Claims Development Specialist

Job Title: Claims SpecialistIn this role, you will have end-to-end knowledge of claim lifecycle management and P&C products. Your responsibilities include handling new transitions from strategic assessment through to operations set up with zero surprise delivery.Develop a comprehensive understanding of claim lifecycle managementEnsure seamless transition...

Basic FunctionHandle and administer Family & Medical Leave Act standalone (as well as other leave) claims and adhere to federal andstate regulatory and/or company plan requirements and established FMLA workflow proceduresComplete eligibility decisions and review for entitlement, gather pertinent data when necessary, from employee, physicians office or...

Job Opportunity:Healthcare Claims SpecialistWe are seeking a detail-oriented and skilled individual to join our team as a Healthcare Claims Specialist. In this role, you will play a crucial part in managing and following up on outstanding healthcare claims to ensure timely collections.This position requires strong communication and negotiation skills to...

Job OverviewWe are seeking a skilled Insurance Claims Specialist to join our team. This role involves handling insurance claims by reviewing estimates of building materials used for house repair work.Excellent knowledge of insurance / property claims processing is required.The ideal candidate will have experience in entering information related to personal...

As a Claims Operations Specialist, you will play a pivotal role in shaping the future of work. Our organization drives change and innovation, leveraging AI and digital solutions to redefine industries. Our breakthroughs tackle complex challenges, and we're scaling advanced technology solutions to help global enterprises thrive.If you excel in a fast-paced...

Claims SpecialistWe are seeking a skilled Claims Examiner with expertise in Property and Casualty to deliver exceptional results.Develop and execute test casesUnderstand claims processing workflowsFamiliarize with Agile methodologiesBasis knowledge of DevOps principlesMain Responsibilities:Design, implement, and maintain ETL processesMigrate data from...

Job OverviewA Claims Tester is required to work on surety claims, QA, and claims workflow. The ideal candidate will have expertise in test case creation, agile methodologies, DevOps, and status reporting.Key ResponsibilitiesDesign and develop ETL processes to move data into a data warehouse or analytical database.Implement data cleansing techniques to ensure...

Claims Resolution SpecialistPrimary Responsibilities:Engage in outbound calls to insurance companies to follow up on outstanding claims.Understand and resolve claim denials or rejections to ensure timely payment.Verify patient insurance information and update accounts accordingly.Document call details, follow-up actions, and claim status for future...

Claims SpecialistJob Responsibilities:Review dental claim documents and settlements to ensure compliance with healthcare guidelines.Process claims accurately and efficiently, adhering to established procedures.Maintain confidentiality and adhere to HIPAA regulations.Meet productivity targets while ensuring the accurate processing of dental claims. Possess a...

Senior Manager, Medical RCMLeading a team of claims management specialists is an exciting opportunity to shape the future of work.As Senior Manager, Medical RCM, you will oversee the planning, organization, direction, and implementation of all claims management processes to ensure accuracy and timeliness of claim submissions, collections efforts, and payment...