Manager of Specialty Claims Processing - Plano

NNTT Data seeks a Medical Claims Processor to join their team in Plano, TX for a remote position. · This role involves processing insurance claims. · Key responsibilities include validating member and provider information, · determining accurate payment criteria for clearing pend ...

We are currently seeking a Claims Processing Associate - Remote to join our team in Plano, Texas (US-TX), United States (US). · Ntt data is looking for someone who can review insurance claims validate member provider other claim’s information determine accurate payment criteria ...

This job is for a property claims process owner who plans directs and coordinates activities for complex processes including problem definition evaluation of requirements design testing and implementation of business processes. · ...

As business process owner plans directs and coordinates activities for complex processes including problem definition evaluation of requirements design testing and implementation of business processes. · ...

We are seeking a P&C Claims Process Optimization Analyst to join our team. This role is hybrid - in-office · 4 days per week. The ideal candidate will have experience in business process execution/knowledge/experience and be able to apply quality management, process improvement ...

+ Pamp;C Claims Process Optimization Analyst · Kforce has a client in Plano, TX that is seeking a Pamp;C Claims Process Optimization Analyst. This role is hybrid - in-office 4 days per week. · Plans, directs, and coordinates activities for complex processes · Understands the proc ...

The Assistant Manager of Claims Processing is responsible for managing a team of Claims Examiners for the day-to-day operations of claims. · Serve as SME and primary point of contact with all claims processing related questionsManage and review claims, open notes, and check backl ...

The Assistant Manager of Claims Processing is responsible for managing a team of Claims Examiners for the day-to-day operations of claims. · Serve as SME and primary point of contact with all claims processing related questions · Manage and review claims, · Assess and assign clai ...

The Insurance Claims Processing agent is responsible for researching accounts within ten days to determine if an account is eligible for an insurance claim. They call insurance companies to verify coverage and/or follow-up on any existing claims. · ...

The Provider Reimbursement and Claims Specialist is a subject matter expert responsible for reviewing auditing pricing claim. This role requires strong attention to detail adherence established policies ability interpret provider documents ensure accurate timely claim payments. · ...

This non licensed position will be responsible for the initial investigation valuation assessment of exposure negotiation and settlement creation of assigned claims. There will be no stipulated monetary authority. · Determine the appropriate application of coverage by querying th ...

This position involves managing stop loss claim submissions, ensuring accuracy and timeliness in the claims process, serving as a trusted partner to clients carriers internal stakeholders Acts as subject matter resource within team can operate independently resolve routine issues ...

We are seeking a detail-oriented and proactive Auto Claims Specialist to join our team and support the auto property damage claims process. · Licensed as an Adjuster in the State of Texas. · 3 to 5 years of experience in auto insurance claims, auto claims adjusting, advocacy and/ ...

This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. · Review all required claim documentation including security agreements... · ...

The Claims Coordinator is responsible for reviewing and validating claims before they are submitted to insurance payers. · Review claims for completeness and accuracy prior to submission. · Identify and correct errors or inconsistencies in claims data. · ...

This position will oversee and supervise the resolution of all claims including moderate to high exposure claims ensuring claims are processed accurately, efficiently, and in compliance with all internal policies, state/federal regulations, and industry best practices. · ...

Review new submissions to ensure all required documentation and claim details are included. File and manage shortage claims based on shortage investigation report, theft notification, and/or warehouse incident report. Investigate and process damage claim submissions based on retu ...

We are searching for a Legal ERISA Hospital Claims Analyst – someone who works well in a fast-paced setting. · In this position, you'll provide support in analyzing comprehensive claims and identifying key metrics. · You will be a subject matter expert in legal claims. · This ext ...

+Job summary · We are seeking a detail-oriented and experienced Senior Hospital Collection/Appeal and Denial Representative to join our team.++ ...

Analyze complex or technically difficult general liability claims to determine benefits due; ensure ongoing adjudication of claims within service expectations. · Analyzes and processes complex or technically difficult general liability claims by investigating and gathering inform ...