Claims Operations Specialist

Transforming Healthcare with CVS HealthWe're seeking a skilled Claims Specialist Operations Expert to join our team at CVS Health. As a key member of our operations team, you'll play a vital role in delivering enhanced human-centric healthcare to our customers.Key Responsibilities:Review and analyze claims information to determine the nature of a...

Job SummaryCVS Health is seeking a skilled Claim Benefits Specialist to join our team. As a key member of our operations team, you will be responsible for reviewing and adjudicating complex claims in accordance with claim processing guidelines.Key ResponsibilitiesReview and adjudicate complex claims in accordance with claim processing guidelinesAnalyze and...

At CVS Health, we're committed to delivering exceptional healthcare services to our customers. As a Claim Benefit Specialist Ops, you'll play a critical role in ensuring the accuracy and efficiency of our claims processing operations.Key Responsibilities:Review and adjudicate complex claims in accordance with claim processing guidelines.Analyze and approve...

Job SummaryCVS Health is seeking a skilled Claim Benefit Specialist Ops to join our team. As a key member of our operations team, you will play a critical role in ensuring the efficient and accurate processing of healthcare claims.Key Responsibilities Review and adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing...

Job Title: Workers' Compensation Claims SpecialistJob Summary:We are seeking a highly skilled Workers' Compensation Claims Specialist to join our team at the City of Jacksonville. As a key member of our finance department, you will be responsible for monitoring, reviewing, and processing workers' compensation claims. Responsibilities:* Monitor and review...

Job Title: Claims ManagerLotSolutions, Inc. is seeking a highly skilled and experienced Claims Manager to lead and manage the Claims Operations team. The successful candidate will be responsible for developing and maintaining procedures and guidelines to achieve the company's objectives effectively and efficiently.Key Responsibilities:Develop and implement...

Job SummaryPaul Davis Restoration, Inc. is seeking a highly skilled Claims Specialist to join our team. As a Claims Specialist, you will be responsible for reviewing and analyzing property damage claims to ensure accuracy and compliance with industry standards.Key ResponsibilitiesConduct thorough reviews of property damage claims, including mitigation,...

Job OverviewWe are seeking a highly skilled Orthopedic Insurance Claim Specialist to join our team at The Center for Orthopedic and Research Excellence. As a valued member of our staff, you will play a critical role in ensuring seamless reimbursement for patient care services.About the RoleThis full-time position is located in Jacksonville, FL, and offers a...

Job SummarySoutheast Orthopedic Specialists is seeking a highly skilled Auto Injury Claims Specialist to join our team. As a key member of our staff, you will be responsible for providing exceptional patient service and ensuring seamless communication with patients, attorneys, and insurance carriers.Key ResponsibilitiesRespond to inbound calls from patients...

Job DescriptionWe are seeking a skilled Cardiac Monitoring Claims Specialist to join our clinical department. The ideal candidate will have experience with insurance claims denials, appeals, and EOB processing.Key Responsibilities:Analyze ECG recordings and evaluate patient billing questionsVerify patient eligibility and exercise judgment in resolving...

Job Title: Claims AdjusterAt Citizens Property Insurance, we are seeking a skilled Claims Adjuster to join our team. As a Claims Adjuster, you will be responsible for investigating, evaluating, negotiating, and settling personal and/or commercial claims of moderate to high complexity.Key Responsibilities:Negotiate and settle claims in accordance with...

The Medical Claims Coordinator position at Southeast Orthopedic Specialists is a key role in our orthopedic medicine team. We are dedicated to delivering industry-leading care to our patients, and this role plays a critical part in making that happen.ResponsibilitiesTrack patient accounts in our AIP programObtain authorizations for procedures, services, and...

Job SummaryThis is a technical role in the monitoring, reviewing, and processing of workers' compensation claims. The ideal candidate will have knowledge of workers' compensation laws, rules, and regulations, as well as experience in claims monitoring, reviewing, and processing.Key ResponsibilitiesMonitor, review, and process workers' compensation...

Job Title: Claims Administrative AssistantStillwater Insurance Group is seeking a highly organized and detail-oriented Claims Administrative Assistant to join our team in Jacksonville, FL.Job Summary:The Claims Administrative Assistant will provide administrative support to the Claims Department, assisting with claim file document requests, vendor payments,...

Job SummaryWe are seeking a highly skilled Medical Claims Paralegal to join our team at Citizens Property Insurance. As a Medical Claims Paralegal, you will assist and work under the supervision of litigation counsel in the handling of first-party property claim litigation.Key ResponsibilitiesPerform specifically delegated substantive legal work for which...

Job Title: Claims Litigation CounselJob Summary:We are seeking a highly skilled Claims Litigation Counsel to join our team at Citizens Property Insurance. As a Claims Litigation Counsel, you will be responsible for representing Citizens in claims-related cases and managing all phases of the litigation or other dispute resolution process.Key...

Job DescriptionAt Advantage Surveillance & Investigations, we're seeking a skilled Part Time SIU Claims Investigator to join our Operations Team in the Jacksonville, FL area. As a key member of our team, you'll be responsible for conducting thorough investigations of auto, property, homeowner liability, and worker's compensation insurance claims to support...

Job Title: Commercial Performance Support SpecialistWe are seeking a highly skilled Commercial Performance Support Specialist to join our team at the Institute of Inspection, Cleaning and Restoration Certification. As a key member of our organization, you will play a crucial role in supporting our commercial clients with their restoration needs.Key...

Pharmacy Billing SpecialistGuardian Pharmacy is seeking a highly skilled Pharmacy Billing Specialist to join our team. As a Pharmacy Billing Specialist, you will be responsible for processing customer bills and insurance claims in an accurate and timely manner.Key Responsibilities:Research and establish patient eligibility coverage with insurance...

Job DescriptionA Medical Billing Specialist is needed for a dynamic Urology practice. The ideal candidate will have experience in medical billing and coding, with a proven track record of accuracy and collection effectiveness.The practice is located in a convenient location, close to major highways. The Medical Billing Specialist will be responsible for...