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claims specialist

79 claims specialist jobs found

Oct 03, 2022  
Commercial General Liability Claims Specialist | Remote
Job Description Job Description: Our client, a leading Insurance Carrier, is seeking to add a Commercial General Liability Claims Specialist to their New York operations. This person would be responsible for handling moderate to complex Commercial General Liability claims including Slip and Falls, Premise Liability, and 3rd party property damage losses throughout the East Coast. Responsibilities of this position include reviewing coverage, investigation, and settling losses from inception to close. This person would have the ability to work remotely! Examine, adjust, and defend, general liability claims and lawsuits filed against insureds towards an amicable resolution Review terms, conditions, and exclusions of the insurance policy to determine coverage. Conduct investigations of the facts and circumstances of the claim presented, securing necessary medical and other documentation of alleged damages, and negotiating settlements with claimants and attorneys. Make timely...
The Jonus Group, LLC Remote * (New York, NY, USA)
Oct 03, 2022  
Senior Homeowner Property Claims Specialist | Remote
Our client, a Leading Insurance Company, is continuing to expand their National footprint and seeking to add multiple Senior Homeowner Property Claims Specialist due to growth! This person would be responsible for handling mid to complex Homeowner Property losses throughout the United States. Qualified candidates must possess a strong knowledge of handling Homeowner Property files as well as hold an active Adjuster License(s). This is a Direct Hire position. Investigate and evaluate coverage, liability, and damages on new losses. Verify, investigate, and evaluate coverage, liability, and damages on property losses and determine appropriate reserves and settlement values in accordance with standard practice guidelines including quality, cycle time and insurance contact. Draft correspondence, including but not limited to, coverage letters to stakeholders. Select, direct, and manage Vendors/Counsel including approval of defense budgets. Resolve claims within designated monetary...
Jonus Group Remote * (Sarasota, FL, USA)
Oct 03, 2022  
Senior Homeowner Property Claims Specialist | Remote
Our client, a Leading Insurance Company, is continuing to expand their National footprint and seeking to add multiple Senior Homeowner Property Claims Specialist due to growth! This person would be responsible for handling mid to complex Homeowner Property losses throughout the United States. Qualified candidates must possess a strong knowledge of handling Homeowner Property files as well as hold an active Adjuster License(s). This is a Direct Hire position. Investigate and evaluate coverage, liability, and damages on new losses. Verify, investigate, and evaluate coverage, liability, and damages on property losses and determine appropriate reserves and settlement values in accordance with standard practice guidelines including quality, cycle time and insurance contact. Draft correspondence, including but not limited to, coverage letters to stakeholders. Select, direct, and manage Vendors/Counsel including approval of defense budgets. Resolve claims within designated monetary...
Jonus Group Remote * (Cary, NC, USA)
Oct 03, 2022  
Auto Claims Specialist I- Work from Home- Northeastern area
This position will be supporting Northeast Auto Claims. Hours are M-F from 8:00 am - 4:45 pm EST. Position Summary: Under general supervision, investigates and processes minor to moderate bodily injury claims, auto physical damage and property damage liability claims in a timely and efficient manner as to prevent unnecessary expense to the Company and policyholders. This role is designed for incumbents to develop bodily injury knowledge and skills. Essential Job Functions: - Obtains information from involved parties to evaluate facts of loss, including law enforcement reports, witness interviews, initial treatment medical records, to determine liability. Reviews coverage and claims process with customers. Sets reserves, assigns material damage features for inspection, sets up initial rental, and may make referrals to SIU as needed. - Researches and responds timely to customer inquiries and/or concerns throughout the life of a claim to ensure customer satisfaction and retention. -...
Mercury Insurance Group Remote * (Bridgewater Township, NJ, USA)
Oct 03, 2022  
Claim Specialist - Work From Home
OverviewBeing good neighbors - helping people, investing in our communities, and making the world a better place - is who we are at State Farm. It is at the core of how we operate and the reason for our success. Click the link to see our Community of Good Neighbors We offer a surprisingly great Compensation Package: This position is eligible for up to $2,000 in Welcome Bonuses throughout the first year of employment. You are also eligible for: - An annual bonus based on individual and enterprise performance - Annual merit increases Click here for a detailed list of Benefits - but h ere's a preview of what you might not find other places: - Paid Time Off (PTO), plus: - 5 days of Life Leave to take care of yourself and your family - Paid Volunteer Time - Annual Celebration Day to celebrate what's important to you - Paid Development Time - Wellness ? and mental health programs - Tuition Reimbursement/Community College Tuition Program - Discounts from hundreds of retailers through our...
State Farm Remote * (Columbia, SC, USA)
Oct 03, 2022  
Tax Specialist - Remote*
The Tax Specialist- will report to our tax manager and will be responsible for sales and use tax reporting and related accounting.T The tax specialist will also oversee business license and secretary of state filings, certificates of insurance and related projects. The position requires independent work and attention to detail. Main Responsibilities: File and prepare sales and use tax returns Respond to government notifications File miscellaneous local tax returns and business license renewals Support third party with annual report information gathering Research state registration requirements and oversee registration compliance Assist with tax credit memo requests in Oracle Assist with tax issues with sales, customer service, credit/collections, and customers Handle requests for certificates of insurance Assist with information gathering related to insurance policies Coordinate insurance claims as they arise File state specific Workers Compensation...
Creative Financial Staffing Remote * (Chaska, MN 55318, USA)
Oct 03, 2022  
Certified HEDIS Coder *CCS or CPC - Partially Remote*
We are looking for a Certified HEDIS Coder who will work at our Alhambra office at 1668 South Garfield Avenue. This position will have the ability to work remotely some days and will also require frequent travel to provider sites dependent on projects. The shift will typically be M-F from 8am to 4:30pm. You will be responsible for reviewing provider documentation of diagnostic data from medical records to verify that Quality and HEDIS coding documentation requirements are met. In addition, you will deliver education to providers either on an individual basis or in a group forum. ESSENTIAL DUTIES AND RESPONSIBILITIES: Other duties may be assigned Comply with department policies and procedures. Collect and collate appropriate data from IPA network providers for HEDIS measures Review medical record information on both a retroactive and prospective basis to identify, assess, monitor and document claims and encounter coding information as it HEDIS Ensures that rendered physician...
ApolloMed Remote * (Alhambra, CA, USA)
Oct 03, 2022  
Remote Service Center Representative 2022-1202
Job Description Remote Service Center Representative - Nation Wide Position IF YOU CARE, THERES A PLACE FOR YOU HERE Overview Are you focused on details, skilled in claims management, and committed to problem-solving and exemplary customer service? Are you looking to make a difference by supporting claims processing for members of the World Trade Center Health Program impacted by the September 11th terrorist attacks? As a Sedgwick Government Solutions remote Service Center Representative, you will work from your home office from 12-8 pm Eastern and be part of a collegial team that processes claim and communicate with providers about the claims process. In this position, you are responsible for daily claims management and will be recognized as a general technical expert in the benefits of this unique limited health benefits program. You will expedite the claims process and provide detailed claim notes on all calls; as well as resolve issues and direct calls to an appropriate...
Managed Care Advisors Remote * (Orlando, FL, USA)
Oct 03, 2022  
Senior Financial Clearance Specialist - 100% REMOTE
Senior Financial Clearance Specialist - 100% REMOTE - 2211950 **Job** : Medical Coding and Billing **Primary Location** : Work from Home **Organization** : Financial Clearance 20 108465 **Shift:** : First Shift **Description** **Senior Financial Clearance Specialist - 100% REMOTE** **JOB SUMMARY:** Assists in financial clearance relating to patient care with occasional guidance. Screens patients for referral to other funding resources. **KEY RESPONSIBILITIES:** + Obtains certification from insurance companies for all office visits. + Verifies insurance information and registers cases in tracking system. + Evaluates patient assets and liabilities to determine ability to pay. + Reviews alternatives to admission and guides patient in applying for financial assistance. + Completes pre-certification, credit applications, and other necessary paperwork. + Performs investigative and follow-up work relating to reimbursement issues. + The responsibilities listed are a general overview of the...
Vanderbilt University Medical Center Remote * (Austin, TX, USA)
Oct 03, 2022  
Casualty Specialist - Remote
External candidates: In order for your application to be correctly processed please sign-in before you apply Internal candidates: Please go to Workday and click "Find Jobs" link under Career Thank you for considering opportunities with us! Job Title Casualty Specialist - Remote Requisition Number R5571 Casualty Specialist - Remote (Open) Location Nevada - Home Teleworkers Additional Locations Arizona - Home Teleworkers, Arizona - Home Teleworkers, Colorado - Home Teleworkers, Colorado Springs, Colorado, Connecticut - Home Teleworkers, Delaware - Home Teleworker, Florida - Home Teleworkers, Glendale, Arizona, Henderson, Nevada, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Maryland - Home Teleworkers, Mt Laurel, New Jersey, New Jersey - Home Teleworkers, New York - Home Teleworkers, Ohio - Home Teleworkers, Oklahoma City, Oklahoma, Oklahoma - Home Teleworkers, Oregon - Home Teleworkers,...
CSAA Insurance Group Remote * (Henderson, NV, USA)
Oct 03, 2022  
Biller (Remote/On-Site Hybrid)
About the Role: If you have a background in accounting and understand the travel and hospitality industry, this could be a great opportunity for you! As a Biller at Morley, you ll collect and reconcile invoices, and facilitate the tracking and reporting of client billings. This is a hybrid role, where you will work partly from home and partly on site at our Saginaw, Michigan, campus. While on site, you'll work in a friendly, casual environment at our corporate office in Saginaw Township, close to shopping and restaurants. You ll also have access to our free on-site workout facility and enjoy perks such as tickets to local events. What You ll Do Reconcile supplier invoices Create and maintain spreadsheets for client billings Invoice clients for travel programs Reconcile final invoices in Morley s systems Coordinate with internal and external parties as needed to complete tasks Help with other duties assigned Have questions before you apply? Live chat with a Morley Talent...
Morley Companies Remote * (Saginaw, MI, USA)
Oct 03, 2022  
Senior Financial Clearance Specialist - 100% REMOTE
Senior Financial Clearance Specialist - 100% REMOTE - 2211950 **Job** : Medical Coding and Billing **Primary Location** : Work from Home **Organization** : Financial Clearance 20 108465 **Shift:** : First Shift **Description** **Senior Financial Clearance Specialist - 100% REMOTE** **JOB SUMMARY:** Assists in financial clearance relating to patient care with occasional guidance. Screens patients for referral to other funding resources. **KEY RESPONSIBILITIES:** + Obtains certification from insurance companies for all office visits. + Verifies insurance information and registers cases in tracking system. + Evaluates patient assets and liabilities to determine ability to pay. + Reviews alternatives to admission and guides patient in applying for financial assistance. + Completes pre-certification, credit applications, and other necessary paperwork. + Performs investigative and follow-up work relating to reimbursement issues. + The responsibilities listed are a general overview of the...
Vanderbilt University Medical Center Remote * (Atlanta, GA, USA)
Oct 03, 2022  
Healthcare Insurance Specialist II - Accounts Receivable (Remote)
Overview Texas Oncology's Covid 19 vaccine mandate policy requires that all new hires be vaccinated or obtain an approved exemption before their start date. More information will be provided to you throughout the interview process. Texas Oncology is looking for a full-time Insurance Specialist II to join our team! Texas Oncology is the largest community oncology provider in the country and has approximately 600+ providers in 220+ sites across Texas and southeastern Oklahoma. Our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology, we use leading-edge technology and research to deliver high-quality, high-touch, evidence-based cancer care to help our patients achieve "More breakthroughs. More victories." in their fight against cancer. Today, Texas...
US Oncology Remote * (Richardson, TX, USA)
Oct 03, 2022  
Casualty Specialist - Remote
External candidates: In order for your application to be correctly processed please sign-in before you apply Internal candidates: Please go to Workday and click "Find Jobs" link under Career Thank you for considering opportunities with us! Job Title Casualty Specialist - Remote Requisition Number R5571 Casualty Specialist - Remote (Open) Location Nevada - Home Teleworkers Additional Locations Arizona - Home Teleworkers, Arizona - Home Teleworkers, Colorado - Home Teleworkers, Colorado Springs, Colorado, Connecticut - Home Teleworkers, Delaware - Home Teleworker, Florida - Home Teleworkers, Glendale, Arizona, Henderson, Nevada, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Maryland - Home Teleworkers, Mt Laurel, New Jersey, New Jersey - Home Teleworkers, New York - Home Teleworkers, Ohio - Home Teleworkers, Oklahoma City, Oklahoma, Oklahoma - Home Teleworkers, Oregon - Home Teleworkers,...
CSAA Insurance Group Remote * (Mt Laurel Township, NJ, USA)
Oct 03, 2022  
Casualty Specialist - Remote
External candidates: In order for your application to be correctly processed please sign-in before you apply Internal candidates: Please go to Workday and click "Find Jobs" link under Career Thank you for considering opportunities with us! Job Title Casualty Specialist - Remote Requisition Number R5571 Casualty Specialist - Remote (Open) Location Nevada - Home Teleworkers Additional Locations Arizona - Home Teleworkers, Arizona - Home Teleworkers, Colorado - Home Teleworkers, Colorado Springs, Colorado, Connecticut - Home Teleworkers, Delaware - Home Teleworker, Florida - Home Teleworkers, Glendale, Arizona, Henderson, Nevada, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Maryland - Home Teleworkers, Mt Laurel, New Jersey, New Jersey - Home Teleworkers, New York - Home Teleworkers, Ohio - Home Teleworkers, Oklahoma City, Oklahoma, Oklahoma - Home Teleworkers, Oregon - Home Teleworkers,...
CSAA Insurance Group Remote * (Glendale, CA, USA)
Oct 03, 2022  
Reimbursement Analyst- Remote
Insight Global is seeking Reimburse Analysts that will be supporting a hospital system in South Carolina. This role can be remote, but eligible candidates must live in SC, NC, GA or FL. This position is responsible for: the enterprise-wide analytical support for billing and reimbursement-related issues. Functions as a specialist in the reimbursement of physician charges and the complete revenue cycle. Generates routine and ad hoc reports to Division and faculty regarding billing and collections, and performs analyses, detects billing issues, monitors trends and makes recommendations for corrective action when needed. Other responsibilities include: Coordinates, interprets and monitors all pertinent information relative to the revenue cycle departments. Demonstrates a high level of understanding of departmental operations and workflows. Prepares reports for Department and faculty. Analyzes reports which measure performance and effectiveness of the revenue cycle; detects...
Insight Global Charleston, SC, United States
Oct 03, 2022  
Remote Construction Project Scheduler
Build and translate project scope and contract requirements into working schedules. Act as technical advisor with respect to schedule development, updating, and reporting. Work with others to develop and maintain look-ahead schedules. Prepare baseline schedules and schedule basis documents for approval. Monitor schedule deviations/variances and assist in developing corrective actions. Prepare and provide schedule progress reports, trending charts, and schedule analysis on a periodic basis. Maintain record of scope changes, trends, and variances that potentially affect schedule performance. Assure credibility of the information contained in the schedule. Review schedules on a regular basis to ensure that accurate and timely data is incorporated in the schedule. Verify schedule integrity and evaluate logic and float paths. Make recommendations to manage float and (re)sequence activities (if required) to achieve project milestone dates and interim target completion...
Insight Global Austin, TX, United States
Oct 03, 2022  
Business Analyst - National Remote
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This specialist role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. Today, more and more employers are turning to us for innovative ideas and high levels of performance. Now, we invite you to help us welcome new members as you help install assigned accounts. You'll be responsible for overall employer contract loading using various databases and/or source documents. Along the way, you'll discover the training, resources and opportunities you'd expect from a Fortune 5 leader. This is a challenging role with serious impact. It's a fast paced, high-volume environment that requires you to work independently while maintaining a strong focus on company...
UnitedHealth Group Boston, MA, United States
Oct 03, 2022  
Business Analyst - National Remote
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This specialist role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. Today, more and more employers are turning to us for innovative ideas and high levels of performance. Now, we invite you to help us welcome new members as you help install assigned accounts. You'll be responsible for overall employer contract loading using various databases and/or source documents. Along the way, you'll discover the training, resources and opportunities you'd expect from a Fortune 5 leader. This is a challenging role with serious impact. It's a fast paced, high-volume environment that requires you to work independently while maintaining a strong focus on company...
UnitedHealth Group Miami, FL, United States
Oct 03, 2022  
Business Analyst - National Remote
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This specialist role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. Today, more and more employers are turning to us for innovative ideas and high levels of performance. Now, we invite you to help us welcome new members as you help install assigned accounts. You'll be responsible for overall employer contract loading using various databases and/or source documents. Along the way, you'll discover the training, resources and opportunities you'd expect from a Fortune 5 leader. This is a challenging role with serious impact. It's a fast paced, high-volume environment that requires you to work independently while maintaining a strong focus on company...
UnitedHealth Group Atlanta, GA, United States