Current jobs related to Insurance Claims Specialist - Remote, Oregon - Midatlantic Employers' Association
-
Insurance Claims Specialist
3 weeks ago
Remote, Oregon, United States Seven Counties Services Full timeJob Title: Insurance SpecialistWe are seeking a highly skilled and detail-oriented Insurance Specialist to join our team at Seven Counties Services. As an Insurance Specialist, you will play a critical role in ensuring the timely and accurate processing of insurance claims.Key Responsibilities:Process and review insurance claims for accuracy and...
-
Insurance Claims Specialist
2 weeks ago
Remote, Oregon, United States Seven Counties Services Full timeJob Description:Key Responsibilities:Process and verify insurance claims to ensure accurate and timely payment.Essential Functions:1. Review and complete insurance forms to ensure compliance with company and regulatory requirements.2. Maintain accurate knowledge of insurance specifications, including Medicare, Medicaid, Tricare, and Commercial.3. Monitor and...
-
Claims Examiner
2 weeks ago
Remote, Oregon, United States ASK Consulting Full timeAbout the RoleASK Consulting is seeking a skilled Claims Examiner to join their team. As a Claims Examiner, you will be responsible for investigating, evaluating, and settling claims in a fair and prompt manner.Key Responsibilities:Investigate and evaluate claims to determine their validity and ensure that settlements are made according to company practices...
-
Claims Case Research Specialist
2 weeks ago
Remote, Oregon, United States Conduent Payment Integrity Solution Inc. Full timeJob Title: Claims Case Research Services AssociateAt Conduent Payment Integrity Solution Inc., we are seeking a highly detail-oriented and communicative Claims Case Research Services Associate to join our team. As a key member of our team, you will play a crucial role in analyzing medical claims and investigating potential recovery cases.About the Role:As a...
-
Claims Adjuster
7 days ago
Remote, Oregon, United States Adjusters Advice Full timeJob DescriptionWe are seeking a skilled Claims Adjuster to join our team at Adjusters Advice. As a Claims Adjuster, you will be responsible for communicating with property owners and vendors to gather information for insurance claims. You will review and adjust estimates, contact insureds and contractors to obtain additional information, and enter claim...
-
Claims and Billing Coordinator
4 days ago
Remote, Oregon, United States SquareDash Full timeWe are seeking a detail-oriented and organized Claims & Billing Specialist who has a passion for client satisfaction to join our Revenue Cycle Management team.This role will be cross-trained to handle property owner billing as well as claim funding procedures on behalf of our clients.The ideal candidate will play a crucial part in ensuring accurate invoicing...
-
Healthcare Billing Specialist
3 days ago
Remote, Oregon, United States LabCorp Full timeHealthcare Billing Specialist Job DescriptionLabCorp is seeking an entry-level Healthcare Billing Specialist to join our team. As a Healthcare Billing Specialist, you will be responsible for processing and managing healthcare claims, ensuring accurate and timely billing activities.Key Responsibilities:Process and manage healthcare claims, ensuring accurate...
-
Healthcare Billing Specialist
3 days ago
Remote, Oregon, United States LabCorp Full timeJob Title: Healthcare Billing SpecialistJob Summary:LabCorp is seeking a skilled Healthcare Billing Specialist to join our team. As a key member of our Revenue Cycle Management Division, you will play a critical role in ensuring the accurate and timely processing of healthcare claims.Responsibilities:Billing Data Entry: Enter accurate and complete billing...
-
Insurance Agent
2 weeks ago
Remote, Oregon, United States Primerica Full timeLife Insurance Agent OpportunityWe are seeking a skilled Life Insurance Agent to join our team at Primerica. As a Life Insurance Agent, you will play a crucial role in helping clients protect their financial future through life insurance products.Key Responsibilities:Client Consultation: Assess clients' financial needs and objectives to recommend appropriate...
-
Insurance Agent
2 weeks ago
Remote, Oregon, United States TEAM VERGS Full timeLife Insurance AgentAt TEAM VERGS, we are seeking a skilled Life Insurance Agent to join our team. As a Life Insurance Agent, you will be responsible for providing expert advice and guidance to clients, conducting intermediary services between insurance companies and clients, and selling life policies that meet their needs.Key Responsibilities:Provide advice...
-
Insurance Agent
2 weeks ago
Remote, Oregon, United States CSQR Full timeLife Insurance Agent Opportunity at CSQRCSQR is seeking a skilled Life Insurance Agent to provide expert advice and intermediary services to clients. As a Life Insurance Agent, you will be responsible for recommending insurance products, conducting needs analyses, and providing excellent customer service to maintain and expand the client base.Key...
-
Insurance Professional
3 weeks ago
Remote, Oregon, United States Future Positive Full timeLife and Health Insurance AgentWe are seeking a highly motivated and dynamic individual to join our team as a Life and Health Insurance Agent. As an insurance agent, you will play a crucial role in helping individuals and families protect their financial well-being by providing them with the right life and health insurance policies.Key...
-
Insurance Sales Representative
1 week ago
Remote, Oregon, United States Prospera Full timeAt Prospera, we're seeking a skilled Insurance Sales Representative to join our team. As an Insurance Sales Representative, you will be responsible for selling insurance policies to clients, understanding their needs, and providing suitable recommendations. Your key responsibilities will include:Meeting with clients to discuss their insurance needs and...
-
Life Insurance Agent
2 weeks ago
Remote, Oregon, United States WFG Full timeLife Insurance Agent Job DescriptionWe are seeking a licensed life insurance agent to provide advice and intermediary services between clients and insurance companies. The ideal candidate will have excellent communication skills, analytical skills, and a strong ability to provide good customer service.Key Responsibilities:Provide advice to clients and...
-
Insurance Sales Professional
2 weeks ago
Remote, Oregon, United States Kiran Sidher agency Full timeInsurance Sales Representative Job DescriptionWe are seeking a highly motivated and results-driven Insurance Sales Representative to join our team at Kiran Sidher agency. As an Insurance Sales Representative, you will play a crucial role in promoting our insurance products and services, engaging with potential clients, and effectively closing sales.Key...
-
Grievance and Appeals Specialist
2 weeks ago
Remote, Oregon, United States KYYBA Full timeJob Title: Grievance and Appeals SpecialistJob Summary:We are seeking a highly skilled Grievance and Appeals Specialist to join our team at Kyyba. As a key member of our team, you will be responsible for processing appeals and grievances, analyzing and researching cases, and providing comprehensive responses in accordance with established regulatory and...
-
Revenue Cycle Audit Specialist
1 month ago
Remote, Oregon, United States CSI Pharmacy Full timeJob Title: RCM Audit/Training SpecialistDescriptionCSI Pharmacy is seeking a highly skilled RCM Audit/Training Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for facilitating the review of medical claim submissions to ensure compliance with state, federal, and payer guidelines.ResponsibilitiesEffectively...
-
Employment Law Specialist
3 days ago
Remote, Oregon, United States Larson Maddox Full timeWe are seeking a highly skilled Employment Law Specialist to join our team at Larson Maddox. As a key member of our legal team, you will be responsible for handling Employment litigation cases with a large client pool of Fortune 500 companies.Key Responsibilities:Advise clients on a wide range of employment law matters, including discrimination, harassment,...
-
Regulatory Affairs Specialist
1 week ago
Remote, Oregon, United States Dexcom Full timeAbout DexcomDexcom is a pioneer and global leader in continuous glucose monitoring (CGM). Our mission is to improve human health by developing innovative solutions for serious health conditions. We are driven by a passion for making a difference in people's lives and a commitment to excellence in everything we do.Job SummaryWe are seeking a highly skilled...
-
Health Insurance Specialist
3 weeks ago
Remote, Oregon, United States Balance Staffing-India Full timeJob OverviewWe are seeking a highly motivated and licensed Health Insurance Agent to join our team at Balance Staffing. As a Health Insurance Agent, you will be responsible for selling Medicare products to new and current clients, assisting customers with selecting a plan, and building and maintaining customer relationships.Key Responsibilities:Answering...
Insurance Claims Specialist
2 months ago
Join Midatlantic Employers' Association, a leader in the insurance sector, dedicated to providing exceptional service and support to our clients. We are seeking a dedicated Insurance Claims Specialist to enhance our claims processing team.
At Midatlantic, we believe in making insurance accessible and straightforward. Our mission is to ensure that our clients receive the best possible support during their claims process. As a part of our team, you will play a crucial role in helping clients navigate their claims with ease and confidence.
Key Responsibilities:
- Evaluate and process assigned claims in line with the established Terms & Conditions of the respective policies.
- Thoroughly review medical documentation, invoices, and claims submissions for accurate assessment.
- Make informed claims determinations, including the assessment and payment of claims.
- Utilize in-depth knowledge of policy Terms & Conditions to verify claims coverage.
- Collaborate with veterinary practices to ensure accurate evaluation of medical records and necessary documentation.
- Maintain a quality assurance score that meets or exceeds departmental standards.
- Complete all assigned tasks within specified compliance deadlines.
- Achieve productivity rates that align with departmental expectations.
- Provide constructive feedback to enhance standard operating procedures.
Required Skills:
- Strong understanding of veterinary medical terminology and disease processes.
- Ability to interpret veterinary medical records and invoices effectively.
- Capable of identifying both chronic and acute medical conditions.
- Adaptability to thrive in a dynamic, fast-paced environment while managing multiple computer systems.
- Proficient in working independently in a remote setting while promoting teamwork and collaboration.
- Excellent communication skills for effective interaction with team members and management.
- Demonstrated problem-solving abilities to navigate complex veterinary-related scenarios.
Qualifications:
- A minimum of five years of experience as a veterinary technician.
- A Bachelor's degree in veterinary science or a related field is preferred.
- Possession of a Property and Casualty Adjuster license in good standing is preferred.
- Ability to complete and pass state adjuster licensing requirements.
- Reliability and strong attendance record.
- Willingness to work a minimum of 42 hours per week, including occasional weekends and additional hours as necessary.
Remote Work Requirements:
- Access to a reliable high-speed internet connection (minimum of 100 Mbps download and 30 Mbps upload).
- A quiet, dedicated workspace free from distractions.
- Workspace must accommodate dual monitors, a laptop, and other necessary equipment.
- Ability to set up and connect equipment provided for remote work.
About Us:
Midatlantic Employers' Association is committed to fostering a diverse and inclusive workplace. We celebrate differences and strive to create an environment where all employees can thrive. We are proud to be an equal opportunity employer, dedicated to recruiting, hiring, and promoting individuals without regard to gender, race, color, sexual orientation, religion, age, or any other identities protected by law.
