Claims Resolution Expert

Job SummaryThe Short-Term Disability Claims Analyst will play a critical role in analyzing and resolving disability claims in a dynamic environment. This individual will possess excellent analytical, problem-solving, and decision-making skills, with a strong focus on accuracy and timeliness.Duties and ResponsibilitiesAcquire, analyze, and investigate...

Nezda Global: A Career OpportunityWe are proud to offer a challenging and rewarding career opportunity for a Claims Specialist at Nezda Global.In this role, you will have the opportunity to work with a talented team of professionals, leveraging your analytical and communication skills to resolve insurance claims efficiently.Benefits:A competitive salary...

Job SummaryWe are looking for a highly skilled Claims Analytics Expert to join our team at ECLARO. The ideal candidate will have 3+ years of experience in business analysis, with a preference for experience in the insurance industry.The successful candidate will work closely with stakeholders to gather, manage, and analyze large datasets to identify claim...

About the JobWe are actively hiring a Claims Specialist to join our team at Nezda Global.The successful candidate will be responsible for reviewing and analyzing insurance claims, communicating with stakeholders, and ensuring timely and efficient resolution of claims.Responsibilities:Review and analyze insurance claims to determine validity and...

Key ResponsibilitiesThe Insurance Claims Administrator will be responsible for:Analyzing initial claim notifications, including coverage verification and associated checksUpdating existing claims and processing them into the Company's systemsBooking transactions into the Company's systemProcessing claims payments, including providing supporting...

Becoming a Customer Resolution Expert at ADDFORCE HUMAN RESOURCES SOLUTIONS means being part of a dedicated team that prioritizes exceptional customer service. Your primary responsibility will be to contact customer requests by phone or in writing to ensure their satisfaction and meet service standards.As a key member of our team, you will focus on promoting...

We are seeking a Technical Resolution Analyst to join our team at UnitedHealth Group. In this role, you will be responsible for providing technical support to our customers, troubleshooting complex issues, and collaborating with internal teams to resolve problems.To succeed in this position, you will need a strong understanding of desktop support technology,...

We're seeking a highly skilled Problem Resolution Strategist to join our IT service management group at HCLTech. As a key member of our team, you will be responsible for identifying and resolving technical problems that impact our customers' experiences.The ideal candidate will have a strong background in ITIL and a proven track record of working...

The role of Client Technology Representative I involves providing initial technical support for CWT clients.Main Duties:Respond to initial technical queries from clients via phone and email.Maintain accurate records of incidents using online case management tools.Analyze and resolve technical issues to prevent further complications.Verify the effectiveness...

About the RoleThis position offers a unique opportunity to work in a collaborative environment where you will utilize your analytical and problem-solving skills to drive results. As a Short-Term Disability Claims Analyst, you will play a vital role in ensuring timely and accurate claim resolutions.ResponsibilitiesGather, review, and analyze medical,...

ResponsibilitiesThe Process Executive will be responsible for managing and overseeing various processes within the Life and Annuities Insurance domain.The ideal candidate will have a strong background in MS Office and experience in RS/Pension Policy Owner Services, RS/Pension New Business, RS/Pension Claim Management, and RS/Pension Agency Management.Main...

Job Description:At MA Financial Group, we seek a people operations expert to lead our efforts in HRIS management, compensation, and benefits administration. This role requires a strong understanding of HRIS platforms, compensation structures, and regulatory compliance. The ideal candidate will possess excellent analytical, problem-solving, and communication...

Summary:The Clinical Review Nurse position assesses the medical appropriateness of proposed treatments and medications for our injured employees, and partners with the Client Claims Adjuster team to expedite medically necessary treatment for each claim. Maintains a solid understanding of Client's mission, vision, and values. Upholds the standards of the...

We value diversity and inclusion at N-able. Our team of N-ablites is dedicated to making a difference in how our partners do IT. As a Collections Specialist, Associate, you will be responsible for managing a portfolio of assigned accounts and performing daily collections activities.About the PositionThis role requires strong attention to detail and the...

Role Description: We are seeking a highly skilled Cloud IAM and Access Management Expert to join our team at RecruiterPH. This role will be responsible for providing technical support and issue resolution, as well as assisting with account provisioning, password management, and access requests.About the Role: As a Cloud IAM and Access Management Expert, you...

Job DescriptionThis role will involve managing third-party relationships and ensuring compliance with relevant policies and procedures. The ideal candidate will have excellent communication skills and experience working with vendors.The successful candidate will be responsible for:Acting as a process expert for third-party management;Guiding Service...

About the RoleWe are seeking a skilled Healthcare Informatics Support Expert to join our team at Philips International.As a member of our team, you will be responsible for providing exceptional technical support and service expertise to customers, ensuring high customer satisfaction.Your primary focus will be on delivering excellent healthcare informatics...

Roles and Responsibilities:• PH Nurses to review treatment authorization request based on state guidelines and medical necessity and take decision to approve/deny. In case of denial send this to independent panel review to support the decision. Nurses will work with Claims adjuster on denial decision based on risk tolerance to ensure the denial doesn't...

Summary:The Clinical Review Nurse position assesses the medical appropriateness of proposed treatments and medications for our injured employees, and partners with the Client Claims Adjuster team to expedite medically necessary treatment for each claim. Maintains a solid understanding of Client's mission, vision, and values. Upholds the standards of the...

OverviewWe are Comrise, a company dedicated to delivering exceptional solutions and services.Job Title: Sales and CX Technology ExpertWe are seeking an experienced Sales and CX Technology Expert to join our team. In this role, you will be responsible for providing technical support on SAP Sales and CX solutions.ResponsibilitiesGather requirements and assess...