Claims Resolution Specialist

PROPERTY CLAIMS SPECIALISTWe are seeking a detail-oriented and organized Property Claims Specialist to join our dynamic team at Allcat Claims Service. In this role, you will be responsible for investigating, assessing, and managing claims related to water damage that is not weather-related, ensuring timely and accurate resolution of claims.JOB...

Job SummaryWe are seeking a highly skilled Claims Recovery Specialist to join our team at Alternative Claims Management. As a key member of our team, you will be responsible for negotiating and settling claims on behalf of our clients.Key Responsibilities:Recover claims through direct contact with responsible partiesReview and evaluate new damage recovery...

Job SummaryWe are seeking a highly skilled Client Resolution Specialist to join our team at WebTPA Employer Services, LLC. This role is responsible for handling inbound customer calls from providers and members, with a focus on resolving client-related issues and providing expert-level resolution to complex cases.Key ResponsibilitiesClient Support: Provide...

Job SummaryWe are seeking a highly skilled Client Resolution Specialist to join our team at WebTPA Employer Services, LLC. As a key member of our customer service team, you will be responsible for resolving complex client-related issues and providing expert-level support to our clients.Key ResponsibilitiesProvide standard client support, including handling...

Job SummaryWe are seeking a skilled Senior Customer Service Representative to join our team at UnitedHealth Group. As a key member of our customer service team, you will be responsible for reviewing and researching incoming healthcare claim calls from providers, verifying data and information necessary for processing, and ensuring accurate and timely...

Job Title: Medical Claims ExaminerJob Summary:TRIAD is seeking a highly skilled Medical Claims Examiner to join our team. As a Medical Claims Examiner, you will be responsible for accurately processing health plan delegated claims, addressing provider inquiries, and handling various administrative tasks within the department.Key Responsibilities:Process...

POSITION SUMMARY/RESPONSIBILITIESAs a key member of the University Health team, the Senior Claims Specialist will analyze complex problems related to claim payments, eligibility, and system issues that impact claims processing. This role requires strong analytical and problem-solving skills, as well as the ability to work collaboratively with claims staff to...

Job DescriptionClearsight Billing is seeking a skilled Medical Billing Specialist to contribute to our team's success. Key responsibilities include:Managing insurance accounts receivable and resolving claim denials, EDI rejections, and unpaid claims.Processing electronic claim files and posting payments.Providing exceptional customer service and support for...

Job SummaryFlooring Services is a trusted industry leader in the home building industry, committed to integrity and respect for clients, employees, and the environment. We seek a highly motivated and positive individual to join our team as a Claims Specialist.Key Responsibilities:Handle claims notifications of defective materials and/or installationVerify...

Job Summary:MillenniumSoft is seeking a highly skilled Complaints Resolution Specialist to join our team. As a key member of our quality assurance department, you will be responsible for managing the process of complaint handling, ensuring that all customer concerns are addressed in a timely and professional manner.Key Responsibilities:Manage the receipt and...

Job SummaryArgo Group is a leader in specialty insurance with a strong focus on employee well-being and professional development. We're seeking a highly skilled and detail-oriented Insurance Claims Specialist to join our team.As an Insurance Claims Specialist, you will be responsible for analyzing and negotiating complex endorsement requests, assisting with...

About the Role:Sedgwick is seeking a highly skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing and processing General Liability claims to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.Key...

About the RoleUSAA is seeking a highly skilled Injury Examiner to join our team. As a dedicated professional, you will be responsible for adjusting complex bodily injury claims and UIM claims, ensuring timely and accurate resolution of claims in compliance with state laws and regulations.Key ResponsibilitiesAdjusts complex bodily injury claims with...

About the Role:Sedgwick is seeking a highly skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing and processing low-mid level General Liability claims on behalf of our valued clients. Your primary goal will be to determine benefits due while ensuring ongoing adjudication of claims within service expectations,...

About the RoleUSAA is seeking a highly skilled and experienced Senior Injury Claims Adjuster to join our team. As a key member of our claims resolution team, you will be responsible for adjusting attorney-involved moderately complex bodily injury and UM claims, as well as catastrophic auto PIP/MP medical claims.Key ResponsibilitiesIdentify and manage...

We are seeking a skilled Guidewire Claim Center Integration Specialist to join our team at Diverse Lynx LLC. As a key member of our team, you will be responsible for working on Guidewire claims center integration, writing programs in GOSU programming language, and integrating different vendor points with Claims center.The ideal candidate will have excellent...

About the Role:USAA is seeking a dedicated professional to work in our San Antonio Home office as a Property Claims Adjuster. This role will involve investigating, evaluating, negotiating, and settling low complexity property insurance claims.Key Responsibilities:Proactively manage assigned claims caseload comprised of low complexity claims that require...

Job SummaryWe are seeking a highly organized and detail-oriented Claims Support Specialist to join our team at the City of San Antonio Texas. In this role, you will provide administrative support for the Claims Section in the Office of Risk Management, assisting with the processing and administration of claims information.Key ResponsibilitiesAssist with the...

Incident Management RoleAt Insight Global, we are seeking a skilled Critical Incident Resolution Specialist to join our team. This role involves managing and resolving critical IT incidents efficiently, ensuring minimal disruption to our operations.Key Responsibilities:Lead major incident response efforts, including bridge calls, root cause analysis, and...

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 timely and fair resolutions for our customers.Key ResponsibilitiesInvestigate and manage complex Workers' Compensation...