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: 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 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 Title:We are seeking a skilled Claims Specialist to manage hospital billing denials and resolve customer issues effectively.About the Role:This is a remote work opportunity, where you will be working from home/office on night shifts.Responsibilities:Handle hospital billing denial management, claims follow-up and customer service with strong communication...

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...

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...

Job DescriptionOur organization is seeking a highly skilled and detail-oriented Dental Claims Approver III to join our team. The successful candidate will be responsible for scrutinizing dental claim documents and settlements, processing claims according to established healthcare guidelines, and ensuring compliance with internal policies and procedures,...

Job Title: Assistant Manager, ClaimsShape the Future of Work with GenpactJob Description:We are looking for a highly skilled professional to handle travel claims of medical treatment, hospitalization, trip cancellation, baggage/personal items loss and other related matters. The ideal candidate will have in-depth knowledge of US travel claims processing and...