Medical Claims Professional

Job SummaryWe are seeking a skilled Medical Claims Specialist to join our team at TEKsystems. As a Medical Claims Specialist, you will be responsible for the daily processing of claims and pre-authorizations/referrals. This role will support one business line, whether it is commercial, Medicare, Medicaid, etc.Key ResponsibilitiesPull claims and verify data...

Job DescriptionWe are seeking a skilled Medical Claims Reviewer to join our team at Dane Street, LLC. As a Physician Appeals Specialist, you will play a critical role in reviewing insurance appeals and claims to ensure compliance with client-specific policies and nationally recognized evidence-based guidelines.Key Responsibilities:Review medical records and...

h3Job Description/h3pThe Senior Claims Specialist plays a crucial role in managing complex and problematic workers' compensation claims within company standards and best practices. This position involves determining benefits due, working closely with case managers and attorneys, and managing subrogation and negotiations to ensure specific customer service...

Job DetailsWe are seeking an experienced Technical Claims Specialist to join our team at Jobot. This role involves managing and resolving complex technical claims, analyzing loss patterns, and collaborating with stakeholders.Responsibilities:1. Handle technical claims, applying knowledge and experience to achieve the best outcomes.2. Conduct thorough...

Job Title: Claims Recovery SpecialistJob Summary:We are seeking a skilled Claims Recovery Specialist to join our team at Project Resources Group. As a Claims Recovery Specialist, you will be responsible for resolving and negotiating claims recovery of repair and replacement costs on third-party cable/fiber and utility tort damages across multiple state...

The LaSalle Group is a leading provider of direct hire and temporary staffing services, with a specialization in Insurance Claims.We are seeking an experienced Insurance Claims Specialist to join our team. This role will be a key part of our Insurance Follow-Up process, ensuring timely and accurate reimbursement from insurance companies.As an Insurance...

About the Role:Erie Insurance is seeking a skilled Liability Claims Specialist to join our team. As a Liability Claims Specialist, you will be responsible for handling complex liability claims, including coverage issues and severe injury claims.Key Responsibilities:Conduct investigations and evaluate coverage and liability.Handle claims involving complex...

Job Summary: We are seeking a highly motivated and detail-oriented Claim Operations Specialist to join our team at 020 Travelers Indemnity Co. As a key member of our operations team, you will be responsible for partnering with claim professionals to assist customers, building customer relationships, and ensuring the timely resolution of...

Job Title: Auto Claim Representative TraineeWe are seeking a highly motivated and detail-oriented Auto Claim Representative Trainee to join our team at Travelers Insurance. As a key member of our claims team, you will be responsible for investigating, evaluating, and resolving auto damage claims in a timely and professional manner.Key...

Job SummaryAuto-Owners Insurance is seeking an experienced claims professional to handle catastrophic claims. The ideal candidate will have a strong background in claims handling, excellent communication skills, and the ability to work independently.Key ResponsibilitiesInvestigate and evaluate catastrophic claims, determining policy coverage and evaluating...

Job SummaryWe are seeking a skilled General Liability Claims Representative to join our team at Travelers Insurance. As a key member of our claims team, you will be responsible for investigating, evaluating, and resolving General Liability related Bodily Injury and Property Damage claims.Key ResponsibilitiesConduct thorough investigations of claims,...

About the RoleSedgwick is seeking a highly skilled Claims Supervisor to join our team. As a Claims Supervisor, you will be responsible for supervising multiple teams of examiners and technical staff for workers' compensation claims, monitoring colleagues' workloads, providing training, and monitoring individual claim activities.Key ResponsibilitiesSupervise...

Job SummaryCorVel Enterprise Comp, Inc. is seeking a Senior Auto and General Liability Claims Specialist to manage complex and non-complex Auto and General Liability claims. The ideal candidate will have experience handling high exposure and litigated claims, excellent communication skills, and the ability to work independently and within a team...

A career at Auto-Owners Insurance is challenging and rewarding. Our team of caring professionals creates financial security by helping individuals and businesses make a new start when a loss occurs.Job DescriptionWe offer a merit-based work-from-home program based on job responsibilities. After initial training, you could have the flexibility of...

Our client, a leading insurance carrier, is seeking a highly skilled Senior Commercial General Liability Claims Specialist to join their team.This individual will be responsible for handling complex Commercial General Liability claims, including Slip and Falls, Premise Liability, and Bodily Injury losses throughout the country.Key responsibilities...

About the RoleWe are seeking a highly skilled Telephonic Initiation Representative to join our team at Lincoln Financial Group. As a key member of our claimant excellence team, you will play a critical role in supporting Group Protection in a remote environment.Key ResponsibilitiesAnswer claimants' calls regarding disability and FMLA claims in a call center...

At BLC - Ballantyne Medical Center, we are committed to delivering exceptional patient care and experience. As a Registered Nurse, you will be part of a dynamic team that promotes a culture of safety, quality, and compassion. Our medical center offers a range of services, including medical and surgical care, making it an ideal place for nurses to grow and...

Job SummaryAt BALLANTYNE MEDICAL ASSOCIATES P, we are seeking a highly skilled and dedicated Certified Medical Assistant 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 ResponsibilitiesObtain and document patient information,...

Job Title: Professional Billing DeveloperInsight Global is seeking a skilled Professional Billing Developer to join their team. This individual will be responsible for building, testing, and maintaining the professional billing system, housed in EPIC.The ideal candidate will have 3+ years of experience as a PB developer in a healthcare setting, with a strong...

Job Summary:Randstad Enterprise is seeking an experienced Medical Coder to join our team on a temporary assignment. As a Medical Coder, you will be responsible for reviewing and entering all incoming new medical claims into our Claims System, received in the Stop-Loss inbox. This role requires a high degree of accuracy, professionalism, and strong...