Investigative Claims Examiner - Remote

· Start Date: TBD · Pay: $16.00 per hour · Job description: · Job Title: Medical Claims Examiner-Work From Home · Job Type: Full Time · FLSA Status: Non-Exempt/Hourly · Grade: H · Function/Department: Health Plan and Healthcare Services · Reporting to: Team Lead/Supervisor - Ope ...

We are transforming senior care by providing an all-inclusive healthcare option. · Ensuring timely and efficient processing of claims for our contracted specialty provider partners. · ...

Why MSI? We thrive on solving challenges. · As a leading MGA, MSI combines deep underwriting expertise with insurer and reinsurer risk capacity to create specialized insurance solutions that empower distribution partners to meet customers' unique needs.  · We have a passion for c ...

· Job Summary · This position interacts routinely with the Actuarial department, Legal department, service personnel at third party administrators, outside vendors, and claimants. This individual is responsible for handling inbound claims phones calls. This position has no super ...

Why MSI? We thrive on solving challenges. · As a leading MGA, MSI combines deep underwriting expertise with insurer and reinsurer risk capacity to create specialized insurance solutions that empower distribution partners to meet customers' unique needs.  · We have a passion for c ...

Job Description: · The Sr Claims Examiner I is an independent and self-sufficient professional who handles death claims with moderate complexity. This may include processing claims within Life, Annuity, RPS, or a combination of the three. This role ensures accurate processing in ...

Our client, a well-established regional Property & Casualty Insurance Carrier, is seeking an experienced Inside Homeowners Property Claims Examiner to assist with increased claim volume throughout the Northeast region. This role will focus primarily on desk handling of residentia ...

We're seeking a detail-oriented Claims Examiner II to join a progressive Claims Third-Party Administrator (TPA) serving the PACE (Program of All-Inclusive Care for the Elderly) market. · ...

We are seeking a highly motivated Claims Advocate to serve as a trusted partner to clients throughout the workers' compensation claims process. · Manage relationships with external workers' compensation claims administrators, including insurance partners and Third-Party Administr ...

Assured is on a mission to modernize insurance. Claims processing (i.e. should we pay this claim?), while often overlooked, is the foundation of the entire industry. It's currently highly manual, involving phone calls, faxes, and gut instinct, costing tens of billions of dollars ...

We exist for workers and their employers -- who are the backbone of our economy.  That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. · The Claims Auditor Lead is primarily respo ...

Assured is on a mission to modernize insurance. Claims processing (i.e. should we pay this claim?), while often overlooked, is the foundation of the entire industry. It's currently highly manual, involving phone calls, faxes, and gut instinct, costing tens of billions of dollars ...

We exist for workers and their employers -- who are the backbone of our economy.  That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. · The Recovery Analyst is primarily responsi ...

· Hi, we're Oscar. We're hiring a Payment Policy Associate to join our Payment Integrity Team. · Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind o ...

· Description · Job Summary: · Are you passionate about ensuring accuracy and quality? The IMA Group is seeking a dedicated Quality Assurance Specialist to join our team. This remote role focuses on maintaining the highest standards in reviewing reports and addenda generated by ...

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. · ...

· Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. · Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we w ...

As a Regulatory Compliance Analyst for Hagerty you will play an integral role in ensuring that Hagerty promotes an organizational culture that encourages ethical business conduct and a commitment to compliance with the law resulting in a positive image to associates customers ven ...

The Clinical Auditor I performs detailed medical record audit review and analysis of the health plan's outpatient, professional and ancillary claims to ensure that all reimbursement to the provider is paid accurately and ensuring adherence to regulations, internal policies and be ...

· Hi, we're Oscar. We're hiring a Senior Analyst, Special Investigations Unit Clinical Investigator to join our SIU. · Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 201 ...