Claims Examination Specialist

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...

Liability Claims SpecialistLocation: Florida (Hybrid after 90-Day Orientation)Job Type: Full-TimeCompany Overview:CAREERXCHANGE, Inc. is a premier insurance provider focusing on general liability and medical malpractice claims throughout Florida. Our organization is committed to offering extensive risk management solutions while prioritizing exceptional...

Liability Claims SpecialistLocation: Florida (Hybrid after 90-Day Orientation)Job Type: Full-TimeCompany Overview:CAREERXCHANGE, Inc. is a premier insurance organization focusing on general liability and medical malpractice claims throughout Florida. Our commitment lies in providing thorough risk management solutions while ensuring outstanding service to our...

Position OverviewThe Healthcare Claims Specialist plays a crucial role in ensuring the accuracy and appropriateness of medical billing processes. This position involves a thorough examination of medical and surgical charges to confirm their validity and necessity.Key ResponsibilitiesBilling Review: Conduct comprehensive reviews of all medical and surgical...

Job SummaryWe are seeking a highly skilled Claims Management Specialist to join our team at Lennar Homes. As a Claims Management Specialist, you will play a critical role in protecting the financial assets of our company by analyzing, advising on, and managing Workers' Compensation, General Liability, Property, Builders Risk, and Auto claims.Key...

Job SummaryCAREERXCHANGE, Inc. is seeking a highly skilled Claims Management Specialist to join our team of professionals. As a Claims Management Specialist, you will play a critical role in managing and resolving a variety of general liability claims, with a particular emphasis on cases involving medical malpractice and other complex scenarios.Key...

Job DescriptionWe are seeking a skilled Insurance Claims Specialist to join our esteemed team at AppleOne. This role is essential in managing and resolving claims effectively, ensuring that all processes align with industry standards.Key Responsibilities:Accurately receive and document appeals and balance billing within the claims management system, ensuring...

General Liability AdjusterLocation: Florida (Hybrid after 90-Day Orientation)Job Type: Full-TimeCompany Overview:CAREERXCHANGE, Inc. is a prominent insurance organization focused on general liability and medical malpractice claims throughout Florida. Our commitment lies in providing thorough risk management solutions while ensuring exceptional service to our...

Position OverviewNOTE: Experience within the Behavioral Health Sector is essential. This role is fully remote, with a preference for candidates from the South Florida area.Role SummaryThe primary focus of this position is to manage the billing of institutional and professional claims to various insurance entities. The specialist will perform audits and...

Position OverviewNOTE: Experience within the Behavioral Health Industry is required. This is a fully remote position.Role Summary:The primary focus of this role is to manage the billing processes for institutional and professional claims directed to various insurance providers. The specialist will be responsible for auditing and ensuring compliance with...

Position OverviewNOTE: Experience within the Behavioral Health Industry is required. This is a fully remote position.Role Summary:The primary focus of this role is to manage the billing of institutional and professional claims to various insurance providers. The specialist will be responsible for auditing and conducting thorough research to ensure compliance...

Job DescriptionWe are currently seeking a Claims Operations Supervisor to lead our claims team. This role is essential for overseeing the daily operations of claims processing, ensuring adherence to industry standards and regulatory compliance.Your leadership will play a pivotal role in fostering professional relationships and achieving operational...

About PayerFusionWe are a leading third-party administrator in the healthcare industry, dedicated to delivering exceptional service to our clients. Our innovative approach sets us apart from other industry solutions.We are seeking a highly skilled Claims Examiner to join our team on-site. The ideal candidate will have extensive experience in the Commercial...

Job OverviewCompany Overview:PayerFusion Holdings LLC is a premier service organization dedicated to providing exceptional solutions as a licensed Third-Party Administrator. We are actively seeking talented and knowledgeable professionals who can exceed our clients' expectations. Our commitment to innovation ensures a unique experience for healthcare...

About the RoleWe are seeking a highly skilled Claims Operations Manager to join our team at PayerFusion. As a Claims Operations Manager, you will be responsible for supervising and managing day-to-day claims operations, including claims evaluation, adjudication, and customer service in accordance with agreed quality and production standards.Key...

Position Overview:King's Insurance Staffing is looking for a dedicated Workers' Compensation Claims Supervisor to lead our claims team in the Northeast Region. This role involves supervising a group of five Claims Examiners who manage both lost time and medical-only claims from initiation to resolution. The supervisor will be tasked with allocating claims to...

Company OverviewCAREERXCHANGE, Inc. is a prominent insurance firm focused on general liability and medical malpractice claims. We are currently seeking an experienced General Liability Adjuster to enhance our operations.Job Summary:The General Liability Adjuster plays a crucial role in the assessment, investigation, and resolution of general liability...

Company OverviewCAREERXCHANGE, Inc. is a prominent insurance organization focusing on general liability and medical malpractice claims. We are in search of a proficient General Liability Adjuster with relevant experience.Job Summary:The General Liability Adjuster plays a crucial role in the investigation, assessment, and resolution of general liability...

Company OverviewCAREERXCHANGE, Inc. is a prominent insurance organization focusing on general liability and medical malpractice claims. We are in search of a proficient General Liability Adjuster with relevant experience.Job Summary:The General Liability Adjuster plays a crucial role in the investigation, assessment, and resolution of general liability...

Job OverviewAbout PayerFusion:PayerFusion is a dynamic service-oriented organization, dedicated to providing exceptional solutions as a licensed third-party administrator. We pride ourselves on attracting top-tier talent and experienced professionals to consistently surpass our clients' expectations. Our innovative approach is reshaping the experience for...