Claims Resolution Specialist

Job Title:Claims Resolution Specialist">Description:The Claims Resolution Specialist will be responsible for receiving and answering emails and telephone calls related to claims. This role involves providing advice to policyholders on claim procedures, ensuring fair settlement of claims in a timely manner, and managing all administration aspects of the...

Intelligent Claims Resolution SpecialistWe are seeking a skilled professional to orchestrate Large Language Models (LLMs) and Small Language Models (SLMs) that optimize revenue cycle processes, minimize Accounts Receivable (AR) dollars, and improve claim resolution efficiency.About the Role:The ideal candidate will work closely with healthcare experts and...

Claims Handling SpecialistThe Claims Handling Specialist is responsible for managing all aspects of claims, ensuring fair settlement and adherence to legal requirements.Key responsibilities include receiving and answering emails and telephone calls related to claims, advising policyholders on claim procedures, and ensuring timely resolution of...

Job OverviewWe are seeking a highly skilled and detail-oriented Financial Claims Specialist to join our team. This role is responsible for managing and resolving insurance and patient payment collections to ensure timely revenue realization.Key Responsibilities:Proactively follow up with insurance companies (Medicare, Medicaid, Commercial) via phone, portal,...

Job DescriptionWe seek an expert to manage denied claims and identify revenue gain opportunities. The successful candidate will review open AR claims, identify trends through data analysis, and coordinate with stakeholders to address issues.Key Responsibilities:Conduct thorough reviews of denied claims and account-level dataAnalyze data to identify process...

Role & responsibilitiesVerify the accuracy and completeness of claim documents, including medical records and billing informationHandle customer inquiries related to claims status and provide resolution.Maintain and update claim records in the system.Identify discrepancies, fraudulent claims, and escalate cases as necessary.

Job Description:As a Trade Claims Specialist, you will be responsible for end-to-end trade claim calculation, verification and finalization. You will work closely with the team to ensure accurate and timely processing of trade claims.Your key responsibilities will include:Trade Claim calculation and verificationNMC claim verifications and DM difference...

Objective:To ensure efficient, accurate, and customer-centric management of Motor and OLOB insurance claims by driving process improvements, strengthening stakeholder relationships, monitoring key performance metrics, and delivering timely resolutions—ultimately enhancing claim outcomes and supporting organizational growth.ResponsibilitiesManage...

Job Title: Conflict Resolution Specialist Job Description: Our organization seeks a skilled Conflict Resolution Specialist to protect our clients' bottom line by efficiently resolving disputes. This role involves understanding the restaurant industry and its third-party aggregators, such as Uber Eats, DoorDash, and Grubhub. The ideal candidate will...

Claims Specialist Job DescriptionAnalyze and advise on claims for various lines of businesses. Key responsibilities include reviewing claims, establishing coverage, maintaining records, and preparing documentation.Key Responsibilities:Ensure eligibility for claims is reasonable and correct by analyzing claims and supporting documentation.Adjudicate claims...