Insurance Claims Examiner

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 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...

Unlock Your Potential as a Public AdjusterAre you passionate about helping others and building a rewarding career? NO STRESS CLAIMS is seeking motivated individuals to join our team as Public Adjusters.What We Offer:Competitive Compensation: Enjoy a lucrative salary and commission package.Comprehensive Training: Develop the skills you need to succeed in this...

Job OpportunityWe are seeking a skilled Public Adjuster to represent policyholders in claims negotiations and assess property damage.Key Responsibilities:Represent policyholders in claims negotiations with insurance companies.Conduct thorough assessments of property damage and prepare detailed reports.Communicate effectively with clients, insurance...

Job OverviewWe are seeking a highly skilled Claims Examiner to join our team at AppleOne. As a Claims Examiner, you will play a critical role in resolving balance billing and appeals sent by clients, patients, and/or providers.Key ResponsibilitiesReceive and register appeals/balance billing into the system, ensuring accurate documentation and distribution...

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...

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 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 SummaryUnited Automobile Insurance Company is seeking an experienced Insurance Claims Adjuster to join our team. As an Initial Action Adjuster, you will be responsible for evaluating and processing insurance claims, assessing damage, determining liability, and negotiating settlements with policyholders or third parties.Key ResponsibilitiesConduct...

Job OpportunityWe are seeking a highly skilled Insurance Claims Sales Representative to join our team at Insurance Litigation Group PA. As a key member of our Lead Center team, you will be responsible for providing exceptional customer service and sales expertise to potential clients.Key Responsibilities:Make outbound calls to potential clients who have...

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...

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...

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...

About Everest InsuranceEverest Insurance is a leading global reinsurance and insurance provider, operating for over 50 years through subsidiaries in key markets around the world.We offer a range of products, including property, casualty, and specialty insurance, through our various operating subsidiaries.Job SummaryThis position is part of the Global Claim...

About Everest InsuranceEverest Insurance is a leading global reinsurance and insurance provider, operating for over 50 years through subsidiaries in Bermuda, Canada, Europe, Singapore, the US, and other territories.We offer a range of products, including Property, Casualty, and specialty products, through our various operating subsidiaries located in key...

Job OpportunityAdvantage Investigations is seeking a Part-Time SIU Claims Investigator to join our Operations Team in the Miami, FL area. As a key member of our team, you will be responsible for conducting investigations of auto, property, homeowner liability, and worker's compensation insurance claims in support of client objectives and company quality...

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...