Claims Training Specialist

Quality Assurance SpecialistOur organization is seeking a highly skilled Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will play a crucial role in ensuring the quality and accuracy of our claims processing.Key Responsibilities:Conduct thorough audits of claims to assess compliance with industry standards and internal...

Claims Process Trainer – Level 3Role Purpose: The primary responsibility of this role is to conduct comprehensive end-to-end claims process training for new hires and existing claims examiners.Key Responsibilities:1.Develop and deliver training programs on the complete claims process, including the basics of insurance, systems applications, policy wording...

Medical Claims Specialist Job DescriptionMedical claims specialists are responsible for accurately and efficiently processing medical claims to ensure timely payment from insurance providers.Key Responsibilities:Verify accurate insurance filing information on behalf of clients and patients.Prepare, review, and transmit claims using billing software.Follow up...

Job SummaryA Claims Resolution Specialist is responsible for reviewing and evaluating customer claims, ensuring their accuracy, eligibility, and compliance with company policies. This involves investigating claims, determining validity, and customer settlement amounts while maintaining detailed records and communicating with team leads for approval.Key...

Job DescriptionWe are seeking a skilled Medical Claims Specialist with expertise in the Athena billing software to fill this key role.The ideal candidate will be responsible for accurately processing and managing medical claims, verifying insurance eligibility and benefits, preparing and transmitting claims using the Athena software, and proactively...

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Claims Specialist to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture...

Job Summary:We're seeking a highly skilled and detail-oriented Insurance Claims Support Specialist to join our team.The ideal candidate will possess excellent communication skills, with the ability to effectively collaborate with clients and colleagues to ensure seamless service delivery.Provide exceptional customer service via phone and emailProcess and...

Job Overview:A Quality Analyst is responsible for auditing claims to ensure compliance with operational guidelines and internal policies.Key Responsibilities:Conduct thorough audits of claims to assess compliance with operational standards and internal policies.Analyze claims documentation to identify discrepancies, errors, and opportunities for improvement...

Job SummaryMedical Claims SpecialistA Medical Claims Specialist plays a pivotal role in the healthcare ecosystem, responsible for submitting claims to insurance providers and ensuring accurate processing of patient information.On a daily basis, this professional handles various tasks including data entry from medical coders, verifying insurance coverage,...

Role Purpose:The primary role of this position is to support Claims Adjusters located in North America by completing various complex tasks as instructed. The Claims FNOL Handler will be responsible for a range of activities, including receiving and registering sensitive, high valued and important claims, reviewing insurance policies, documenting claims, and...