Insurance Claims Integration Specialist

Job DescriptionAs a skilled Claims Representative, you will be responsible for processing and evaluating health insurance claims with accuracy and fairness.Key Responsibilities:Process and evaluate health insurance claims in accordance with established policies and procedures.Verify policy coverage, eligibility, and supporting documents to ensure compliance...

As a Dedicated Claims Specialist, you will be responsible for contacting insurance companies and patients to follow up on outstanding medical claims and ensure accurate reimbursement.Key Responsibilities:Denial Resolution: Initiate calls to insurance companies to inquire about the status of denied claims, maintaining thorough records of all interactions and...

Unlock value in insurance finance with a specialist firm that supports global insurers, reinsurers, MGAs and Lloyd's syndicates.Our expertise spans actuarial services, underwriting and claims transformation, technology advisory and implementation, and change management. You will work closely with Finance, Actuarial, and Technology teams to ensure the...

Claims Analyst RoleWe are seeking a skilled Claims Analyst to join our team. The ideal candidate will be responsible for processing Life Insurance and Living Benefits Claims, ensuring timely coordination with onshore teams and clients.Key Responsibilities:Process Life Insurance and Living Benefits ClaimsCoordinate with onshore teams and clients to ensure...

Job Overview:Key RoleWe seek a highly organized and experienced Medical Insurance Verification Specialist to support our operations. This individual will play a vital role in ensuring seamless services for sleep studies and DME programs.Main ResponsibilitiesVerify medical insurance coverage for patients.Coverage verification and authorisation of required...

Corporate Insurance Management PositionWe are seeking a seasoned professional to oversee the management of corporate insurance within our organization.Main Responsibilities:Negotiate policy placements with insurers, focusing on property, employee benefit, and project insurance.Review and negotiate policy terms and commercial agreements with insurers and...

Healthcare Integration Specialist JobWe are seeking an experienced Healthcare Integration Specialist to join our team. The ideal candidate will have in-depth knowledge of EDI systems, including EDIFECS and FACETS.About the Role:This is a full-time position that requires at least 5-10 years of experience in healthcare EDI integration.The successful candidate...

Job OverviewThe Automotive Warranty Administrator role is responsible for processing warranty claims accurately and on time. This position requires strong attention to detail, effective communication, and the ability to work in an overnight shift aligned with US Central Standard Time.Key Responsibilities:Verify repair orders against dealership systems and...

Job Title: Senior Compliance SpecialistWe are seeking a detail-oriented and experienced legal professional with strong US law expertise to join our team.The ideal candidate will prepare, review, and manage various legal documents ensuring federal and state compliance.This role requires expertise in employment-related legal matters including unemployment...

We are seeking a skilled professional to fill a Claims Test Data Facets role. This position requires experience in creating high-quality test data within the Claims domain.Key Responsibilities:Host client discussions and drive effective communication.Create accurate test data for the Claims domain within Facets.Lead a team and take ownership of...