Claims Management Professional

**Job Overview:**Sedgwick Claims Management Services is seeking a detail-oriented Insurance Claims Analyst Trainee to join our team. In this role, you will work closely with experienced claims professionals to analyze workers compensation, general liability, or disability claims.As an Insurance Claims Analyst Trainee at Sedgwick, you will have the...

**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...

Job OverviewWe are seeking a skilled Medical Claims Professional to join our team at MedPOINT Management. This role is responsible for the accurate and timely processing of claims, ensuring compliance with regulations and contractual obligations.

Job Title: Claims Management ProfessionalLocation: Los Angeles, CA 90056Salary Range: $80,000 - $110,000 per yearAbout the Role:Crystal Stairs is seeking a skilled Claims Management Professional to oversee the receipt, processing, and payment of monthly claims submitted by providers. The successful candidate will ensure compliance with contractual...

About the RoleWe are currently seeking a qualified Claims Processor - Refund Management to join our dynamic team at MedPOINT Management. In this critical role, you will be responsible for managing the entire refund process from start to finish.You will receive, review, and process daily refund checks, prepare detailed reports for management, and investigate...

Job OverviewMaintain regulatory and contractual standards by assisting Claims Operations in various functions. Participate in claims auditing, adjudication, adjusting, investigation/analyzing and other special projects as needed.Key responsibilities include adjudicating assigned claims, adhering to deadlines, analyzing claims based on contracts, and...

Job Summary:We are seeking a skilled Adjuster - Medical Claims Professional to join our team. This role will be responsible for accurately reviewing and adjusting medical claims in accordance with departmental policies and procedures.

Job DescriptionMEDPOINT MANAGEMENT is seeking a seasoned Healthcare Operations Supervisor to lead its EDI Claims team. The ideal candidate will possess exceptional leadership and technical skills, with a proven track record of driving process improvements and delivering results.This critical role involves overseeing the end-to-end processing of electronic...

Key ResponsibilitiesThe ideal candidate will be responsible for adjudicating claims assigned by leadership, adhering to deadlines, analyzing claims based on contracts, and troubleshooting EZ CAP System configurations to identify potential issues.

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...

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 DescriptionAs a Claims Operations Generalist at MedPOINT Management, you will play a critical role in ensuring compliance with regulatory and contractual standards. You will assist in various functions, including claims auditing, adjudication, adjusting, investigation/analyzing, and other special projects as needed.Main Duties and ResponsibilitiesAssist...

We are seeking a dedicated Medical Claims Advocate to join our team at MedPOINT Management. In this role, you will be responsible for advocating on behalf of our Members and Providers to ensure they receive the best possible service.The estimated salary for this position is $55,000 - $80,000 per year, depending on experience. As a Medical Claims Advocate,...

Job OverviewMedPOINT Management is seeking a skilled Medical Claims Processor to join our team. As a Medical Claims Processor, you will be responsible for managing the entire claims process from start to finish, ensuring accuracy and efficiency in our billing operations.About the RoleThe ideal candidate will have at least 5 years of experience in medical...

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,...

Claims Operations Generalist Job DescriptionThis is a unique opportunity to join our team as a Claims Operations Generalist at MedPOINT Management. As a member of our team, you will participate in various functions to maintain compliance with regulatory and contractual standards.You will work closely with the Claims Project Manager and other team members to...

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 OverviewAs a Medical Claims Auditor at MedPOINT Management, you will play a vital role in ensuring the accuracy and integrity of hospital claims paid by our company. The ideal candidate will have at least 2 years' experience with hospital claims processing and/or billing.

About the RoleWe are seeking a highly skilled and experienced Claims Operations Generalist to join our team at MedPOINT Management. In this role, you will be responsible for assisting Claims Operations in various functions to maintain compliance with regulatory and contractual standards.The ideal candidate will have 3 years of experience as a Claims Examiner...

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...