Claims Processing Specialist

Job OverviewBecome a vital part of the San Francisco community by stepping into the role of a full-time Claims Examiner at San Francisco Health Plan.This position entails managing claims processing, evaluation, and investigation while ensuring adherence to the latest claim processing protocols. You will be responsible for upholding exceptional standards of...

Job OverviewBecome an integral part of the San Francisco community by taking on the role of a full-time Claims Examiner at San Francisco Health Plan.This position involves essential tasks such as claims evaluation, adjudication, and thorough investigation while keeping abreast of the latest claim processing protocols. You will be expected to uphold...

Job OverviewPosition Title: Claims Processor 1 Department: Claims ManagementBargaining Unit: OPEIU 29 Grade: 16Employment Type: Non-Exempt Weekly Hours: 40Position SummaryThe Claims Processor plays a crucial role in delivering exceptional customer service while managing the processing of standard health and welfare claims for designated accounts. This role...

Company OverviewAmerican Specialty Health Incorporated is on the lookout for a dedicated Claims Examiner to operate within a dynamic production environment. This role is pivotal in ensuring the precise examination, entry, and adjudication of claims, adhering to regulations, ASH standards, and the contractual commitments of the organization. The Claims...

About AutoNation: AutoNation stands as one of the premier automotive retailers across the United States, delivering innovative products, outstanding services, and comprehensive solutions that empower our customers to make informed decisions tailored to their needs. Our extensive network of dealerships, backed by a well-recognized brand, offers a diverse...

Job OverviewA leading full-service dermatology practice is seeking a skilled candidate for the role of Claims Processing Specialist focused on insurance claims management and payment posting. The ideal candidate will possess a dynamic personality, integrity, a quick learning ability, and strong multitasking skills. Interested applicants should provide a...

Join Our Team as a Claims Processing SpecialistMake a positive impact in the community with San Francisco Health Plan. We are currently looking for a dedicated Claims Processing Specialist to join our team.Role Overview:The Claims Processing Specialist plays a crucial role in the management of claims processing, adjudication, and investigative tasks. This...

Job SummaryWe are seeking a highly skilled Claims Reimbursement Specialist to join our team at TEKsystems. As a Claims Reimbursement Specialist, you will be responsible for systematically analyzing and auditing claims for overpayments and applying billing rules to determine the appropriate party to refund.Key ResponsibilitiesAnalyze and audit claims for...

Job OverviewPosition Summary: The Claims Management Specialist plays a crucial role in overseeing and resolving a portfolio of workers' compensation claims. This position reports directly to the Claims Supervisor and is responsible for managing complex cases while adhering to company policies and regulatory requirements.Key Responsibilities:Conduct thorough...

Position Overview: The Auto/PD Liability Claims Specialist plays a crucial role in overseeing both intricate and straightforward Auto and General Liability claims. This position operates within designated authority to secure optimal results for CorVel Corporation and its clientele. Key Responsibilities:Evaluate and process claims, ensuring policy coverage is...

Company Overview: CSAA Insurance Group (CSAA IG), a leading insurer affiliated with AAA, stands as one of the foremost personal lines property and casualty insurance providers in the United States. Our workforce embodies our core values and is dedicated to our mission of assisting members in navigating life's uncertainties. We foster a culture of innovation...

Job SummaryWe are seeking a highly skilled Property Field Inspection Claims Specialist to join our team at State Farm Mutual Automobile Insurance Company. As a key member of our claims handling team, you will be responsible for handling accidental and weather-related claims for homeowners, commercial properties, and large losses.Key ResponsibilitiesConduct...

Job Category : Workers' Compensation ClaimsRequisition Number : CLAIM007236Employment Type: Full-TimeSalary Range: $65,220.24 USD to $109,989.53 USDLocation: Remote options available for qualified candidates.The Senior Claims Examination Specialist is responsible for managing a portfolio of moderate to complex claims, ensuring exceptional service delivery to...

Position Title: Senior Claims Examiner Department: Operations - Claims Overview of the Role: We are in search of a dedicated Senior Claims Examiner to enhance our operations in the healthcare sector. This position will report directly to the Claims Manager and is crucial for our growth in the industry. Key Responsibilities:Stay updated on all ICD-9, CPT, and...

Job SummaryWe are seeking a highly motivated and experienced Claims Manager to join our team at Angle Health. As a Claims Manager, you will be responsible for overseeing the Claims department to ensure accurate, efficient, and timely handling of all health insurance claims.Key ResponsibilitiesClaims Management: Supervise and mentor a team of claim...

Position Overview: The Auto/PD Liability Claims Specialist plays a crucial role in overseeing both intricate and straightforward Auto and General Liability claims. This position operates within designated authority limits to achieve optimal results for CorVel Corporation and its clientele. Core Responsibilities:Evaluate and assess claims to verify policy...

Position OverviewJoin Our Team at SwipejobsRole Summary:As a Claims Adjuster, you will play a crucial role in assisting our clients by gathering essential information, investigating the specifics of claims, and obtaining statements from all parties involved. Your expertise and dedication will ensure that our clients receive the support they need during their...

About the RoleWe are seeking a highly skilled and experienced Claims Adjuster Workers Compensation Specialist to join our team at Sedgwick. As a key member of our team, you will be responsible for analyzing and managing workers compensation claims to ensure accurate and timely benefits are provided to our clients.Key ResponsibilitiesAnalyze and manage...

Job Category : Workers' Compensation ClaimsRequisition Number : CLAIM007236Employment Type: Full-TimeSalary Range: $65,220.24 USD to $109,989.53 USDLocation: Remote/Hybrid options available for qualified candidates.The Senior Claims Examination Specialist is responsible for managing a diverse portfolio of claims, ensuring exceptional service delivery to...

Are you seeking a role that offers more than just employment? At ICW Group, we value innovative individuals who adapt, grow, and deliver exceptional results. We foster a dynamic work environment that encourages creativity and collaboration, aiming to provide the best insurance experience possible. ICW Group, headquartered in San Diego with various regional...