Claims Adjudication Professional

Company OverviewNezda Technologies, Inc. is a leading provider of innovative solutions in the BPO healthcare industry.We are committed to delivering exceptional service to our clients and fostering a collaborative environment among our team members.Job DescriptionThe Disability Case Specialist will be responsible for managing caseloads, conducting claims...

Job DescriptionWe are seeking a highly skilled Healthcare Claims Resolution Specialist to join our team at Nezda Technologies. As a Disability Case Specialist, you will be responsible for handling cases related to workers compensation, long or short term disability, and prior authorization with a strong focus on BPO Healthcare.Our ideal candidate will have a...

Job DescriptionThis is a senior leadership role within our organization, requiring a highly skilled Quality Assurance Director to oversee our Patient AR and Claims processes. The successful candidate will have a strong understanding of US healthcare revenue cycle management (RCM), claims adjudication, payer policies, and denial...

At RecruiterPH, we are seeking a skilled Disability Case Manager to join our team. In this role, you will be responsible for adjudicating disability claims and coordinating interventions to support employees in their recovery and return to work.Key Responsibilities:Adjudicate disability claims by reviewing and analyzing contractual, medical, functional, and...

TASQ Staffing Solutions is seeking a highly organized and detail-focused Claims Analysis Professional. In this role, you'll be responsible for reviewing and processing claims, ensuring accuracy and timeliness.We're looking for a professional with a PHRN certification, a Bachelor's degree, and at least 1 year of customer-facing work experience. Experience...

Job DescriptionWe are looking for a skilled Claims Management Professional to join our team at Gear Inc.This role involves making outbound calls to insurance companies and payors to collect essential information, including claim statuses, denial reasons, and additional details. The successful candidate will have strong communication skills, excellent...

We are seeking a highly skilled PHRN Certified Claims Professional to join our team at TASQ Staffing Solutions. As a Claims Examiner, you will be responsible for reviewing claims and ensuring that they meet our company's standards.Company OverviewOur company offers a dynamic work environment, with opportunities for professional growth and development. We...

We are seeking a skilled and experienced BPO Claims Management Professional to join our team at WNS Global Services, Inc. As an Operations Supervisor – Insurance Claims Account, you will be responsible for managing the claims process from start to finish and ensuring that all claims are processed efficiently and effectively.The ideal candidate will have at...

Job OverviewWe are looking for a highly skilled Patient Accounts Receivable Quality Management Specialist to join our team. The successful candidate will have a strong understanding of US healthcare revenue cycle management (RCM), claims adjudication, payer policies, and denial management.Responsibilities:Lead and manage the QA team, providing mentorship,...

The Claims Analytics Professional plays a vital role in driving business growth by identifying opportunities and developing data-driven strategies. As a Business Systems Analyst, you will be responsible for managing and analyzing large datasets and dashboards to provide actionable insights to clients and stakeholders.Responsibilities:Analyze large datasets...

We are looking for experienced professionals to join our team as Disability Case Management Specialists. As a Disability Case Management Specialist, you will be responsible for adjudicating disability for eligibility of short and long-term benefits.This role requires reviewing and analyzing contractual, medical, functional, and occupational information. You...

We are seeking a seasoned professional to join our team as a Disability Case Specialist.The ideal candidate will possess at least 2 years of experience in case management, workers compensation, long or short-term disability, claims adjudication, or prior authorization with a strong BPO healthcare background.Our hybrid work setup allows for flexible...

About the RoleWe are seeking a skilled Non-PHRN Accidental Claims professional to join our team as a Disability Claims Handler. In this role, you will be responsible for reviewing and processing short-term disability claims, making phone calls to gather information, and making the actual claim decision.ResponsibilitiesReview and process short-term disability...

The Claims Resolution Manager role at AIA Hong Kong and Macau offers a unique blend of challenge, opportunity and personal satisfaction. You will be responsible for leading a team of claims professionals to determine the validity and authorise settlement of insurance claims, ensuring that all necessary documentation is completed accurately and...

**Job Overview**TASQ Staffing Solutions is seeking a highly skilled and experienced Disability Claims Specialist to join our team. In this role, you will be responsible for processing short-term disability claims, reviewing and gathering information, making phone calls, and making claim decisions.As a Night Shift PHRN professional, you will work closely with...

Job DescriptionWe are seeking a detail-oriented and meticulous professional to join Principal Global Services. As an Associate - STD/Pregnancy Claims Analyst, you will be responsible for effectively managing all STD/Pregnancy claims per department guidelines to make timely and accurate decisions as outlined in the performance expectations.You will work...

About the Role:The Clinical Claims Resolution Expert will play a key role in ensuring accurate and timely resolution of healthcare claims. This includes gathering relevant information, analyzing claims data, and communicating with stakeholders to resolve disputes. The successful candidate will have strong analytical skills, excellent communication abilities,...

On-site - Taguig 1-3 Yrs Exp Diploma Full-timeJob DescriptionDescriptionAbout Lennor GroupAs a proud Filipino company, we are committed to providing world-class business and workforce solutions. Our deep market expertise, combined with a global perspective, empowers us to serve businesses of all sizes and industries efficiently.Our brand, Lennor Metier, is a...

TASQ Staffing Solutions is seeking a highly skilled Disability Claim Processing Expert. In this role, you'll be responsible for reviewing and processing disability claims, ensuring accuracy and timeliness.We're looking for a professional with a PHRN certification, a Bachelor's degree, and at least 1 year of customer-facing work experience. Experience with...

About UsTasq Staffing Solutions is a staffing agency committed to delivering exceptional talent solutions to our clients. We are passionate about helping businesses succeed by providing top-notch professionals.Job DescriptionWe are seeking a highly skilled Non-PHRN Accidental Claims professional to join our team. As a Disability Claims Handler, you will be...