Claims specialist jobs

Jun 02, 2023

Field Property Claims Specialist II, Property (Remote Adjuster - Cedar Rapids or Iowa City, IA area) - $2,500 Sign On Bonus

If you're passionate about helping people protect what matters most to them, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide's Property and Casualty team could be the place for you! A $2500 SIGN-ON BONUS will be given to all external candidates hired into this role. The bonus is paid in the first pay period after 30 days of employment. This is a work-from-home position with travel in a specified territory. Territory: Cedar Rapids, IA; Iowa City, IA; and surrounding area Required: Strong customer service competency Comfortable with climbing up on building roofs and inspections of tight spaces The ideal candidate will also have the following: Xactimate experience Construction/Contractor or other property technical experience Prior claims handling Field claims experience is a plus Internal Use Only: Compensation Grade: E3 Job Description Summary No two property claims are ever the same and...

Nationwide Mutual Insurance Company Remote * (All cities, USA)

Jun 02, 2023

Sr. Commercial Trucking Claims Specialist | Remote

Of this position include investigating claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses and others having pertinent information. This person would have the ability to work remotely and possess multiple adjuster licenses! Review and analyze coverage, including applicable endorsements and exclusions to determine if any coverage issues exist. Report all potential coverage issues. Draft reservation of rights letters, coverage disclaimer letters, and tender letters for review and approval by the carrier. Obtain the bill of lading to review operating authority and policy endorsements to determine whether the insured's policy or the Motor Carrier's policy will apply as primary. Work proactively towards claims resolution with defense counsel and clients, while adhering to audit requirements and resolving claims in a timely manner. Make timely claims payments and adjustments; communicate claim action/processing with...

The Jonus Group Remote * (Fairfield, CT, USA)

Jun 02, 2023

Remote Claims Specialist

A mid-sized health insurance company is seeking several Claims Specialists to join its Claims Processing team, sitting remotely. This person will complete the day-to-day processing of claims from facilities and providers in accordance with the plan document in a timely and accurate manner. They will do this by performing a detailed analysis of medical treatment submitted for payment, investigating and administering the terms of coverage, and communicating with Policyholders, Claimants, Providers and Agents. They will also prepare High Dollar files for review from carriers, maintain a working knowledge of State/Federal insurance regulations and mandates, maintain product/system knowledge, and respond to email inquiries from providers and claimants. They will be expected to respond to customer service inquiry forms within 2 business days. They will support the customer service team when required by answering incoming calls and providing issue resolution.

Insight Global Remote * (Springfield, MA, USA)

MP

Jun 01, 2023

Medical Claims Resolution Specialist (remote)

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthcare cost management solutions. Our commitment to diversity , inclusion and belonging are part of the fabric of our company. We strive to create a workplace that fosters mutual respect and collaboration, where every talent individual can participate and perform their best work. We are MultiPlan and we are where bright people come to shine ! Come show off your negotiation skills as a Medical Claims Specialist in our Fee Negotiations Department. This position is responsible for contacting health care providers or the respective biller to negotiate certain type and dollar size health care...

MultiPlan Atlanta, GA, USA

Jun 02, 2023

Commercial & Homeowner Property Litigation Specialist | Remote

Our client is seeking to add a Remote Commercial & Homeowner Property Litigation Claims Specialist to their Florida operations. This role will consist of handling mid to complex Litigated Commercial and Residential Property losses from inception to close. Qualified candidates must possess a strong knowledge of the Litigation process as well as an active Florida Adjusters license. This is a Direct Hire position and can work remotely! 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. Direct defense counsel on litigated files, as well as attend mediations and trials, as necessary. Resolve claims within designated monetary authority. Requirements:7 years of experience handling Commercial and/or Residential Property claims . years of Commercial Property and Litigation experience. Must be...

The Jonus Group Remote * (Fort Lauderdale, FL, USA)

Jun 02, 2023

Insurance Specialist (medical claims)- Work from home - FT

Company Name: The Little Clinic Position Type: Employee FLSA Status: Non-Exempt Position Summary: Insurance Specialist should possess a thorough working knowledge of the revenue cycle management process. Position is required to be a role model and demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety of others. The Insurance Specialist is responsible for the research and resolution of aging account receivables to that are either unpaid or incorrectly paid. Essential Job Functions: Analyze, audit and resolve claims outstanding, denied, or incorrectly paid Review and respond to payer correspondence. Submit appeals as needed for denied claims. Contact insurance companies and navigate payer websites in order to secure and expedite insurance payments. Resolves patient billing inquiries. Document in detail all actions taken in accounts receivable system. Meet productivity expectations as outlined by...

Kroger Remote * (Nashville, TN, USA)

Jun 02, 2023

Insurance Specialist (medical claims)- Work from home - FT

Company Name: The Little ClinicPosition Type: EmployeeFLSA Status: Non-Exempt Position Summary: Insurance Specialist should possess a thorough working knowledge of the revenue cycle management process. Position is required to be a role model and demonstrate the company s core values of respect, honesty, integrity, diversity, inclusion and safety of others. The Insurance Specialist is responsible for the research and resolution of aging account receivables to that are either unpaid or incorrectly paid. Essential Job Functions: Analyze, audit and resolve claims outstanding, denied, or incorrectly paid Review and respond to payer correspondence. Submit appeals as needed for denied claims. Contact insurance companies and navigate payer websites in order to secure and expedite insurance payments. Resolves patient billing inquiries. Document in detail all actions taken in accounts receivable system. Meet productivity expectations as outlined by supervisor. Recognize, document and notify...

Kroger Remote * (Indianapolis, IN, USA)

Jun 02, 2023

Work from Home - Injury Specialist/Casualty Claims Adjuster

About Elephant: Elephant is a wholly owned subsidiary of Admiral Group, PLC, which is the largest auto insurer in the UK with subsidiaries in France, Italy, Spain, and the United States. Admiral's phenomenal success is driven by their strongly people-focused culture, which Elephant is proud to take part in. We believe that people who like what they do, do it better. We pride ourselves on a relaxed and friendly company culture that has earned us the honor of being named one of the best places to work in Richmond! As our company grows, we encourage an environment of individual contribution, long-term commitment, and profitable growth. Benefits: * Competitive medical, dental, vision and life insurance at little cost to employees * Stock grants and stock dividends for all employees, up to $5,000 per year * Competitive 401k Package * 22 days of Paid Time Off each year * Parental Leave Policy for new parents About Our Injury Specialist/Casualty Claims Adjuster Work from Home Position:...

Elephant Auto Insurance Remote * (Richmond, VA, USA)

Jun 02, 2023

Authorization & Claims Support Specialist-Remote within State of WI

Inclusa is seeking a Authorization & Claims Support Specialist who is a self-starter with strong organizational skills, judgement and independent decision-making abilities. We desire a colleague that is able to maintain professional and service-oriented relationships that align with our vision, 'The innovative leader in building vibrant and inclusive communities, Inclusa empowers full and meaningful lives of those we serve. Application Deadline: Monday, May 29th Under the supervision of the ACA Support Team Manager, the AC Support Specialist is responsible for the day-to-day authorization and claims processing and support. The AC Support Specialist will partner with other stakeholders to ensure excellent customer service is provided to members/providers, and services/supports are authorized and paid for in an accurate and timely manner. Authorization & Claims Support Specialist (AC Support Specialist) duties include: Process and support authorization entry for member...

COMMUNITY CARE CONNECTIONS Remote * (Stevens Point, WI, USA)

LS

May 26, 2023

Remote Claims Support Specialist

Position Summary: We are looking for a Claims Support Specialist to join our team. Performs administrative tasks and activities to support Latitude's claim handling teams. This is a full-time remote position. Required Qualifications: High School Diploma 1 year experience in an office setting Read, write and speak English Microsoft Office applications Type 45+ wpm Employment is contingent upon the employee maintaining adequate bandwidth for their home Internet as determined by Latitude's IT department. A wired Internet service provider and a wired workstation network connection is preferred and may be required. Preferred Qualifications: Associates Degree Data entry experience Insurance industry experience We understand that benefits and perks are important to you. As a full-time team member, you'll enjoy: PTO for use on the ninetieth day after your date of hire 8 paid holidays 401(k) Plan with matching contribution Company...

Latitude Subrogation Services Atlanta, GA, USA

Jun 02, 2023

Remote Insurance Claims Collector

REMOTE POSITION - Actively Hiring Life is Short. Do Work that Matters. BCA Financial Services, Inc. is seeking detail-oriented full-time Insurance Collectors with a minimum of 2 years medical insurance billing and claims follow up experience. Benefits we offer: Monday through Friday schedule Medical, GAP, Dental, Vision, and Voluntary Life insurance 401k with a company match Paid time off and paid holidays The Insurance Collector will: Work with insurance companies to determine the cause of denial or non-payment of a claim. Initiate appropriate action required to prepare and submit documentation needed to resolve the denial or non-payment of a claim. Follow up to the point of payment or exhaustion of recourse and maintain records in accordance with company policies and procedures. Work from home requirements: Have a quiet and private workspace High speed internet with the ability to hardwire via ethernet from cable modem to your PC. Must be a...

BCA Financial Services Remote * (Orlando, FL, USA)

Jun 02, 2023

Inside Property Adjuster, Remote

Encova Insurance has an immediate opening for an Inside Property Adjuster [Property Resolution Specialist II]. In this role, you will have the ability to work remote from home in the preferred states of Ohio, KY or IN. We will also consider candidates who reside in other states in our claims footprint. The position will report to a Manager, Property Claims. JOB OBJECTIVE: Investigate, evaluate, estimate and process property claims primarily by phone or other internal communication channels. ESSENTIAL FUNCTIONS: Work in claims operations handling primarily: Personal and commercial losses including structure, contents, ALE, scheduled property and business income losses Contents claims Coverage questions Provide customizable claims service to our insureds by appropriately assigning preferred contractors and/or independent adjusters to assist with field work. Review work of all assigned independent adjusters and preferred contractors for quality and timely service....

Encova Insurance Remote * (All cities, USA)

Jun 02, 2023

Associate Actuary - REMOTE

No room to grow where you are? This role presents clear opportunities to advance in knowledge and responsibilities. As an Associate Actuary you will prepare internal and external communications to inform the business of trends in claims and delinquent loans to support changes in reserve indications. You will also support actuarial functions in valuing reserves for the US mortgage insurance product lines. The ideal candidate will have 4 years of actuarial experience, 5 or more CAS exams completed, and the ability to analyze data and develop reserve recommendations. Knowledge of computer programming (VBA & SAS) preferred. Comp: $115-130K. (#53474) Locations: Raleigh, NC Hybrid Remote Meet Your Recruiter Arturo Aguilera Social Media & Marketing Manager Arturo joined DW Simpson in 2017 and is currently the Social Media Specialist. He is in charge of running and maintaining DW Simpson's social media presence, increasing brand awareness and improving marketing...

D.W. Simpson Remote * (Raleigh, NC, USA)

Jun 02, 2023

Travel Reservation Specialist (Remote)

Overview Location: Remote - Michigan residents Interested in travel and culture? Keep up with current events? Love building personal relationships with customers? Become a remote Travel Reservation Specialist at Morley and apply your interests every day! In this unique role, you'll work directly with one of the world's most respected travel organizations to build world-class travel experiences, serving as customers' personal guide. What You'll Do Recommend trips and excursions based on customer interest Answer questions Plan reservations for unforgettable cultural and educational experiences across the globe Have questions before you apply? Live chat with a Morley Talent Acquisition Specialist on our website during business hours. Skills for Success Excellent written and verbal communication skills Knowledge of geography and current global events Eligibility Requirements High school diploma or equivalent Two or more years of sales or customer service...

Morley Remote * (All cities, USA)

Jun 02, 2023

Insurance AR Specialist (Remote - TX based)

General Description Medical Billing and AR Specialist will be well versed in all facets of an accounts receivable management system including but not limited to billing, claim corrections, reconciliation, Insurance refunds/credit balances, customer service, and follow-up. This includes reviewing claim information to ensure accuracy and provide feedback to the clinical and non-clinical areas regarding claim errors and/or denials. In addition, responsible for all other aspects of collections, resolving customer billing problems and reducing accounts receivable delinquency. Medical Billing and AR Specialist will work remotely. Essential Functions Medical Billing and A/R Clean up, Collections and Review. Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction. Mail correspondence to insurance carrier for payment of claims in the form of claim...

OrthoLoneStar PLLC Remote * (All cities, USA)

Jun 02, 2023

Automotive Technician (Remote)

Overview Location: Remote - Texas residents (initial on-site training* - Saginaw, Michigan) Note: This job is for a person who has worked in the auto tech industry and now wants to work remotely, handling calls from service technicians who need expert help with vehicle issues. Ready to trade your wrench for a home office? Share your automotive EV, engine, electrical, drivetrain or infotainment systems expertise with service technicians in the field over the phone and by email. You'll stay up to date on the latest recalls, service bulletins and new information and sharpen your own skills by teaching others. Morley's remote Automotive Technicians (Technical Automotive Consultants) are often the first to know - or the first to find - fixes for new repair concerns. What to Expect Work a Monday through Friday schedule from the comfort of home. Get a steady paycheck and excellent benefits including medical, dental, vision and life insurance; 401(k) with match; paid...

Morley Remote * (All cities, USA)

Jun 02, 2023

Sr. Associate - Projects(Remote)

Description This is a remote position open to any qualified applicant in the United States. Cognizant Technology Solutions is seeking for "Senior Associate" who could join in our team of IT professionals in a permanent role. If you meet our background requirements and skills and looking for an opportunity as a reward for your skills and expertise, here is the ideal opportunity for you! Job Title: Senior Associate Job Summary: Works as a consulting team member on client or internal assignments on product implementation, enhancement, or integration projects. Utilizes Professional concepts and company objectives to resolve complex issues in creative and effective ways. Defines and develops the custom interfaces, extensions, and reporting during an implementation from client applications to TriZetto products. Experience in healthcare domain, QNXT implementation Projects preferred Experience in one of the QNXT Modules (like Membership, Claims,...

Cognizant Technology Solutions Remote * (Reston, VA, USA)

Jun 02, 2023

REMOTE Registered Nurse - Medical Review Specialist

Overview: Avosys is a growing integrator of professional, technological and management solutions services. Founded in 1998, Avosys provides services nationwide to Federal, Commercial, Local and State clients. We recognize the foundation of our firm is our people and we continue to rise above our competition by hiring the best. Is it your calling to serve our Nations Heroes? Avosys is seeking a Remote Registered Nurse - Medical Review Specialist to provide outpatient services to the military and their families at Davis-Monthan Air Force Base in Tucson, Arizona. Maximize family time with no weekend, Holiday, or on-call requirements Maintain work-life balance with guaranteed 8-hour shifts Take advantage of our competitive, comprehensive benefits package including medical, dental, vision, life, short-term disability, long-term disability & 401(k) Responsibilities: Perform clinical reviews of Medicare Part A and Part B claims for Medical Review,...

Avosys Technology Remote * (San Antonio, TX, USA)

Jun 02, 2023

Subrogation 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 Subrogation Specialist - Remote Requisition Number R6013 Subrogation Specialist - Remote (Open) Location Colorado - Home Teleworkers Additional Locations Arizona - Home Teleworkers, Arizona - 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, Michigan - Home Teleworkers, Mt Laurel, New Jersey, Nevada - Home Teleworkers, New Jersey - Home Teleworkers, New York - Home Teleworkers, Ohio - Home Teleworkers, Oklahoma City, Oklahoma, Oklahoma - Home...

CSAA Insurance Group Remote * (Henderson, NV, USA)

Jun 02, 2023

Automotive Technician (Remote)

OverviewLocation: Remote - Florida residents (initial on-site training* - Saginaw, Michigan)Note: This job is for a person who has worked in the auto tech industry and now wants to work remotely, handling calls from service technicians who need expert help with vehicle issues.Ready to trade your wrench for a home office? Share your automotive EV, engine, electrical, drivetrain or infotainment systems expertise with service technicians in the field over the phone and by email. You'll stay up to date on the latest recalls, service bulletins and new information and sharpen your own skills by teaching others. Morley's remote Automotive Technicians (Technical Automotive Consultants) are often the first to know - or the first to find - fixes for new repair concerns.What to Expect* Work a Monday through Friday schedule from the comfort of home.* Get a steady paycheck and excellent benefits including medical, dental, vision and life insurance; 401(k) with match; paid vacation and holidays;...

Morley Companies Remote * (All cities, USA)

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204 claims specialist jobs found