Click to search for jobs

Company :
Highmark Inc.
Job Description :
JOB SUMMARY
This job is responsible for screening, reviewing, evaluating online entry, correcting errors and/or performing quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Reviews processed claims and inquiries to determine ...

As a Claims Specialist, your primarily responsible for providing a high level of customer service to all customers and retailer partners by utilizing soft skill techniques. You will provide this service daily through receiving and transmitting phone calls from retailers and customers alike, responding to emails, creating claims, reviewing documentation, monitoring progress queues, and authorizi...

The Claims Analyst is responsible for reviewing, analyzing and processing medical and/or dental claims. This role is responsible for analyzing claims from first submission and processing them to the final payment while maintaining complete accuracy, production and quality standards.
Responsibilities
Analyzing/Processing
* Gain and maintain the understanding of the plan designs and effectiv...

Our Company
Start your next chapter at Revecore! For over 25 years, Revecore has been at the forefront of specialized claims management, helping healthcare providers recover meaningful revenue to enhance quality patient care in their communities. We're powered by people, driven by technology, and dedicated to our clients and employees. If you're looking for a collaborative and diverse culture w...

About Integrated Specialty Coverages
Integrated Specialty Coverages, LLC (ISC) is a growth stage technology and data-driven commercial MGA and insurance wholesaler leading innovation in the market.
Backed by one of the leading private equity firms, Onex Partners, and led by a forward-thinking management team, ISC is combining the worlds of insurance and technology to create an Insurtech powerho...

Job Type
Full-time
Description
Chisholm Chisholm & Kilpatrick (CCK) is a private, public-interest law firm offering rewarding work with a focus on disabled military veterans and their families, as well as a wide range of other individuals who have been denied life, health, and disability benefits. We are committed to building an inclusive team that reflects the diversity of our clients.
The Ro...

Who We Are
Join a team that puts its People First! As a member of First American's family of companies, First American Home Warranty offers a wide range of home warranty products and services to home sellers, buyers and agents. Since 1889, First American (NYSE: FAF) has held an unwavering belief in its people. They are passionate about what they do, and we are equally passionate about fosterin...

Pay Plan Title: Claims Specialist III
Working Title: Claims Specialist III
FLSA Status: Exempt
Posting Salary Range: $56,270 - $69,898
Office Location: Remote within North Carolina
POSTING DETAILS:
Make an Impact
Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental healt...

Company Description
This is a full-time permanent healthcare claims adjudicator position. A claims adjudicator determines how much money will be paid after an insurance claim has been examined. This is not a customer service or customer facing position. This is a data entry position where you will be processing medical claims per the specific client requirements. Claims can vary and are highly ...

Subrogation Claims Specialist
Department: Claims Administration & Adjusting
Employment Type: Permanent - Full Time
Location: Home United States
Reporting To: Marie Noble
Compensation: $60,000 - $68,000 / year
Description
Our Story
Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America, we're at the forefront of innovation and excellence,...

CLAIMS SPECIALIST 2
Job No: 543002
Work Type: Full-time
Location: REMOTE OPTIONS, PHOENIX
Categories: Administrative Support/Customer Service, Business and Financial Administration
DEPARTMENT OF REVENUE
Funding Arizona's future through excellence in innovation, exceptional customer service and public servant-led continuous improvement.
CLAIMS SPECIALIST 2
Job Location:
Division of Taxpayer S...

Location Designation: Fully Remote
Group Benefit Solutions deliverscomprehensive insurance and absence management solutions for mid-sized and large companies. Our work fosters a healthier, happier, and more secure workforce, contributing to New York Life's legacy of beingthere when we're needed most. Here, you'll design, implement, and support these solutions directly impacting employees' live...

WHO WE ARE:
Harford Mutual Insurance Group is a growing, dynamic mutual insurance carrier providing commercial property and casualty insurance products and services to a regional market. Headquartered in Harford County, Maryland, Harford Mutual offers a positive, diverse, and inclusive work environment with a rich company culture. Founded in 1842 on the principles of mutuality, we believe in i...

Job Seekers can review the Job Applicant Privacy Policy by clicking here.
Job Description:
The Claims Analyst handles complex and high exposure bodily injury and property damage claims under Ryder's self-administered liability program.
This position investigates and adjusts claims, as well as directs defense counsel, independent adjusters, experts, and other vendors in the
claims-handling proc...

Reporting to the Unit Manager, this role will be responsible for direct handling of commercial claims specific to General Liability and/or Excess General Liability. Familiarity with SME (small to midsize enterprises) insureds involving premises liability, including but not limited to franchisees, hotels, and restaurants/entertainment. Duties include investigation and evaluation of coverage, lia...

Company Overview
Recognized as a Milwaukee Journal Sentinel Top Workplace for 14 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are our greatest asset. We hire talented individuals who are conscientious, dedicated, customer focused, and able to build lasting relationships. We create and maintain an environment ...

Description
*** CA, OR, NV and/or NY workers' compensation claims experience are preferred but not required. ****
*** Candidates residing within 50 miles of a hub location will be subject to in-office requirements ***
The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the ...

Description
The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution. This includes making decisions about liability/compensability, evaluating losses, and negotiating settlements. The role interacts with claimants, policyholders, appraisers, attorne...

As a leading U.S. accounting and professional services firm, is seeking a meticulous and self-motivated individual to join our team as a Remote Data Processing Claims Analyst. This is a full-time, remote position offering the opportunity to work with one of the top 30 largest accounting firms in the United States.
As a member of the UHY team, you will be part of a dynamic organisation that comb...

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top ...