Workers' Compensation Claims Specialist

Job SummaryWe are seeking a highly skilled and experienced Senior Claims Representative to join our team at The Hartford. As a key member of our claims department, you will be responsible for investigating and managing Workers' Compensation claims to ensure fair and timely resolutions for our customers.Key ResponsibilitiesInvestigate and manage complex...

Job SummaryWe are seeking a highly skilled Senior Claims Representative to join our team at The Hartford. As a key member of our claims department, you will be responsible for investigating and managing Workers' Compensation claims to ensure fair and timely resolutions for our customers.Key ResponsibilitiesInvestigate and manage complex Workers' Compensation...

Job SummaryWe're seeking a skilled Claims Investigator to join our team at The Hartford. As a Claims Investigator, you will play a critical role in investigating and maintaining workers' compensation, property/casualty claims.Key ResponsibilitiesInvestigate claims to determine liability and secure necessary informationReview coverages and arrange property...

At 052 SLIC Insurance Agency, LLC, we are seeking a skilled Claims Examiner II to join our team. As a Claims Examiner II, you will play a critical role in assessing and reviewing incoming claims for payment or denial, serving as a liaison between the carrier and the financial institution.This role provides the opportunity to make a meaningful impact on...

Job DescriptionAt Assure Fertility Partners of San Antonio, we are dedicated to providing exceptional fertility care services to our patients. As a key member of our team, the Charge Entry Specialist plays a vital role in ensuring the smooth operation of our billing and claims process.Key Responsibilities:Documentation Review: Conduct thorough reviews of...

Job DescriptionAt Assure Fertility Partners of San Antonio, we are dedicated to providing exceptional fertility care to our patients. As a key member of our team, the Charge Entry Specialist plays a vital role in ensuring the smooth operation of our billing process.Key Responsibilities:Documentation Review: Thoroughly review medical documentation to...

Join Our Team as a Claims AdjusterAt Sedgwick, we prioritize the well-being of our colleagues, fostering a culture of support and care. A career with us means flexibility and the opportunity to focus on what truly matters in your life. It’s a chance to engage in meaningful work every day, backed by a commitment to your mental, physical, financial, and...

Job Title: Claims Adjuster SpecialistCompany: Fred Loya InsuranceThe Claims Adjuster Specialist position focuses on managing cases represented by legal counsel, assessing, and negotiating settlements with attorneys in a professional manner. Additionally, unrepresented claimants will be addressed as necessary.Benefits:Incentive payComprehensive training...

Job SummaryArgo Group is seeking a highly skilled Medical Claims Adjuster to join our team. As a Medical Claims Adjuster, you will be responsible for determining whether coverage exists for medical claims, denying claims that are ineligible for benefits, and thoroughly investigating claims by interviewing injured workers, employers, and medical providers.Key...

Job OverviewPosition Title: Benefits AnalystFLSA Status: ExemptDepartment: BenefitsReports to: Benefits ManagerPosition Summary: The Benefits Analyst plays a crucial role in the daily management of employee benefits within the organization. This position involves a variety of administrative responsibilities to support the Benefits Manager while ensuring...

Job SummaryArgo Group is seeking a highly skilled Medical Claims Adjuster to join our team. As a Medical Claims Adjuster, you will be responsible for determining whether coverage exists for insureds, denying claims ineligible for benefits, and thoroughly investigating claims by interviewing injured workers, employers, and medical providers.Key...

Job Title: Customer Support: Fraud Investigation SpecialistLocation: Hybrid work modelSchedule: Two available shiftsMonday - Friday 10am - 7pmTuesday - Friday 10am - 7pm and Saturday 8am - 4:30pmJob Type: Long-term contract with potential for permanent placementCompensation: $17 - $19 per hourNumber of Openings: 3 - 5Overview:The primary role of the Fraud...

Job SummaryUniversity Health System is seeking a highly detail-oriented and analytical Claims Examiner to play a critical role in ensuring the accuracy and fairness of medical and hospital claims for Medicaid, Commercial, and CHIP programs.Key ResponsibilitiesAdjudicate medical (HCFA) and hospital (UB 92) claims in accordance with departmental and regulatory...

POSITION OVERVIEW/RESPONSIBILITIES Frontier Management is seeking skilled CLAIMS Analysts to join our dynamic team, focusing on our comprehensive healthcare programs. The CLAIMS Analysts will evaluate intricate issues related to claim settlements, eligibility criteria, supplementary insurance, transplant cases, and system-related challenges that exceed...

Medical Claims AdjudicatorAs a Medical Claims Adjudicator at University Health, you will play a critical role in ensuring the accuracy and efficiency of medical claims processing.Key Responsibilities:Adjudicate medical claims for Medicaid, Commercial, and CHIP according to departmental and regulatory requirements.Maintain audit standards as defined by the...

Overview:Oversee the credentialing and re-credentialing processes for healthcare providers and retail locations to guarantee timely active status. Investigate outstanding claims associated with credentialing challenges. Update and maintain the MVC website information for all service points. Facilitate the enrollment of new facilities and practitioners for...

POSITION OVERVIEW/RESPONSIBILITIES Serves as a vital resource within the Claims Department to enhance, evaluate, and optimize departmental efficiency. Recognizes opportunities for enhancement, documents operational workflows, investigates industry best practices, gathers relevant data, and collaborates with process stakeholders to facilitate improvements and...

Position Overview:This role is for a dedicated and experienced Claims Manager within a leading healthcare organization. The ideal candidate will be instrumental in overseeing the medical claims processing operations, ensuring accuracy and compliance with industry standards.About Us:We are a reputable healthcare network committed to delivering exceptional...

About Us:We are a leading healthcare organization committed to delivering exceptional medical services. Our dedicated team of professionals works tirelessly to ensure high-quality care for our diverse patient base.Position Overview:We are currently seeking a qualified and experienced Claims Manager to oversee our claims processing department. This permanent...

About the RoleWe are seeking a highly skilled and experienced Property Claims Adjuster to join our team at Allstate. As a key member of our claims department, you will be responsible for investigating and resolving property claims in a fair and efficient manner.Key ResponsibilitiesInvestigate and Assess Claims: Conduct thorough investigations of property...