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Claims Research Specialist Jobs

Claims Specialist Jobs
By Innova Solutions At Alpharetta, GA, United States
• Assists Management in reviewing existing and future processes to ensure best practices are implemented and followed
Work Arrangement: - Hybrid (3 days onsite and 2 days remote)
• Four (4) or more years claims clerical experience required.
• Excellent communications (telephone, e-mail and interpersonal) skills as required.
• Strong analytical and organizational skills
• Knowledge of various claim systems and claim processing.
Claims Experience Specialist Jobs
By Faye At United States
Ability to display great time management and prioritize workload while remaining organized and efficient
Effectively manage customer contacts across various channels of communication, including phone, e-mail and chat.
Efficiently handle customer complaints with empathy, knowledge and understanding.
Excellent verbal & written communications skills
Proven experience in claims, assistance or comparable roles
Handle claims arising from travel insurance products
Research Specialist (Varying Levels), Dops
By University of Virginia At Charlottesville, VA, United States
Assist in recruiting, screening, and management of study participants
Experience with scientific research, knowledge of research methods and design
Manage and maintain SPSS database; clean database for processing
Experience using basic software programs such as: Microsoft Office, Adobe, and data software such as SPSS, SAS and Qualtrics
Skilled in analytics, statistics, and mathematics
Assist in literature review and summaries, writing proposals, and writing research manuscripts
Priority Claims Specialist Iii
By Hanger, Inc. At , Remote $17.95 - $26.93 an hour
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
Research Specialist Jobs
By Emory University At Atlanta, GA, United States
Bachelor's degree in a scientific field OR equivalent combination of experience, education, and training.
Performs related responsibilities as required by principal investigator.
Under general supervision, performs a variety of defined research and laboratory tests and experiments according to prescribed protocols and assigned schedules.
Sets up experiments as prescribed by a principal investigator.
Maintains records, files and logs of work performed in laboratory notebooks and computer databases.
Compiles data and records results of studies for publications, grants and seminar presentations.
Claims Specialist Jobs
By Safely At Atlanta, GA, United States
Educate clients on best practice techniques and other underwriter requirements for smooth claim processing
Manage complex ambiguous client situations that require cross-departmental collaboration
At least 2 years of experience in a B2B Customer Success and claims processing experience
Software skills: web-based databases, Microsoft Word and Excel, and HubSpot or a similar CRM
Strong business acumen and communication skills, both written and verbal
Friendly, patient and personable demeanor with excellent phone skills
Research Specialist - $70K-$95K Doe
By Kennison & Associates At Washington DC-Baltimore Area, United States

Global law firm has an opening for a Research Specialist to join their team in providing research/reference assistance to attorneys in all areas of the practice and departments such as Business ...

Manager, Claims Research & Analysis
By Trillium Community Health Plan At ,
Utilize project management skills to work with cross functional teams on delivery of solutions.
Applicants for this job have the flexibility to work remote from home anywhere in the United States
Perform claim adjudication project analysis and preparation work flow management.
Manage and mentor Claims Business Analysts.
Interface with and manage all organizational levels to mobilize commitment.
Collect, validate and analyze data to deliver business solutions.
Subrogation Claims Specialist Jobs
By Element Fleet Management At , Remote
Must be able to handle difficult conversations and exhibit conflict management skills.
Position affords a considerable degree of independence and strong time management skills are necessary.
Daily ordering, management and review of police reports as assigned.
Customer service driven with strong soft skills and demonstrated strength in multitasking?
Team oriented with effective communication skills?
Microsoft Office Suite (Word, Outlook, Excel) knowledge
Claims Specialist Jobs
By UnifyWork At , Cleveland
Click "Apply Now" to get started.
*Career coach available during business hours only (EST).
*Our employer partners are equal opportunity employers.*
Research Specialist Jobs
By University of South Carolina At , $16 an hour
College of Arts and Sciences
Must be willing to work a flexible schedule to meet the needs of the department.
About University of South Carolina
Bachelor’s degree in Psychology or a related field .
Safety/Security Sensitive or Requires a CDL
Administrative Research Specialist Jobs
By Lake County Illinois At , Waukegan $20.65 - $31.66 an hour
Knowledge Skills Abilities and Education Required
Requires High school diploma or general education degree (GED) equivalent
The position requires normal visual acuity and field of vision, hearing, and speaking abilities.
Work with valuation appeals, including public interaction to assist with the filing of appeals.
Need to check and code documents as they relate to State guidelines.
Maintain confidentiality on documents reviewed
Research Specialist, Ipsc Jobs
By Howard Hughes Medical Institute At , Ashburn $64,460 - $104,720 a year
A competitive compensation package, with comprehensive health and welfare benefits.
Master of Science degree in Cell Biology, Molecular Biology, Biotechnology, or Life Science with two years of working experience.
Experience with fluorescence microscopy and cell imaging technology to evaluate cell health and gene modifications.
Experience reviewing scientific literature, following technology development in iPSC, gene editing and related fields, and applying new technologies to enhance productivity.
Communication skills to interact with team members and users, and to update researchers on the status of work in progress.
An opportunity for you to develop, establish, and maintain iPSC support for ground breaking research.
Research Specialist Jobs
By University of North Carolina Wilmington At , Wilmington, 28403, Nc $49,550 - $55,055 a year
Minimum Education and Experience Requirements
Preferred education, professional skills and experience
Demonstrated experience in conducting experiments
Experience in microalgae culturing and statistical analyses
Read literature relating to procedures
Modify and adapting procedures to suit project objectives
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

Complex Claims Specialist Jobs
By EMC Insurance At , Remote
Exceptional knowledge of litigation management, coverage, and technical file handling
Bachelor’s degree in business, economics, or related field, or equivalent related experience
Ten years of experience in complex claims handling or claims litigation, or relevant experience
Insurance designations such as AIC, CPCU, and/or other insurance education preferred
Strong knowledge of the theory and practice of the claims function
Excellent leadership, collaboration, and negotiation skills
Claims Specialist Jobs
By UnifyWork At , Cleveland, Oh
Click "Apply Now" to get started.
*Career coach available during business hours only (EST).
*Our employer partners are equal opportunity employers.*
Administrative Research Specialist Jobs
By Pulaski County Government At , Little Rock, 72201, Ar $34,796 a year
REQUIRED SKILLS, KNOWLEDGE, AND ABILITIES:
Comprehensive knowledge of the functions and responsibilities of the County Judge’s Office.
Manages and operates Microsoft Office and related programs for the County Judge’s Office.
Considerable knowledge of office procedures, practices, equipment, and terminology.
Considerable knowledge of filing and record-keeping systems.
Good knowledge of budgetary processes and procedures.
Claims Specialist Ii Jobs
By Everest Re Group, Ltd. At , Township Of Warren, 07059, Nj $90,000 - $135,000 a year
Management and direction of outside counsel as well as reviewing and approving legal and/or expense budgets and bills
Determine and resolve workload and assignment issues to ensure effective claims processing, expense management and claims disposition
Vendor oversight and management, including auditing of same
The ideal candidate will have 5+ years of Commercial Property claims experience and current, working knowledge of jurisdictional laws and regulations.
Ability to and willingness to present to senior management and other group settings
Execution: Delivering outstanding support to the organization through strong day-to-day business operations, effective project management, and careful oversight of vendors.
Claims Specialist Jobs
By Veterans of Foreign Wars (VFW) At Yakima, WA, United States

This position involves conducting in person and telephone interviews with military veterans about required elements and supporting evidence to file a disability claim to the Department of Veterans ...

Are you looking for an exciting opportunity to use your research skills to make a difference? We are looking for a Claims Research Specialist to join our team and help us investigate and analyze complex claims data. You will have the chance to work with a diverse team of professionals and use your expertise to make a real impact. If this sounds like the perfect job for you, apply now!

Overview Claims Research Specialists are responsible for researching and analyzing claims data to identify potential issues and discrepancies. They work with insurance companies, healthcare providers, and other organizations to ensure that claims are accurate and that all parties involved are properly compensated. They must be able to identify and resolve any discrepancies in claims data and provide accurate and timely reports to their clients. Detailed Job Description Claims Research Specialists are responsible for researching and analyzing claims data to identify potential issues and discrepancies. They must be able to identify and resolve any discrepancies in claims data and provide accurate and timely reports to their clients. They must be able to interpret and analyze complex claims data and identify any discrepancies or errors. They must be able to communicate effectively with clients, insurance companies, and healthcare providers to ensure that all parties involved are properly compensated. They must also be able to provide accurate and timely reports to their clients. Job Skills Required
• Strong analytical and problem-solving skills
• Excellent communication and interpersonal skills
• Ability to interpret and analyze complex claims data
• Ability to identify and resolve discrepancies in claims data
• Knowledge of insurance and healthcare regulations
• Proficiency in Microsoft Office Suite
• Ability to work independently and as part of a team
Job Qualifications
• Bachelor’s degree in a related field
• At least two years of experience in claims research
• Knowledge of insurance and healthcare regulations
• Proficiency in Microsoft Office Suite
• Ability to work independently and as part of a team
Job Knowledge
• Knowledge of insurance and healthcare regulations
• Understanding of claims processing and payment systems
• Knowledge of medical terminology
Job Experience
• At least two years of experience in claims research
• Experience working with insurance companies, healthcare providers, and other organizations
• Experience with claims data analysis and interpretation
Job Responsibilities
• Research and analyze claims data to identify potential issues and discrepancies
• Interpret and analyze complex claims data
• Identify and resolve discrepancies in claims data
• Communicate effectively with clients, insurance companies, and healthcare providers
• Provide accurate and timely reports to clients
• Ensure that all parties involved are properly compensated