Complex Claims Analyst

As an Insurance Claim Recovery Manager, you will play a crucial role in managing and resolving complex insurance claims on behalf of our business clients. If you have experience in claims handling, subrogation, and negotiation, we encourage you to apply.About the Role:This position involves working closely with clients, insurance carriers, and other...

Position Overview: University Health seeks an experienced Medical Claims Analyst to perform adjudication of medical claims for Medicaid, Commercial, and CHIP programs.Salary Information: Competitive salary is offered based on qualifications and experience.Job Description:As a Medical Claims Analyst, you will be responsible for reviewing and processing claims...

About the RoleThe Senior Claims Professional will provide technical guidance on major cases in litigation, ensuring that all claims are handled in accordance with company policies and procedures. This role requires a deep knowledge of claims adjudication and the ability to analyze complex data to determine whether a claim falls within policy coverage.You...

Job SummaryWe are seeking a highly skilled Claims Analyst to join our team at University Health. As a key member of our claims department, you will play a critical role in analyzing complex problems and providing expert solutions to drive timely and accurate claim payments.About the RoleThe successful candidate will have a strong background in HMO/PPO claims...

Job OverviewWe are seeking a highly skilled Claims Adjudication Specialist to join our team at Argo Group. As a key member of our global underwriting team, you will be responsible for providing technical support on major cases in litigation assigned to Adjusters throughout the US.This role requires a strong understanding of claims adjudication and the...

**Job Summary:**We are seeking a skilled Claims Examiner to join our team at Argo Group. This role will involve adjudicating workers' compensation claims of higher technical complexity for our customers in the states of AR, LA, MA, and TX.The successful candidate will have a minimum of two years' experience adjudicating workers' compensation claims in one or...

Job DescriptionWe are seeking a highly skilled Risk Management Analyst to join our team at Tri-Starr Talent. As a key member of our claims department, you will be responsible for investigating incidents, assessing liability, and negotiating settlements.About the RoleThis is an exciting opportunity for a Risk Management Analyst to utilize their analytical and...

About the RoleTexas Home Medical, Inc. is committed to providing the best home medical and respiratory services available. We are seeking a highly skilled Medical Billing Representative to join our team and contribute to our mission.Main ResponsibilitiesAudit and resolve medical claim denials to minimize financial losses.Work aging reports to ensure accurate...

**About the Role**As a Complex Case Resolution Manager at University Health, you will play a critical role in resolving complex claims issues that affect payment. This position requires strong analytical skills, attention to detail, and effective communication skills.You will work closely with our claims staff to identify and resolve complex claim issues,...

Job SummaryWe are looking for an experienced Insurance Claim Investigator to join our team at University Health. In this role, you will be responsible for investigating complex claims issues, providing expert advice to claims staff, and working collaboratively with various departments to ensure efficient operations.About the JobThis is a challenging and...

**Job Summary**We are seeking a highly skilled Senior Claims Analyst to join our team at University Health. As a key member of the Claims Department, you will play a crucial role in coordinating and improving departmental performance.Responsibilities:Identify areas for improvement and develop strategies to enhance operational efficiency.Research best...

**Job Summary**We are seeking a highly skilled Data Claims Specialist to join our team at University Health. As a key member of our claims processing team, you will be responsible for analyzing complex problems related to claim payments, eligibility, and other insurance issues.The ideal candidate will have five years of experience in HMO/PPO claims and a...

**About USAA**At USAA, we have a vital mission: providing financial security to millions of U.S. military members and their families. We are committed to giving back to those who served.**Job Summary**We are seeking a dedicated Injury Adjuster Specialist to join our team. This hybrid role requires adjusting complex bodily injury claims, investigating loss...

Role OverviewThe Insurance Claim Specialist will work closely with customers and internal stakeholders to resolve complex claims and ensure that all parties are satisfied with the outcome.Key ResponsibilitiesInvestigate and resolve complex claims, utilizing analytical and problem-solving skills to identify solutions.Communicate regularly with customers and...

We are seeking an experienced Business Analyst to join our team at Tekfortune Inc. In this challenging role, you will be responsible for analyzing business needs, identifying opportunities for improvement, and developing solutions to drive growth and innovation. As a Business Analyst, you will work closely with cross-functional teams to ensure timely...

Job OverviewArgo Group is seeking a highly motivated and detail-oriented SIU Analyst to join our team. As an SIU Analyst, you will play a critical role in supporting our investigative teams with data analysis, ISO runs, and audits.About the JobUpdate data in claims source systems to assist in SIU investigations.Conduct ISO runs as directed by the SIU...

About USAAAt USAA, our mission is to facilitate the financial security of millions of U.S. military members and their families.We value honesty, integrity, loyalty, and service in all that we do – from treating our members with respect to how we work together as a team.The OpportunityWe are seeking a dedicated Insurance Claims Adjuster - Soft Tissue to...

**Job Description**We are seeking a highly skilled Healthcare Insurance Claim Examiner to join our team at University Health. As a key member of our claims processing team, you will be responsible for examining complex claims issues and determining their validity.The ideal candidate will have five years of experience in HMO/PPO claims and a strong...

About the RoleWe are seeking a skilled Claims Examiner to join our team at Jim Adler & Associates. As a key member of our legal team, you will be responsible for managing claims and providing exceptional support to our clients.Key Responsibilities:Manage claims from start to finish, ensuring timely resolution and excellent client satisfaction.Collaborate...

About the RoleThis is an hourly, non-exempt position with paid overtime and potential CAT pay availability.You will be responsible for the investigation, negotiation, evaluation, and appraisal of vehicle damage claims within defined guidelines and frameworks.Your tasks will include evaluating highly complex auto physical damage claims, investigating claim...