Commercial Claims Examiner - Remote

Point C is looking for a detail-oriented and motivated Claims Examiner to join our team. In this role, you'll be responsible for accurately processing medical claims while ensuring compliance with plan documents, policies, and industry regulations. · ...

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. · ...

We are seeking a Claims Examiner who is excited to be part of a growing team where renters claims experience is highly valued. · ...

The Claims Examiner is considered an expert in managing insurance claims for our policyholders. · We thrive on solving challenges, · We have a passion for crafting solutions for the important risks facing individuals and businesses. ...

This position interacts routinely with the Actuarial department, Legal department, service personnel at third party administrators, outside vendors, and claimants. · Process incontestable life and annuity claims for payment or denial · Process non-financial tasks associated with ...

The Claims Examiner is considered an expert in managing insurance claims for our policyholders. The ability to develop relationships and effectively communicate with a diverse range of clients, carriers and colleagues is a key success factor in this role. · ...

The Sr Claims Examiner I handles death claims with moderate complexity and is responsible for processing claims within Life, Annuity, RPS or a combination of the three. · Review and adjudicate standard and moderately complex life and annuity claims in compliance with policies and ...

Our client is seeking a Senior Commercial Auto Litigation Claims Examiner to oversee complex commercial auto claims with a strong focus on litigated matters and severe casualty exposures. · Investigate, evaluate, and resolve litigated Commercial Auto claims from inception through ...

This role involves examining travel claims and providing customer service as a representative of One80 Intermediaries. · ...

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 Claims Auditor who will be responsible for conducting pre-payment, post-payment and claims adjudication audits across multiple employer groups and product lines. The role plays a key part in maintaining the integrity of our claims operations by supporting all asp ...

+Job summary · 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. · +Oversight and management of ...

The Medical Biller will gather charge information, code, enter into data base complete billing process and distribute billing information. · Key Responsibilities include:Researching all information needed to complete the billing process. · Coding information about procedures perf ...

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

We exist for workers and their employers -- who are the backbone of our economy. · We need someone to manage file requirements from beginning to end for subrogation cases and overpayment recoveries with third-party vendors. · ...

A senior disability hearing attorney should possess legal expertise practical experience interpersonal skills and personal qualities to represent clients navigate the complexities of Social Security Disability law. · Representing clients in appeals hearings before administrative ...

We're hiring a Payment Policy Associate to join our Payment Integrity Team. · About the role: · The Payment Policy Associate manages and executes all payment policy activities... · ...

A disability hearing attorney should possess legal expertise and interpersonal skills to represent clients in Social Security Disability law. · ...

A senior disability hearing attorney should possess a comprehensive blend of legal expertise, practical experience, interpersonal skills, and personal qualities to effectively represent clients and navigate the complexities of Social Security Disability law. · ...

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. · ...

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 ...