Jobs: sr claims

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...

Sr Life Claims Specialist Do you desire to make a difference? Are you a flexible team player, a hard worker and a quick learner looking for a new opportunity where each day is different? Do you have past life and annuity experience and a strong customer service mindset? If so, this could be a great opportunity for you Who We Are:  At Farm Bureau...

Duration: 12+ Months (Contract to Hire)Job Description:Looking for candidates as Sr. Claims Resolution Representative who can follows adjudication policies and procedures to ensure proper payment of claims. Resolves pending claims based on Medicaid rules and regulation established for final processing.Responsibilities:Resolves claims resolution and/or...

Job DescriptionJob DescriptionPOSITION:                 Sr. Claims Adjuster - Workers’ Compensation (TEXAS Jurisdiction)REQUIRED:                Texas Workers Compensation License (valid and current)STATUS:                     ExemptPOSITION SUMMARY:  Under minimal supervision manages all aspects of...

About Us: Buck, a Gallagher company, opens doors to a world of boundless opportunity and innovation. As part of our integrated team, you'll immerse yourself in the exciting journey of serving HR departments and trustees across diverse industries. Together, we'll build pathways to a brighter future for clients worldwide, harnessing the power of collective...

Job DescriptionJob DescriptionThis position requires 100% on-site work in Baltimore, MD. Do not apply if you are not willing to work on-site. This is an excellent opportunity if you are not just looking for a job, but you are looking to build a life and a career. Our client believes in their people and realizes that their success is a direct result of...

Job DescriptionJob DescriptionJob Title: Sr Data Architect with AWS - Claims Expert - 100% RemoteDuration: 6-Month ContractLocation: Remote must work CST time zone as Company based out of Franklin, TNNote: Looking for a Data Architect with deep claims experience for a 6-12 month contract. The project is translating 837/835 into a dimensional data mart in...

Job DescriptionJob DescriptionSr. Workers Compensation Claims Adjuster - Remote - Sacramento, CA*Must reside in California to apply*We have a wonderful opportunity available We are seeking a Sr. Workers' Compensation Claims Adjuster who is innovative and consistent in the work they do to assist a phenomenal insurance company in the Sacramento area. This is...

Job DescriptionJob Description The applicant must have extensive experience in personal injury case screening, intake, signups, processing of new cases, opening cases with adjusters, clearing liability, assisting clients with property damage, answering questions, client follow up, supervision and monitoring of client treatment, ordering and timely obtaining...

The Western Mutual Insurance Group has been providing excellent customer service to homeowners throughout the Southwestern United States for over 80 years. We are rated A (Excellent) by A.M. Best Company and have been named among the Top 50 Property Casualty Insurers in the country by Ward’s.Our constant endeavor in employee relations is to maintain a...

Job DescriptionJob DescriptionNational Insurance carrier is looking for an experienced medical/health malpractice claims professional that may be located in any of their regional offices i.e. Phoenix, AZ, Atlanta, GA, Chicago, IL, New York City, NY or White Plains, NY. This position would be a hybrid remote type, 2 days in and 3 day at home. Candidate will...

POSITION RESPONSIBILITIES: Analyze first reports and promptly contact insured/claimants. Effectively evaluate contract language and identify coverage issues.  Promptly and appropriately develop the file to provide accurate and timely investigation and loss analysis. Maintain an active file diary to move file toward resolution. Establish accurate...

This opportunity is with a start-up Value-Based Care firm, based in Miami, FL. As a Sr. Medical Economics Data Analyst, you will be working with both Medicare Advantage and medical claims data amongst a broad catalog of other fields. The Sr. Medical Economics Data Analyst will be responsible for:Data set creation, analysis, and reportingPricing, forecasting...

Sr. Configuration Data Analyst needs 5+ years experience with health plans or medical claims Sr. Configuration Data Analyst requires: Experience with Claims Processing, Medical Plan Benefit Configuration (Facets platform a plus) SQL and Database experience with basic queries. Excellent analytical and problem-solving skills Strong communication and...

Job DescriptionJob DescriptionSr. Configuration Data Analyst needs 5+ years experience with health plans or medical claimsSr. Configuration Data Analyst requires:Experience with Claims Processing, Medical Plan Benefit Configuration (Facets platform a plus) SQL and Database experience with basic queries. Excellent analytical and problem-solving skills Strong...

This opportunity is with a start-up Value-Based Care firm, based in Miami, FL. As a Sr. Medical Economics Data Analyst, you will be working with both Medicare Advantage and medical claims data amongst a broad catalog of other fields. The Sr. Medical Economics Data Analyst will be responsible for:Data set creation, analysis, and reportingPricing, forecasting...

Job DescriptionJob DescriptionNotes: Remote in CA - Candidate has to be physically located in CA.Temp to perm possibility.SIP is nice to have but not requiredYears of experience required: 5+Public agency & self-insured account experience is desirable.Primary Purpose: To analyze mid- and higher-level workers compensation claims to determine benefits due;...

Job DescriptionJob DescriptionOur client is a “A+ rated” carrier that specializes in Excess and Surplus Commercial Property insurance lines. Known in the industry as one of the top insurance companies to work for, excellent reputation for treating their partners with the utmost integrity by providing dependable, high-quality service.Position Summary:We...

Position SummaryEvernorth Accountable Care is a new business focused on partnering with healthcare providers to form value-based care relationships, improving care for patients and reducing total healthcare costs. Evernorth Accountable Care will be delegated select claims processing capabilities in certain geographic markets as part of its contractual...

Job DescriptionJob DescriptionThe Phia Group provides, amongst other things, claim recovery services for health benefit plans. When a health benefit plan pays medical bills, and we later discover someone else should have paid those medical bills, The Phia Group – on behalf of the health plan – will seek to recover the funds. The Senior Claims Recovery...