Claims Resolution Specialist jobs

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CLAIMS SPECIALIST

Determines covered loss of household goods or office equipment by reviewing paperwork, investigating incidents, determining subrugation and salvage when necessary. Document claim actions by completing reports, maintaining contact...

CompanyLincoln Moving & Storage
AddressTacoma, WA
CategoryInformation Technology
Salary$40.1K - $50.8K a year
Job typeFull-time
Date Posted 2 months ago See detail

Claims Specialist

Lincoln Moving & Storage

Tacoma, WA

$40.1K - $50.8K a year

Determines covered loss of household goods or office equipment by reviewing paperwork, investigating incidents, determining subrugation and salvage when necessary. Document claim actions by completing reports, maintaining contact...

Claims Specialist – Property Field Inspection

State Farm

Covington, LA

$27.31 an hour

An annual bonus based on individual and enterprise performance Annual merit increases 401(k) contribution Paid Time Off (PTO), plus: 5 days of Life Leave to take care of yourself and your family, Paid Volunteer Time, and an Annual...

Consumer Loan Resolution Specialist - Credit Resolution

Wesbanco

Wheeling, WV

Consideration for location will be: Wheeling, WV or Elizabethtown, KY.MarketUpper Ohio ValleyWork Hours per Week37.5RequirementsHigh school diploma or General Education Degree (GED).One year of related experience or training prefe...

Claims Specialist

Surgery Collect

Miami, FL

$22 - $25 an hour

Process and submit insurance claims for patient services. Follow up on outstanding claims and resolve any issues with insurance companies. Communicate effectively with patients and insurance companies to ensure accurate and timely...

Claim Specialist - Property Field Inspection

State Farm

Anchorage, AK

$60,532.62 - $96,130.13 a year

An annual bonus based on individual and enterprise performance Annual merit increases 401(k) contribution Paid Time Off (PTO), plus: 5 days of Life Leave to take care of yourself and your family, Paid Volunteer Time, and an Annual...

Senior Pharmacy Resolution Specialist

Centene Pharmacy Services

Lorida, FL

$18.27 - $31.10 an hour

Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests. Offers options including submission of a prior authorization request. Thoroughly researches issues and takes appropriat...

Workers Compensation Claims Specialist

Revecore

Remote

$15 an hour

Paid training and incentive plans depending on the role. Medical, dental, vision, and life insurance benefits are available from the first day of employment. 401(k) with employer match after 90 days. Career growth opportunities. G...

Medi-Cal Claims Specialist

Westcoast Children's Clinic

Oakland, CA

Generate billing reports from Welligent (WestCoast's internal EHR) and input claims data into Alameda County's EHR (Smart Care) and upload services to the City and County San Francisco EHR (EPIC). Collaborate with providers, super...

Mechanical Claims Specialist (Remote/Hybrid)

Jm Family Enterprises

Deerfield Beach, FL

You will be part of a team that reviews, investigates, and authorizes minor Mechanical Claims based on a wide range of established contract guidelines. You will be communicating via telephone and email with retail and wholesale cu...

Payment Resolution Specialist I-PFS Remote

Trinity Health

Michigan, United States

$39.9K - $50.5K a year

Coordinates follow-up activities with Utilization Review/Case Management/Coding/Nurse Liaison to provide required clinical support, as well as to ensure timely follow-up and action for account appeals. Works with Patient Access an...

Claims Adjustment Specialist I

Metroplushealth

New York, NY

Research and analyze medical Claims Adjustment requests along with related documentation to determine payment accuracy and adjust/adjudicate as needed using multiple systems and platforms. Ensure that the proper payment guidelines...

Senior Claims Quality Specialist - Crop

Qbe Insurance Group Limited

Greensboro, NC

Investigate all concerns to ensure compliance with established policies and procedures Participate in analyst/specialist onboarding by sharing technical knowledge, recommending solutions to complex, escalated issues, training on...

Workers Compensation Claims Technical Specialist

Selective Insurance Company Of America

Charlotte, NC

$82,000 - $118,000 a year

Investigate the claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses and others having pertinent information. Analyze information in order to evaluate assigned cl...

Claims Management Specialist

Cash Depot

Green Bay, WI

$22 - $25 an hour

Monitor all incoming emails for claims. Generate Claims letters to couriers, and monitor for ongoing responses. Generate detailed ATM transaction reports and/or pull electronic journals. Develop, maintain, and analyze claims data,...

Workers Compensation Specialist/Claims Examiner

Leidos

Remote

$49,400 - $89,300 a year

Resolves most problems and work issues without the assistance of a manager, project/program manager, team leader, or more experienced professional. Develops and recommends approaches to address current and anticipated problems and...

Claims Training Specialist (Remote)

Missouri Employers Mutual

Kansas City, MO

Responsible for the preparation and design of training and reference material for the Claims department, including the onboarding of new staff, career advancement within the claims department, refresher training, and emerging trai...

Claim Operations Specialist

The Travelers Companies, Inc.

Charlotte, NC

$42,100 - $69,400 a year

CUSTOMER ENGAGEMENT: Serves as a customer service representative for the claim department by promptly and professionally addressing customer questions and concerns, which may include: Triage and route callers to the appropriate de...

Team Lead, Inpatient Claims Pricing Specialist

Medreview

New York, NY

Serves as a knowledge expert and maintains up to date working knowledge of pricing guidelines in order to act as a resource for all pricing team members. Responsible for reviewing data in the review application and client claim pr...

Entry Level Claims Call Center Specialist

Warrior Insurance Network

Bedford Park, IL

$31.3K - $39.7K a year

Record accident facts as reported by insured's and/or claimants Verify coverage, recognize potential coverage issues, refer insured's/claimants for estimates and route calls to the appropriate claim's units based on the loss infor...

Sr Claim Benefit Specialist

Cvs Health

Saint Paul, MN

We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordab...

Claims Issue Resolution Coordinator II

Crawford & Company

Melbourne, FL

Monitors inbound assignment activity for system entry and client acknowledgement. Initiates the investigation of facts relating to reported issues and records findings in internal web based systems. Reviews ,analyzes and interpret...

Claims Edit Specialist-PRN

Jennie Stuart Health

Hopkinsville, KY

Provides a positive and professional representation of the organization. Promotes culture of safety for patients and employees through proper identification, reporting, documentation, and prevention. Maintains hospital standards f...

Claim Document Specialist

Reinsurance Associate Inc.

Fenton, MO

$30,000 - $42,000 a year

Processing inbound Claim Documentation within established company procedures and guidelines Indexing and attaching inbound correspondence/documentation in the administration system Working pro-actively and cohesively as a member o...

Claims Compliance Specialist

Berkshire Hathaway Specialty Insurance

New York, NY

Support compliance with Medicare reporting process requirements to the Centers for Medicare and Medicaid Services (CMS). Facilitate claim data input and reporting to Insurance Services Organization (ISO). Support compliance with r...

PART-TIME Dental Claim Action Specialist - Independent Contract Remote Position

Lean Consulting Limited

Remote

From $1,500 a month

2+yrs in an administrative level position. Proficient in Dentrix G Series. EOB posting. Appeals. DentaQuest limitations/requirements. Medicaid laws for dental billing. Attaching supporting information. Generating Narratives. Verif...

Customer Resolutions Specialist

Ikea

Fishers, IN

$19.19 - $27.29 an hour

Resolving customer issues with urgency while balancing the needs of the customer and the IKEA Store Identifying and reporting quality issues based on data gathered in returns. Investigating problems, developing solutions, preparin...

Claims Administrative Support Specialist

Progressive

Ohio, United States

$37,300 - $46,600 a year

High school diploma/GED equivalent or higher and a minimum of one year of administrative or clerical support experience. Instead of the above, one year of post-secondary education. Proficiency using office equipment. Proven organi...

Claims Quality Specialist

Sagesure

Houston, TX

$86.7K - $110K a year

Perform open and closed claim file audits, analyzing against quality, compliance, and service standards. Perform customer contact phone call audits, analyzing against quality, compliance, and service standards. Synthesize reviews...

Claims Documentation Specialist II

L.a. Care Health Plan

Los Angeles, CA

Paid Time Off (PTO). Tuition Reimbursement. Retirement Plans. Medical, Dental and Vision. Wellness Program. Volunteer Time Off (VTO)....

Claims Follow Up Specialist

Professional Data Management, Inc

Goldsboro, NC

$31.6K - $40K a year

Monday to Friday. In-person....