Register
Recruit Create CV

Claims Coordinator Jobs

Claims Coordinator Jobs
By Mercy At , Oklahoma City, 73120
Preferred Experience: Experience with healthcare/medical malpractice claims management.
Education: Associates degree or Paralegal degree/certificate.
Experience: One year legal and/or claims administration experience.
Basic knowledge of legal, medical, and technical terminology.
Strong written and verbal communication skills. Proficient with Microsoft Office suite, including Excel, Word, and PowerPoint.
Well developed interpersonal, organizational, and critical thinking skills.
Claims Coordinator Jobs
By Constellation At , Remote $61,200 - $73,000 a year
Experience as paralegal or with claims management.
Support Litigation team with discovery, scheduling, basic factual research and special project coordination (20%)
Provide high level support to include conducting research, preparing statistical reports and handling information requests.
Track cases, create summary reports and coordinate with outside counsel and insurance.
Coordinate and schedule interviews and meetings.
Compose and prepare correspondence and reports.
Claims Systems Configuration Coordinator - Evicore - Remote
By The Cigna Group At United States
You'll coordinate, define, and review claims system configuration to meet change requirements as approved.
2+ years of claims and health care experience required
1+ years of experience in Claims Systems Configuration required
1+ years of Microsoft Access experience is required
Strong technical competence, proven critical thinking, and impeccable communication skills are required
Intermediate skills in MS Office Excel is required
Underwriting And Claims Coordinator, Dgs
By Commonwealth of PA At , $70,651 - $107,306 a year
You will have to report to the office as required by management.
Minimum Experience and Training Requirements:
Any equivalent combination of experience and training.
Failure to comply with the above application requirements will eliminate you from consideration for this position.
711 (hearing and speech disabilities or other individuals).
REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY
Claims Resolution Coordinator Jobs
By GAIUS Networks (Flipped.ai) At United States
Answercustomer service lines as necessary and responds toprovider inquiries either byphone, email,or in person regardingclaims-related questions.
Reviews, researches, and workswith various departments to resolve complex providerinquiries, appeals, and grievances.
ProcessesCIFs and adjustments as needed.
Writesand runsreports in Business Objects to obtain needed claim data.
Tracksand analyzesprovider trends with denials and CIFsto provide support toproviderswith an opportunity to improve.Distributesprovider scorecards.
Trackscomplaints, appeals, and grievances by the program. Reportsactivities on a quarterlybasis to IQI, PHC Compliance Coordinator,and Claims Director.
Coordinator Technical Support Claims
By HealthPartners At , Bloomington, 55425, Mn
Knowledgeable of total quality management concepts.
Bachelor’s degree in management, business administration, or an Associate degree with at least two years of HealthPartners claims processing experience.
Working knowledge of HealthPartners mainframe systems or equivalent experience with other claims systems.
Assist supervisor in the management of work flow, deadlines, and work projects.
Other Duties: Performs additional duties, attends meetings and assumes projects as assigned by supervisor, manager or director.
Detailed knowledge and understanding of the insurance industry including claims processing and customer service expectations.
Customer Care Coordinator/Claims
By American Floor and Home At , Honolulu, 96819, Hi
Excellent interpersonal, verbal, and written communication skills
Willingness and ability to perform all required job duties and additional duties as needed
A rich benefit package that includes paid leaves, medical/dental plans, 401k plan, flexible spending accounts, employee discounts, and more.
Pay Range: Depending on Experience
We believe that our employees are our greatest assets so we offer:
A positive team player who has the willingness to work with and assist others and can also work independently
Claims Coordinator Jobs
By City of Lakeland, FL At , Lakeland, Fl
QUALIFICATIONS (EDUCATION, TRAINING AND EXPERIENCE) AND SPECIAL REQUIREMENTS
KNOWLEDGE, SKILLS, ABILITIES AND WORKING ENVIRONMENT/PHYSICAL REQUIREMENTS
Three (3) years of management and/or supervisory experience.
Principles and practices of organizational analysis and management.
Principles and practices of supervision, training, and personnel management.
Manages response and preparation of legal defense materials and documentation produced for litigation.
Claims Coordinator Jobs
By City of Lakeland At Florida, United States
Three (3) years of management and/or supervisory experience.
Principles and practices of organizational analysis and management.
Principles and practices of supervision, training, and personnel management.
Manages response and preparation of legal defense materials and documentation produced for litigation.
Tracks and reports claim trends to the Director, Risk Manager, and department.
Five (5) years of progressively responsible claims experience in workers' compensation insurance and/or auto/property casualty insurance.
Claims Review Coordinator Jobs
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Communicate with members, providers and/or external organizations regarding appeals status or questions. Address critical inquiries from senior management through research.
Associate Degree or 2 years of job related work experience.
3 years of experience processing, researching and adjudicating claims.
Subsidized health plans, dental and vision coverage
401K retirement savings plan with company match
On-site cafeterias and fitness centers in major locations
Claims Processing Coordinator Jobs
By Delta Dental Ins. At , Alpharetta, Ga
Strong time management and organizational skills, with the ability to multi-task while maintaining attention to detail.
5+ years of experience w/High School
Excellent customer service skills with ability to evaluate and respond to the contact needs.
Skill in critical thinking and analysis.
Strong interpersonal, written, and verbal communication skills.
Six Sigma Green Belt Certification. within 1 Year Pref'
Coordinator, Claims Customer Service
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Respond accurately and timely to inquiries from team members, including management, concerning customer inquiries, claims adjudication, appeals and other technical issues
Identify issues with procedures and processes and provides feedback to management on changes and development
Excellent verbal and written communication skills
Knowledge of claims processing procedures
Investigate and initiate resolutions to complex problems
Authorize payment recovery, claim payments, or makes claim rejections based on documented information and provisions of state or federal law
Claims Payment Research Coordinator
By University of Washington At , Seattle, 98195, Wa $3,433 - $4,909 a month
UW Medicine Faculty Practice Plan Services (FPPS)
Claims Payment Research Specialist(Patient Account Representative 2).
Follow established procedures for preparing, entering, and reconciling the daily bank deposits.
To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or [email protected].
Medical Claims Intake Coordinator
By MultiPlan Inc. At , Remote $17 an hour
Perform timely data entry of necessary information
Ensure compliance with HIPAA regulations and requirements.
Knowledge of medical insurance terminology required
Communication skills (verbal, written, listening), attention to details, problem solving, analytical, interpersonal, organizational and decision-making skills
Ability to use software, hardware, and peripherals related to job responsibilities
Remote positions available - temporary
Claims Care Coordinator Jobs
By illumifin At , Eden Prairie, 55344, Mn
Associates Degree or equivalent formal training program, or 2 years experience in a medical or insurance environment.
At least 3 years work experience with claims and insurance contract interpretation.
Intermediate level experience with Microsoft Office products.
Experience working with healthcare, long-term disability or long term care claims.
Excellent verbal and written communication skills.
Familiarity with nursing home and home care service providers and service delivery settings
Claims Department Coordinator Jobs
By RAM Mutual Insurance At , Esko, 55733, Mn
Providing prompt, courteous, and high-quality work in response to management direction and internal customer needs.
Identifying and resolving problems according to departmental guidelines; offering first level problem resolution to customers and escalating inquiries appropriately.
Completing special projects assigned by manager.
Providing exceptional customer service to mutual partners, agents and policy holders as the primary point of contact for the department.
Responding to customer inquiries quickly, accurately and in a professional manner.
Assisting with claims set up, procuring documents/records, document retrieval, researching complex claim and policy coding issues, etc., as requested by Adjusters.
Claims Coordinator Jobs
By PUBLIC HEALTH, IOWA DEPARTMENT OF At Sioux City, IA, United States

SIOUXLAND DISTRICT HEALTH DEPARTMENT Claims Coordinator Entry Salary : $20.72/hour + Benefits/IPERS The Claims Coordinator is responsible for processing Medicare, Medicaid, and MCO insurance ...

Claims Coordinator Jobs
By Mississippi Farm Bureau Casualty Insurance Company At , Jackson, 39211, Ms
Other duties and responsibilities as assigned.
Ensure timely and specific processing of correcting codes, payments, ledger errors, and tags.
Assist with training of clerical staff as well as perform administrative duties required during the absence of
Complete and correct data on claim vendor reports on a monthly basis.
Compile claim reserve information for monthly IBNR ( incurred but not reported ) reserve reports.
Assist in coordination of Claims Department meetings and conferences.
Claims Coordinator Jobs
By Premier Roofing Company At , Denver, 80224, Co From $50,000 a year
Negotiating skills are a MUST.
Strong self-motivation and organizational skills
A go-getter/money motivated mentality with quick decision-making and problem-solving skills
Knowledge of construction/roofing and estimating software (Xactimate) is a plus
Requires public contact and excellent interpersonal skills.
Former or current adjusters are strongly encouraged to apply, as well as those with inside Sales experience!
Claims Director Jobs
By Doctors HealthCare Plans, Inc. At Coral Gables, FL, United States
7-10 claims leadership experience in health benefits specific environment.
Knowledge of claims practices as well as technical expertise.
Excellent oral and written communication skills.
Knowledge of current Medicare Advantage operational and regulatory guidelines established by CMS, AHCA and other federal and state regulatory guidelines.
Ability to work well under pressure and difficult situations Advance knowledge of industry best practices and medical terminology
Provide strategic leadership in the development, execution and monitoring of policies, procedures and initiatives that align with corporate goals and strategy.

Are you looking for an exciting opportunity to join a fast-paced and dynamic team? We are looking for a Claims Coordinator to join our team and help us manage our claims process. You will be responsible for ensuring that all claims are processed accurately and efficiently. If you have excellent organizational and communication skills, then this is the perfect job for you!

A Claims Coordinator is responsible for managing the claims process from start to finish. This includes gathering and organizing information, preparing and submitting claims, and following up with insurance companies to ensure that claims are processed in a timely manner.

What is Claims Coordinator Skills Required?

• Excellent organizational and communication skills
• Ability to multitask and prioritize tasks
• Knowledge of medical terminology
• Proficiency in Microsoft Office applications
• Ability to work independently and as part of a team

What is Claims Coordinator Qualifications?

• High school diploma or equivalent
• Previous experience in medical billing or claims processing
• Knowledge of medical coding systems
• Knowledge of insurance policies and procedures

What is Claims Coordinator Knowledge?

• Knowledge of medical terminology
• Knowledge of medical coding systems
• Knowledge of insurance policies and procedures
• Knowledge of HIPAA regulations

What is Claims Coordinator Experience?

• Previous experience in medical billing or claims processing
• Experience with customer service

What is Claims Coordinator Responsibilities?

• Gather and organize information for claims
• Prepare and submit claims to insurance companies
• Follow up with insurance companies to ensure timely processing of claims
• Resolve any discrepancies with claims
• Maintain accurate records of claims
• Communicate with patients and providers regarding claims status