Clinical Claims Resolution Expert

**Job Profile**Pioneer Your Insurance is looking for a talented Claims Resolution Expert to join our team. As a Claims Resolution Expert, you will be responsible for resolving complex insurance claims efficiently and fairly.

**Claims Handler Manager Job Description**We are seeking an experienced Claims Handler Manager to join our team at P and I Claims Management Inc.The successful candidate will be responsible for managing a team of adjusters, analyzing and evaluating claims, and preparing reports and correspondence.**Key Accountabilities**Manage a team of adjusters to achieve...

The Claims Resolution Expert will be responsible for evaluating completeness and accuracy of documentary evidence, reviewing claim files, and identifying potential subrogation opportunities.This role requires strong analytical and negotiation skills, as well as the ability to work collaboratively with claims adjusters, attorneys, and other relevant parties...

**Collection and Claims Expert Wanted!**We're looking for a professional with extensive experience in claims resolution, who can expertly manage healthcare unpaid claims and interact with customers to resolve issues.About the Job:This role requires a strong understanding of the claims end-to-end process, including payment and collection in a BPO setting or...

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...

About the Role:The Claims Resolution Specialist will be accountable for coordinating with insurers, policyholders, and stakeholders to resolve claims promptly. This role involves investigating and evaluating claims, gathering supporting materials, and approving or rejecting claims based on thorough analysis and policy terms.

Job OverviewWe are seeking a highly organized and detail-oriented Claims Resolution Specialist to join our team at RA ROCO INSURANCE BROKERS INC. This role will involve reviewing claim documents and reimbursements, forwarding them to Principal insurance, and following up on the status of submitted claims.

At MetHealth, we are seeking a skilled Clinical Claims Specialist to join our team. In this role, you will be responsible for ensuring timely notification of claim decisions to all parties involved.The ideal candidate will have strong analytical and communication skills, as well as the ability to work effectively in a fast-paced environment.Key...

ECLARO is a global professional services firm that operates in multiple countries. We offer a unique opportunity for a highly skilled Claims Resolution Manager to join our team.In this role, you will be responsible for resolving claims efficiently, working closely with brokers, insureds, and external vendors. You will have advanced knowledge of claims...

Company Overview:RelianceUnited is a leading healthcare provider offering a range of services including reimbursement services. We are seeking a highly skilled Clinical Claims Resolution Expert to join our team.Job Summary:The Clinical Claims Resolution Expert will be responsible for ensuring the accuracy and timeliness of account reconciliations. This...

Role OverviewWe are seeking a highly skilled Claims Resolution Specialist to join our team. As a Damage Assessment Professional, you will be responsible for comprehensively managing insurance claims, including the submission of assessment reports, completion of scope of works, and costing estimation.You will work closely with our Customers, Clients, Trades,...

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,...

**Senior Claims Examiner Position:**We are seeking a highly skilled Claims Administration Expert to join our team at Chubb. In this senior role, you will be responsible for leading and managing the claims examination process, ensuring that claims are settled promptly and professionally, while maintaining a positive relationship with customers, brokers, and...

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...

Healthcare Reconciliation SpecialistThe Claim Reconciliation Processor is a vital role within Activeonehealth, responsible for ensuring the accurate and timely reconciliation of claims records from accredited hospitals and doctors. This position plays a crucial part in maintaining the trust and confidence of our healthcare partners.Duties And...

About Us:At MetHealth, we are committed to providing exceptional patient care and outcomes. Our team of dedicated professionals is passionate about delivering high-quality services that meet the unique needs of our patients.Your Role:We are seeking a skilled Insurance Claim Resolution Specialist to join our team. As a key member of our claims resolution...

**Job Description**P and I Claims Management Inc. is recruiting an experienced Claims Handler Manager to lead our team.The successful candidate will have a proven track record in claims management, excellent communication skills, and the ability to analyze complex information.**Responsibilities Include**Leading a team of adjusters to manage claims from...

ResponsibilitiesReview and process medical claims, including analyzing claim information and making decisions regarding claim coverage or denialCommunicate with healthcare providers and members regarding claim status and resolutionMaintain accurate records of claim processing and ensure compliance with company policies

About the RoleWe are looking for a Financial Claims Resolution Professional to work with our team at Nityo Infotech. As an Accounts Receivables Analyst, you will be responsible for resolving customer claims and ensuring timely payment processing.ResponsibilitiesEvaluate and resolve customer claims related to payment discrepancies.Collaborate with internal...

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...