Claims Specialist
2 days ago
We are seeking a detail-oriented and process-driven individual to join our Claims Management team as a Claims Advisor. As a key member of our team, you will be responsible for navigating the claims process, ensuring timely resolution, and providing exceptional client service.
Key Responsibilities:- Enter Loss Runs in ModMaster/EMOD and prepare forecasts and analyses
- Research, collect, and confirm claim details
- Accurately input all claim details within EPIC
- Update documents and client correspondence related to claims in EPIC
- Utilize Epic templates to provide claim information to clients
- Respond to and update clients on claim status
- Communicate with clients on pre-claim and claim strategy
- Develop effective claim strategies with claim adjusters
- Communicate with carriers and TPAs to resolve service issues
- 3+ years of experience as a Claims Adjuster or similar role
- Fluency in Spanish (speaking, writing, and reading) is a plus
- State Adjuster's license is preferred
- Competitive compensation package ($45,000 - $70,000)
- Unlimited PTO
- Healthy bonus structure
- Travel expenses
- Employee Benefit Incentive dollars
- Immediate eligibility in our 401k
If you are a motivated and detail-oriented individual with a passion for claims management, we encourage you to apply for this exciting opportunity.
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Claims Specialist
2 weeks ago
Phoenix, Arizona, United States CorVel Enterprise Comp, Inc. Full timeJob Title: Claims SpecialistCorVel Enterprise Comp, Inc. is seeking a skilled Claims Specialist to join our team. As a Claims Specialist, you will be responsible for managing workers' compensation claims within delegated authority to achieve the best possible outcome.Key Responsibilities:Receive and process claims, confirming policy coverage and...
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Claims Specialist
1 month ago
Phoenix, Arizona, United States RTA US Full timeJob DescriptionRTA US is currently looking for a Claims Specialist to assist in managing claims processes effectively. This role offers a fantastic opportunity to collaborate with a vibrant team and acquire significant experience in the Insurance Sector. There is potential for extension or conversion for the right candidate.Position: Claims...
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Medical Claims Specialist
2 weeks ago
Phoenix, Arizona, United States CorVel Enterprise Comp, Inc. Full timeJob SummaryCorVel Enterprise Comp, Inc. is seeking a skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for managing non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims under close supervision.This is a remote position that requires excellent customer...
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Pharmacy Claims Specialist
3 weeks ago
Phoenix, Arizona, United States Onco360 Full timePharmacy Adjudication SpecialistWe are seeking a highly skilled Pharmacy Adjudication Specialist to join our team at Onco360 Pharmacy in Scottsdale, AZ. This is a full-time position with a hybrid work style, requiring a strong understanding of pharmacy claims and benefits verification.Key Responsibilities:Adjudicate pharmacy claims, review claim responses...
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Senior Claims Specialist
3 weeks ago
Phoenix, Arizona, United States Chubb Full timeSenior Claims SpecialistChubb is seeking a highly skilled Senior Claims Specialist to join our team in Tampa, FL. As a key member of our claims team, you will be responsible for investigating facts, evaluating damages, and writing estimates for property claims.Responsibilities:Conduct onsite inspections to investigate facts and evaluate damagesEvaluate...
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Pharmacy Claims Specialist
2 weeks ago
Phoenix, Arizona, United States Onco360 Full timePharmacy Adjudication Specialist Job DescriptionWe are seeking a highly skilled Pharmacy Adjudication Specialist to join our team at Onco360 Pharmacy in Scottsdale, AZ. This is a full-time position, Monday to Friday, 8:30 am to 5 pm Arizona time. The ideal candidate will be located within driving distance to our pharmacy and have a hybrid work style.About...
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Claims Adjuster-1
4 weeks ago
Phoenix, Arizona, United States CopperPoint Insurance Companies Full time{"title": "Claims Adjuster-1 - Workers Comp Claims Specialist", "content": "Job SummaryCopperPoint Insurance Companies is seeking a skilled Claims Adjuster-1 - Workers Comp Claims Specialist to join our team. As a key member of our claims team, you will be responsible for analyzing and investigating medical-only workers' compensation claims to determine...
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Insurance Claims Specialist
4 weeks ago
Phoenix, Arizona, United States American Vision Partners Full timeAbout the RoleAt American Vision Partners, we are seeking a highly skilled Insurance AR Specialist to join our team. As an Insurance AR Specialist, you will play a critical role in collecting payments for assigned insurance accounts and performing follow-up duties in accordance with established federal and state regulations.Key ResponsibilitiesInsurance...
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Medical Claims Specialist
1 month ago
Phoenix, Arizona, United States SOUTHWEST BREAST AND AESTHETICS LLC Full timeJob SummaryWe are seeking a highly organized and detail-oriented Medical Claims Specialist to join our team at Southwest Breast and Aesthetics LLC. As a Medical Claims Specialist, you will be responsible for accurately and efficiently processing medical claims, resolving billing issues, and maintaining accurate records.Key ResponsibilitiesClaims Processing:...
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Medical Claims Specialist
1 month ago
Phoenix, Arizona, United States SOUTHWEST BREAST AND AESTHETICS LLC Full timeJob SummaryWe are seeking a highly skilled Medical Claims Specialist to join our team at Southwest Breast and Aesthetics LLC. As a Medical Claims Specialist, you will be responsible for accurately and efficiently processing medical claims, resolving billing issues, and maintaining accurate records.Key ResponsibilitiesClaims Processing: Accurately and timely...
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Claims Recoup Specialist
2 weeks ago
Phoenix, Arizona, United States Triwest Healthcare Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Claims Recoup Specialist to join our team. In this role, you will be responsible for managing and performing claims department activities related to recoupments and collections.Key ResponsibilitiesManage the recoupment process and identify opportunities for improvements.Work with Provider...
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Integrated Absence Claims Specialist
2 weeks ago
Phoenix, Arizona, United States Lincoln Financial Services Full timeAbout the RoleWe are seeking a highly motivated and detail-oriented Integrated Absence Claims Specialist to join our team. As an Integrated Absence Claims Specialist, you will play a critical role in managing a workload of Short-Term Disability claims and their associated leaves.Key ResponsibilitiesConduct initial and ongoing interviews with claimants to...
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Claims Specialist
2 weeks ago
Phoenix, Arizona, United States The MJ Companies Full timeJob Title: Claims AssociateAt The MJ Companies, we are seeking a highly skilled and detail-oriented Claims Associate to join our team. As a Claims Associate, you will play a critical role in assisting clients with claim reporting, collecting relevant information, and submitting claims on their behalf.Key Responsibilities:Assist clients with claim reporting...
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Insurance Claims Specialist
3 weeks ago
Phoenix, Arizona, United States Pathology Billing Services Full timeJob SummaryWe are seeking a skilled Insurance Verification Specialist to join our team at Pathology Billing Services, LLC. As a key member of our team, you will play a critical role in ensuring the accurate and timely submission of insurance claims and patient statements.Key Responsibilities:Review and resolve front-end eligibility edits for clean claim...
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Claims Specialist
2 weeks ago
Phoenix, Arizona, United States Reseco Insurance Advisors, LLC. Full timeClaims Advisor Job DescriptionWe are seeking a detail-oriented and process-driven individual to join our Claims Management team as a Claims Advisor. As a key member of our team, you will be responsible for navigating the claims process, ensuring timely and accurate resolution of claims, and providing exceptional customer service to our clients.Key...
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Insurance Claims Specialist
2 weeks ago
Phoenix, Arizona, United States Pathology Billing Services LLC Full timeJob SummaryThe Insurance Verification Specialist plays a crucial role in ensuring the accurate billing of insurance claims and patient statements at Pathology Billing Services, LLC. This position requires a detail-oriented individual with excellent communication skills to work with physicians, patients, and external customers.Key ResponsibilitiesReview and...
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Claims Specialist
1 week ago
Phoenix, Arizona, United States Vertisystem Full timeJob Title: Claims AdvocateLocation: Phoenix, AZDuration: 06 MonthsWorking hours Tuesday - Saturday start time between 6am - 8am, (8am - 530pm for training for the first 5 weeks.)The company is looking for candidates with auto claims adjusting experience, 4 years of non-injury or 2 years injury for the basic qualificationsAbout the RoleAs a US Claims...
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Medical Claims Processor
2 weeks ago
Phoenix, Arizona, United States LHH Recruitment Solutions Full timeJob Title: Medical Collections SpecialistJoin our team as a Medical Collections Specialist and take on a challenging role that requires attention to detail, strong analytical skills, and excellent communication abilities.About the Role:We are seeking a highly motivated and organized individual to investigate and enter claims in our payment system. As a...
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Medical Claims Specialist
3 weeks ago
Phoenix, Arizona, United States SOUTHWEST BREAST AND AESTHETICS LLC Full timeJob SummaryWe are seeking a highly organized and detail-oriented Medical Claims Specialist to join our team at Southwest Breast and Aesthetics LLC. As a key member of our revenue cycle team, you will be responsible for accurately and efficiently processing medical claims, resolving billing issues, and maintaining accurate records.Key ResponsibilitiesAccurate...
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Customer Claims Support Specialist
6 days ago
Phoenix, Arizona, United States Southwest Service Administrators Inc Full timePosition OverviewThe Customer Claims Support Specialist role offers a unique opportunity to deliver exceptional service within the health and welfare sector. Key Responsibilities:Address inquiries related to benefits and claim statuses.Resolve intricate issues while collaborating effectively with team members.Maintain accurate data entry and...