Claims Evaluation Specialist

About the Role:As a Claims Assistant - Content Evaluator at Vets Hired, you will play a crucial role in evaluating residential and commercial contents inventories obtained by or submitted to VeriClaim on both a Replacement Cost and Actual Cash Value (ACV) basis. Your expertise will be essential in applying limitations and/or exclusions on claims based on...

Medical Claims SpecialistWe are seeking a skilled Medical Claims Specialist to join our team at MASC Medical. As a Medical Claims Specialist, you will be responsible for processing medical billing claims for patients in a fast-paced environment.Responsibilities:Request prior authorizations for services.Address rejected claims efficiently.Maintain...

Job SummaryThis role is responsible for handling property claims and providing exceptional customer service to our insureds. As a Property Claims Specialist, you will conduct on-site inspections, assess damages, and negotiate settlements with policyholders and other stakeholders. You will be the first point of contact for our insureds and will be responsible...

Job SummaryUC San Diego Health's Revenue Cycle department is seeking a highly skilled Medical Claims Specialist III to join our team. As a key member of our revenue cycle team, you will be responsible for the full range of billing duties within the revenue cycle from claim generation to final payment disposition.Key ResponsibilitiesMonitor, prioritize and...

About the RoleAt-Bay is seeking a highly skilled Cyber Claims Specialist to join our team. As a key member of our claims team, you will play a critical role in resolving cyber incidents and providing exceptional service to our clients.Key ResponsibilitiesCollaborate with internal teams and external vendors to chart the best course for resolving cyber...

About this role:Halo Staffing Group, a leading medical recruitment and staffing agency, is currently seeking an experienced Medical Biller and Insurance Claims Specialist to join our team. In this role, you will be responsible for managing all medical billing in a Reproductive Medical Group, working closely with patients, insurance companies, and staff to...

Job SummaryMillennium Health LLC is a leading specialty laboratory with a decade of experience in medication monitoring and drug testing services. Our mission is to provide objective information to healthcare professionals to monitor the use and misuse of prescription medications and illicit drugs.As a Medical Claims Specialist II, you will be responsible...

About the role at Vets Hired:Essential Functions and Responsibilities:Evaluate residential and commercial contents inventories on a Replacement Cost and Actual Cash Value basis.Apply limitations and exclusions based on policy coverage.Track time and log file notes for daily field activity.Assist with answering telephones.Additional Functions and...

Job SummaryAs a Workers' Compensation Claims Specialist at Great American Insurance Group, you will play a critical role in investigating and resolving claims in a timely and accurate manner. Your expertise will be essential in ensuring that claims payments are issued promptly and that all applicable company procedures and policies are followed.Key...

Job SummaryWe are seeking a highly skilled Field Claims Specialist to join our team at Liberty Mutual Insurance. As a Field Claims Specialist, you will be responsible for investigating and resolving large loss property claims under minimal supervision.Key Responsibilities:Investigate and determine coverage of loss and adjust all elements of property loss...

Job SummarySedgwick is seeking a highly skilled Claims Advisor - Professional Liability to join our team. As a Claims Advisor, you will be responsible for analyzing and processing complex medical professional liability claims, investigating and gathering information to determine exposure, and managing claims through well-developed action plans to achieve...

Job SummaryWe are seeking a highly skilled Senior Commercial General Liability Claim Representative to join our team at Travelers Insurance. As a key member of our claims team, you will be responsible for investigating, evaluating, and resolving complex General Liability claims.Key ResponsibilitiesInvestigate and evaluate General Liability claims to...

Job SummaryWe are seeking an experienced AR Associate to join our team in resolving claims and ensuring seamless reimbursement processes for our patients. As an AR Associate, you will be responsible for resolving claims on hold due to denials or coding errors, using problem-solving skills to research and resolve discrepancies, denials, appeals, and...

AR Associate Job DescriptionCortica is seeking an experienced AR Associate to join our growing team. As an AR Associate, you will be responsible for resolving claims on hold due to denials or coding errors. You will use problem-solving skills to research and resolve discrepancies, denials, appeals, and collections. You will also write clear and concise...

About the JobAs a Client Service Executive - Insurance Specialist at Vets Hired, you will be responsible for delivering exceptional client service and managing ongoing account service activities. This includes overseeing account service activities, delivering invoices, and managing receivables in conjunction with the Client Sales Executive.Key...

Job SummaryThis position is located in the Space and Naval Warfare Systems Command. The selected candidate will assist in providing business and financial management support, program evaluation and management expertise to the Program Office and PEO. The specialist will support the preparation of business portions of program acquisition documentation and...

Risk Management Specialist Job Description**Job Summary**The Risk Management Specialist will provide specialized technical support and administrative duties to the District in the areas of insurance risk financing, risk control, loss analysis, claims and litigation, staff training and consultations, occupational safety and environmental health, regulatory...

Job SummaryWe are seeking a highly skilled Risk Management Specialist to join our team at Poway Unified School District. The successful candidate will be responsible for providing specialized technical support and administrative duties in the areas of insurance risk financing, risk control, loss analysis, claims and litigation, staff training and...

Job OverviewZenith American Solutions is seeking an experienced Claims Supervisor to provide daily leadership and supervision to a Claims team in accordance with Company guidelines, client needs, and regulatory requirements."Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job...

Job SummaryUC San Diego Health's Revenue Cycle department is seeking a skilled Hospital Billing Specialist to support the organization's mission to deliver outstanding patient care. The ideal candidate will have extensive knowledge of hospital medical insurance payers and plans, as well as State and Federal rules and regulations related to billing hospital...