Claims Resolution Specialist jobs in Orange, CA

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CLAIMS RESOLUTION SPECIALIST

Manage assigned claims inquiries, providing assessment, education, and coordination for members and healthcare providers, while maintaining accurate records. Cultivate positive relationships with members, providers, and our claims...

CompanyMpf Federal Llc
AddressRemote
CategoryInformation Technology
Salary$39.8K - $50.5K a year
Job typeTemporary
Date Posted 2 months ago See detail

Claims Resolution Specialist

Mpf Federal Llc

Remote

$39.8K - $50.5K a year

Manage assigned claims inquiries, providing assessment, education, and coordination for members and healthcare providers, while maintaining accurate records. Cultivate positive relationships with members, providers, and our claims...

Resolution Specialist

Adecco

New Jersey, United States

$19.00/Hour

Perform score-affecting activities such as performing manual score calculations. Interpreting irregularity reports. Applying/removing score holds. Resolving edit errors. Hand scoring. Perform other tasks critical to productio...

Claims Specialist

Munich Re America

Chicago, IL

$110,500 - $162,000 a year

Thorough investigation for coverage, trigger (liability, wrongful act, breach), damages, and subrogation/contribution opportunities under reinsurance agreements and the reinsured casualty policies issued by the Cede. In-depth unde...

Senior Revenue Cycle Claims Specialist

Azalea Health Innovations Inc

Remote

$37.4K - $47.4K a year

Perform traditional Revenue Cycle Claims Specialist support tasks for assigned accounts Onboard and train new members of the RCM Claims Specialist team and support experienced RCM Claims Specialists as needed Effectively understan...

AR Hospital Claims Specialist (Full Time)

Corrohealth

Remote

$18 - $21 an hour

Resolve unpaid/denied claims by leveraging proprietary software system, making phone calls, generating letters, accessing client systems and insurance carrier web portals in the pursuit of getting a claim resolved. Review medical...

Remote Default VA MI Claims Specialist, I

Carrington Mortgage Holdings, Llc

United States

$19.50 - $21.50 an hour

Prepare and file all FHA, VA, PMI, and investor claims timely and accurately according to investor/insurer/CMS guidelines and requirements. Review, follow-up, and ensure the timely and accurate completion of all regular scheduled...

Bilingual Patient Resolution Specialist

Hbcs

Remote

$18 - $28 an hour

Managing a high volume of in-bound and out-bound calls from patients, hospitals, and insurance carriers to resolve patient accounts and humanize the patient experience. Researching alternate insurance or payment options available...

Claims Specialist - Crop

Qbe

Texas, United States

$70,000 - $104,000 a year

Distribute and direct losses and claim tracking for defined territory or agency base to support delivery of effective customer service and claim resolution and ensure team alignment with business goals. Accurately document, proces...

Workers’ Compensation Claims Specialist II – Lost Time Adjuster

Davies Us Llc

United States

$65,000 - $70,000 a year

Analyze the claim exposure to determine the proper course of action and to appropriately settle or close the claim in accordance with state, company and client policy and procedure. Build and maintain rapport with client contacts...

Railroad Claims Specialist

Union Tank Car Company

Chicago, IL

$53.6K - $67.9K a year

Responsible for counter billing damaging lines more than $10 million per year. Owns the Railinc DDCT incident process and is the key point of contact for railroad damage resolution. Notifies Regional Sales Offices of incident so t...

Casualty Claims Specialist III

American International Group, Inc.

Alpharetta, GA

3+ years of auto liability claim experience. Bachelor's Degree or equivalent work experience. Experience resolving moderate severity injury claims. Must possess excellent interpersonal and organizational skills and be able to hand...

Claims Specialist II-Commercial

Liberty Mutual

Suwanee, GA

$55,100 - $91,500 a year

Manages an inventory of claims to evaluate compensability/liability. Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources. Plans and conducts investigations of claims to...

Senior Claims Specialist II- Commercial

Liberty Mutual

Suwanee, GA

$65,600 - $116,900 a year

Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custod...

Dispute Resolution Specialist

Better Business Bureau

Nevada, United States

$20 an hour

Responsible for the entire process of complaint handling. Inputting of Manuel Complaints. Answer hunt-line calls. Serve as back-up on Info Line Request. Follow-up with consumers and businesses within a 24-hour timeframe. Identify...

Recovery Resolution Specialist - Remote (Weldon Spring, MO)

Intelogix

Missouri, United States

$29.9K - $37.9K a year

Are you energetic, enthusiastic with an engaging personality? Are you driven to deliver effective results while providing excellent customer service? Do you have extraordinary communication skills? Paid Training Medical, Dental, a...

Enrolled Agent - Tax Resolution Specialist

Law Offices Of Alyssa Maloof Whatley

Remote

From $75,000 a year

Manage a caseload of 90+ Tax Resolution cases and provide timely updates to clients and colleagues. Review and analyze tax documents, financial statements, and other relevant information to identify and resolve tax issues. Communi...

Senior Technical Claims Specialist

Liberty Mutual

Remote

$67,400 - $132,500 a year

As the claims owner, determines coverage, investigates the claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and pays the claim; may deny claims. Reviews lawsuit doc...

WAGE CLAIMS SPECIALIST

State Of Illinois

Chicago, IL

$3,700 a month

Reviews all wage claim mail pertaining to caseload. Evaluates information and determines what courses of action to take to complete the case. This may include soliciting additional documentation from employer or claimant, deciding...

Billing and Claims Specialist

K.a.m. Alliance, Inc.

Chicago, IL

$18.50 - $20.00 an hour

Communicates with patients to verify upcoming appointments via Electronic Medical Record (EMR) schedule.. Works closely with 3rd party billing agency to coordinate errors in billing from mailed Explanation of Benefits Reports (EOB...

Field Claims Specialist - NJ Workers' Compensation

Great American Insurance Company

New Jersey, United States

$105,000 - $115,000 a year

Investigating losses. Analyzing coverage, determining compensability and benefits Establishing reserves and negotiating settlements Conducting face-to-face meetings with claimants and insureds Preparing large loss reports to both...

Workers Compensation Claims Specialist

Liberty Mutual

Pennsylvania, United States

$52,700 - $97,500 a year

Manages an inventory of claims to evaluate compensability/liability. Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources. Plans and conducts investigations of claims to...

Senior Claims Specialist - NJ Workers' Compensation

Great American Insurance Company

New Jersey, United States

$100,000 - $110,000 a year

Investigating losses Analyzing coverage, determining compensability and benefits Establishing reserves and negotiating settlements Conducting meetings on the phone with insureds and claimants Preparing large loss reports to both i...

Claims Specialist

Pharmagen

Chicago, IL

$22.63 - $27.25 an hour

Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and applies all cost containment measures to assist in the claim adjudication process. Proofs claim or referral s...

Senior Claims Specialist

Ryze Claim Solutions

Remote

$67.3K - $85.2K a year

Handle complex litigated and non-litigated assisted living and nursing home claims across the United States. This would include investigating, evaluating, and resolving claims and lawsuits of a more severe and complex nature. Inve...

Complex Casualty Claim Specialist

Kingstone Insurance Company

Remote

$92K - $116K a year

Investigate, evaluate, and negotiate settlements while applying technical knowledge and skills to effect fair and prompt resolution of cases. Adjust reserves and provide recommendations to ensure reserving activities are consisten...

Claims Specialist I (Remote)

Transubro, Inc.

Remote

$18 - $22 an hour

401(k). Dental insurance. Health insurance. Paid time off. Vision insurance. 8 hour shift. Monday to Friday. auto insurance claims: 1 year (Required)....

Claims Specialist

Maersk

Brea, CA

$55,000 - $70,000 a year

Receive claims for loss & damage, gather documents pertinent to claims process Set up inspections and subrogate with carriers Scan/upload pertinent documents (formal claims submissions, invoices, inspection reports, signed release...

Casualty Claims Specialist III

Aig

Alpharetta, GA

$66,400 - $83,000 a year

General Insurance offers a broad range of products to customers through a diversified, multichannel distribution network.About the roleWhat you need to know:The Casualty Claims Specialist III within the Truck Insurance team is res...

Property Field Claims Specialist

Central Mutual Insurance Company

Alpharetta, GA

$60K - $76K a year

Field-based role: Travels via assigned company vehicle within a defined territory to manage, meet, and handle all aspects of an assigned volume of mixed severity and complexity personal and commercial lines 1st party property clai...

Claims Specialist

P&A Group

New York, United States

$16.50 - $18.00 an hour

Process claims in a timely manner. Review and perform all claim adjustment requests. Research all claim reversal requests to determine approval or denial. Debit card disputes Handle all fraudulent/disputed transaction requests b...