Claims Examiner

Job Summary:The Claims Examiner is responsible for investigating, evaluating, and resolving general liability claims. This role involves conducting thorough investigations, analyzing coverage, and negotiating settlements. The ideal candidate has a strong background in both claim types and excels in handling complex cases. Key Responsibilities:- Conduct...

Job SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at Insight Global. As a Medical Claims Examiner, you will play a critical role in analyzing and adjudicating routine claims, ensuring timely and accurate processing.Key ResponsibilitiesAnalyze and adjudicate routine claims, determining approval, eligibility, and identifying...

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 SummaryWe are seeking a highly skilled Claims Processor to join our team at Insight Global. As a Claims Processor, you will play a critical role in analyzing and adjudicating routine claims, ensuring timely and accurate processing of claims.Key ResponsibilitiesAnalyze and adjudicate routine claims, determining approval, eligibility, and identifying...

Job SummaryWe are seeking a highly skilled Claims Processor to join our team at Insight Global. As a Claims Processor, you will play a critical role in analyzing and adjudicating routine claims, ensuring timely and accurate processing of claims.Key ResponsibilitiesAnalyze and adjudicate routine claims, determining approval, eligibility, and identifying...

Job Title: Claims AdjudicatorWe are seeking a detail-oriented Claims Adjudicator to join our team at SNI Companies in Little Haiti, Miami, FL.Job SummaryAs a Claims Adjudicator, you will be responsible for reviewing, processing, and resolving insurance claims. You will work closely with claimants and healthcare providers to ensure compliance with company...

Job Title: Claims AdjudicatorWe are seeking a detail-oriented Claims Adjudicator to join SNI Companies in Little Haiti, Miami, FL.Job Summary:The successful candidate will be responsible for reviewing, processing, and resolving insurance claims in a timely and accurate manner.Key Responsibilities:Review and analyze insurance claims to ensure compliance with...

Job SummaryThis position plays a critical role in ensuring the accurate and timely processing of medical and non-medical provider claims, as well as the submission of enrollments and disenrollments to Florida Medicaid and CMS. The successful candidate will be responsible for procuring Medicare rate tables, processing provider claims for expenses by service...

Job SummaryThis position plays a critical role in ensuring the accurate and timely processing of medical and non-medical provider claims. The successful candidate will be responsible for adjudicating claims, submitting enrollments and disenrollments to Florida Medicaid and CMS, and maintaining the integrity of PACE's revenue and expense process.Key...

About the RoleWe are seeking a highly skilled Claims Manager to oversee the day-to-day operations of our claims department. As a key member of our team, you will be responsible for ensuring the timely and accurate processing of claims, while maintaining excellent customer service and adhering to industry standards and regulations.Key...

Job OpportunityWe are seeking a highly skilled Claims Manager to join our team at AppleOne. As a Claims Manager, you will be responsible for supervising and managing day-to-day claims operations, ensuring quality and compliance with industry standards and state regulations.Key Responsibilities:Supervise claims departments to ensure efficient workflow and...

About the RoleWe are seeking a highly skilled Claims Manager to oversee the day-to-day claims operations at PayerFusion. As a key member of our team, you will be responsible for supervising and managing claims evaluation, adjudication, and customer service in accordance with our quality and production standards.Key ResponsibilitiesSupervise the claims...

Job Title: Medical Claims ManagerWe are seeking a highly skilled Medical Claims Manager to oversee our claims departments and ensure proper workflow is conducted. The ideal candidate will have excellent communication skills and be able to monitor timelines and communicate with clients to follow up on claims handling.Key Responsibilities:Supervise the claims...

About the RoleWe are seeking a highly skilled Claims Operations Manager to join our team at PayerFusion. As a Claims Operations Manager, you will be responsible for supervising and managing day-to-day claims operations, including claims evaluation, adjudication, and customer service in accordance with agreed quality and production standards.Key...

Job SummaryWe are seeking a highly skilled Medical Disability Case Record Specialist to join our team at the Department of Health. As a key member of our team, you will be responsible for managing electronic records related to Social Security and Medically Needy disability claims.Key ResponsibilitiesInitiate, develop, and maintain electronic record...

Senior Auditor Job DescriptionCGS is seeking a highly skilled Senior Auditor to join our team. As a Senior Auditor, you will play a critical role in conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and ability-to-pay analyses.Key Responsibilities:Analyze complex personal and business financial records...

Job SummaryWe are seeking a skilled and experienced Permanent Personal Injury Litigation Attorney to join our thriving legal team. This role offers an exciting opportunity to handle a broad range of personal injury cases, represent plaintiffs, and contribute to our firm's commitment to justice.Key ResponsibilitiesRepresent plaintiffs in personal injury...

Job Title: Certified OrthotistWe are seeking a highly skilled Certified Orthotist to join our team at Breg, Inc. in Miami, FL.Job SummaryThe successful candidate will be responsible for providing specialized care to patients with disabling conditions of limb or spine by manufacturing, fitting, and preparing custom and prefabricated orthotics.Key...

Job Title: Compliance Officer: PTBuffalo Run Casino & Resort is seeking a highly skilled Compliance Officer to join our team. As a Compliance Officer, you will be responsible for ensuring that our casino operates within all applicable laws and regulations.Key Responsibilities:Assemble and maintain an accurate and current library of Federal, State, and Tribal...

Job SummaryWe are seeking a highly skilled and detail-oriented Cargo Handler to join our team at Amerijet International Airlines, Inc. As a Cargo Handler, you will play a critical role in ensuring the smooth operation of our warehouse duties, including cargo acceptance, build-up, breakdown, scanning, tie-down, and other functions assigned by management.Key...