Medicare Claims Specialist

Job OverviewPLS Claims is a reputable independent adjusting firm based in the Atlanta region, serving a diverse clientele that includes insurance providers, Lloyds Syndicates, self-insured entities, and third-party administrators.We are currently in search of a skilled MOTOR TRUCK CARGO Insurance Claims Specialist to enhance our team. This role offers the...

Job SummaryRose International is seeking a skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing complex workers' compensation claims to determine benefits due. This role requires strong analytical and interpretive skills, as well as excellent oral and written communication skills.Key ResponsibilitiesAnalyze...

Position OverviewWe are seeking a highly skilled Litigation Manager to lead our legal claims team at The Best Claims Solutions. This role requires extensive experience in the legal and commercial claims sectors.Key ResponsibilitiesOversee and manage a team of legal professionals and claims specialists.Ensure compliance with all relevant regulations and...

Job Title: Medicare Coverage Specialist Location: Fully remote Duration: 6 months contract Job Overview: The Medicare Coverage Specialist will collaborate with healthcare providers to manage prior authorization (PA) and drug benefit exception requests on behalf of the organization, adhering to Medicare Part D CMS Regulations. This role requires the...

About the RoleWe are seeking a highly skilled Claims Resolution Specialist to join our team at Southern Company Gas. As a Claims Resolution Specialist, you will be responsible for managing and resolving high exposure general liability, automobile, and other claims involving alleged bodily injury and property damage.Key ResponsibilitiesManage and resolve high...

Property Claims SpecialistBecome a vital member of Crawford & Company as a Property Claims Specialist, where you will play a crucial role in the resolution of both residential and commercial property claims. Your primary responsibilities will include investigating losses, interpreting insurance coverages, and negotiating fair settlements. Additionally, you...

Job Title: Chief Claims SpecialistHarrison Gray Search and Consulting LLC is seeking a highly skilled Chief Claims Specialist to join our team. As a key member of our Property unit, you will be responsible for providing specialized technical claim-handling expertise for our E&S commercial property line of business.Responsibilities:Handle a designated segment...

Job OverviewAbout ReservReserv is an innovative insurtech firm dedicated to developing and implementing advanced AI and automation solutions aimed at enhancing efficiency and simplicity in the claims process. Established by industry veterans with extensive experience in SaaS and digital claims, we are supported by prominent investors and have been...

About the RoleWe are seeking a highly skilled and experienced Senior Claims Specialist to join our team at Hiscox USA. As a key member of our Claims team, you will be responsible for resolving complex claims and providing operational support to our team.Key ResponsibilitiesAdjust and resolve complex to severe claims, including all phases of litigationDraft...

W2 contract to Fulltime positionGC and USC Only====================Position: Business Management SpecialistLocation: Remote with Onsite RequirementsHybrid Work Model: The selected candidate will be expected to attend onsite meetings and presentations on designated days throughout the month/year. Key Responsibilities: The ideal candidate for the Business...

Job SummaryRSUI Group is seeking an experienced Chief Claims Specialist to join our Management Liability/EPL claims team. The successful candidate will provide high-level specialized claim handling expertise for Management Liability/EPL claims.Key ResponsibilitiesConduct thorough investigations of employment practices and management liability...

Job OverviewAbout ReservReserv is an innovative insurtech company dedicated to developing advanced AI and automation solutions that enhance efficiency and simplify the claims process. Established by industry veterans with extensive experience in SaaS and digital claims, Reserv is supported by prominent investors and is committed to transforming the claims...

About the RoleHarrison Gray Search and Consulting LLC is partnering with a leading specialty insurance carrier to find a highly skilled Chief Claims Specialist. Our client is a well-established company with a strong reputation in the industry, seeking a professional to join their Atlanta-based Claims department.Key ResponsibilitiesManage a designated segment...

Job OverviewAbout ReservReserv is an innovative insurtech company dedicated to developing and implementing advanced AI and automation solutions to enhance efficiency and simplicity in the claims process. Founded by industry experts with extensive experience in SaaS and digital claims, we are backed by prominent investors and have been operational since 2022....

We are looking for a meticulous and committed Claims Processing Specialist to oversee a varied portfolio of leave compensation and disability claims. In this role, you will be tasked with managing disability and leave compensation claims for various clients, ensuring compliance with client policies and plan specifications. Your goal will be to process claims...

We are looking for a meticulous and committed Claims Processing Specialist to oversee a varied portfolio of leave pay and disability claims. In this role, you will be tasked with managing disability and leave pay claims for numerous clients, ensuring compliance with client policies and plan guidelines. Your goal will be to process claims accurately and...

RSUI Group, Inc. is actively seeking a skilled Claims Specialist to enhance our Management Liability and Employment Practices Liability (EPL) claims division. This role is based in Atlanta, Georgia, and is integral to providing expert claim management for EPL exposures. As a part of our collaborative work culture, this position necessitates in-person...

About the RoleWe are seeking a highly skilled Construction Defect Claims Specialist to join our team at AXA XL Ltd. As a key member of our Construction Defect Claims team, you will be responsible for handling and resolving complex, highly specialized, and high exposure Primary and Excess Construction Defect claims.Key ResponsibilitiesTechnical claims...

Billing Specialist, Nephrology Compensation: $20/hr+ Work Arrangement: Onsite Working Hours: Monday to Friday, 8:30 am - 4:30 pmKey Responsibilities:Assess patient invoices for precision and thoroughness, acquiring any necessary information.Prepare, evaluate, and submit claims utilizing billing software, encompassing both electronic and manual claim...

Job OverviewAbout Us:Berkshire Hathaway Specialty Insurance (BHSI) stands as a strategic and reliable partner in the insurance sector, offering a comprehensive suite of commercial property, casualty, and specialty insurance solutions. Our commitment to exceptional service extends to customers and brokers globally. As part of Berkshire Hathaway's esteemed...