Experienced Claims Review Specialist

Job OverviewCompany Overview:PayerFusion Holdings LLC is a premier service organization dedicated to providing exceptional solutions as a licensed Third-Party Administrator. We are on the lookout for talented and seasoned professionals who can not only fulfill but exceed the expectations of our clients. Our organization is committed to leading the way in...

Liability Claims SpecialistLocation: Florida (Hybrid after 90-Day Orientation)Job Type: Full-TimeCompany Overview:CAREERXCHANGE, Inc. is a premier insurance provider focusing on general liability and medical malpractice claims throughout Florida. Our organization is committed to offering extensive risk management solutions while prioritizing exceptional...

Liability Claims SpecialistLocation: Florida (Hybrid after 90-Day Orientation)Job Type: Full-TimeCompany Overview:CAREERXCHANGE, Inc. is a premier insurance organization focusing on general liability and medical malpractice claims throughout Florida. Our commitment lies in providing thorough risk management solutions while ensuring outstanding service to our...

Job SummaryWe are seeking a highly skilled Claims Management Specialist to join our team at Lennar Homes. As a Claims Management Specialist, you will play a critical role in protecting the financial assets of our company by analyzing, advising on, and managing Workers' Compensation, General Liability, Property, Builders Risk, and Auto claims.Key...

Job SummaryCAREERXCHANGE, Inc. is seeking a highly skilled Claims Management Specialist to join our team of professionals. As a Claims Management Specialist, you will play a critical role in managing and resolving a variety of general liability claims, with a particular emphasis on cases involving medical malpractice and other complex scenarios.Key...

Position OverviewThe Healthcare Claims Specialist plays a crucial role in ensuring the accuracy and appropriateness of medical billing processes. This position involves a thorough examination of medical and surgical charges to confirm their validity and necessity.Key ResponsibilitiesBilling Review: Conduct comprehensive reviews of all medical and surgical...

Job OverviewInsight Global is seeking a Claims Examination Specialist to join our team. This role involves working in a dynamic environment and offers a contract-to-permanent opportunity with competitive compensation and a flexible first shift schedule.Key Qualifications:High school diploma or GED is mandatory.A minimum of 2 years of experience in medical...

Position OverviewNOTE: Experience within the Behavioral Health Industry is required. This is a fully remote position.Role Summary:The primary focus of this role is to manage the billing processes for institutional and professional claims directed to various insurance providers. The specialist will be responsible for auditing and ensuring compliance with...

Position OverviewNOTE: Experience within the Behavioral Health Industry is required. This is a fully remote position.Role Summary:The primary focus of this role is to manage the billing of institutional and professional claims to various insurance providers. The specialist will be responsible for auditing and conducting thorough research to ensure compliance...

Position OverviewNOTE: Experience within the Behavioral Health Sector is essential. This role is fully remote, with a preference for candidates from the South Florida area.Role SummaryThe primary focus of this position is to manage the billing of institutional and professional claims to various insurance entities. The specialist will perform audits and...

General Liability AdjusterLocation: Florida (Hybrid after 90-Day Orientation)Job Type: Full-TimeCompany Overview:CAREERXCHANGE, Inc. is a prominent insurance organization focused on general liability and medical malpractice claims throughout Florida. Our commitment lies in providing thorough risk management solutions while ensuring exceptional service to our...

Job DescriptionWe are seeking a skilled Insurance Claims Specialist to join our esteemed team at AppleOne. This role is essential in managing and resolving claims effectively, ensuring that all processes align with industry standards.Key Responsibilities:Accurately receive and document appeals and balance billing within the claims management system, ensuring...

Job OverviewCompany Overview:PayerFusion Holdings LLC is a premier service organization dedicated to providing exceptional solutions as a licensed Third-Party Administrator. We are actively seeking talented and knowledgeable professionals who can exceed our clients' expectations. Our commitment to innovation ensures a unique experience for healthcare...

Company OverviewCAREERXCHANGE, Inc. is a prominent insurance organization focusing on general liability and medical malpractice claims. We are in search of a proficient General Liability Adjuster with relevant experience.Job Summary:The General Liability Adjuster plays a crucial role in the investigation, assessment, and resolution of general liability...

Company OverviewCAREERXCHANGE, Inc. is a prominent insurance organization focusing on general liability and medical malpractice claims. We are in search of a proficient General Liability Adjuster with relevant experience.Job Summary:The General Liability Adjuster plays a crucial role in the investigation, assessment, and resolution of general liability...

About PayerFusionWe are a leading third-party administrator in the healthcare industry, dedicated to delivering exceptional service to our clients. Our innovative approach and commitment to excellence have earned us a reputation as a trusted partner in the industry.We are seeking a highly skilled and experienced Claims Examiner to join our team. As a Claims...

Job OverviewAbout PayerFusion:PayerFusion is a dynamic service-oriented organization, dedicated to providing exceptional solutions as a licensed third-party administrator. We pride ourselves on attracting top-tier talent and experienced professionals to consistently surpass our clients' expectations. Our innovative approach is reshaping the experience for...

About the RoleWe are seeking a highly skilled Claims Analyst to join our Risk Management team at Lennar Homes. As a Claims Analyst, you will play a critical role in protecting the financial assets of our company by analyzing, advising on, and managing Workers' Compensation, General Liability, Property, Builders Risk, and Auto claims.Key...

Insurance and Claims Management Specialist Join Mount Sinai Medical Center, a leader in high-quality healthcare. Since its inception, Mount Sinai Medical Center has been dedicated to providing exceptional healthcare services to a diverse community. Our commitment to clinical excellence is reflected in our recruitment and training of top-tier healthcare...

Job SummaryDel Monte Fresh Produce Company NA Inc is seeking a highly skilled Claims Analyst to join our team. As a Claims Analyst, you will play a critical role in researching open invoices and processing pending open claims in a timely manner.Key Responsibilities:Review and research deductions on customers to ensure compliance with company policies and...