Claims Investigation

Short Description:Review and verify the accuracy and completeness of submitted medical claims, including patient information, provider details, services rendered, and billed amounts.Assess the coding accuracy of diagnoses, procedures, and services according to industry-standard code sets such as ICD-10, CPT, and HCPCS.Determine the eligibility of claims...

We're looking for a Claims Analyst to join our Insurance Operations team at MBPS. In this role, you are responsible for the overall review, assessment, and decision on payment for claims.Position Responsibilities: Responsible for the complete assessment, calculation and final decision on claims (ex. Group life, AD&D, Survivor Income claims, TDMI, Personal...

Job PurposeThe Claims Evaluator/Examiner is responsible for investigating, evaluating, and processing non-life insurance claims in accordance with company policies, procedures, and regulatory requirements. The role ensures timely, fair, and accurate settlement of claims while maintaining excellent customer service and minimizing company losses.Roles and...

Duties and Responsibilities:Review Claims forms and documentationInvestigate the circumstances of the ClaimInspect damaged property or consult expertsDetermine whether the claim is valid under the policy termsCalculate the value of claim, including damages or lossesMaintain accurate records of claims, including communication, assessments and...

Claims Assistant is primarily responsible for the evaluation, investigation and eventual settlement of all claims submitted.Responsibilities:Primarily process all claims particularly motor car.Conducts ocular inspection of the damages of the insured vehicle.Makes necessary adjustments to the claims according to the damages and makes the necessary...

See internal ad for details.Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.Our associates are given valuable opportunities to contribute, to innovate...

We're looking for a Claims Analyst to join our Insurance Operations team at MBPS. In this role, you are expected to process number of worktypes that has TAT requirements of Day 0, 2, 15, 30 and so on.Position Responsibilities: Create death benefit packages and send correspondence via fax, mail, or email to obtain missing documents.Report any overpayments,...

Job DescriptionReviews all claims documents and relates it to the insurance policy for complianceTasked to inspect the damages sustained by the vehicles being claimed, canvass the necessary parts and make recommendations on the most accurate amount of repair that can be approved for the claims filed.Tasked to scan and evaluate bodily injury claims filed...

We're looking for a Claims Senior Associate to join our Insurance Operations team at MBPS. In this role, you are responsible for handling a variety of regular claim work types, including indexing and processing paramedical claims. This role involves efficiently managing claims to ensure accurate and timely processing, adhering to company guidelines and...

We're Hiring: Provider Dispute Claims Processor We are seeking an experienced Provider Dispute Claims Processor this role is responsible for reviewing, researching, adjudicating medical claims and resolving provider disputes in compliance with regulatory guidelines and internal policies. This role requires strong analytical skills, a high level of accuracy,...