Claims Resolution Manager

We are looking for a skilled Claims Resolution Specialist to join our team at TASQ Staffing Solutions. As a Claims Resolution Specialist, you will be responsible for reviewing and gathering information, making phone calls, and making decisions on claims in a fair and timely manner.The successful candidate will have at least 2 years of experience in claim...

P and I Claims Management Inc. is seeking an Insurance Claims Director to lead our claims management team.The successful candidate will have extensive experience in insurance claims, excellent leadership skills, and the ability to make strategic decisions.Key responsibilities include managing claims teams, analyzing claims data, and developing strategies to...

Job SummaryThis is an exciting opportunity to join our team as a Customer Service Representative. In this role, you will be responsible for providing top-notch customer service to our healthcare providers.ResponsibilitiesHandle high volumes of inbound calls from healthcare providers.Analyze complex claims data and provide accurate and timely resolutions.Work...

UnitedHealth Group is seeking a Medical Claims Resolution Associate to join our team. In this role, you will be responsible for resolving medical claims disputes and ensuring timely resolution for our customers. You will work closely with cross-functional teams to identify root causes of issues and implement effective solutions.Main Responsibilities:Analyze...

Optum, a global organization, delivers care through technology to improve health outcomes. The work with our team enhances health by connecting people with necessary resources.The role of a Healthcare Claims Representative involves resolving claims for health plans and commercial customers. This requires expertise in reviewing, researching, investigating,...

Job Description:Optum: A Global Organization Delivering CareWe are a global organization that delivers care, aided by technology to help millions of people live healthier lives. Our team works together to improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Role Overview:The...

Job Description:The Financial Claims Resolution Professional will be responsible for achieving collection effectiveness and efficiency by meeting productivity benchmarks and flow rates. This involves processing requests related to the collection department in a timely manner, liaising with internal and external units in charge of client concerns, and...

Job SummaryThe Claim Reconciliation Processor is a critical role in our operations, responsible for processing account reconciliation requests from accredited Flexicare networks. As a key player in our team, you will ensure that all assigned reconciliations are completed accurately and on time. Your expertise will play an essential part in maintaining the...

P and I Claims Management Inc. is seeking a highly skilled Risk Management Specialist to join our team.The successful candidate will analyze and evaluate claims based on relevant documents to determine their validity and establish liability.Key responsibilities include preparing reports for the Head of Operations, negotiating settlements, and attending...

Transforming Lives through Insurance Solutions:At Trinity Insurance and Reinsurance Brokers, Inc., we have been serving our clients and customers for over three decades. Our commitment to creating customized, personalized, and cost-effective insurance products has earned us a reputation as a trusted partner in the industry.The Position:We are currently...

About the Role:We are seeking a highly skilled and experienced Sr. Health Claims Analyst to join our team. The successful candidate will be responsible for reviewing and assessing claims, ensuring accurate benefit payouts, and maintaining compliance with policy details, laws, and regulations.Key Responsibilities:Conduct thorough analysis of claims and...

As a Healthcare Claims Representative at UnitedHealth Group, you will be part of a global organization that delivers care through technology to enhance health outcomes.Your key responsibilities will include providing expert claims support by reviewing, researching, investigating, negotiating, and resolving claims for health plans and commercial customers.Key...

Key Responsibilities:Receiving all marketing-related activities claims from the branchEnsuring that all marketing claims are properly documented with the Sales & Operations DepartmentPreparing and clearing all marketing claims with Account Receivables in the systemAligning the Marketing Budget Program, Accrual & Actual Expenses with the Finance & Accounting...

OverviewThe Claims Administrator is responsible for the triaging, identification and allocation of incoming claims related correspondence and assisting the Claims team as required with tasks including, but not limited to, processing reinsurance claims, claims reporting, and document management.ResponsibilitiesAnalyze initial claim notifications, including...

COMPANY PROFILE:Trinity is a full-line insurance broker that provides products and services in both General Insurance and Employee Benefits. For more than three decades, Trinity has transformed the lives of its clients and customers, redefining what it means to be in the business of insurance by creating products and services that are customized,...

We are looking for a highly motivated Loss Adjusting Supervisor to join our team at P and I Claims Management Inc.The ideal candidate will have a strong background in loss adjusting, excellent communication skills, and the ability to work independently.Responsibilities include supervising loss adjusting teams, analyzing claims data, and making...

About Us:We are Trinity Insurance and Reinsurance Brokers, Inc., a trusted provider of insurance solutions in the Philippines. Our company offers a wide range of products and services in General Insurance and Employee Benefits.The Role:We are looking for a qualified Claims Specialist to join our team in handling claims related to Employee Benefits. As a key...

In this challenging and rewarding role, you will be responsible for managing claims, ensuring compliance with regulatory requirements, and maintaining accurate records. Key skills and qualifications include:Advanced knowledge of claims systems and downstream data reporting.Strong technical acumen, including TPA system expertise.Excellent communication and...

ECLARO is an award-winning professional services firm providing innovative solutions to the insurance industry.Claims Operations RoleThis position plays a critical role in managing claims, meeting service level agreements, and collaborating with stakeholders. Key responsibilities include:Intake, triage, routing, and assigning claims to appropriate...

Trinity Insurance and Reinsurance Brokers, IncA leading full-line insurance broker providing products and services in General Insurance and Employee Benefits.We are seeking a skilled Claims Specialist for our Employee Benefits division to handle end-to-end claims processing, provide guidance, and ensure timely resolution.Key Responsibilities:Coordinate with...