Claims Resolution Specialist

Job Title: Claims Resolution SpecialistEstimated Salary: $85,000 - $110,000 per yearWe are seeking a highly skilled Claims Resolution Specialist to join our team at United Pacific. This role is responsible for overseeing the incident reporting and claims process to achieve early claim resolution and avoid litigation in a cost-effective and time-efficient...

Clinical Dispute Resolution SpecialistWe are seeking an experienced Clinical Dispute Resolution Specialist to join our team at Advanced Medical Manage. As a key member of our organization, you will be responsible for managing and resolving disputes between our company and healthcare providers regarding reimbursement, claims processing, and contractual...

Key ResponsibilitiesAnalyze and process complex workers' compensation claims by investigating and gathering relevant information to assess claim exposure.Develop action plans to manage claims efficiently and bring them to timely resolution.Negotiate claim settlements within designated authority levels.Calculate and assign reserves to claims promptly; monitor...

We are seeking a highly motivated Claims Resolution Specialist to support our medical lien negotiations team. The ideal candidate will have strong organization skills, excellent communication abilities, and a detail-oriented approach.Job OverviewIn this role, you will work closely with lien analysts, clients, medical providers, and other legal professionals...

Job Title: Clinical Dispute Resolution ExpertJob Summary:We are seeking a highly skilled Clinical Dispute Resolution Expert to join our team at Advanced Medical Manage. As a key member of our organization, you will be responsible for managing and resolving disputes between our company and healthcare providers regarding reimbursement, claims processing, and...

About the RoleUnited Pacific, a leading gasoline and convenience store retailer, is seeking an experienced Insurance Claims Coordinator to oversee the Incident Reporting and Claims process. As a key member of our team, you will be responsible for achieving early claim resolution and avoiding litigation in a cost-effective and time-efficient manner.In this...

About the RoleThe ideal candidate will have a minimum of 5 years of experience handling California workers' compensation indemnity claims and will be responsible for identifying subrogation opportunities, managing the litigation process, and negotiating settlements to ensure cost-effective claim resolution.

Job Overview:As a Claims Loss Reporting Specialist at American Automobile Association, you will play a critical role in delivering exceptional service to our members. We are seeking a highly skilled and dedicated individual to join our team.About the Role:Communicate with insureds and claimants to build trust and rapportProvide clear explanations of...

Personal Injury Claims SpecialistWe are a prominent law firm in Newport Beach, California seeking an experienced personal injury claims specialist to manage the progress of personal injury cases.About the RoleEstablish and maintain relationships with insurance companies to secure optimal settlements for clientsEffectively handle property damage claims,...

Job DescriptionMary Kraft HR is seeking an experienced Workers Compensation Claims Examiner to analyze and manage complex or technically difficult workers' compensation claims, including indemnity claims. This role involves working with high exposure claims that may include litigation and rehabilitation, ensuring timely adjudication in accordance with...

We are looking for a talented Clinical Billing Coordinator to join our team at JOSEPH VARDAYO MD INC. In this role, you will be responsible for coordinating clinical billing activities, including processing insurance claims and ensuring accurate patient information.Key Responsibilities:Process insurance claims through private insurance and...

Job Summary: Claims Processing SpecialistWe are seeking a highly organized and detail-oriented Claims Processing Specialist to join our team at Jobot. This individual will be responsible for processing claims, data entry, and policy processing. The ideal candidate will have proficiency in Word and Excel and excellent analytical skills.Estimated Salary:...

Job Title: Medical Claims Compliance SpecialistAbout Advanced Medical ManageAt Advanced Medical Manage, we are dedicated to delivering high-quality healthcare services. Our team is passionate about ensuring that our processes and programs are compliant with all applicable state and federal regulations.

The Claims Audit Manager position at Advanced Medical Manage offers a unique opportunity to work with a dynamic team in the healthcare industry. In this role, you will be responsible for prepayment, post-payment validations, and the management of operational reporting, testing, and data submissions.Responsibilities:Coordinates the completion of complex...

About the RoleWe are hiring a Commercial Claims Support Specialist to work with our team at Jobot. As a Commercial Claims Support Specialist, you will play a key role in processing renewal certificates of insurance and assisting with policy renewals.Your main responsibilities will include:Entering data into the agency management system.Pulling policies from...

Job DescriptionWe are looking for a skilled and detail-oriented individual to fill the role of Toll Violation Resolution Specialist. As a member of our customer care team, you will be responsible for resolving customer inquiries and concerns related to tolls and fees.Key Responsibilities:Provide timely and effective resolutions to customer inquiries and...

Key ResponsibilitiesCompletes training and masters Foundational Life and Annuity death and living claims functions.Reviews client requests against contract/policy information and department procedures to determine good order and necessary steps for resolution.Takes all appropriate action to ensure a superior service experience.Estimated Salary: $65,000 -...

About the RoleAs a key member of our team, you will be responsible for managing the claims process to minimize financial losses and ensure compliance with regulatory requirements.Key responsibilities include:Managing the incident reporting and claims process to achieve early claim resolution and avoid litigation.Working closely with cross-functional teams to...

Clinical Utilization Specialist, SeniorThe Clinical Utilization Specialist, Senior plays a critical role in the Facility Compliance Review team at Blue Shield of California.Responsibilities include reviewing post-service prepayment facility claims for compliance with contract requirements, industry standards, medical necessity, and hospital-acquired...

Job DescriptionUnited Pacific is a leading retailer of gasoline and convenience stores in the Western United States. We are seeking a skilled Risk Control Associate to join our team.Key responsibilities include:Overseeing the incident reporting and claims process to achieve early claim resolution and avoid litigation.Working closely with Operations, Customer...