Claims Resolution Specialist

Job DescriptionWe are seeking a Claims Resolution Specialist to join our team. This role involves reviewing, researching and resolving claims for health plans, commercial customers and government entities.As a Claims Resolution Specialist, you will be responsible for analyzing and identifying trends and providing reports as necessary. You will also ensure...

The Claim Resolution Specialist plays a versatile role in the claims workflow, tasked with submitting appeals to overturn denials and trigger payments or determining whether further action, such as additional appeals or account closure, is required. Specialists in this role may prioritize tasks based on claim complexity and workload, ensuring optimal...

The role of a claims handler involves the review and evaluation of claims assigned to this position. It is essential to attend to inquiries from insured clients and walk-in customers at the assigned location. Additionally, the claim handler must approve LOA within the assigned authority limit if applicable.Maintaining knowledge of claim documentation is also...

Healthcare Claims SpecialistIn this challenging role, you will play a pivotal part in enhancing healthcare outcomes by connecting individuals with essential resources and services.The ideal candidate will possess a college degree and at least one year of experience in claims or collections, along with strong analytical and problem-solving skills.Main...

Claims Resolution SpecialistWe are seeking a skilled Claims Resolution Specialist to join our team. In this role, you will be responsible for processing claims, providing recommendations and final decisions based on set authority limits approved by management.About the RoleThis position involves coordinating with team members and other stakeholders to ensure...

Employment Type: Full-Time EmploymentWork Setup: 100% OnsiteWork Schedule: Night Shift (Following U.S. Eastern Time Zone)Location: Eastwood, Libis, Quezon CitySalary Package: 35,000 to 50,000 PHP/MonthlyJob DescriptionThe role of the Account Resolution Specialist involves overseeing accounts receivable and minimizing the volume of accounts through the...

Who We Are:At OPENLANE we make wholesale easy so our customers can be more successful.We're a technology companybuilding the world's most advanced—anduncomplicated—digitalmarketplace for used vehicles.We're a data companyhelping customers buy and sell smarter with clear, actionable insights they can understand and use.And we're an innovation...

Disputes Resolution SpecialistAs a Disputes Resolution Specialist, you will be responsible for engaging directly with clients to facilitate optimal outcomes for their claims. You will uphold a high standard of customer service and ensure that all customer communications are accurate and professionally composed.You will work closely with the New Zealand...

Eggs Unlimited is one of the world's largest suppliers of eggs, servicing the biggest retail and food manufacturing companies around the globe. Every day, we find homes for millions of eggs by tapping into our vast supply chain and customer networks. Bringing sellers and buyers together in fair market negotiations, we open a world of possibilities for...

Medical Claims SpecialistWe are seeking an experienced Medical Claims Specialist to collaborate with our team. This role involves verifying patient eligibility, reviewing patient bills, and communicating with insurance companies.Responsibilities:Verify patient eligibility and benefits for treatments, hospitalizations, and procedures.Review patient bills for...