Medical Claims Examiner

Job Summary:Catholic Health Service is seeking a highly organized and detail-oriented Practice Support Associate to join our team. As a key member of our Physician Practice, you will be responsible for providing administrative support to our healthcare professionals.Key Responsibilities:Provide exceptional customer service to patients, physicians, and...

Job Summary:The Patient Representative is a vital member of our team at Catholic Health Service, responsible for providing exceptional administrative support to our patients and healthcare professionals. This role requires a high level of organization, attention to detail, and excellent communication skills.Key Responsibilities:Manage patient records and...

Office Administration/Prior Authorization Specialist RoleHiring for a dynamic Office Administration/Prior Authorization Specialist role in a state-of-the-art facility in East Meadow. As a key member of our team, you will be responsible for providing exceptional customer service to patients, team members, and referral sources.Key Responsibilities:Manage...

Job SummaryWe are seeking a highly organized and detail-oriented Administrative Assistant to join our team at Compass Group, North America. As an Administrative Assistant, you will provide clerical support to our food service programs, ensuring seamless day-to-day operations.Key Responsibilities:Answer telephones and direct inquiries in a professional and...

Job SummaryJob Title: Administrative AssistantJob Summary: We are seeking an experienced Administrative Assistant to provide clerical support to our food service programs. The successful candidate will be responsible for maintaining confidential personnel files, preparing employment and labor relations documents, and assisting with staffing.Key...

Job Title: Claims ExaminerJob Summary:Synectics Inc is seeking a skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for investigating, evaluating, and settling claims in a fair and prompt manner.Key Responsibilities:Investigate and evaluate claims to determine their validity and liability.Apply technical knowledge and...

Job SummaryWe are seeking a highly skilled Medical Claims Technician to join our team at Red Rock Behavioral Health Services. As a Medical Claims Technician, you will be responsible for researching insurance claim denials, determining the validity of the claim, and adjusting and resubmitting claims via multiple methods.Key ResponsibilitiesConduct thorough...

Remote Claims Processing AssociateNTT DATA's Client is seeking a skilled Remote Claims Processing Associate to join their team. As a key member of the team, you will be responsible for processing professional and hospital claim forms files by provider, reviewing policies and benefits, and ensuring compliance with company regulations regarding HIPAA,...

Remote Claims Processing AssociateNTT DATA's Client is seeking a skilled Remote Claims Processing Associate to join their team!Key Responsibilities:Process professional and hospital claim forms files by providerReview policies and benefitsComply with company regulations regarding HIPAA, confidentiality, and PHIAbide by timelines to complete compliance...

About the RoleSedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. We're seeking a driven individual to join our team as a Liability Litigation Claims Examiner.Key ResponsibilitiesAnalyze and process claims through well-developed action plans to achieve timely and appropriate resolutions.Negotiate...

Senior General Liability Claims Examiner Property & Casualty Insurance IndustryNYCExamine, adjust and defend, general liability claims and lawsuits filed against insureds towards an amicable resolution, where possible. This includes reviewing the terms, conditions and exclusions of the insurance policy to determine whether or not the claim presented is...

Minimum 3years of relevant CA WC claims experience is mandatoryCalifornia WC Claims handling experiencePrimary Purpose To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service...

WellMed is part of OptumCare, a division under the greater UnitedHealthcare Group umbrella. We have a network of doctors, specialists and other medical professionals that specialize in providing the highest level of medical care for more than 1 million older adults with over 16,000 doctors’ offices in Texas and Florida.  We’re growing, and we are...

Job Title: Senior Claims Examiner, E&SWe are seeking a highly skilled Senior Claims Examiner to join our E&S Casualty Team at Arch Insurance Group Inc. This role will involve actively handling and managing an excess casualty caseload, with a focus on identifying and assessing coverage issues, developing and implementing strategy, and resolving matters of...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

Job Title: Senior Claims Examiner, E&SWe are seeking a highly skilled Senior Claims Examiner to join our E&S Casualty Team at Arch Insurance Group Inc. This role involves actively handling and managing an Excess casualty caseload, requiring strong analytical and problem-solving skills.Key Responsibilities:Identify and assess coverage issues, draft coverage...

Job SummaryWe are seeking a highly organized and detail-oriented Insurance Clerk II to join our team at Swope Health Services. As an Insurance Clerk II, you will play a critical role in validating patient information and preparing and filing insurance claims in accordance with regulatory and contractual requirements.Key ResponsibilitiesValidate patient...

Job SummaryWe are seeking a highly skilled Senior Claims Examiner to join our E&S Casualty Team. As a key member of our Claims Division, you will be responsible for actively handling and managing an excess casualty caseload, identifying and assessing coverage issues, and developing strategies to resolve matters of liability and damages.Key...

Job Title: Insurance Clerk IAs an Insurance Clerk I at Swope Health Services, you will play a vital role in ensuring the accuracy and efficiency of our insurance claims process.We are seeking a highly organized and detail-oriented individual to join our team. If you have a passion for providing excellent support and are known for your organizational skills,...

Job SummaryWe are seeking a highly skilled Senior Claims Examiner to join our E&S Casualty Team. As a key member of our Claims Division, you will be responsible for actively handling and managing an excess casualty caseload.Key ResponsibilitiesIdentify and assess coverage issues, draft coverage position letters, and retain coverage counsel when...

CompSource Mutual Insurance Company: A Leader in Workers Compensation InsuranceWe are seeking a skilled Claims Adjuster I to join our team in Oklahoma City or Tulsa. As a Claims Adjuster, you will play a critical role in ensuring timely and accurate data management, while providing exceptional service to our policyholders.About the Role:Manage and analyze...

About the RoleWe are seeking a highly organized and detail-oriented Insurance Clerk II to join our team at Swope Health Services. As an Insurance Clerk II, you will play a critical role in validating patients' information and preparing and filing insurance claims in accordance with insurance carrier's regulatory and contractual...

CompSource Mutual Insurance CompanyWe are seeking a skilled Claims Adjuster I to join our team in Oklahoma City or Tulsa.About the Role:Timely data management and attention to detail are essential for success in this position.Our company is an AM Best A-rated leader in the industry.As a Claims Adjuster I, you will be responsible for managing workers...

Job Title: Medical BillerWe are seeking a highly skilled Medical Biller to join our team at Medical Recovery Services. As a Medical Biller, you will play a critical role in ensuring the accurate and timely submission of medical claims to third-party payers.Responsibilities:Utilize various billing systems and clearinghouses to perform data entry and prepare...

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career...