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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 a Senior Liability Claims Specialist. Key Responsibilities: Receives and confirms policy coverage and acknowledgment of claims Investigates and handles complex and non-complex Auto and General Liability claims...
Confidential
A company is looking for an SEO Specialist to join their team remotely. Key Responsibilities: Develop and execute SEO strategies to drive organic traffic and search engine rankings Monitor, analyze, and optimize SEO performance to ensure...
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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...
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A company is looking for a Remote Foreclosure Specialist II. Key Responsibilities: Maintain and review foreclosure tracking templates to ensure timely completion of tasks Communicate with team members, clients, and investors during foreclosure...
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A company is looking for a Remote Intake Specialist - Bilingual. Key Responsibilities: Talks directly with patients and their families to determine their needs and medical history Schedules various appointment types for multiple locations...
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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...
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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...
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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,...
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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,...
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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...
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A company is looking for a Claims Training & Development Specialist. Key Responsibilities: Ensure claims representatives follow Best Practice guidelines, provide excellent customer service, and achieve performance targets Handle...
Confidential
A company is looking for a Senior Long Term Care Benefit Claim Specialist. Key Responsibilities: Perform end-to-end claims evaluation, management, and adjudication for disability claims Communicate and develop business relationships with...
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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...
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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...
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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 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 company is looking for a Quality Assurance Claims Audit Specialist. Key Responsibilities: Conduct quality reviews of work performed within Operations and recommend improvements Provide feedback to associates and management to improve workflow...
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A company is looking for a Senior Liability Claims Analyst. Key Responsibilities: Direct and control the administration of liability claims, both litigated and non-litigated Oversee third party administrator in investigating, evaluating, and...
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A company is looking for a Senior Insurance Claims Adjuster. Key Responsibilities: Process a minimum of 1,000 medical, dental, and vision claims per week while maintaining quality goals Review, analyze, and make determinations on claims for...
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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 Senior Billing Specialist with Federal Contract experience for a remote position. Key Responsibilities: Responsible for client record maintenance and supporting client billing and remittance Researches and resolves...
Confidential
A company is looking for a Claims Estimate Writer I, II, Senior (REMOTE) who will be responsible for creating comprehensive estimates of damages for 1st and 3rd party material damage claims. Key Responsibilities: Demonstrates sound estimating...
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A company is looking for a General Liability Senior Claim Representative. Key Responsibilities: Handle and resolve complex and higher exposure specialty claims Investigate, evaluate, and negotiate claims to provide efficient and effective...
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A company is looking for a Senior Evaluation Specialist. Key Responsibilities: Design evaluation pathways for school districts using Lexia products Manage relationships with school district leaders and research contacts Analyze and report data...
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A company is looking for a Senior Quality Specialist. Key Responsibilities: Lead quality and process improvement activities Support accreditation and compliance requirements Provide consultation and training on quality and performance...
Confidential
A manufacturing organization is seeking a Senior Training Specialist to develop training materials for manufacturing teams utilizing Cornerstone OnDemand and Articulate 360. Key Responsibilities: Develop training materials for manufacturing...
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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...
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A company is looking for a Senior Contracts Specialist. Key Responsibilities: Prepare, send, and execute standard sales contracts and other agreements as required/requested Analyze complex legal documents and situations and offer solutions...
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