Claims Resolution Specialist
4 weeks ago
Claims Resolution Specialist Opportunity
We're seeking an experienced and motivated Claims Resolution Specialist to assist our team in providing exceptional claim handling and adherence to company standards and regulations.
Our Mission:
To be the leading third party administrator offering professional and technological resources through pro-active and aggressive claims and managed care solutions in support of our clients' objectives.
Innovative processes and state-of-the-art technology support our people. Competent and experienced individuals provide the human element needed to deliver good service and drives good outcomes.
Our Goal:
To be recognized as the most trusted and innovative partner in providing Claims and Managed Care solutions that are tailored to the specific needs of our clients.
Your Key Responsibilities:
- Provide ongoing coaching, counseling, and feedback to team members to enhance skills and performance
- Ensure all claims are handled in accordance with relevant statutes and company guidelines
- Address personnel issues promptly and decisively, keeping management informed of corrective action
- Foster a collaborative and productive team environment focused on excellence in claim resolution
Our Offer:
- Competitive salary and benefits package, including medical, dental, vision, and 401(k)
- Opportunity for professional growth and advancement in a dynamic organization
- Collaborative work environment with a team dedicated to workers' compensation excellence
Interested? Learn More:
To learn more about this exciting opportunity and what Intercare Holdings Insurance Services has to offer, please contact us for more information.
-
Medicaid Medical Claims Specialist
4 weeks ago
Fresno, California, United States TEKsystems Full timeJob Summary:The Medicaid Medical Claims Specialist is responsible for the follow-up on identified government and non-government claims, including Medicare and Medicaid. This role requires a high level of attention to detail and organizational skills to ensure timely and efficient resolution of unpaid accounts. The incumbent will work in a team environment to...
-
Medical Claims Specialist
4 weeks ago
Fresno, California, United States TEKsystems Full timeJob Summary:The Medical Claims Specialist will be responsible for following up on identified government and non-government claims, including Medicare and Medicaid. This role requires a strong understanding of medical terminology and insurance processes.Key Responsibilities:Review eligibility and verify insurance benefits to generate clean claims.Modify and...
-
Medical Claims Specialist
4 weeks ago
Fresno, California, United States TEKsystems Full timeJob Title: Medical Claims SpecialistJob Summary:TEKsystems is seeking a skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for following up on identified government and non-government claims, including Medicare and Medicaid. You will resolve unpaid accounts in a timely and efficient manner, maintaining...
-
Workers Compensation Claims Specialist
1 month ago
Fresno, California, United States Intercare Insurance Full timeJob SummaryAs a Workers Compensation Claims Specialist at Intercare Insurance, you will be responsible for managing an assigned inventory of claim files, including cases of extreme complexity or with unique issues. You will work closely with the Claims Supervisor and medical case managers to maximize early return to work potential and reduce the need for...
-
Claims Adjuster
1 month ago
Fresno, California, United States Intercare Insurance Full timeJob OverviewIntercare Insurance is seeking an experienced Workers Compensation Claims Adjuster to join our dynamic team in Fresno. As a key member of our team, you will be responsible for handling workers' compensation claims in accordance with relevant statutes and company guidelines.Key Responsibilities:Provide coaching, counseling, and feedback to team...
-
Medical Billing Specialist
4 weeks ago
Fresno, California, United States TEKsystems Full timeKey Responsibilities:Review and follow up on government and non-government claims, including Medicare and Medicaid.Resolve unpaid accounts in a timely and efficient manner, maintaining quality and productivity standards.Verify insurance benefits and perform insurance discovery activities to generate clean claims.Requirements:High School Diploma or GED...
-
Medical Billing Specialist
4 weeks ago
Fresno, California, United States gpac Full timeMedical Billing SpecialistWe are seeking a detail-oriented and organized Medical Billing Specialist to contribute to our team's success. As a Medical Billing Specialist, you will be responsible for accurately preparing and submitting medical claims to insurance companies and ensuring timely reimbursement. Your attention to detail and knowledge of medical...
-
FEMA Program Delivery Specialist
4 weeks ago
Fresno, California, United States CDM Smith Full timeJob Title: FEMA Program Delivery SpecialistJob Summary:We are seeking a highly skilled FEMA Program Delivery Specialist to join our team at CDM Smith. As a key member of our Public Assistance team, you will be responsible for delivering disaster recovery programs to support communities affected by natural disasters.Key Responsibilities:* Collect and review...
-
Medical Billing Specialist
4 weeks ago
Fresno, California, United States gpac Full timeWe are seeking a detail-oriented and organized Medical Biller/Coding Specialist to contribute to the smooth operation of our healthcare facility.Key Responsibilities:Reviewing patient information and medical records to accurately code diagnoses and proceduresPreparing and submitting medical claims to insurance companiesFollowing up on unpaid claims and...
-
Medical AR Specialist
1 month ago
Fresno, California, United States Regional Hand Center Full timeJob Title: Medical AR SpecialistRegional Hand Center is seeking a highly skilled Medical AR Specialist to join our dynamic billing team. As a key member of our team, you will be responsible for submitting accurate and timely electronic claims through the EDI to enable payment from all appropriate parties.Responsibilities:Review medical procedures as...
-
Medical AR Specialist
1 month ago
Fresno, California, United States Regional Hand Center Full timeJob SummaryWe are seeking a highly skilled Medical AR Specialist to join our billing team at Regional Hand Center. As a key member of our team, you will be responsible for submitting accurate and timely electronic claims through the EDI to enable payment from all appropriate parties.This role requires expertise in medical terminology, CPT coding,...
-
Café Associate
5 days ago
Fresno, California, United States Sam's Club Full timePosition SummaryThe ideal candidate will have a passion for fresh food and a knack for organization. As a Café Associate - Fresh Food Specialist at Sam's Club, you will be responsible for preparing fresh food items daily, following recipes, and ensuring high-quality products are available in our prepared foods area. You will also be responsible for...
-
Personal Lines Insurance Account Manager
4 weeks ago
Fresno, California, United States Jobot Full timeJob SummaryThe Personal Lines Account Manager will be responsible for managing and servicing a book of personal insurance accounts, ensuring client satisfaction and retention. This role involves providing personalized service, handling renewals, processing policy changes, and advising clients on the best insurance products to meet their needs.Key...
-
Customer Service and Tax Operations Specialist
3 weeks ago
Fresno, California, United States Hinderliter de Llamas & Associates Full timeJob Summary:We are seeking a detail-oriented and customer-focused individual to join our team as a Customer Service and Tax Operations Specialist. In this role, you will be responsible for providing exceptional customer service and accurate data entry while working with local tax collection and administration services for jurisdictions in multiple states....
-
Regional Property Manager
1 month ago
Fresno, California, United States Community Holdings Management LLC Full timeJob SummaryThe Regional Property Manager is responsible for overseeing the operations of a regional portfolio of affordable housing developments. This includes managing staff, leasing, and ensuring compliance with regulatory requirements.Key ResponsibilitiesDevelop and implement systems to motivate and establish performance goals for site managers and their...
-
Field Engineer
4 weeks ago
Fresno, California, United States Tutor Perini Corporation Full timeJob SummaryTutor Perini Corporation is seeking a highly skilled Field Engineer to join our team. As a Field Engineer, you will play a critical role in the success of our construction projects.Key Responsibilities:Review project plans and develop construction schedules in coordination with project-wide activities.Coordinate with subcontractors on advance...
-
Workers Compensation Defense Attorney
1 month ago
Fresno, California, United States Jobot Full timeJob Title: Workers Compensation Defense AttorneyA top workers compensation defense and civil litigation firm seeks a seasoned WC defense attorney to join their dynamic team. This remote position offers an exciting opportunity to work on a variety of challenging cases.Job Details:Manage a caseload of workers compensation cases from inception through...
-
Community Ambassador, Channel Retail
1 month ago
Fresno, California, United States Apple Full timeAbout the RoleWe are seeking a highly motivated and customer-focused Community Specialist to join our team at Apple. As a Community Specialist, you will be responsible for creating excitement and building knowledge around Apple products through training and demonstrations at multiple partner stores within your community.You will be a brand ambassador,...
-
Workers Compensation Lawyers
1 month ago
Fresno, California, United States International Staff Consulting Full timeJob Title: Workers Compensation AttorneysWe are seeking experienced Workers Compensation Attorneys to join our team at our law firm in California. As a Workers Compensation Attorney, you will be responsible for managing the legal defense of workers' compensation cases from inception to final resolution, including all aspects of discovery and litigation.Key...
-
Change Order Specialist
1 month ago
Fresno, California, United States PGH Wong Engineering, Inc. Full timeJob OverviewPGH Wong Engineering, Inc. is seeking a skilled Change Order Manager to join our team. As a Change Order Manager, you will play a critical role in managing the overall change order process, ensuring timely and accurate responses to change notices and proposed change order cost proposals.Key Responsibilities:Manage the change order process from...