Claim Resolution Expert
3 days ago
We are seeking an experienced Claim Resolution Expert to join our revenue cycle team at The Center for Orthopedic and Research Excellence. In this role, you will work closely with our clinicians and staff to resolve complex billing issues and ensure accurate payment.
About the JobThe ideal candidate will have prior experience working on claim errors in a claims management system and a strong understanding of resolution to payor edit reports.
Key Responsibilities- Identify and resolve billing errors and resubmit claims to insurance carriers.
- Update CAS segments on secondary electronic claims as needed.
- Verify receipt of claim with insurance plans and determine next appropriate action step.
We offer a competitive salary of $55,000 - $65,000 per year, based on experience.
BenefitsAt The Center for Orthopedic and Research Excellence, we offer a comprehensive benefits package, including health, welfare, and retirement plans, as well as opportunities for professional growth and development.
-
Claims Resolution Expert
7 days ago
Phoenix, Arizona, United States Londen Insurance Group Full timeAbout the RoleAs a Claims Resolution Expert, you will be responsible for resolving claims efficiently and effectively. You will analyze client information, communicate with clients and colleagues, and make informed decisions to resolve claims quickly.ResponsibilitiesAnalyze claim data to identify areas for improvementCommunicate with clients and colleagues...
-
Claims Resolution Specialist
4 weeks ago
Phoenix, Arizona, United States Trexis Insurance Full timeJob SummaryTrexis Insurance is seeking a skilled and experienced Casualty Claims Adjuster to join our team. This role involves investigating, evaluating, and settling moderate to complex auto claims. The ideal candidate will have a strong analytical mind, excellent communication skills, and a keen eye for detail.Key ResponsibilitiesInterpret personal auto...
-
Warranty Claims Resolution Professional
1 week ago
Phoenix, Arizona, United States OneGuard Full timeWarranty Claims Resolution Professional:Are you an experienced customer service professional with a passion for resolving complex issues? Do you thrive in a fast-paced environment where no two days are the same? Look no further! OneGuard is seeking a skilled Warranty Claims Resolution Professional to join our team.**About the Role:**We're looking for an...
-
Accident Claims Expert
3 days ago
Phoenix, Arizona, United States Denovo Review Full timeJob Description:The Denovo Review is seeking an Accident Claims Expert to join their team in Phoenix, AZ. This is an exciting opportunity for a skilled and dedicated professional to work on personal injury litigation cases from inception to resolution.About the Role:This is a challenging and rewarding position that requires strong research and analytical...
-
Auto Claims Resolution Specialist
3 days ago
Phoenix, Arizona, United States USAA Full timeCompensation: Based on the market data and location, this role's salary range is $51,840 - $87,480.About USAA:This is a unique opportunity to work with an organization that prioritizes the financial security of U.S. military members and their families.Job Description:We are seeking a highly skilled Sr. Auto Adjuster to adjust complex auto insurance claims...
-
Claims Resolution Specialist
2 weeks ago
Phoenix, Arizona, United States Swift Transportation Full timeAbout UsSigned up with us for years' complex claims knowledge needed.Key Responsibilities:Our Claims Examination Assistant investigates, assesses, and settles intricate cases involving litigation, focusing on reducing business exposure. They coordinate with external professionals (attorneys, investigators) when necessary to ensure effective resolution....
-
Workers' Compensation Claims Expert
3 days ago
Phoenix, Arizona, United States Consolidated Personnel Services Full timeJob Title: Workers' Compensation Claims ExpertWe are seeking a highly skilled and detail-oriented Workers' Compensation Claims Expert to join our team at Consolidated Personnel Services. As a key member of our team, you will be responsible for investigating, reporting, and overseeing Workers' Compensation claims for our clients.
-
Customer Resolution Expert
2 days ago
Phoenix, Arizona, United States Bank of America Full timeJob Title: Customer Resolution ExpertLocation: Phoenix, ArizonaEstimated Salary: $50,000 - $65,000 per yearWe are seeking a highly skilled Customer Resolution Expert to join our team. In this role, you will be responsible for resolving complex client issues and providing exceptional customer service.You will work closely with clients to understand their...
-
Claims Resolution Professional
3 days ago
Phoenix, Arizona, United States Unislink Full timeAccounting and Collections SpecialistJoin UnisLink's finance team and play a crucial role in ensuring timely and accurate processing of accounts receivable transactions.About Us:We are UnisLink, a leading provider of innovative revenue cycle solutions. Our mission is to deliver exceptional patient experiences while driving financial growth for our...
-
Medical Claims Resolution Specialist
1 week ago
Phoenix, Arizona, United States Swift Transportation Full timeJob OverviewWe are seeking a highly skilled Medical Claim Processor to join our team at Swift Transportation. This role involves investigating, evaluating, and resolving complex claims in a timely and efficient manner.
-
Risk Resolution Specialist
1 week ago
Phoenix, Arizona, United States Swift Transportation Full timeAbout the RoleThe Claims Examiner 4 role at Swift Transportation involves managing complex claims from start to finish. You will work closely with our team to investigate claims, evaluate liability, and negotiate settlements.Duties and ResponsibilitiesManage complex claims, including those involving litigation, to minimize exposure to the company.Work...
-
Complex Claim Investigator
1 week ago
Phoenix, Arizona, United States Swift Transportation Full timeJob DescriptionAs a Claims Examiner 4 at Swift Transportation, you will play a critical role in ensuring the efficient and effective management of complex claims. Your responsibilities will include:Key AccountabilitiesConduct thorough investigations into complex claims to determine liability and negotiate settlements.Collaborate with internal and external...
-
Claims Management Supervisor
4 weeks ago
Phoenix, Arizona, United States Jobot Full timeJob Title: Claims Management SupervisorWe are seeking an experienced Claims Management Supervisor to oversee and manage a team of adjusters handling General Liability and Construction Defect claims. The ideal candidate will possess strong leadership skills, excellent communication abilities, and a proven track record in claims management.About the Role:The...
-
Claims Examiner
7 days ago
Phoenix, Arizona, United States USAA Full timeRisk Management and Claims ResolutionWe are seeking a skilled Injury Adjuster to join our team at USAA. As a dedicated professional, you will work to adjust non-attorney involved soft tissue bodily injury claims, ensuring that our members receive fair and efficient claims resolution.This hybrid role requires an individual to be in the office 3 days per week....
-
Claims Documentation Expert
2 weeks ago
Phoenix, Arizona, United States Unislink Full timeJob SummaryThis Medical Claims Clerk position requires strong organizational skills and attention to detail to ensure accurate and timely printing and processing of healthcare claims. The ideal candidate will verify claim details, conduct thorough reviews, and implement quality control measures.Main Responsibilities:Claims Processing: Ensure accurate and...
-
Escalation Resolution Specialist
4 weeks ago
Phoenix, Arizona, United States Dawson Full timeJob SummaryDawson is seeking an experienced Escalation Resolution Specialist to join our team. As a key member of our client services department, you will be responsible for resolving complex claim inquiries and process issues in a timely and professional manner.About the RoleThis is a full-time position working remotely with a competitive estimated salary...
-
Complex Claims Resolver
4 weeks ago
Phoenix, Arizona, United States USAA Full timeJob DescriptionAs a complex claims resolver, you will play a crucial role in resolving claims through proactive problem solving and decision making. Your key responsibilities will include investigating and determining coverage and liability in complex auto claims, negotiating liability and settlement of auto claims, reviewing prior loss history and creating...
-
Complex Claim Investigator
1 week ago
Phoenix, Arizona, United States Swift Transportation Full timeAbout the RoleIn this position, you will be responsible for investigating liability, negotiating settlements, and analyzing financial data to resolve claims. Your expertise in claim resolution will help minimize exposure to the Company.
-
Medical Claims Examiner
4 weeks ago
Phoenix, Arizona, United States USAA Full timeWhy USAA?At USAA, our mission is to provide financial security to millions of U.S. military members and their families.We're committed to giving back to those who have served.In this role as a Medical Claims Examiner - Auto Injury Specialist, you'll adjust complex bodily injury claims and UIM claims, confirming coverage, determining liability, investigating,...
-
Healthcare Claims Analyst
2 days ago
Phoenix, Arizona, United States Sanctuary Recovery Centers Full timeJob Description:The Healthcare Claims Analyst will be responsible for managing accounts receivable for behavioral health services. This includes reviewing outstanding AR, investigating and resolving denied or unpaid claims, and utilizing payer portals to maximize reimbursement. Key Responsibilities:* Review and analyze claim data to identify trends and areas...