Claims Specialist Jobs
Position Description: Do you have experience with PD Subrogation claims? If so, Infinityâ€™s Property Damage Adjuster/Bodily Injury Claims Specialist is an outstanding career choice in our Casualty Department. This opportunity analyzes claims and negotiates settlements of attorney represented and non represented BI/UM claims . Within this dynamic environment we are currently offering an opportuni...
A Medicaid Claims Follow Up Specialist job is available in Nashville, TN courtesy of Accounting Principals. To be considered for this role, you must have a High School Diploma and at least 1 year of previous experience working in a similar role. This position offers work life balance and also the opportunity to get your foot in the door within Nashville's healthcare industry. This position pays $3...
Claims Support Specialist Great West Casualty Company At Great West Casualty Company, our mission is to be the premier provider of insurance products and services for truckers. Our identity, business, and success are linked to trucking, the industry that moves our nation's economy. If you desire to work for a stable company that is a leader in the industry, then we have some terrific opportunities...
RESPONSIBILITIES: Our Indianapolis, IN client is seeking an experienced medical biller with specific expertise in researching denials and handling follow-up activities. Responsibilities include: Conducting insurance follow-up on all final billed claims Researching denied claims and taking steps towards resolution of those claims Correcting/Adjusting claims errors and re-billing claims for pay...
Allstate® Good Work. Good Life. Good Hands.® Voted one of the World’s Leading Top 100 Companies by Forbes magazine Do you have a passion for helping others? Can you work independently? Manage your time efficiently? Are you looking to accelerate your career with a world-renowned company? Allstate Insurance Company has an exceptional career opportunity for a Claims Senior Service Specialist in B...
The Medical Billing Specialist reports directly to the Medical Service Revenue Manager. The Medical Billing Specialist is responsible for preparing and submitting timely and accurate insurance claims to third party payers, assisting in the implementation of payer regulations and ensuring compliance to the regulatory requirements, and verifying payments and adjustments are appropriately applied to ...
Examines and resolves medical claims, maintains quality customer service, and ensures legal compliance. Duties and Responsibilities: Documents medical claims Establishes proof of loss Approves or denies documentation Responds to customer inquiries Prepares reports Seeks additional education through industry opportunities Other duties and responsibilities as requestied Apply TODAY!...
American Modern is widely recognized as a leading expert in the specialty insurance business. With more than 48 years of experience, the company delivers specialized products and services for residential property like mobile homes and specialty dwellings. American Modern also offers specialty policies for consumers in the recreational market, including owners of boats, personal watercraft, classic...
QSI/NextGen Healthcare builds software that improves patient care and reduced healthcare costs. Now we’re bringing the best of the cloud, social media and mobile to healthcare. Come build the future with us! Please visit our website at: www.nextgen.com. The EDI Department is currently seeking an EDI Claims Analyst on our Implementations and Operations team. The Analysts primary responsibilities ...
Preferred Mutual is seeking a Liability Claims Specialist that is responsible for investigation and disposition of assigned claims, serving as an expert in one or more areas of claim handling requiring a Bachelor degree and 8-9 years of technical property claims experience, with SCLA, CPCU, or equivalent advanced insurance education. This position offers the potential to work from home; physical l...
The Claims Specialist is responsible for working with internal/external customers on the receipt, analysis, impact, resolution and posting/reporting of all contractual payments across multiple customer segments including Health Plans, PBMs, Part D, GPOs, Wholesalers, and State and Federal Government as well as maintaining all related documentation for those payments. In this role, the incumbents m...
POSITION TITLE: Provider Education Specialist POSITION PURPOSE To conduct provider education and trainings in person, on site, in group settings, and/or via electronic media such as webinars, video conferencing or other technology. To develop and maintain provider educational materials for all PHC lines of business and programs. Ensure consistent and accurate provider information and education ...
Description As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management , patient com...
This is a full-time position located at 222 W. College Ave in Appleton, WI. This is a full-time position working on claims for Network Health Plan. The Claims Resolution Specialist is responsible for all aspects of Facility and Provider Billing, research and patient account resolution on Insurance pending balances for all Commercial/Contracted Payers. This position is also the primary resource a...
The ACE Group of Companies is one of the world's leading global commercial property and casualty insurance and reinsurance organizations, with 16,000 employees worldwide and offices in more than 50 countries. ACE serves the property and casualty insurance needs of businesses of all sizes in a broad range of industries. We also provide specialized insurance products—such as personal accident, supp...
The Navigators Group, Inc. Albany, NY, 12201
Investigate, analyze and evaluate claims, review and apply coverage terms and conditions, evaluate damages and set appropriate reserves Lines of business will include Management Liability claims with a focus on Employment Liability. Report to senior management, actuarial and underwriters regarding claims trends and developments Work with outside counsel to develop and implement case resolution ...
1000-UNCH Chapel Hill, NC
Description Responsibilities are to ensure accurate and timely claims payment for claims; Conducting post payment review on claim denials, including followup with payers to appeal denials or underpayments; Collaboration with Clinical Departments to address changes in regulations, reimbursement rules, claims documentation requirements, inappropriate filing or documentation patterns; Review of manu...
American Financial Group , Inc Cincinnati, OH
Great American Insurance Group's roots go back to 1872 with the founding of its flagship company, Great American Insurance Company. Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance, focusing on specialty commercial products for businesses, and in the sale of annuities and supplemental insurance products. The Speci...
Liberty Mutual Holding Company Inc. New York, NY, 10007
Advance your Claims career at Liberty International Underwriters, a subsidiary of Liberty Mutual Insurance- A Fortune 100 Company! Are you looking for an opportunity to join a claims team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty International Underwriters has an excellent claims opportunity available . With minimal supervision, the ...
Zurich NA Schaumburg, IL, 60196
Job Summary Imagine working for a company that truly cares about their employees, customers, stakeholders, and communities they serve. Imagine working for a values-driven organization that has the ambition and desire to be the best global insurance provider in the world. Zurich is that place where 55,000 employees across approximately 200 countries and territories are all focused on helping peopl...
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$27,040.00 - $80,000.00
Typical Salary for Claims Specialist
Source: Monster.com Careerbenchmarking Tool
Education / Training
Some College Coursework Completed
Source: Monster.com Careerbenchmarking Tool
Serves customers by supporting accounts; adjudicating claims; maintaining account performance; completing special projects.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Attention to Detail
Maintains continuity of work operations by documenting and communicating actions, irregularities, and continuing needs.
Supports accounts by building and maintaining rapport; working on-site with accounts; providing information, training, and guidance.
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