Senior Complex Litigation Claims Consultant - Remote

This role involves managing complex casualty claims requiring high-level investigation analysis evaluation negotiation and representation of the company at mediation arbitration trials review of contracts leases to identify risk transfer opportunities writing positional coverage ...

Medical Billing Specialist is responsible for Posting medical charges, payments, and journal entries to patient accounts in a timely and accurate manner. · ...

A medical biller is responsible for posting medical charges and payments to patient accounts in a timely and accurate manner. · ...

We have an exciting opportunity for a Contract Claims Auditor to join our audit team as a consultant. This role would be supporting one of our clients and apply your expertise specifically across lender-focused insurance products. · ResponsibilitiesReview hazard placement, docume ...

The Business Consultant is a valued part of HealthEdge's Global Professional Services team... ...

We aim to create an experience that simply feels easy when you need to access our healthcare system. · Ensure the timely and accurate adjudication and payment of medical claims. · ...

We are seeking a highly skilled Business Analyst / Integration Analyst with strong experience in Property & Casualty (P&C) insurance,SaaS technology ecosystems, API and webhook-driven integrations,data migration initiatives. · Key Responsibilities include leading requirements eli ...

The Claims Manager will handle all insurance claim matters presented by clients of Risk Strategies Group and manage the operations/workflows of the Claims Department staff. · Setup and submit new claims to insurance carrier and place on follow-up activity diary review verify cove ...

The Senior Stop Loss Claims Auditor conducts detailed audits of high-complexity claims files to ensure compliance accuracy and adherence to company procedures and regulatory requirements.The successful candidate will have strong understanding of claims handling insurance regulati ...

The Project Manager 2 contributes to the organization and operation of the State of Rhode Island's Office of Data, Analytics and Evaluation (ODAE) including its work with Medicaid Ecosystem and All-Payer Claims Database data systems. · ...

Cotiviti Healthcare es la experta en precisión de pagos. Buscamos especialistas en precisión de pago experimentados para unirse a nuestro equipo. · ...

National General is hiring an experienced Auto Telephone Claims Adjuster for our west coast claims team. The ideal candidate will be located in the Pacific time zone. This role requires investigating and confirming the facts of loss for basic to advanced automobile accidents. · T ...

Cotiviti Healthcare is the payment accuracy expert We work with healthcare organizations to recover money and improve processes As we continue to grow, we are seeking experienced Payment Accuracy Specialists to join our team This job includes leading or supervising a team within ...

Counterpart is an insurtech platform reimagining management and professional liability for the modern workplace. · ...

This role supports process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients. · Provide subject matter expertise and in-depth understanding of Payment Integrity internal claims processing edits, external vendo ...

The Project Manager contributes to the organization, operation... · ...

As a Senior Sales Executive, you will be a consultative sales executive responsible for growing the commercial carrier, MGA and program business pipeline, · achieving annual sales targets and implementing the strategic and tactical initiatives of the company. · ...

We're hiring a Senior Analyst to join our Payment Integrity team. This role supports process improvement and issue resolution in the Oscar claim environment. You will report into the Sr. Manager, Payment Integrity. · This is an authentic Oscar Health job opportunity. · ...

The Senior Contract Manager will lead Contract Management support in the execution of complex equipment and extended scope, domestic and international Gas Turbine Power Plant Projects.This role requires access to U.S. export-controlled information. · ...

Assist the Director of HIM in preparing claim audits, reviewing and recommending coding, revenue cycle and charge/billing changes on client hospital outpatient and Profee claims using proprietary software product. · ...