Claims Data Specialist

Claim Center Configuration SpecialistWe are seeking a skilled Claim Center Configuration Specialist to configure, develop and maintain the Guidewire Claim Center. The successful candidate will be responsible for meeting business requirements, creating configuration artifacts, troubleshooting issues, collaborating with cross-functional teams, performing unit...

Insurance Claim Settlement Specialist Job OverviewThis role involves managing the entire claims settlement process from submission to final resolution, ensuring timely and fair settlements for insurance claimants.Assess claims and investigate their validity by analyzing data according to established SOPs.Coordinate with adjusters to ensure seamless...

Job Title: Claims AdvocateRole OverviewWe are seeking a skilled Health Insurance Claims Specialist to support our team. In this capacity, you will serve as a liaison between customers, healthcare providers, and insurers, handling claims with accuracy, empathy, and efficiency.Key Responsibilities:Process and evaluate health insurance claims in a fair and...

Job Title: Automotive Warranty Claims SpecialistThe position of Automotive Warranty Claims Specialist is now available. This role plays a crucial part in ensuring the smooth operation of our warranty claims process.Responsibilities include:Verifying repair orders against dealership systems and preparing claims for submission.Accurately reviewing, coding, and...

Job SummaryWe are seeking a highly skilled Claims Specialist to join our team. The successful candidate will be responsible for processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers.Key Responsibilities Include:Managing end-to-end cashless...

Claims Resolution SpecialistJob Description:This role involves navigating complex billing and coding rules to ensure accurate claim processing. AR callers play a critical part in denial management, facilitating timely resolution.Key Responsibilities:Follow-up and Resolution: Initiate calls to insurance companies to inquire about the status of denied...

Job OverviewWe seek an experienced Health Insurance Claims Manager to oversee and manage the end-to-end claims process for our customers. As primary liaison between clients, insurers, TPAs, and healthcare providers, you will ensure claims are handled smoothly, accurately, and on time.The ideal candidate has a strong background in health insurance claims...

Job DescriptionWe are seeking a skilled Data Professional to support the migration of claims data from legacy systems to Guidewire Claim Center.The ideal candidate will possess strong insurance domain expertise, proficiency in SQL, and hands-on experience mapping data between legacy tables and Guidewire Claim Center. A solid understanding of the Guidewire...

Hiring for Sr. Process Executive – US Healthcare (Claims)Job Summary:We are seeking an experienced Sr. Process Executive to join our team in the US Healthcare Claims department.The successful candidate will have a strong background in claims adjudication and coding, with experience working with ICD, CPT, and HCPCS codes.This is an excellent opportunity for...

Job Title:Assistant ManagerJob Description:The Assistant Manager will be responsible for monitoring and handling all legal issues related to claims matters. This includes recovering outstanding costs and expenses incurred by the company from third parties.Monitor and handle court cases, appeals, writ petitions, and actions initiated by authorities such as...