Claims Operations Specialist

Job TitleClaims Operations GeneralistAbout the RoleWe are seeking a highly skilled Claims Operations Generalist to join our team at MedPOINT Management. As a Claims Operations Generalist, you will be responsible for assisting in various functions to maintain compliance with regulatory and contractual standards.Key ResponsibilitiesAssist in claims auditing,...

Job OverviewMaintain compliance with regulatory and contractual standards in the Claims Operations department, under the direction of the Claims Project Manager. Participate in claims auditing, adjudication, adjusting, investigation/analysis, and special projects as needed.

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...

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...

At Vertex Inc, we are seeking a highly skilled Environmental Claims Specialist to join our team.About UsWe are a leading professional services firm that provides forensic consulting, construction project advisory, and compliance and regulatory consulting to clients across various industries. Our team of experts is dedicated to delivering exceptional results...

Company OverviewThe Dental Office is a dynamic and growing practice seeking a highly skilled individual to join our team as a Dental Claim Specialist.As a key member of our front office staff, you will be responsible for ensuring seamless billing operations, maintaining accurate patient accounts, and providing exceptional customer service.

Job OverviewPMA Companies seeks a highly skilled Litigation Claims Specialist to join our team. In this role, you will investigate and resolve complex workers' compensation claims in a timely and efficient manner.Key Responsibilities:Evaluate complex workers' compensation claims and develop strategies to mitigate indemnity, medical, and allocated loss...

**Job Overview**PMA Companies is seeking an experienced Claims Resolution Specialist to join our team. As a key member of our workers compensation claims handling team, you will be responsible for investigating, evaluating, and resolving complex and litigated workers' compensation claims.Responsibilities:Evaluate assigned claims and establish strategies to...

About the JobThis role is for an experienced Litigation Claims Specialist who will handle complex workers compensation claims and provide superior customer service to internal and external business partners.Promptly evaluates all assigned claims, establishes a strategy to mitigate indemnity, medical, and allocated loss adjustment expense exposure.Tracks...

Job OverviewElite Sourcing LLC is partnering with a leading law firm to seek a skilled Compensation Claims Specialist. This role involves representing clients in workers' compensation matters, providing expert legal counsel and support throughout the claims process.

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...

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...

We are seeking a skilled Workers' Compensation Claims Specialist to join our team at Ultimate Staffing.The successful candidate will have several years of experience in claims management or claims consulting and possess practical working knowledge of the claims management process.This position involves managing workers' compensation and property casualty...

Job Summary">We are seeking a skilled Medical Claims Specialist to join our team at UCLA Health. In this role, you will be responsible for accurately processing inpatient and outpatient claims to all payers, including government and commercial payers.">About the Role">The successful candidate will have excellent knowledge of payer contracts, contractual...

The Vertex Companies, LLC is a leading professional services firm providing forensic consulting, construction project advisory, and compliance and regulatory consulting to law firms, real estate owners, property managers, public agencies, and commercial clients. Our Claims, Disputes, and Forensics team is a highly educated and highly valued team of...

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...

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 OverviewMedPOINT Management is a leading provider of IPA services. We're committed to delivering exceptional value to our Members and Providers through our dedicated teams and innovative solutions.In this role, you'll have the opportunity to work closely with our IPA department to ensure seamless communication and resolution of issues. Your expertise...

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 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...