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LOCATION: Remote
GENERAL STATEMENT OF JOB
Responsible for all accounting functions related to a designated area of physical and behavioral health medical claims processing to ensure that providers receive timely and accurate payment. This position is responsible for claims adjudication through continuous monitoring and quality control measures. Responsibilities include finalizing c...

SUMMARY OF JOB PURPOSE AND FUNCTION:
The Claims Specialist, Senior Claims Specialist, and Worker’s Compensation Claims Specialists manage a book of workers’ compensation claims until closure, as assigned by Lead Workers’ Compensation Specialist. Investigates claims to make sure they are work related. Maintains lost time injury and critical claim report database. Acts as a liaison between VCA, ...

Job Description
The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and initiative. WE ARE THE KIND OF EMPLOYER YOU DESERVE. LTCG is a leading provider of business process outsourcing for the insurance industry, managing over 1.3 million ...

LOCATION: Remote
GENERAL STATEMENT OF JOB
The Claims Supervisor administers all accounting functions related to a designated area of physical and behavioral health medical claims processing to ensure providers receive timely and accurate payment. Supervision of claims adjudication through continuous monitoring and quality control measures. Finalize claims processed electronically ...

LOCATION: Remote
GENERAL STATEMENT OF JOB
The Claims Trainer will be responsible for designing, developing and conducting high quality remote training for the Claims Administration Department staff. This position will also document and provide updated and accurate documentation of claims desk level procedures, policies and job aids in accordance with Vaya approved policy and procedures...

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 ...

Job Details
Level: Entry Job Location: Las Vegas Office - Las Vegas, NV Position Type: Full Time Education Level: High School Diploma or GED Salary Range: $19.50 - $22.00 Hourly Job Shift: Day Job Category: Insurance
Claims Assistant
Please make sure that you complete all the questions and navigate to the end of the application to sign the application.
This position ...

About Firstsource
Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes.
We are trusted brand custodians and long-term partners to 1...

The Doctors Company is currently seeking an experienced Claims Manager for our Region II team. This is a hybrid or telecommuter opportunity, depending on the candidate’s location.
Position Mission
Reporting to the AVP Claims, you will be responsible for developing high exposure claim handling strategies, assist in the development of claim processes, and identifying opportunities to achieve op...

The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.
Must reside in Montana.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
* Receives clai...

Curative is searching for a claims analyst to review claims for completeness and process per plan guidelines. Carries out all duties while maintaining compliance and confidentiality and promoting the mission of the organization.
ESSENTIAL DUTIES AND RESPONSIBILITIES
* Reviews claims for compliance with plan guidelines and approves or denies payment using established guidelines, policy and...

Company
Navitus
About Us
Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encour...

Overview
Now is the time to join us!
We’re Personify Health. We’re the first and only personalized health platform company to bring health, wellbeing, and navigation solutions together. Helping businesses like yours optimize investments in their members while empowering people to meaningfully engage with their health. At Personify Health, we believe in offering total rewards, flexible opportu...

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insuran...

The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.
Must reside in Montana.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
* Receive...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.
LANCER CLAIMS SERVICES
Claims Adjuster
Ideal candidates will have experience as a securities attorney, 5 years handling securities claims, or 3+ years engaged in the selling and servicing of various financial products such as annuities, life insurance, se...

Claims Support
Virtual Req #26997 Monday, August 26, 2024
Company Overview and Culture
EXL (NASDAQ: EXLS) is a global analytics and digital solutions company that partners with clients to improve business outcomes and unlock growth. Bringing together deep domain expertise with robust data, powerful analytics, cloud, and AI, we create agile, scalable solutions and execute complex o...

Description
Liberty Mutual has an immediate opening for a Complex Claims Specialist for our Professional Liability Unit. With minimal supervision, the Complex Claims Specialist handles a book of Lawyers Professional Liability claims, throughout the entire claim's life cycle. You will be responsible for conducting investigations, recommending adequate reserves, monitoring, documenting, and set...

Make a difference with a career in insurance
At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we’re looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We ...

Make a difference with a career in insurance
At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we're looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We help ...