Senior Claims Specialist

The Workers' Compensation Claims Specialist is responsible for managing and processing claims related to workplace injuries or illnesses for a nationwide Professional Employer Organization (PEO). The Claims Specialist works with employers, employees, medical providers, and insurance carriers' Adjusters to ensure that the claims are handled in a timely &...

Job Posting: Senior Claims AttorneyLocation: Tampa, FLReports to: Vice President - ClaimsBasic Function: Our client is seeking a Senior Claims Attorney to support its claims operations and oversee the administration of claim notices, establishment and management of claim reserves, investigation, administration, and resolution of complex claims. The Senior...

Job Posting: Senior Claims AttorneyLocation: Tampa, FLReports to: Vice President - ClaimsBasic Function: Our client is seeking a Senior Claims Attorney to support its claims operations and oversee the administration of claim notices, establishment and management of claim reserves, investigation, administration, and resolution of complex claims. The Senior...

** Medical Only Adjuster (Claim Specialist)** **Job Category****:** Enterprise Comp (Claims) **Requisition Number****:** MEDIC04030 Showing 1 location **Job Details** **Description** CorVel is seeking a full time Medical Only Claims Specialist. The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time...

Responsible for prompt and accurate follow-up of all unpaid claims. Reviews assigned accounts to determine appropriate action needed with regards to claim resolution. Handles large payer projects as assigned by Department Manager. Responsible for 2nd Claims, Specialist, Healthcare

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Pay PhilosophyThe typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as...

Claims Administrative Support Specialist - Intermediate **Job Number** : 189978 As a **claims administrative support specialist**, youll play a vital role supporting our claims branch offices. In addition to ensuring essential administrative functions run smoothly, you may also interact with customers and medical providers by phone or in person when...

The Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve...

Position Summary: Investigates, evaluates, reserves, negotiates and settles assigned claims in accordance with Best Practices. Provides quality claim handling and superior customer service on assigned claims, while engaging in indemnity and expense management. Promptly manages claims by completing essential functions including contacts, investigations,...

Job Summary: Investigates, evaluates, reserves, negotiates and settles assigned claims in accordance with Best Practices. Provides quality claim handling and superior customer service on assigned claims, while engaging in indemnity and expense management. Promptly manages claims by completing essential functions including contacts, investigations, damages...

Job Type Full-time Description Company Overview: At NSN Revenue Resources, a part of USPI (United Surgical Partners International), we are the largest Ambulatory Surgery Center network in the United States. We foster a culture of innovation, collaboration, and excellence. Our Central Billing Office plays a crucial role in supporting our extensive network of...

Job Title: Claims SpecialistResponsibilities & Accountabilities: Provide comprehensive assistance to all stakeholders in acquiring claim information and documentation. Update computer systems meticulously, documenting all claims activity, conversations, correspondence, and payments. Analyze reported claims, conducting thorough investigations to ensure all...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Senior Pharmacy Resolution Specialist - RemotePosition Purpose: The Senior...

Great opportunity in Tampa to assist this corporate client in the creation of a new department focused on operational compliance! We are seeking a self-starter for this Senior Compliance Specialist position. Check out this ad and Apply NOW! Senior Co Compliance Specialist, Compliance, Specialist, Senior, Technology, Staffing

We are currently partnered with a leading financial institution committed to maintaining the highest standards of regulatory compliance, privacy, and data security. They are seeking a talented and experienced Senior Compliance Specialist to join their growing team and play a pivotal role in ensuring our operations adhere to industry best practices and...

**General Description** Equal Opportunity/Affirmative Action Employer. This is a responsible non-exempt position on the staff of Senior Connection Center where exercising good judgment in evaluating situations and making decisions is very important. Adept at interpreting and explaining complex information about the Serving Health Insurance Needs of Elders...

Job Description The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-up. The individual is responsible for conducting a comprehensive review of the insurance denial and working with the Clinical Denials Nurses and Coding Denials Specialists to compile appropriate documentation and...

Job Description The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-up. The individual is responsible for conducting a comprehensive review of the insurance denial and working with the Clinical Denials Nurses and Coding Denials Specialists to compile appropriate documentation and...

Job Description The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-up. The individual is responsible for conducting a comprehensive review of the insurance denial and working with the Clinical Denials Nurses and Coding Denials Specialists to compile appropriate documentation and medical...