Claim Resolution Expert

We are looking for an experienced Claims Resolution Manager to join our team at P and I Claims Management Inc.The ideal candidate will have a strong background in insurance claims, excellent analytical skills, and the ability to work well under pressure.Responsibilities include analyzing claims, evaluating evidence, and making recommendations on...

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 Summary:**We are looking for a skilled Claim Reconciliation Expert to join our team at RelianceUnited. As a key member of our healthcare operations, you will be responsible for processing claims reconciliation requests from accredited Flexicare network providers.**Key Responsibilities:**Process claims records from accredited hospitals and doctors...

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...

Job Title: Claims Adjudication ExpertCompany OverviewHunter's Hub Inc. is a leader in the health insurance industry, known for our commitment to excellence and customer satisfaction. As a Claims Adjudication Expert, you will play a critical role in ensuring that our members receive fair and timely decisions on their claims.Job DescriptionAssess and...

Job OverviewNeksjob Philippines is seeking a highly skilled Phone Services and Billing Resolution Expert to join our team. As a Phone Services and Billing Resolution Expert, you will be responsible for providing expert-level customer service to our clients by resolving their queries regarding phone or mobile phone services, billing concerns, and promotional...

Job DescriptionThe Claim Reconciliation Processor is responsible for processing account reconciliation requests from accredited Flexicare networks. This role plays an important part in ensuring that all assigned reconciliations are completed accurately and on time.Duties And ResponsibilitiesReconciles claims records from accredited hospitals and doctors...

ResponsibilitiesComplaint Management: Act as the primary point of contact for customers with complaints regarding Manulife Health Products, ensuring that complaints are handled promptly and efficiently.Investigation and Resolution: Thoroughly investigate each complaint by gathering all pertinent information and collaborating with relevant departments, such...

About the OpportunityThe role of Senior Health Claims Analyst is a critical position within our organization, responsible for reviewing and assessing claims to ensure accurate benefit payouts and adherence to policy details, laws, and regulations.Key Responsibilities:Determine eligible benefits based on submitted documents and policy provisions.Adjudicate...

Job DescriptionThe Debt Resolution Expert is tasked with identifying areas of improvement in the collection process and developing enhanced strategies to boost team efficiency. This role requires strong analytical and problem-solving skills, as well as excellent communication and collaboration abilities.Key Responsibilities• Analyze collection processes...

HDSI: Claim Reconciliation Processor (Health Claims)Join to apply for the HDSI: Claim Reconciliation Processor (Health Claims) role at ACTIVEONE HEALTH, INC.Job Objective / PurposeThe Claim Reconciliation Processor is responsible for processing the account reconciliation requests from the accredited Flexicare network. S/He plays an important role in ensuring...

Nityo Infotech is seeking a highly skilled Dispute Resolution Expert to handle disputes from member banks. The ideal candidate will be responsible for assessing each dispute promptly and taking genuine steps to resolve or clarify them using approved dispute resolution processes.Job Description:The Dispute Resolution Expert will be responsible for receiving...

About the RoleWe are seeking a highly skilled Vehicle Claims Specialist to join our team. As a specialist in this field, you will be responsible for assessing and managing vehicle claims from initial reporting to final resolution.Key Responsibilities:Conduct thorough assessments of damaged vehicles to determine extent of damage and cost of repairs.Develop...

Job Objective / Purpose The Claim Reconciliation Processor is responsible for processing the account reconciliation requests from the accredited Flexicare network. S/He plays an important role in ensuring that all reconciliations assigned are completed accurately and on time. This role will be hired under Flexicare, Health Delivery System, Inc. (HDSI) - a...

**What You'll Do:**As a member of our Email Support Representative CSR team, you will be responsible for:Providing exceptional customer service through phone, email, and written correspondence.Resolving customer issues promptly and professionally.Collaborating with internal teams to ensure effective issue resolution and customer satisfaction.**Our Company...

Job Overview:The Insurance Triage Coordinator position at Eteam Workforce Private Corporation requires a detail-oriented individual with excellent organizational skills. In this role, you will be responsible for triaging claims documents, conducting pre-adjudications, and ensuring accurate data entry.Main Responsibilities:Triage claims documents upon...

About PenbrothersPenbrothers is an HR & remote talent management partner and one of the fastest growing companies in the Philippines. We provide talented Filipinos with global opportunities in high-growth startups and dynamic companies, from the comfort of their own homes.About the ClientOur client is a venture-backed startup with a mission to establish a...

As a seasoned Resolution Expert, you'll play a critical role in resolving customer complaints and issues in a timely and professional manner. You'll work closely with our client base to understand their concerns and develop effective solutions, leveraging your excellent communication and problem-solving skills to achieve outstanding results.In this role,...

About the Role:We are seeking a highly skilled Chargeback Resolution Expert to join our team at Neksjob Corporation. In this role, you will be responsible for handling guest credit card chargebacks within the Credit Card timeline. This involves creating accounts receivable billings to collect funds primarily from unsettled guest onboard expenses, and medical...