Senior Medical Claims Specialist

Job OverviewRG/2 Claims Administration LLC is seeking a highly skilled Claims Analyst to join our team. As a Claims Analyst, you will be responsible for handling settlement agreement analysis, data entry of claimant information, claim review, data management and analysis, report processing and reconciliation, claim payment distribution activities, and...

We are seeking a highly skilled Senior Claims Specialist to join our Financial and Professional Lines Core team. This critical role will be responsible for directing all aspects of file handling on both in-house and third-party administered property claims.The Senior Claims Specialist will analyze and determine coverage, manage the claim investigation,...

Chubb is seeking a Senior Claim Specialist for our Life Sciences Claims team. The Life Sciences Claims Team provides claim handling with regard to some of the largest medical products manufacturers and providers of instruments with worldwide distribution on the cutting edge of innovation, research and technology.This is an individual contributor role...

At Independence Blue Cross, we are seeking a highly skilled Claims Resolution Specialist to join our team. This role is responsible for accurately and timely handling of claim issues for all lines of business, including bi-directional sharing, FEP, Local and Commercial PA and AHNJ, BlueCard and Government market.The ideal candidate will have a proven track...

Warranty Claims SpecialistWe are seeking a highly motivated Warranty Claims Specialist to join our accounting and finance team at NorthStar Auto.As a Warranty Claims Specialist, you will play a vital role in ensuring the smooth operation of our warranty processes and procedures.This is a full-time position with a base salary and commission structure,...

Claims Resolution OpportunityGB Group LLC is seeking a skilled Claims Resolution Specialist to manage liability, physical damage, and cargo claims. If you have experience handling complex claims, we want to hear from you.Key Responsibilities:· Manage liability, physical damage, and cargo claims with precision and accuracy.· Utilize strong communication and...

Job Title: Medical Claims ProcessorWe are seeking a highly skilled Medical Claims Processor to join our team at US01 AllCare Plus Pharmacy, Inc.Job Summary:The Medical Claims Processor will be responsible for receiving and processing medical claims from healthcare providers and patients, ensuring accurate and timely payment of claims.Key...

Job SummaryWe are seeking a highly organized and detail-oriented Medical Claims Processor to join our team at IQVIA. As a Medical Claims Processor, you will be responsible for receiving medical claims from healthcare professionals and patients, ensuring the adequate supporting documentation has been provided, and interpreting the EOB/CMS1500 to determine if...

Job SummaryThe Senior Appeals Specialist is responsible for investigating appeals and grievances in accordance with established policies and regulations. This role involves preparing case files for clinical and administrative review, as well as making outreach calls to members, providers, and representatives to acknowledge receipt of appeal requests.Key...

Job SummaryWe are seeking a skilled Recovery Claims Specialist to join our team at Cozen O'Connor. The ideal candidate will have experience in property claims and be able to review complex subrogation claims to determine viability or closure.Key ResponsibilitiesReview and analyze subrogation claims to determine viability or closureMonitor and negotiate...

Job Title: Senior Client Setup Quality SpecialistAt IntePros, we're seeking a highly skilled Senior Client Setup Quality Specialist to ensure accuracy and compliance in client benefit setup and claims auditing. This role is ideal for individuals with experience in HealthRules, healthcare claims auditing, and benefits configuration.Key...

Job DescriptionThe Senior Client Onboarding Specialist is responsible for ensuring the accuracy and compliance of client benefit setups, resolving discrepancies, and collaborating with internal teams to improve process efficiency.Key Responsibilities:Conduct thorough audits of healthcare client benefit setups to guarantee accuracy and compliance with...

Job SummaryThe Senior Client Onboarding Specialist is responsible for ensuring seamless client onboarding experiences by auditing and validating benefit setups, resolving discrepancies, and maintaining compliance with regulatory and contractual guidelines.Key Responsibilities:Conduct thorough audits of healthcare client benefit setups to guarantee accuracy...

Job SummaryExcel Medical Center is seeking a highly skilled Senior Medical Biller to join our team. As a key member of our revenue cycle team, you will be responsible for organizing patient medical costs and sending invoices to collect payment from patients and their insurers.Key Responsibilities:Transcribing diagnoses and treatments into codes for medical...

Job SummaryWe are seeking a highly experienced Senior Construction Defect Claims Adjuster to join our team at NARS. As a key member of our claims team, you will be responsible for handling complex construction defect claims, including investigating and establishing facts of loss, coverage analysis, and determining compensability and liability.With 10+ years...

Job SummaryAon is seeking a highly skilled U.S. Property Claims Officer to join our Aon Global Risk Consulting Group. As a key member of our team, you will play a critical role in delivering innovative and effective solutions to our clients. If you are a seasoned professional with a passion for property insurance and claims, we encourage you to apply for...

Job DescriptionThis is a hybrid role following our 3/2 model (3 days in office and 2 days remote). The employee will be based out of our Philadelphia, PA office. Reporting to the Director, Ceded Reinsurance Services, this role is responsible for the day-to-day reinsurance claim operations in North America. The ceded reinsurance billings are primarily proof...

We are seeking a Medical Coding Specialist to join our team at Mercado Medical Practice, LLC. In this role, you will be responsible for transcribing patient records and processing claims for reimbursements. You will need to select the correct codes and functions to be assigned to each instance. The ideal candidate is detail-oriented with strong people skills...

Job Summary:As a Reinsurance Claims Analyst at Ace American Insurance, you will be responsible for the day-to-day reinsurance claim operations in North America. Your primary focus will be on ensuring timely billings and collections of loss balances, while providing accurate and complete billing packages to reinsurers and brokers. You will also be responsible...

Job Title: Senior Care Specialist - RNJob Summary:Discovery Senior Living is seeking a highly skilled and experienced Registered Nurse to fill the role of Senior Care Specialist - RN. This position will be responsible for providing clinical leadership and support to our communities in the northeast region.Key Responsibilities:Monitor the implementation of...