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Confidential
A company is looking for a Sr Claim Benefit Specialist. Key Responsibilities: Review and adjudicate complex, sensitive, and specialized claims in accordance with plan processing guidelines Act as a subject matter expert by providing training,...
Confidential
A company is looking for a Claim Benefit Ops Specialist. Key Responsibilities: Review and adjudicate routine claims in accordance with claim processing guidelines Analyze and approve routine claims that cannot be auto adjudicated Apply medical...
Confidential
A company is looking for a STD & LTD Benefit Claim Specialist for their Workplace Solutions division. Key Responsibilities: Analyze and manage disability claims by evaluating medical information, contract analysis, and adhering to...
Confidential
A health plan is looking for a Claims Specialist. Responsibilities: Execute the process of adjudicating claims with accuracy and completeness as defined in the claims manual Process assigned claims for payment or denial in accordance with...
Confidential
A company is looking for an Auto Claims Specialist. Key Responsibilities: Review and research accident claims, contacting patients, insurance representatives, and attorneys to verify details and obtain maximum payments Submit bills to...
Confidential
A company is looking for a Military Benefits Specialist. Key Responsibilities: Respond to inbound phone calls from retired military beneficiaries and medical providers Assist with claims and billing inquiries from hospitals and clinics...
Confidential
A company is looking for a Benefits Specialist for their USA and Canada locations. Key Responsibilities: Manage day-to-day operations of group benefits programs for the US and Canada Provide excellent customer service and support the design of...
Confidential
A company is looking for a Senior Benefits Specialist to manage healthcare, insurance, employee benefit, and global leave programs. Key Responsibilities: Administer and internally market the company?s benefits programs Plan and manage annual...
Confidential
A company is looking for a Payroll & Benefits Specialist for their People Operations team. Key Responsibilities: Process accurate and timely payroll for all employees, including salaried, hourly, and commission-based employees Manage...
Confidential
A company is looking for an Insurance Claims Specialist - Medical. Key Responsibilities: Manage and resolve rejected pharmacy claims to ensure maximum payer reimbursement and timely billing Research and analyze rejected claims, working with...
Confidential
A company is looking for a Medical Insurance Claims Specialist. Key Responsibilities: Manage and resolve rejected pharmacy claims to ensure maximum reimbursement Contact providers and customers for additional claim information Monitor and...
Confidential
A company is looking for a Medicaid Claims Resolution Specialist. Key Responsibilities: Work on pending, denied, or incorrectly paid Medicaid claims Review and address issues causing claims to remain on hold Handle denials and appeals,...
Confidential
A company is looking for a Benefits and Leave Specialist for a contract position. Key Job Responsibilities: Assist with administration of employee benefits and leave programs Complete mail merges and send benefit communications Audit invoices,...
Confidential
A company is looking for a Benefits Verification Specialist. Key Responsibilities: Review patient insurance information and complete benefit verification process Verify patient specific benefits and document specifics for various payer plans...
Confidential
A company is looking for a Global Benefits Specialist. Key Responsibilities: Lead annual benefits design and open enrollment process Manage leave of absence process and evaluate return-to-work needs Ensure compliance with internal policies and...
Confidential
A company is looking for a Benefits Verification Specialist. Key Responsibilities: Review patient insurance information and complete benefit verification process Verify patient specific benefits and document details for various payer plans...
Confidential
A company is looking for an LTC Claims Care Management Specialist. Key Responsibilities: Provide evidence-based, short-term care management services to long-term care insurance policyholders Review functional and cognitive assessments, analyze...
Confidential
A company is looking for a Claims Associate. Key Responsibilities: Process claims and determine benefits for credit card or financial program benefits plans Make timely payments and adjustments for specified program claims Provide superior...
Confidential
A company is looking for a Short Term Disability Claims Representative. Key Responsibilities: Make claim/customer eligibility determinations and manage ongoing claims for short-term disability Communicate with claimants, employers, and medical...
Confidential
A company is looking for a Senior Claims Representative. Key Responsibilities: Investigate and process simple and straightforward Commercial claims within assigned authority limits Interact with insureds, claimants, agents, vendors, and other...
Confidential
A company is looking for a Senior Claim Representative. Key Responsibilities: Handle and resolve complex and higher exposure specialty claims Investigate, evaluate, and negotiate claims Recommend and implement action plans for settlement of...
Confidential
A company is hiring a Claims Senior Director. Key Responsibilities: Evaluate and improve claims operations and processes Collaborate with teams to implement claims system performance strategies Ensure compliance with regulations and maintain...
Confidential
A company is looking for a Third Party Liability Claims Specialist. Key Responsibilities: Review and work accounts transferred to litigation for insurance information and attorney representation Contact attorneys and adjusters to follow through...
Confidential
A company is looking for an Insurance Biller (Claims Resolution Specialist). Key Responsibilities: Work on pending, denied, or incorrectly paid claims by Insurance carriers Identify and address issues causing claims to remain on hold Handle...
Confidential
A company is looking for a Senior Product Claims Assistant. Key Responsibilities: Process and evaluate group disability income insurance claims in a timely and accurate manner Set up initial claim and verify coverage using appropriate systems...
Confidential
A company is looking for a Claims Director responsible for coordinating all operational management activities related to the Claims unit. Key Responsibilities: Coordinate claims processing, provider claims services, research, and projects...
Confidential
A company is looking for a Claims Examiner. Key Responsibilities: Adjudicate healthcare claims based on specific policies and procedures Review claims processing system data and compare it with corresponding UB04 or CMS1500 Review adjudication...
Confidential
A company is looking for a Claims Analyst for their Value Based Care - Client Operations team. Key Responsibilities: Process, review, audit, and investigate high-level coding discrepancies in claims Manage HCFA and UB92 Workflow Queues in the...
Confidential
A company is looking for a Claims Manager to oversee insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Key Responsibilities: Provide technical guidance on unusual or complex claim...
Confidential
A health plan is looking for a Claims Examiner to process hospital and medical claims, resolve claims of moderate complexity, as well as research, resolve and respond to inquiries. Key Responsibilities: Process hospital and medical claims...
