Claims Resolution Specialist

Job Summary: We are seeking a highly skilled Claims Resolution Specialist to join our team at Rocket, a part of United Pacific. The ideal candidate will have a strong background in risk management and claims administration, with excellent communication and analytical skills.The Claims Resolution Specialist will be responsible for overseeing the Incident...

Job SummaryWe are seeking a Claims Resolution Specialist to join our team at TAJ Technologies Inc. This role is responsible for analyzing and resolving workers' compensation claims, ensuring compliance with company standards and industry best practices.About the RoleThis position involves managing workers' compensation claims from start to finish,...

Clinical Dispute Resolution SpecialistWe are seeking an experienced Clinical Dispute Resolution Specialist to join our team at Advanced Medical Manage. As a key member of our organization, you will be responsible for managing and resolving disputes between our company and healthcare providers regarding reimbursement, claims processing, and contractual...

We are seeking a highly skilled Senior Claims Examiner to join our team at TheBest Claims Solutions in Long Beach, California. This is an exciting opportunity for a seasoned professional with extensive experience in handling complex workers' compensation claims.About the Job:The ideal candidate will have 3+ years of experience in managing workers'...

We are seeking a highly motivated Claims Resolution Specialist to support our medical lien negotiations team. The ideal candidate will have strong organization skills, excellent communication abilities, and a detail-oriented approach.Job OverviewIn this role, you will work closely with lien analysts, clients, medical providers, and other legal professionals...

Job Title: Clinical Dispute Resolution ExpertJob Summary:We are seeking a highly skilled Clinical Dispute Resolution Expert to join our team at Advanced Medical Manage. As a key member of our organization, you will be responsible for managing and resolving disputes between our company and healthcare providers regarding reimbursement, claims processing, and...

Job OverviewWe are seeking a highly motivated and detail-oriented Tax Resolution Specialist to join our team at Tax Resolution Group LLC. As a key member of our accounting firm, you will be responsible for preparing individual and business tax returns, ensuring accuracy and compliance with federal, state, and local tax laws.This is an in-office position, and...

About the RoleUnited Pacific, a leading gasoline and convenience store retailer, is seeking an experienced Insurance Claims Coordinator to oversee the Incident Reporting and Claims process. As a key member of our team, you will be responsible for achieving early claim resolution and avoiding litigation in a cost-effective and time-efficient manner.In this...

About SedgwickSedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Our purpose is to take care of people, and we strive to make a positive impact on the world through the people and organizations we serve.Job DescriptionWe are seeking a skilled Compensation Claims Adjudicator to join our team. As a...

Job OverviewThe Medical Claims Review Specialist will be responsible for reviewing facility claims to ensure compliance with medical necessity and billing standards. This role involves conducting retrospective utilization reviews, preparing cases for medical director oversight, and ensuring adherence to regulatory and accreditation requirements.Key...

At Sedgwick, we believe in the value of caring for our colleagues and clients alike. Our mission is to provide exceptional service and support to those who need it most.What We Offer:We offer a comprehensive benefits package that includes medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or...

Personal Injury Claims SpecialistWe are a prominent law firm in Newport Beach, California seeking an experienced personal injury claims specialist to manage the progress of personal injury cases.About the RoleEstablish and maintain relationships with insurance companies to secure optimal settlements for clientsEffectively handle property damage claims,...

Job OverviewThe American Automobile Association is seeking a skilled Insurance Liability Specialist to join our team. This role will involve handling low to moderate-complexity claims, ensuring compliance with regulatory and statutory requirements.ResponsibilitiesLiability Investigation: Conduct thorough investigations to determine liability and damages in...

Job Summary: Claims Processing SpecialistWe are seeking a highly organized and detail-oriented Claims Processing Specialist to join our team at Jobot. This individual will be responsible for processing claims, data entry, and policy processing. The ideal candidate will have proficiency in Word and Excel and excellent analytical skills.Estimated Salary:...

About SedgwickSedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Our mission is to help our clients protect their brand, minimize business interruptions, and provide exceptional customer experiences. Job Description: Claims Team Lead - Workers CompensationPrimary Responsibilities:Supervise multiple...

Job OverviewAt Advanced Medical Manage, we are seeking an EDI Process Specialist to join our team. This is a unique opportunity to work in a fast-paced environment and make a significant impact on the organization's operations.Salary: $80,000 - $110,000 per yearAbout the RoleThe EDI Process Specialist will be responsible for managing and overseeing...

Job Title: Medical Claims Compliance SpecialistAbout Advanced Medical ManageAt Advanced Medical Manage, we are dedicated to delivering high-quality healthcare services. Our team is passionate about ensuring that our processes and programs are compliant with all applicable state and federal regulations.

Job OverviewWe are seeking an experienced General Liability Claims Specialist to join our team at Insure National, LLC in Huntington Beach, CA.About the Role:This is a Contract-to-hire position with a hybrid work environment, requiring in-office presence on Mondays, Tuesdays, and Thursdays.A minimum of 5+ years of experience handling General Liability claims...

Job SummaryWe are seeking a highly skilled and detail-oriented Medical Billing & Back Office Specialist to join our team at Vensure Employer Services. This individual will be responsible for processing medical claims, collecting patient or provider payments, resolving questions and problems with customer accounts, and performing various administrative...

About the RoleWe are hiring a Commercial Claims Support Specialist to work with our team at Jobot. As a Commercial Claims Support Specialist, you will play a key role in processing renewal certificates of insurance and assisting with policy renewals.Your main responsibilities will include:Entering data into the agency management system.Pulling policies from...