Full-Time Claim Specialist jobs

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CLAIMS SPECIALIST II-COMMERCIAL

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...

CompanyLiberty Mutual
AddressSuwanee, GA
CategoryRetail
Salary$55,100 - $91,500 a year
Job typeFull-time
Date Posted 2 months ago See detail

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...

Claims Specialist Training Program- 2023-24

Liberty Mutual

East Syracuse, NY

$55,000 - $65,000 a year

You have 0-2 years of professional experience. You hold a bachelor's degree with a minimum 3.0 cumulative GPA. You have an aptitude for providing information in a clear, concise manner with an appropriate level of detail, empathy,...

Claims & Disputes Specialist

Us Bank National Association

Tempe, AZ

High school diploma or equivalent Two or more years of related work experience, or a relevant combination of education, training, and experience Well-developed research and analytical abilities Ability to competently work with var...

Medical Claims Billing Specialist - Orthopedic

Privia Health

United States

Management of the accounts receivable (AR) including analysis of the aged AR, looking for root cause issues; writing rules where appropriate to stop errors from occurring.. Denial management - investigating denial sources, resolvi...

Claims Resolution Specialist

The Childrens Center Inc

Bethany, OK

Essential Duties & Responsibilities Duty Percent of Time Follows-up on commercial insurance denials, non-payments, incorrect payments, and patient private balances for Inpatient and Outpatient Claims 30% Follows-up on Oklahoma Me...

Claims Audit Specialist - Peak Health

Peak Health

Morgantown, WV

Experience in the healthcare industry, medical and pharmacy claims monitoring, critical thinking, and attention to detail will help this role build an effective and efficient audit and oversight function. Computer Software/Systems...

Sr Claim Benefit Specialist

Cvs Health

Tallahassee, FL

Demonstrated ability to handle multiple assignments competently, accurately and efficientlyPreferred Qualifications- 2+ years medicalclaim processing experience.- Experience in a production environment. Demonstrated ability to han...

Claims Resolution Specialist

Hca Houston Er 24/7

Pasadena, TX

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

Claims Resolution Specialist

Hca Florida Maricamp Emergency

Ocala, FL

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

Claims Adjustment Specialist I

Nyc Health + Hospitals

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...

Claims Recovery Specialist

Presbyterian Healthcare Services

Albuquerque, NM

Up to $22.37 an hour

Full Time - Exempt: No Job is based Rev Hugh Cooper Admin Center Work hours: Days Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employees...

Claim Service Specialist - Springfield, MA - Hybrid

Arbella Insurance Group

Springfield, MA

From $24 an hour

Company nurse, nutritional counseling, and mental health resources. Tuition assistance programs. Opportunities to get involved: Arbella Activities Committee, Diversity and. A company committed to community: volunteer opportunities...

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...

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...