Claims Review Specialist jobs

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Claims Adjudication Specialist
Claims Adjudication Specialist. Process Trupanion Express™ claims within target service level goals (80% VDP claims within 5 minutes, 80% Owner Pay (PTO) claims...
Claims Review Specialist
Attend weekly Quality Review and Cold Review Teams’ Meetings. Perform Quality Review and Cold Review of eligibility and compensation determinations of Non-...
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Claims Specialist
Statebridge Company
Greenwood Village, CO 80111
The Claims Specialist is responsible for monthly default reporting and management of the claims process from claim filing through settlement for a portfolio of...
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Workers' Compensation Review Specialist
Performs quality assurance review of IME reports, correspondences, addendums or supplemental reviews. Knowledge of the insurance industry preferably claims...
Medical Claims Specialist
Twin Cities Pain Clinic and Surgery Center
Edina, MN
Medical Claims Specialist*. The Medical Claims Specialist supports the business office by collecting payments from insurance companies who have unpaid claims....
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Remote Insurance Resolution Specialist

The Remote Insurance Resolution Specialist is responsible for evaluating billed, unresolved medical claims and facilitating the resolution of those claims....

Professional Services Claims Specialist (Review)

Reviews and prepares claims for and coordinates external dental consultant activities. Adjudicates claims, and maintains claim records....

Healthcare Claims Customer Support

Authorizing the appropriate payment or referring claims to investigators for further review. Providing expertise or general claims support by reviewing,...

Accident / Critical Illness Claims Specialist

South Portland, ME 04106
Review and render determinations on Critical Illness / Accident / Hospital Indemnity claims. Authorizes the appropriate payment or refers claims to...

EDI Claims Filing Specialist

Electronic Data Interchange Claims Filing Specialist. Job Summary – The Electronic Data Interchange (EDI) Claims Filing Specialist is responsible for ensuring...

Claim Specialist - Proximity

Arlington, VA 22202 (Aurora Highlands area) +21 locations
The Fire Proximity Claims Specialist role is non-exempt/overtime eligible. Claim Specialist - Proximity. This position is for a Fire Proximity Claim Specialist,...

Operations Specialist, Claim INTERNAL

Reports claims to other insurance companies. Reviews medical bills for proper billing and coding. Prints and prepares claim documents for legal and medical...

Claims Specialist

Present all claims prepared for filing to the Default supervisor for quality review. Maintain clear records and reports for management review regarding claims...

OOS Claims Specialist

Brecksville, OH
Review and edit claims to ensure they meet state and federal guidelines. Perform aggressive follow-up on unresolved claims....

Claims Specialist

Reviews claims exceeding third party administrator threshold. This position provides claims handling expertise for all of the accident and health claims, both...
Insurance Claims Specialist
Researches and reviews patient accounts to determine accurate account information and updates the billing system with accurate account information....
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