Jobs: remote medical claims examiner i

Job DescriptionJob DescriptionS&S Health is a premier healthcare administration company located in Cincinnati, Ohio. We offer self, level, and fully funded solutions that lower costs while improving outcomes with a consumer-centric experience. Our integrated benefits, services, and technology platform have been developed to serve the needs of Employers,...

**Claims Examiner III** **Role Insights** **Primary Responsibilities** - Audit claims processing quality, develops, maintains and runs standard reports - Assist the Claims Supervisor/Director in reviewing the quality auditing tracking/reporting (financial and procedural) - Coordinating with various departments to resolve disputes or issues - Maintain the...

Job DescriptionJob DescriptionPackard Claims Administration is a fast paced and growing TPA looking for a Workers Compensation Claims Examiner to join our team. We pride ourselves on having a family oriented environment that makes for an enjoyable place to work.Responsibilities:Must have and maintain a FL adjusters license (620 Florida All lines Adjusting...

Job DescriptionJob DescriptionImagenet is a premier healthcare technology company that has taken medical claims processing and document management to new levels of service, security and efficiency. We are looking for Claims Examiners to join our rapidly growing team in Tampa. Experience is preferred but not necessary. Candidates with the right aptitude and...

Immediate need for a talented Claim Examiner . This is a 6Monthscontract opportunity with long-term potential and is located in Garden City,NY(Remote) . Please review the job description below and contact me ASAP if you are interested.Job ID:Pay Range:$18-$20/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision),...

Job DescriptionJob DescriptionJob SummaryThe Claims Examiner is key in the daily operations and processing of medical claims. The Examiner is responsible for the review and accurate payment of PPO health claims under the Health and Welfare Plan.This is a full-time position based in Pasadena, CA. Essential job functions include but are not limited to:Accurate...

About the Role : We are currently seeking a highly motivated Claims Examiner. This role will report to the Manager - Claims and enable us to continue to scale in the healthcare industry. What You'll Do:  Performs through review of pended claims for billing errors and/or questionable billing practices that might include duplicate billing and...

Job DescriptionJob DescriptionPosition DetailsClient: BankingRole: Claims Adjuster (Remote)Project Location: RemoteProject Duration: 6+ MonthsPay Range: $15/hour to $20/hourShift: EST hoursJob Description:Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to...

Job DescriptionJob DescriptionOur client is a personal and commercial insurance carrier with over 80 years of experience. They insure various entities but specialize in commercial auto liability, auto physical damage, general liability for government entities and municipalities. They are looking for an experience Multi-line Claims Examiner to be a part of...

**About us** Headquartered in Maitland, FL with our brokerage and marketing office in St. Petersburg, Anchor Benefit Consulting represents small to mid-size employers with their health plan designs and consumer driven products. Known for our boutique style services and plans, Anchor is committed to helping employers offer competitive, valuable health...

Job DescriptionJob DescriptionPosition Type: Direct HireLocation: Montebello, CA (Hybrid after initial training onsite is completed)Hourly Rate: $24 - 30/HR depending on years of experienceSchedules Available: 6AM - 3PM, 7AM - 4PM, 8AM - 5PMRequirements:Minimum 2 - 3 years of previous claims examiner experience, not medical billing.Experience communicating...

Job DescriptionJob Description Summary:Accurate review, input and adjudication of provider specialty claims, including UB04s, in accordance with outside regulations, internal production standards and the contractual obligations. Knowledge of medical terminology necessary. Strong knowledge of Commercial, Medicare and Medi-Cal codes. Basic PC knowledge with...

Job DescriptionJob DescriptionPosition Title: Sr. Claims ExaminerJob Summary:We are seeking an organized and detail oriented self-starter with a minimum of three years’ experience in medical claims processing for a full-time Senior Claims Examiner position. The hours are Monday through Friday, 8:30am – 4:00pm. This position will be responsible for the...

Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services·Follow claims adjudication rules to assure that all claims are adjudicated in accordance with CMS rules and regulations and our Client's internal criteria· Review different lines of business to include Medicare, Medicaid and Commercial...

Job DescriptionJob DescriptionDirect Hire F/T Remote Medical Claims Adjudicator Needed (Excellent Union Benefits)Our client, a busy and growing Taft Hartley Labor Fund Union located in Aurora, Illinois has an immediate staffing need for an experienced Medical Claims Adjudicator. This is a remote position, but candidates must live within a commutable distance...

Job DescriptionJob DescriptionJOB TITLE: Medical Claims ExaminerDEPARTMENT: Finance REPORTS TO: Director of AccountingLOCATION: 2061 Collier Pkwy Land O' Lakes, FL 34639SCHEDULE: M-F 8am-5pm (onsite) POSITION SUMMARY:Analyze claims to identify/determine the extent of hospice agency liability. Interpret contract benefits in accordance with specific claims...

Company Summary: Our client is a top-rated carrier collaborating with Managing General Agents offering Commercial Auto Liability, Physical Damage, Motor Truck Cargo, and diverse General Liability programs. They are looking to add a Commercial Claims Examiner to their growing team. Location:Columbia, South Carolina - On-site Responsibilities:This person will...

We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managing and adjudicating complex insurance claims, ensuring accuracy, efficiency, and adherence to company policies and regulatory guidelines. The ideal candidate will possess a strong background in claims processing, exceptional analytical...

Job DescriptionJob DescriptionJOB SUMMARYThe Claims Examiner – Inside Desk Adjuster has direct responsibility for homeowners' property insurance claims, starting with contacting the insured upon the loss through claims resolution. The Claims Examiner provides world class customer service to our insurance policyholders by empathetically handling each claim...

Job DescriptionJob Description[Position]Claims Examiner for Insurance Industry.[About Our Client]One of the largest non-life insurance companies based in South Korea. We currently writes all lines of property and casualty insurance in CA, NY, OH, IN, PA, TX and HI State.Financial Ratings:- A.M. Best Rating: A+ (Superior)“Superior: A++ to A+ grade assigned...