Procedural Claims Expert

About the JobAs a Claims Resolution Expert at Mount Sinai Health System, you will be responsible for resolving EOB discrepancies and researching refunds. You will work closely with payer and provider representatives to negotiate higher rates for claim payments and ensure that collections, gross, days in A/R, and net collection ratios are met.Key...

Represented Bodily Injury Adjuster Role at Allstate Insurance CompanyWe are seeking an experienced Claims Negotiator and Customer Service Expert to join our team at Allstate Insurance Company.About the RoleThis is a dynamic opportunity for a skilled professional to work as a Represented Bodily Injury Adjuster, investigating automobile accidents involving...

Opportunity OverviewWe're seeking a highly motivated Claims Leadership Professional to lead our Complex Claims Division. As a Claims Director for Financial Institutions, you'll be responsible for driving business growth, improving customer satisfaction, and developing innovative solutions to complex claims challenges.About the Opportunity:Lead a team of...

Job SummaryWe are seeking a skilled User Acceptance Claims Validator to join our quality assurance team. The successful candidate will be responsible for validating business requirements before releasing the actual product to production. This involves creating and managing test plans, test cases, and test procedures to ensure the accuracy and efficiency of...

At Sedgwick, we pride ourselves on being a caring organization that values our colleagues and strives to make a positive impact on the world through the people and organizations we serve.OverviewSedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. We empower our clients to achieve their goals by...

Empowering Quality in ClaimsMetroPlusHealth is committed to delivering exceptional healthcare services to New Yorkers by driving quality in our claims processes. We believe that quality healthcare is a fundamental right, not a privilege. If you share our passion for delivering high-quality services and have a collaborative spirit, we encourage you to join...

About JCWJCW is a prominent player in the real estate and property management industry, providing expert services to clients nationwide.Job Description:We are looking for a seasoned Claims Manager to oversee the administration of property claims, working closely with our Head of Insurance.Key Tasks:Provide guidance on handling third-party claims from tenants...

Job Overview:MetroPlus Health Plan is seeking a highly skilled Claims User Acceptance Tester to join our team. As a UAT Tester, you will play a critical role in ensuring that our claims operations system meets the business requirements set by stakeholders.About the Role:Validate business requirements prior to releasing the actual product to productionPerform...

Insurance Claims Expert RoleRussell Tobin is a growing law firm seeking an experienced Insurance Claims Expert to join our team. In this role, you will be responsible for managing No-Fault claims, from initial assessment to final resolution.We are looking for someone with 3-5 years of experience in No-Fault Claims in New York. The ideal candidate will have...

About the PositionWe're looking for a seasoned Financial Lines Claims Expert to drive success in our Complex Claims Division. As a Claims Director for Financial Institutions, you'll play a critical role in delivering exceptional customer experiences and growing our business.Your Responsibilities:Oversee all aspects of complex claims against financial...

The Tokio Marine HCC Group of Companies is seeking an energetic and confident individual to fill the role of Professional Liability Claims Examiner II. This position plays a vital part in investigating and analyzing coverage for pre-litigation claims submitted under various employment practices liability or other professional liability policy forms.Job...

Job OverviewWe are seeking a seasoned Senior Claims and Construction Manager to join our team at Keville Enterprises, Inc.About the RoleThe ideal candidate will have a proven track record of managing construction projects, analyzing claims, and providing expert advice to clients. As a Senior Claims and Construction Manager, you will be responsible for...

Job DescriptionThe ideal candidate will be responsible for validating business requirements before releasing a product to production. This role involves performing positive and negative testing to identify defects, ensuring they are corrected prior to implementation.As a subject matter expert for Claims operations system applications, you will maintain...

We are seeking a skilled Health Data Analyst to join our team at Building Service 32BJ Benefit Funds. As a key member of our team, you will be responsible for analyzing complex data sets to help inform business decisions and drive strategic initiatives.This role requires strong analytical and problem-solving skills, as well as the ability to work closely...

Innova Solutions is seeking a Technical Claims Validation Specialist to join their team. As a key member of the organization, this individual will be responsible for ensuring that all business requirements are met before releasing products to production.The successful candidate will have experience in performing positive and negative testing to identify...

Join Photon's dynamic team as a Senior Pega Developer and play a key role in shaping the future of Claims Automation. As a member of our Scrum team, you will have the opportunity to collaborate with experienced professionals and work on complex projects that require strong technical expertise and problem-solving skills.About PhotonPhoton is a leading...

About the RoleWe are seeking an experienced Claims User Acceptance Tester to validate whether all business requirements have been fulfilled before releasing our product to production.In this role, you will develop and follow a comprehensive test plan that adheres to standard quality practices and processes. You will act as a subject matter expert for Claims...

Healthcare Verification Expert WantedImpact Recruiting Solutions is seeking a detail-oriented Healthcare Verification Expert to join our team.The ideal candidate will have experience working with insurance claims and policies, with a strong focus on verification and collections.This is a full-time position, Monday to Friday, 9:00 AM - 6:00 PM. The salary for...

Job Summary: We are seeking a skilled Healthcare Claims Resolution Specialist to join our team at Centers Plan for Healthy Living. In this role, you will be responsible for handling incoming inquiries from healthcare providers regarding claim decisions and payments. You will thoroughly gather claim information, assess and fulfill the callers' needs, and...

About the RoleJ.S. Held LLC is a leading global consulting firm providing expert advice on complex matters demanding urgent attention, staunch integrity, proven experience, clear-cut analysis, and an understanding of both tangible and intangible assets.We are seeking an experienced Commercial Insurance Claims Specialist to join our team. This role will...