ResponsibilitiesProvide administrative support to our claims team,...

Job Title: Medical Billing SpecialistATA Services, Inc. is seeking a Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for computing, adjusting, and preparing medical claims and bills involving pro-rata charges for various medical services and healthcare facilities.Key Responsibilities:Participate in...

Job Title: Medical Billing SpecialistATA Services, Inc. is seeking a Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for computing, adjusting, and preparing medical claims and bills involving pro-rata charges for various medical services and healthcare facilities.Key Responsibilities:Participate in...

Job SummaryWe are seeking a highly skilled Business Analyst to join our team at HMSA. As a Business Analyst, you will play a critical role in managing activities related to communication and notification efforts.Key ResponsibilitiesProject ImplementationServe as the subject matter expert for Pharmacy Management with regards to communications or...

Job Title: Bankruptcy SpecialistCentral Pacific Bank is seeking a highly skilled Bankruptcy Specialist to join our team. As a Bankruptcy Specialist, you will be responsible for managing the bankruptcy process, mitigating loss and legal risk for the bank, and ensuring compliance with regulatory requirements.Key Responsibilities:Manage bankruptcy portfolios,...

Job SummaryATA Services, Inc. is seeking a skilled Medical Billing Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for processing and managing medical claims, ensuring accurate and timely payment from insurance providers.Key ResponsibilitiesProcess and manage medical claims, including reviewing and verifying...

Operational Quality Specialist **Job Summary** We are seeking a highly detail-oriented Operational Quality Specialist to assist with and/or perform operational quality measures for limited lines of business. The successful candidate will be responsible for reviewing provider contracts and rates, comparing them to plan benefits, and ensuring HMSA's payment...

Job Title: Operation SpecialistBooz Allen Hamilton is seeking a highly skilled Operation Specialist to join our team. As a key member of our Indo-Pacific Command team, you will play a critical role in supporting the planning and execution of deliberate, contingency, and crisis plans.Key Responsibilities:Analyze orders and meet client mission...

Quality Assurance SpecialistWe are seeking a highly motivated and detail-oriented Quality Assurance Specialist to join our team at Chili's Grill & Bar. As a Quality Assurance Specialist, you will play a critical role in ensuring that every guest receives perfectly prepared, high-quality food.Responsibilities:Ensure food is prepared to company standards and...

Job SummaryWe are seeking a highly motivated Benefits Specialist to join our team at National Benefit Services, LLC. As a Benefits Specialist, you will be responsible for providing exceptional customer service to our clients and ensuring that their benefits needs are met.Key ResponsibilitiesRespond to participant inquiries and resolve issues in a timely and...