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Claims Account Coordinator Jobs

1000+ jobs

Description: Position Overview: TIS Insurance Services, Inc. HealthCare Services Division has an opening for a Clearwater, Florida based Account Executive that will be responsible for day to day management of Workers' Compensation claims for a multi-state national account. There will be a strong direct Claim Service component to the position primarily focused on Workers' Compensation and to a les...

Department: Operations - Account Management Reports to: Sr. Director of National Operations Location: 3901 Premier North Drive, Tampa FL 33168 Coordinates and documents provider inquiries. Researches and assists Operations Account Representatives with resolution of claims inquiries for the Medicare and Medicaid lines of business regarding reimbursement issues, health plan payment methods, benef...

More than 5,600 professionals at Locktonprovide 48,000 clients around the world with risk management, insurance, employee benefits consulting, and retirement services that improve their businesses. From its founding in 1966 in Kansas City, Missouri, Lockton has attracted entrepreneurial professionals who have driven its growth to become the largest privately held, independent insurance broker in t...

PharMerica Corporation is a premier institutional pharmacy services provider, dedicated to providing quality patient care and innovative pharmacy solutions to institutional customers and patients in long-term care settings. With nearly $2 billion in annual revenues, PharMerica is the second largest institutional pharmacy company in America. PharMerica operates more than 100 institutional pharmacie...

ABOUT THE POSITION We are currently seeking a dynamic Help Desk Technician I to join our team at our office in Latham, New York. The Help Desk Technician I provides first level support to all electronic submitters in an inbound call center environment; track and follow up on all calls received by the e-support helpdesk. Establish and maintain positive communication with submitters through these t...

Claims Specialist - Senior Claims Specialist, Commercial Insurance-65478 Description Advance your Claims career at Liberty Mutual Insurance - A Fortune 100 Company! The Claims Specialist/Sr. Claims Specialist will review, analyze and process moderately complex Workers' Compensation claims within assigned authority limits and consistent with policy and legal requirements to ensure the delivery o...

Job Opening ID 3524BR Title Claim Account Executive Country United States State/Region/Province Wisconsin City Brookfield Job Category Claim Position Type Experienced/Professional Company Information Solid reputation, passionate people and endless opportunities. That's Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customer...

Job Summary This position is responsible for evaluating, developing, implementing and monitoring customized claim service programs, for Business Insurance. Works in collaboration with internal business partners provide service to customers. Add value for our internal and external customers by building trusting relationships, promoting teamwork, influencing business outcomes and displaying a superi...

Title Claims Quality Coordinator Req ID 311343BR Business Area CVS Health Job Category Compliance Location - State/City AZ - Scottsdale Position Summary The Coordinator position within Quality Assurance will perform subrogation claims adjudication analysis with an emphasis on paid and rejected claims. Emphasis on complex claims adjudication scenarios surrounding drug coverage and client’s ben...

Job Category: Compliance Clinical Licensure Required : N/A Job Type: Full Time Position Summary: The Coordinator position within Quality Assurance will perform subrogation claims adjudication analysis with an emphasis on paid and rejected claims. Emphasis on complex claims adjudication scenarios surrounding drug coverage and client’s benefit plan designs in represented states. Resolve any adjud...

The Coordinator position within Quality Assurance will perform subrogation claims adjudication analysis with an emphasis on paid and rejected claims. Emphasis on complex claims adjudication scenarios surrounding drug coverage and client’s benefit plan designs in represented states. Resolve any adjudication discrepancies by working with various departments such as IT, Account Management, Finance an...

Purpose and Scope: Provides information as needed for pending or rejected claims sent to VHCPG by eClinicalworks Revenue Cycle Management team to maximize reimbursement for the VHC Physician Group. Maintains effective follow up and collection activities on assigned accounts to be sure eCW has information to resolve the claim. Verifies claim has been resolved in an appropriate manner. Provides pro...

Support the development, implementation, and maintenance for all claim aspects of the broker account relationships with prospects, agent/brokers, policyholders, and department. Participate in service capabilities presentations, customer implementation meetings, and on-site claim review meetings. Create claim implementation processes and marketing/training materials for clients. Respond to customer...

Overview: The Coordinator Claims II is responsible for the validation of services rendered to Vitas patients via billed data submitted on claims and invoices. Applies contracted negotiated financial arrangements for each service billed for contracted providers and vendors and apply general claims/invoice processing procedures and guidelines for each service billed. Validates patient benefits, lim...

Everest National Insurance Company, Inc., a division of Everest Re group, Ltd., is seeking a Ceded Reinsurance Claims Coordinator located in our Liberty Corner, New Jersey headquarters. Responsibilities include but are not limited to: • Review and interpret reinsurance contract terms. • Update Reinsurance Contract Profile Matrix with new or renewed contracts. • Identify contracts with individu...

The claims Coordinator is critical to the success of the Homesite Claims Department by having a direct impact on the claim’s method of adjustment. The coordinator’s primary responsibility is to analyze the loss description and determine the appropriate team for handling. This requires a high level understanding of claims adjusting. The coordinator may also be required to review field team capaciti...

Title Claim Quality Coordinator Req ID 275165BR Business Area CVS Health Job Category Business Analyst Compliance Location - State/City AZ - Scottsdale Position Summary The Coordinator position within Quality Assurance will perform subrogation claims adjudication analysis with an emphasis on paid and rejected claims. Emphasis on complex claims adjudication scenarios surrounding drug coverage...

JOB SUMMARY: Review and document overage, shortage and damage intents. Determine if intents are valid or invalid claims. Communicate claim decisions to customers and vendors and negotiate claim resolutions. ESSENTIAL JOB FUNCTIONS: Enter incidents, notice of intent and cargo claims into claims database Analyze information from customers, shippers, consignees and carriers relating to cargo loss i...

Benefits Supplemental Questions Under general direction of the City Attorney/City Prosecutor, manages the day-to-day administration of claims and recovery activities and services; conducts investigations and performs a variety of diverse work in collecting, analyzing, evaluating and interpreting facts and information on liability and recovery claims involving the City; represents the City in mee...

JOB SUMMARY: Review and document overage, shortage and damage intents. Determine if intents are valid or invalid claims. Communicate claim decisions to customers and vendors and negotiate claim resolutions. ESSENTIAL JOB FUNCTIONS: Enter incidents, notice of intent and cargo claims into claims database Analyze information from customers, shippers, consignees and carriers relating to cargo loss ...