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Claims Processing Specialist Jobs

Claims Processing Specialist - Data Entry
By NTT DATA At , Plano, 75024
1+ years of experience of Data Entry experience.
Reviewing the polices and benefits.
2+ years of experience working with a computer and with Windows applications.
1+ years of experience working with MS office products like - Outlook, MS Word, and MS Excel.
Must have experience using basic keyboard shortcuts and be able to navigate multiple screens.
Effective troubleshooting skills, where you can leverage your research, analysis, and problem-solving skills.
Claims Specialist - Claims Processing
By Providence At , Mission Hills, 91345, Ca

Check out our benefits page for more information about our Benefits and Rewards.

Claims Specialist - Claims Processing

Medical Claims Processing - Remote | Wfh
By Get It Recruit - Healthcare At Duluth, MN, United States

Do you possess an unwavering commitment to excellence? Have you always envisioned collaborating with a team of passionate, vibrant, and brilliant individuals who share your drive? Are you eager to ...

Claims Processing Specialist - Remote | Wfh
By Get It Recruit - Finance At Poland, ME, United States

About Us Imagine being part of a dynamic team that delivers mission-critical services and solutions for Fortune 100 companies and governments worldwide, positively impacting the lives of millions ...

Claims Processing Specialist Jobs
By MATRIX Resources At California, United States
Must come with Medi-Cal / Denti-Cal Billing experience OR experience working with other dental or medical claims.
A high school diploma or GED is preferred, but candidates with proven experience will not be excluded from consideration.
A minimum of 2 years' experience in a dental office.
Location: Remote - local to California
Someone who has worked in a dental office would be ideal. Candidate should also know how to read x-rays.
Applicant will be working off of their own equipment (laptop, phone).
Claims Processing Specialist Jobs
By WinMax At United States

Title:Claims Processing Specialist Location:Remote Contract:12+ Month Job Description Applicant must reside in CA - but will be working remote. Must come with Medi-cal/Denti-Cal ...

Remote Processing Specialist Jobs
By HelpWelp At United States
• Employee Assistance Program – offers benefits to help you manage daily responsibilities
Previous experience in data entry a plus
Strong organizational skills. Experience with Microsoft office applications a plus
Data entry and validation of energy rebate requests
Develop new skills for new programs and tasks to meet utilization goals set by Supervisor
The position is remote and can be located anywhere in the US.
Processing Specialist Jobs
By Mondelēz International At Rockford, IL, United States
Safety and quality standards for operating machines
Reading and writing, and fluently conversant in the language of communication as appropriate to the site
Collaborating well in a diverse work environment
High school diploma or GED (Required)
Mon- Thursday 4 days 7:50pm to 6:20am OT available.
Are You Ready to Make It Happen at Mondelēz International?
Claims Specialist Jobs
By CyberCoders At Valley Stream, NY, United States

If you are a Litigation Adjuster with experience, please read on! Top Reasons to Work with Us Excellent Company Culture Full Benefits What You Will Be Doing Claims Specialist, you are ...

Claims Specialist Jobs
By CyberCoders At Brooklyn, NY, United States

If you are a Litigation Adjuster with experience, please read on! Top Reasons to Work with Us Excellent Company Culture Full Benefits What You Will Be Doing Claims Specialist, you are ...

Claims Specialist Jobs
By ProAssurance At Indiana, United States
Proven leadership, communication, and writing skills, strong interpersonal, and relationship management expertise.
5% - Perform special projects as directed by management.
Bachelor's degree required. Advanced degree or certification in the medical, legal or insurance field preferred.
Minimum two years’ experience in the legal or medical field, with a high degree of specialized and technical competence.
Excellent interpersonal communications and negotiation skills.
Strong analytical skills in order to analyze and interpret information.
Processing Specialist - Nbc Sports Next
By NBC Sports Next At Orlando, FL, United States
Carefully manage confidential and sensitive information daily
Understanding of general computer skills including, but not limited to: web applications, web-based research process, and Microsoft Outlook
Excellent verbal and written communication skills, and strong customer service skills
At least 1 year of employment experience
At least 1 full year of college from an accredited school or equivalent experience
Complete multiple specialized processes to assist in the completion of background screenings
Claims Adjudication Specialist (Overnight)
By Trupanion At Seattle, WA, United States
Ability to provide an expeditious and delightful member experience
At least one year of experience providing customer service over the phone
French bilingual skills are a plus!
Full medical, dental, and vision benefits at no cost to the employee
Review medical records to make claim outcome decisions against received invoice(s) as aligned with the Trupanion policy
Enter data from medical records into the database
Remote Medical Claims Processing
By Insight Global At Jacksonville, FL, United States
FULLY REMOTE BUT MUST SIT IN JACKSONVILLE, FL
Responsible for the denial queue and the no-response queue (could shift) in addition to a correspondence queue used to submit records
Work through their denials based on priority and allocation
Working to meet production standards
Reviewing correspondence and making an appeal or reaching out to gather more information
Report trends within claim denials or billing errors
Priority Claims Specialist Iii
By Hanger, Inc. At United States
Retrieve and properly identify any document received from Revenue Cycle Management (RCM) system
4 years of related experience in payor policies to include all areas of reimbursement, medical policy and payor appeal requirements.
Demonstrated ability to pull data and migrate into online records management systems such as OnBase;
Develop and manage relationships with colleagues in a professional
Prepare complex claims reimbursement submissions in a managed care environment
Serve as an advocate and resource to clinic administration in the areas of reimbursement and managed care
Claims Specialist Jobs
By CELSIUS Holdings, Inc. At Boca Raton, FL, United States
Provide detailed bullet points of desired education, experience, and specific skills & qualifications required and desired.
Perform special projects as assigned including, but not limited to, tracking company incident statistics, incident investigation file management, etc.
Work with other departments or vendors, and management to provide claim status updates.
Recognizes claims trends and provides analysis to Claims Manager
Communicate with customers to resolve claims.
Identify issues that may require the use of independent experts or vendors.
Lead Ltd Claims Specialist
By MetLife At United States
Essential Business Experience and Technical Skills:
•Bachelor’s degree and knowledge of STD/FML, state leave laws, worker’s compensation, ERISA, and Social Security.
MetLife maintains a drug-free workplace.
Claims Specialist Iii Jobs
By LoanCare At United States
Maintain clear records and reports for management review regarding claims filed and non-recoverable items
Minimum of 4 years work experience in the legal field or default mortgage servicing
Working knowledge of accepted business practices in the mortgage industry and or strong understanding of claims process
Good analytical, written and verbal communication skills
LPS-MSP (Mortgage Servicing Platform) experience preferable, but not necessary
Knowledge of Microsoft office- Excel and Word
Ltl Claims Specialist Jobs
By TRAFFIX At United States
Provide claim resolution details to management, customer service, and finance/accounting
Bachelor's degree in supply chain and/or insurance/finance field or equivalent combination of education and experience preferred
Goal oriented, always willing to seek knowledge and improve upon skills in order to drive new ideas
Set up new customers with a filing template, and weekly reporting to their specific requirements
1-3 years LTL claims OS&D experience required
Strong communication skills, professional demeanor on phone calls and in emails to a wide variety of professionals at all levels
Fruit Claims Specialist Jobs
By Zurich North America At Washington, United States
High School Diploma or Equivalent and 6 or more months of experience in the agricultural area
Crop Adjuster Proficiency Program Certification (CAPP) must be obtained with 180 days of hire date
Excellent verbal, written and interpersonal communication skills
Strong organization and prioritization skills
Previous agricultural (personal or professional) experience or fruit crop and/or small grains experience
As a Crop Adjuster, your primary accountabilities will include:

Are you looking for a job that offers a great work/life balance and the chance to make a real difference? Join our team as a Claims Processing Specialist and help us provide top-notch customer service to our clients!

Overview Claims Processing Specialists are responsible for processing and managing insurance claims. They review and analyze claims to ensure accuracy and compliance with insurance policies and regulations. They also provide customer service to claimants and other stakeholders. Detailed Job Description Claims Processing Specialists are responsible for processing and managing insurance claims. They review and analyze claims to ensure accuracy and compliance with insurance policies and regulations. They also provide customer service to claimants and other stakeholders. They may also be responsible for preparing reports, maintaining records, and providing feedback to management. Job Skills Required
• Knowledge of insurance policies and regulations
• Excellent customer service skills
• Strong analytical and problem-solving skills
• Attention to detail
• Ability to work independently and in a team environment
• Proficiency in Microsoft Office Suite
• Knowledge of medical terminology
Job Qualifications
• High school diploma or equivalent
• Previous experience in insurance claims processing
• Certification in insurance claims processing (preferred)
Job Knowledge
• Knowledge of insurance policies and regulations
• Knowledge of medical terminology
• Knowledge of customer service principles
• Knowledge of Microsoft Office Suite
Job Experience
• Previous experience in insurance claims processing
• Previous experience in customer service
Job Responsibilities
• Review and analyze insurance claims for accuracy and compliance
• Provide customer service to claimants and other stakeholders
• Prepare reports and maintain records
• Provide feedback to management
• Follow up on claims to ensure timely processing
• Resolve any discrepancies or issues with claims