Medical Claims Specialist

**Job Description:**Sedgwick Claims Management Services is seeking a highly skilled General Liability and Disability Claims Specialist to join our team. In this role, you will work closely with our claims professionals to analyze general liability and disability claims.As a General Liability and Disability Claims Specialist, you will apply your knowledge of...

Volt Workforce Solutions is currently seeking a Medical Claims Specialist to join their team in the SFV area.This role offers a competitive salary of $21-25 per hour, providing an excellent opportunity for individuals looking to excel in a dynamic and fast-paced environment.

Job OverviewWe are seeking a skilled Medical Claims Recovery Specialist to join our team at MedPOINT Management. The successful candidate will research and identify complex overpayments on previously processed claims for multiple product lines, assist in DOFR implementation projects, and review claim refunds and capitation deductions from various...

Job Summary  We are seeking a skilled Medical Claims Project Coordinator to join our team at Regal Medical Group. As a key member of our staff, you will be responsible for processing and releasing professional claims according to established policies and procedures. This role requires strong analytical and problem-solving skills, as well as excellent...

Job Title: Medical Claims Resolution Specialist    Company OverviewMEDPOINT MANAGEMENT is a reputable healthcare management company seeking an experienced Medical Claims Resolution Specialist to join our team. As a Medical Claims Resolution Specialist, you will play a crucial role in ensuring timely and accurate resolution of provider...

About the RoleWe are seeking a highly skilled Medical Claims Specialist to lead our data management team at Regal Medical Group.This is a full-time position that offers a competitive salary of $102,000 - $125,000 per year, based on experience, as well as a comprehensive benefits package.The ideal candidate will have 3-5 years of experience in HMO claims...

We are seeking a Liability Claims Specialist to join our team at JBA International.Job DescriptionThe ideal candidate will have experience in negotiation / reduction of liens with medical providers and third-party payers upon resolution of injured party's claim. Additionally, they will be responsible for preparing client disbursement agreements, compiling...

About This OpportunityWe are seeking a Medical Claims Review Expert to join our team at MedPOINT Management. As a Risk Claims Adjuster Specialist, you will be responsible for reviewing and adjusting hospital risk claims in accordance with regulatory guidelines.Responsibilities:Review and adjudicate web portal inquiries.Assist Providers and other Departments...

About the Role:We are seeking a skilled Claims Audit Specialist to join our team at MedPOINT Management. As a key member of our recovery services team, you will be responsible for reviewing and disputing capitation deductions received from various health plans. Your expertise will also be required to analyze retro eligibility term reports, identify...

Job SummaryA Healthcare Claims Specialist is needed at MedPOINT Management to resolve medical claims efficiently and accurately. The ideal candidate will have strong analytical and communication skills.About the Role:Review and adjust medical claims according to established guidelines and protocols.Work collaboratively with healthcare providers and insurance...

Job OverviewAs a Liability Claim Specialist at JBA International, you will play a crucial role in the negotiation and settlement of medical liens. Your primary responsibility will be to reduce liens with medical providers and third-party payers upon resolution of injured parties' claims.The ideal candidate will have excellent negotiation skills, a strong...

Key ResponsibilitiesThe Investigative Claims Specialist will be responsible for:Conducting thorough investigations into questionable insurance claims, including recorded statements and interviews of claimants, witnesses, and employers.Providing timely status updates to case managers and clients.Maintaining accurate and detailed documentation of claim...

Role OverviewWe are seeking an experienced Claims Management Specialist to join our team at Ascendion. As a Claims Management Specialist, you will be responsible for managing all aspects of personal injury cases, from intake to resolution. This includes gathering and reviewing medical records, coordinating with medical providers and insurance adjusters, and...

Job OverviewWe are seeking an experienced Medical Claims Project Coordinator to join our team at Regal Medical Group in Southern California. As a key member of our operations team, you will be responsible for processing and releasing professional claims according to established policies and procedures.In this role, you will identify procedural and system...

Are you a motivated and organized individual looking for a challenging role in the healthcare industry? As a Healthcare Claims Specialist at Regal Medical Group, you will play a critical part in ensuring that claims are processed and released efficiently and accurately. With a focus on process improvement and customer satisfaction, you will work...

Job OverviewJBA International is seeking a skilled Claims Investigation Specialist to join our team.About the Position:Draft and respond to written and phone communication with insurance providersRequest and file medical recordsThe ideal candidate will have experience with personal injury claims and processes, as well as strong analytical skills.Salary and...

About the Role:We are looking for a skilled Claims Analyst Specialist to join our team at MedPOINT Management. The successful candidate will possess expertise in healthcare financial recovery, medical claims analysis, and process improvement.Main Responsibilities:Review and analyze retro eligibility term reports to identify potential overpayments.Develop and...

Job Summary: We are seeking a highly motivated and organized Personal Injury Claims Specialist to join our team. As a Personal Injury Claims Specialist, you will be responsible for managing pre-litigation cases from start to finish, including obtaining medical records and other related documents. You will also be working closely with our attorneys and case...

Job Title: Personal Injury Claims SpecialistWe are seeking a highly skilled Personal Injury Claims Specialist to join our team at Frish Law Group, APLC. As a key member of our personal injury team, you will play a vital role in assisting clients who have suffered injuries due to various incidents such as car crashes, slips/trips, and...

We are seeking a highly motivated Personal Injury Claims Specialist to join our team at West Coast Trial Lawyers. The ideal candidate will be responsible for interacting with adjusters and medical providers, sending letters of representation, opening insurance claims, confirming coverages, requesting police reports, preparing DMV forms, negotiating property...