US Claims Management Specialist

Senior Process Executive Job OpportunityThis senior-level position offers the chance to work in a dynamic environment, overseeing the efficient processing of US healthcare claims. If you have experience in this field and are looking for a new challenge, apply now.Job Description:Senior Process Executive responsible for managing the end-to-end process of US...

Medical Claims Resolution Specialist Job DescriptionWe are seeking an experienced Medical Claims Resolution Specialist to join our team at a dynamic organization. The ideal candidate will possess excellent communication skills, a strong understanding of RCM/HIPAA regulations, and the ability to work effectively in a rotational shift environment.Main...

Key Account Resolution SpecialistWe are seeking a highly skilled and experienced Key Account Resolution Specialist to join our team. This individual will be responsible for resolving complex oncology-related claims and outstanding accounts receivable by establishing and maintaining effective relationships with insurance companies.The ideal candidate will...

Job OpportunityWe are seeking a highly skilled and experienced Test Data Specialist to join our Claims team. The successful candidate will have strong communication skills, ability to host client calls and drive discussions, and experience in creating test data within Facets in the Claims domain.About the Role:Lead a team and take ownership of...

Job Title: Claims ManagerJob Summary:We are seeking a skilled claims manager to oversee all aspects of our claims process, ensuring timely and efficient resolution of claims. The ideal candidate will have extensive experience in the shipping industry, particularly in cargo/marine claims.Key Responsibilities:Monitor and handle court cases, appeals, writ...

Job OverviewWe are seeking a meticulous and organized dental claims submission professional to manage the timely processing of dental insurance claims, track payments, follow up on outstanding balances, and ensure the accuracy of accounts receivable records.Key Responsibilities:Submit dental insurance claims electronically and manually with accuracy and...

Claims Data Migration SpecialistOur organization is seeking a skilled Claims Data Migration Specialist to support the migration of claims data from legacy systems to Guidewire Claim Center. The ideal candidate will have strong property and casualty insurance domain knowledge, expertise in SQL, and hands-on experience mapping data between legacy tables and...

As a Claims Associate, you will play a vital role in ensuring that benefits are disbursed in accordance with policies and contracted agreements.This is an exciting opportunity to join our team of professionals who shape the future by delivering outcomes. Our work involves assessing claims products to ensure they meet policy requirements.About the RoleData...

About This Role:We are seeking an Insurance Claims Expert to join our team. As a key member of our Claims Management department, you will be responsible for efficiently and accurately processing and managing cashless insurance claims.The primary goal of this role is to facilitate the smooth and timely processing of cashless claims, ensuring employees receive...

Guidewire Claim Center Developer OpportunityThis is an exciting opportunity for a skilled Guidewire Claim Center developer to join our team. As a key member of our technical staff, you will be responsible for creating and maintaining Guidewire Claim Center configurations for clients, developing and implementing solutions using Guidewire Claim Center APIs,...