Claims Specialist

Claims Resolution SpecialistAs a Claims Resolution Specialist, you play a pivotal role in ensuring timely and accurate reimbursement from insurance companies and patients. Your responsibilities include navigating complex billing and coding rules to resolve outstanding medical claims.Key Responsibilities:Initiate calls to insurance companies to inquire about...

Job Opportunity: Billing & Claims SpecialistWe are seeking a highly organized and detail-oriented individual to fill the role of Billing & Claims Specialist.Prepare and submit dental insurance claims accurately and on time.Post insurance and patient payments in practice management systems.Follow up on unpaid or denied claims to ensure resolution.Communicate...

Job Role: Data Mapping SpecialistKey Responsibilities:Support the migration of claims data from legacy systems to Guidewire Claim Center by analyzing and mapping system tables to the target structures.Develop and validate SQL queries for efficient data extraction and transformation.Collaborate with cross-functional teams to ensure accurate data mapping and...

Insurance Claims Settlement SpecialistThis role involves overseeing the entire insurance claims settlement process from submission to final resolution. The ideal candidate will assess claims, investigate their validity, coordinate with adjusters, and ensure timely and fair settlements.The Insurance Claims Settlement Specialist is responsible for handling the...

Job Summary:We are seeking an experienced Claims professional to join our team as a Test Data Facets specialist.The ideal candidate will have 7–8 years of experience in the Claims domain and a strong background in creating test data within Facets. They should also possess excellent communication skills, be able to host client calls and drive discussions,...

Claims Adjudication SpecialistWe are seeking a skilled Claims Adjudication Specialist to lead the claims processing function in the US healthcare sector.Responsibilities:Manage claims adjustments and coding (ICD, CPT, HCPCS)Lead NSA project experience with expertise in claims processingCollaborate with cross-functional teams to resolve complex claims...

Health Insurance Claims ProfessionalOur organization seeks a highly skilled and empathetic Health Insurance Claims Professional to handle claims with accuracy, fairness, and efficiency.This role requires strong analytical skills to evaluate health insurance claims, as well as excellent communication skills to coordinate with hospitals, TPAs, and...

Job Title:Claims ManagementJob Overview:The Claims Management Specialist is responsible for efficiently and accurately processing cashless insurance claims.Key responsibilities include verifying policy coverage, providing customer service, coordinating with healthcare providers, resolving issues, maintaining records, adhering to service level agreements, and...

Senior Claims Analyst Job DescriptionWe are seeking a skilled Senior Claims Analyst to process Life Insurance and Living benefits Claims for Canadian customers, coordinate with onshore teams and the client, and ensure timely processing of Claims transactions.The ideal candidate will have excellent analytical skills, strong communication abilities, and the...

Quality Assurance Specialist for Guidewire Claim CenterThis is a full-time on-site role where you will be responsible for ensuring the overall quality of our software application. Your tasks will include executing test cases, performing manual testing to identify defects, documenting defects and working with developers to resolve issues, and improving the...