Claims Specialist

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 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...

Job Title: Medical Claims SpecialistAs a Medical Claims Specialist, you will be responsible for handling healthcare-related processes such as medical billing, coding (ICD-10, CPT, HCPCS), and claims management.Responsibilities:Review and process healthcare data, including insurance claims, patient records, and medical documentation.Ensure compliance with...

Job Description:We are seeking a detail-driven professional to join our billing operations team as an Unbilled Claims Management Specialist.This role involves monitoring and managing unbilled claims to ensure timely submission and reimbursement, investigating root causes of unbilled claims, collaborating with pharmacy, intake, and billing teams, tracking and...

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 Title: Claims Development SpecialistAbout the RoleWe are seeking an experienced Claims Development Specialist to join our team. As a key member, you will be responsible for designing, developing, configuring, and maintaining applications within our claims system.The ideal candidate will have experience in our claims authoring tools, along with a deep...

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 Opportunity: Claims Processing ExpertWe are seeking an experienced and detail-oriented individual to join our team as a Claims Processing Expert. In this role, you will be responsible for reviewing and processing claims data, identifying errors or inconsistencies, and providing expertise to support claims resolution.The ideal candidate will have a strong...