Claims Specialist

Job Summary:We are seeking a skilled Claims Representative to join our team at Athene. As a Claims Representative, you will be responsible for researching and processing claims requests while adhering to contractual and regulatory guidelines.Key Responsibilities: Initiate processing of new claims and investigate pending claims Handle outreach to...

{"h2": "Claims Recovery Specialist Job Description", "p1": "At Sedgwick, we are committed to providing our employees with a career that offers stability, growth opportunities, and a chance to make a positive impact on the world. As a Claims Recovery Specialist, you will be responsible for processing and reviewing subrogation claims, coordinating with...

About the RoleAs a Claims Representative at Farm Bureau Financial Services, you will play a critical role in delivering exceptional customer service to our clients. Your primary responsibility will be to promptly and efficiently answer questions from our customers, as well as follow up on outstanding issues.Key ResponsibilitiesAnalyze and review claims to...

Job SummaryIMT Insurance is seeking a highly skilled Workers Compensation Specialist to join our team. As a key member of our claims team, you will be responsible for investigating, analyzing, and determining the extent of IMT's liability concerning workers' compensation claims. This role requires a detail-oriented individual with excellent analytical and...

Dispute & Recovery Services Specialist RoleAt SHAZAM, we're seeking a skilled Dispute Resolution Specialist to handle consumer dispute claims efficiently and effectively. This role requires expertise in multiple EFT networks' chargeback rules and regulations, as well as the ability to navigate complex computer systems.Key Responsibilities:Process consumer...

Policy Service SpecialistAs a Policy Service Specialist at Homesteaders Life Company, you will play a critical role in communicating with policy owners, agents, and funeral home personnel on various issues, from routine to complex. Your responsibilities will include:Reviewing and processing policy change requests, including plan/benefit reissues, early...

Job Summary:The Document Specialist will be responsible for processing regulated billing documentation, ensuring compliance with HCFA/MCC/JCAHO regulations and guidelines. This role requires strong analytical and organizational skills, with the ability to meet strict deadlines and prioritize multiple tasks.Key Responsibilities:Receiving and processing...

Job OverviewThermo King Sales & Service is seeking a skilled Parts Specialist to join our team in Des Moines, IA. As a key member of our parts department, you will be responsible for ensuring our customers receive the highest level of service and support.Key ResponsibilitiesProvide exceptional customer service by greeting customers, taking orders, and...

Job Title: HEDIS RN SpecialistJob Summary:We are seeking a skilled HEDIS RN Specialist to join our team at Actalent. As a HEDIS RN Specialist, you will play a critical role in supporting our Quality Management team during the upcoming HEDIS season.Key Responsibilities:* Review and abstract 40-50 medical records per day based on NCQA and HEDIS technical...

Policy Service Specialist Job DescriptionAs a Policy Service Specialist at Homesteaders Life Company, you will play a crucial role in communicating with policy owners, agents, and funeral home personnel to resolve various issues, from routine to complex. Your responsibilities will include:Reviewing and processing policy change requests, including...

Job Opportunity:At Alliance Services, Inc., we are seeking a skilled Medical Billing Specialist to join our team. As a nurse-founded, nurse-owned, minority-owned travel-nurse agency, we prioritize providing top pay and an exceptional employee experience.Key Responsibilities:Process and manage medical claims, ensuring timely and accurate...

Meduit seeks a Prior Authorization Specialist to work with hospital and physician billing. The role involves resolving insurance processing errors and denials, and working with payers to facilitate prompt payment of claims. The ideal candidate will have thorough knowledge and understanding of patient billing, claims submission, and payer specific...

We are seeking a skilled Senior Surveillance Specialist to join our team at Ethos Risk Services. As a key member of our fraud investigations team, you will conduct covert surveillance, review files, and draft detailed case reports.Key Responsibilities:Conduct surveillance operations in the field, capturing video evidence of targetsCollaborate with Operations...

Job OverviewWe are seeking an experienced SIU/Claims Investigator to join our team at Lemieux & Associates LLC. As a Private Investigator, you will be responsible for conducting complex investigations, gathering evidence, and providing detailed reports.Key Responsibilities:Conduct thorough investigations, including scene investigations and witness...

Job SummaryAs an Insurance Process Specialist at Infosys McCamish, you will be responsible for delivering accurate and courteous responses to telephone inquiries from contract owners, agents, and third parties. You will utilize multiple department systems to provide accurate information and will be expected to comprehend and explain life and annuity...

Transform the health of our communities, one person at a time, with Centene Corporation.Position Purpose: We're seeking a skilled professional to recruit and develop a network of healthcare providers, ensuring seamless participation agreements and accurate claims adjudication.Key Responsibilities:Recruit and develop a network of healthcare providers to meet...

Job SummaryWe are seeking a highly skilled and detail-oriented Occupational Health PRN Experience Specialist to join our team at UnityPoint Health. As a key member of our clinic, you will be responsible for providing exceptional customer service to patients and clients, while also managing multiple tasks and responsibilities with ease.Key...

Job OverviewPalmer Group is seeking a skilled Construction Safety Manager to oversee compliance and ensure a safe working environment on commercial construction sites. The ideal candidate will have experience managing crew members and implementing safety policies in accordance with local and state regulations.Key Responsibilities:Develop and implement safety...

About the Role:We are seeking a highly organized and efficient Pharmacy Operations Support Specialist to join our team at Wellmark. As a Pharmacy Operations Support Specialist, you will provide support to the Pharmacy team by coordinating, researching, and resolving inquiries through multiple channels.You will provide technical and administrative support to...

About the RoleThis is a senior-level position that will lead the development of new products and enhancements to existing ones in the Property and Casualty team at Nationwide Private Client. The ideal candidate will have a strong background in product development, analytical skills, and experience in leading complex projects. The role will involve...