Claim Benefit Specialist Ops

At CVS Health, we're committed to delivering exceptional healthcare services to our customers. As a Claim Benefit Specialist Ops, you'll play a critical role in ensuring the accuracy and efficiency of our claims processing operations.Key Responsibilities:Review and adjudicate complex claims in accordance with claim processing guidelines.Analyze and approve...

Job SummaryCVS Health is seeking a skilled Claim Benefits Specialist to join our team. As a key member of our operations team, you will be responsible for reviewing and adjudicating complex claims in accordance with claim processing guidelines.Key ResponsibilitiesReview and adjudicate complex claims in accordance with claim processing guidelinesAnalyze and...

Business Development ManagerAt OPS Staffing, we are seeking a highly motivated and results-driven Business Development Manager to join our team. The ideal candidate will have a proven track record of success in sales and marketing, with a strong ability to drive brand awareness and establish long-term client relationships.Key Responsibilities: Identify and...

Transforming Healthcare with CVS HealthWe're seeking a skilled Claims Specialist Operations Expert to join our team at CVS Health. As a key member of our operations team, you'll play a vital role in delivering enhanced human-centric healthcare to our customers.Key Responsibilities:Review and analyze claims information to determine the nature of a...

Job Title: Workers' Compensation Claims SpecialistJob Summary:We are seeking a highly skilled Workers' Compensation Claims Specialist to join our team at the City of Jacksonville. As a key member of our finance department, you will be responsible for monitoring, reviewing, and processing workers' compensation claims. Responsibilities:* Monitor and review...

Job SummaryPaul Davis Restoration, Inc. is seeking a highly skilled Claims Specialist to join our team. As a Claims Specialist, you will be responsible for reviewing and analyzing property damage claims to ensure accuracy and compliance with industry standards.Key ResponsibilitiesConduct thorough reviews of property damage claims, including mitigation,...

Job OverviewWe are seeking a highly skilled Orthopedic Insurance Claim Specialist to join our team at The Center for Orthopedic and Research Excellence. As a valued member of our staff, you will play a critical role in ensuring seamless reimbursement for patient care services.About the RoleThis full-time position is located in Jacksonville, FL, and offers a...

Job DescriptionWe are seeking a skilled Cardiac Monitoring Claims Specialist to join our clinical department. The ideal candidate will have experience with insurance claims denials, appeals, and EOB processing.Key Responsibilities:Analyze ECG recordings and evaluate patient billing questionsVerify patient eligibility and exercise judgment in resolving...

Job Title: Claims Estimator - Quality Assurance SpecialistPaul Davis Restoration, Inc. is seeking a highly skilled Claims Estimator - Quality Assurance Specialist to join our team. As a key member of our Quality Assurance team, you will be responsible for completing estimates and invoices as part of our FAST Program. Your primary focus will be on accuracy,...

Job SummarySoutheast Orthopedic Specialists is seeking a highly skilled Auto Injury Claims Specialist to join our team. As a key member of our staff, you will be responsible for providing exceptional patient service and ensuring seamless communication with patients, attorneys, and insurance carriers.Key ResponsibilitiesRespond to inbound calls from patients...

Job Title: Claims AdjusterAt Citizens Property Insurance, we are seeking a skilled Claims Adjuster to join our team. As a Claims Adjuster, you will be responsible for investigating, evaluating, negotiating, and settling personal and/or commercial claims of moderate to high complexity.Key Responsibilities:Negotiate and settle claims in accordance with...

Job SummaryThis is a technical role in the monitoring, reviewing, and processing of workers' compensation claims. The ideal candidate will have knowledge of workers' compensation laws, rules, and regulations, as well as experience in claims monitoring, reviewing, and processing.Key ResponsibilitiesMonitor, review, and process workers' compensation...

The Medical Claims Coordinator position at Southeast Orthopedic Specialists is a key role in our orthopedic medicine team. We are dedicated to delivering industry-leading care to our patients, and this role plays a critical part in making that happen.ResponsibilitiesTrack patient accounts in our AIP programObtain authorizations for procedures, services, and...

Job OverviewThe Claims Operations Analyst plays a pivotal role in enhancing claims operational efficiency and productivity. This position involves collaborating with stakeholders to collect and consolidate user requirements, ensuring the development of appropriate technology solutions. The Analyst will utilize strong communication, analytical, and creative...

Job DescriptionThe Senior Claims Adjuster, Specialty Claims will be responsible for claims nationwide. This position will complement the existing specialty claims team that supports the underwriting unit. The successful candidate will be able to provide insight and analysis on Professional Lines, E & O claims and other claims assigned.Key...

The Claims Operations Analyst role at Fortegra is a key position that requires a strong analytical mindset and excellent communication skills. The ideal candidate will have a Bachelor's degree or equivalent experience in a workforce environment and at least 3 years of experience in claims, business analysis, or a related field.Key Responsibilities:Identify...

Job SummaryWe are seeking a highly skilled Medical Claims Paralegal to join our team at Citizens Property Insurance. As a Medical Claims Paralegal, you will assist and work under the supervision of litigation counsel in the handling of first-party property claim litigation.Key ResponsibilitiesPerform specifically delegated substantive legal work for which...

About the RoleWe are seeking a highly skilled Claims Team Lead to join our team at Sedgwick. As a Claims Team Lead, you will be responsible for supervising multiple teams of examiners and technical staff for Auto liability claims for clients.Key ResponsibilitiesSupervise multiple teams of examiners and technical staff to ensure efficient and effective claims...

Job OverviewCCMS & Associates is seeking a skilled Field Adjuster to join our team. As a Field Adjuster, you will be responsible for investigating claims, inspecting damages, and recommending claim reserves. Key Responsibilities:Conduct thorough property inspections using Xactimate softwareInvestigate claims by gathering information from insureds, claimants,...

Job Title: Claims ManagerLotSolutions, Inc. is seeking a highly skilled and experienced Claims Manager to lead and manage the Claims Operations team. The successful candidate will be responsible for developing and maintaining procedures and guidelines to achieve the company's objectives effectively and efficiently.Key Responsibilities:Develop and implement...