Medical Claims Consultant
4 days ago
As a Claims Specialist for Marsh McLennan Agency, you will provide oversight and advocacy on behalf of our clients throughout the process of a loss event and the life of a claim.
Key Responsibilities:
- Submit claims or provide guidance on claim submission
- Review coverages and resolve claims issues
- Coordinate and participate in scheduled claims reviews
- Assess and strategize to produce best possible claim outcomes
- Review client's overall claims program and individual complex claims situations
- Recommend suitable vendor partners, including claims TPAs, nurse triage, and others
- Review adjuster's claim action plans; facilitate claims resolutions
- Evaluate insurance company claim reserves and push for reductions where appropriate
Requirements:
- High School Diploma, Bachelor's degree preferred
- Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges
- Analytical skill necessary to make decisions and resolve issues inherent in handling of claims
Marsh & McLennan Agency offers competitive salaries and comprehensive benefits and programs including: health and welfare, tuition assistance, 401K, employee assistance program, career mobility, employee network groups, volunteer opportunities, and other programs.
-
Claims Consultant
2 weeks ago
Metairie, Louisiana, United States Marsh LLC Full timeClaims Specialist RoleJob Summary: We are seeking a skilled Claims Specialist to join our team at Marsh McLennan Agency. As a Claims Specialist, you will provide expert guidance and advocacy on behalf of our clients throughout the claims process.Key Responsibilities: Submit claims or provide guidance on claim submission;Review coverages and resolve claims...
-
Medical Claims Processor
1 month ago
Metairie, United States CCMSI Full timeJob Title: Benefit Claims ProcessorAbout the Role:We are seeking a highly skilled Benefit Claims Processor to join our team at CCMSI. As a Benefit Claims Processor, you will be responsible for processing medical, dental, and prescription drug card claims for assigned accounts according to individual client contracts.Key Responsibilities:Interpret plan...
-
Claims Specialist
5 months ago
Metairie, United States Marsh McLennan Companies Full timeDescription: SUMMARY: As a Claims Specialist for the Marsh McLennan Agency, you will be a claims consultant providing oversight and advocacy on behalf of our clients throughout the process of a loss event and the life of a claim. Duties include: You will submit claims or provide guidance on claim submission; Review coverages and resolve claims...
-
Claims Support Specialist
1 month ago
Metairie, Louisiana, United States AmWINS Group Full timeJob Title: Claims Support Specialist Job Summary: We are seeking a highly organized and detail-oriented Claims Support Specialist to join our team at AmWINS Group. In this role, you will provide administrative support to staff and customers regarding claims-related inquiries and requests. Key Responsibilities: * Generate various system reports * Ensure...
-
Benefit Claims Processor
4 months ago
Metairie, United States CCMSI Full timeOverview At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development...
-
Benefit Claims Specialist
2 weeks ago
Metairie, United States CCMSI Full timeJob Title: Benefit Claims ProcessorOverviewAt CCMSI, we strive to deliver exceptional service to our clients. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career...
-
Claims Support Specialist
1 month ago
Metairie, United States AmWINS Group Full timeCOMPANY SUMMARY The American Equity Underwriters, Inc. (AEU) (An Amwins company) is the program administrator of the American Longshore Mutual Association, Ltd. (ALMA), a group self-insurance fund authorized by the U.S. Department of Labor to provide USL&H coverage for the liabilities of its members under the United States Longshore & Harbor Workers'...
-
Multi-Line Liability Claim Representative II
2 weeks ago
Metairie, United States CCMSI Full timeOverview At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...
-
Claims Coordinator
2 weeks ago
La Grange, United States Apixio Full timeAbout the RoleWe are seeking a highly organized and detail-oriented Claims Coordinator to join our Operations Department. As a Claims Coordinator, you will play a critical role in ensuring the smooth and efficient processing of claims.Key ResponsibilitiesEnter claims into our proprietary software system and submit accepted claims to the Transcription...
-
Claims Coordinator
2 weeks ago
La Grange, United States Apixio Full timeJob SummaryWe are seeking a highly organized and detail-oriented Claims Coordinator to join our Operations Department. As a Claims Coordinator, you will be responsible for entering claims into our proprietary software system and submitting accepted claims to the Transcription Department. You will also perform the preliminary setup for Claims Analysts,...
-
Workers' Compensation Claims Specialist
3 days ago
La Chaussade, Nouvelle-Aquitaine, United States CorVel Enterprise Comp, Inc. Full timeJob DescriptionThe Medical Only Claims Specialist plays a vital role in managing non-complex and non-problematic, medical only claims and minor lost-time workers' compensation claims under close supervision, supporting the goals of the claims department and of CorVel Enterprise Comp, Inc.This position will be hybrid, with a mix of remote and in-office...
-
Claims Coordinator
4 days ago
La Grange, United States Apixio Full timeJob SummaryWe are seeking a highly organized and detail-oriented Claims Coordinator to join our Operations Department at Apixio. As a Claims Coordinator, you will be responsible for entering claims into our proprietary software system and submitting accepted claims to the Transcription Department. You will also perform the preliminary setup for Claims...
-
Medical Billing Coordinator
1 week ago
Metairie, United States Omega Hospital LLC Full timeJob SummaryWe are seeking a highly skilled Medical Billing Coordinator to join our team at Omega Hospital LLC. The successful candidate will be responsible for collecting, posting, and managing patient account payments, as well as submitting patient claims to insurance companies and following up on the claims with insurance companies.Key ResponsibilitiesPost...
-
Claims Examiner
2 weeks ago
Baton Rouge, LA , USA, United States Sedgwick Full timeAbout SedgwickSedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Our mission is to help organizations protect their people, assets, and reputation while minimizing business interruptions.Job SummaryWe are seeking a highly skilled Claims Examiner to join our team. As a Claims Examiner, you will be...
-
Insurance Claims Examiner
2 weeks ago
Rigny-la-Salle, Grand Est, United States CLD - Coon Rapids MN, LLC Full timeJob OverviewAs a Medical Billing Specialist at CLD - Coon Rapids MN, LLC, you will be responsible for the completion of medical billing-related activities, including claims submission and follow-up, payment posting, denials management, refunds, claims reconciliation, insurance verification, and quality tracking. You will provide exceptional customer service...
-
Claims Examiner
2 weeks ago
New Orleans, LA , USA, United States Sedgwick Full timeAbout the RoleWe are seeking a highly skilled Claims Examiner - Liability to join our team at Sedgwick. As a key member of our claims team, you will be responsible for analyzing complex general liability claims, determining benefits due, and ensuring timely and cost-effective claims resolution.Key ResponsibilitiesAnalyze and process complex general liability...
-
Insurance Claims Examiner
4 weeks ago
Rigny-la-Salle, Grand Est, United States CLD - Coon Rapids MN, LLC Full timeJob SummaryWe are seeking a highly motivated and detail-oriented Insurance Verifier to join our team at CLD - Coon Rapids MN, LLC. As an Insurance Verifier, you will play a critical role in ensuring the accuracy and efficiency of our medical billing processes.Key ResponsibilitiesInsurance Verification: Verify patient insurance coverage and benefits to ensure...
-
Claims Examiner
2 weeks ago
New Orleans, LA , USA, United States Sedgwick Full timeAbout the RoleSedgwick is seeking a highly skilled Claims Examiner - Liability to join our team. As a Claims Examiner - Liability, you will be responsible for analyzing complex or technically difficult general liability claims to determine benefits due, working with high exposure claims involving litigation and rehabilitation, and ensuring ongoing...
-
Medical Billing Specialist
3 weeks ago
Metairie, United States GULF SOUTH FOOT AND ANKLE Full timeJob Title: Medical Billing SpecialistWe are seeking a skilled and detail-oriented individual to join our team as a Medical Billing Specialist at Gulf South Foot & Ankle. As a Medical Billing Specialist, you will play a crucial role in ensuring the efficient processing of medical billing, insurance claims, and patient accounts.Responsibilities:Utilize medical...
-
Medical Equipment Designer
2 weeks ago
Metairie, LA, United States Johnson Controls Full timeUnleash your potential with the Johnson Controls team! As a global leader in smart, healthy, and sustainable buildings, our mission is to reimagine the performance of buildings to serve people, places, and the planet. With our extensive reach across various industries worldwide, our teams are uniquely positioned to support and empower you. You will have...