Claims Resolution Manager

We are seeking a qualified Operational Claims Specialist to support our claims team in managing and resolving claims efficiently and effectively.The selected candidate will work closely with claims handlers to analyze and evaluate claims data, identify potential issues, and develop recommendations for resolution.This role involves communicating regularly...

We are seeking a Claims Resolution Specialist to join our team at NTT DATA North America.About the RoleAs a Claims Resolution Specialist, you will be responsible for handling phone calls from policyholders, beneficiaries, agents, and internal customers, addressing their inquiries and resolving issues in a timely and professional manner.You will need to have...

Work Setup: OnsiteCompany OverviewIntelassist is a leading company that offers innovative solutions in patient account management.Job DescriptionThe Account Resolution Specialist plays a crucial role in overseeing accounts receivable, minimizing the volume of disputed claims, and ensuring precise payments align with payer contracts.Key ResponsibilitiesReview...

About the RoleWe are seeking a highly skilled Medical Billing Specialist to join our team at Sourcefit DR. As a key member of our financial team, you will play a crucial role in managing our claims process.Your primary responsibility will be to handle all aspects of claims management, from investigation to resolution. This includes reviewing and analyzing...

About the RoleWe are seeking an experienced Claims Administrator to join our Arch Insurance team. The successful candidate will be responsible for managing the claims lifecycle, from initial notification to resolution.Key ResponsibilitiesAnalyze and prioritize incoming claims correspondenceUpdate and maintain accurate claims recordsCoordinate with internal...

BAU Responsibilities:Directly responsible for the adjudication and approval of death, critical illness, TPD, hospitalization benefit of all individual and group insurance claims within his/her approval limit and within the agreed turnaround time.Ensures that the life claims benefits are paid out in accordance with existing Philippine life insurance laws and...

About the Role:Hunter's Hub Inc. is a leading insurance company that requires a dedicated Life Claims Specialist to support our claims process. In this role, you will work closely with claims officers to ensure efficient claim resolution.

ResponsibilitiesThe Medical Billing Specialist - AR will be responsible for:Navigating multiple online portals to manage claims efficiently.Regularly communicating with payers to resolve claim issues.Investigating claim denials to identify effective solutions.Managing claim adjustments to ensure accurate payments.Following up on outstanding claims to prevent...

Key ResponsibilitiesAs a Senior Health Claims Analyst at Manulife Insurance Malaysia, you will be responsible for:Reviewing and assessing health insurance claimsDetermining the eligibility of benefits based on submitted documents and policy provisionsAdjudicating claims and determining corresponding recommendation or decision within prescribed approval...

Key ResponsibilitiesThis position will be responsible for managing the Claims email box, meeting service level agreements, setting up the claim in ImageRight and the Claims system. Key responsibilities include working directly with brokers and/or insureds for details required to complete the setup of the claim, collecting and reporting the necessary data...

We are seeking an experienced Risk Assessment Lead to manage and oversee the risk assessment process for incoming claims.The selected candidate will analyze claim documentation to identify potential risks and assess their likelihood and impact.They will also provide recommendations to senior management on the best course of action for each claim, taking into...

Role Description:The Claims Processing Professional at Hunter's Hub Inc. plays a crucial role in supporting our claims team. This position involves working closely with claims officers to ensure accurate and efficient claim resolution.Main Responsibilities:Collaborate with claims officers to draft settlement and decision letters.Perform CHUB encoding tasks...

Work with UsWe are looking for a skilled Medical Billing Specialist to join our team at Manpower Core Group Inc. This role offers an exciting opportunity to work in a dynamic environment where you will be responsible for managing patient accounts, resolving claim denials, and providing exceptional customer service.ResponsibilitiesThe successful candidate...

Job DescriptionWe are seeking a highly skilled and experienced Healthcare Claims Processor to join our team. As a member of our team, you will be responsible for managing and processing dental claims from submission to resolution.Key Responsibilities:Manage and process dental claims in a timely and accurate manner.Coordinate with various insurance companies...

We are seeking an experienced Account Resolution Specialist to join our team at Intelassist.About the RoleThis position involves resolving disputes and ensuring timely payments for patient accounts. The ideal candidate will have excellent communication skills, be able to work independently, and possess strong analytical abilities.Key...

Job DescriptionAs a Senior Health Claims Analyst at Manulife Insurance Malaysia, you will be responsible for reviewing and assessing health insurance claims. This involves determining the eligibility of benefits based on submitted documents and policy provisions.You will work closely with our team to ensure that claims are processed efficiently and...

About the RoleThe Claims Administrator will be responsible for processing and managing claims-related correspondence.

Job SummaryWe are seeking an experienced Claims Specialist - Dental Division to join our team. As a member of our team, you will be responsible for managing and processing dental claims, as well as coordinating with insurance companies to verify coverage.Key Responsibilities:Process dental claims from submission to resolution.Verify insurance coverage and...

About the RoleWe are seeking a highly skilled and experienced Senior Health Claims Analyst to join our team at Manulife Insurance Malaysia. In this role, you will be responsible for reviewing and assessing health insurance claims, ensuring that our customers receive fair and timely settlements.The ideal candidate will have strong analytical and...

P and I Claims Management Inc. requires a highly skilled Case Analysis Director to lead our case analysis team.The ideal candidate will have extensive experience in analyzing complex claims data to identify trends and patterns, and providing actionable insights to inform business decisions.This role involves working closely with cross-functional teams to...