Claims Supervisor Jobs
By Brighton Health Plan Solutions At United States
Manage payroll, timesheets, employee schedules and time off requests.
Advanced knowledge of Microsoft Word and Excel.
Strong knowledge of contracts, medical terminology, and claims processing and procedures
5+ years of advanced claims adjudication experience including facility, professional and ancillary claims.
Excellent written and oral communication, interpersonal and negotiation skills with a demonstrated ability to prioritize tasks as required.
Organizational skills: ability to effectively prioritize and multitask.
Insurance Claims Representative Jobs
By Blackstone Medical Services At , Tampa, 33609, Fl
Coordinating with the finance area to make the benefit verification more accurate and efficient.
Apply knowledge of third party payer guidelines in reviewing denied claims
Following up on outstanding insurance claims.
Appealing denials and working with the insurance company to get claims paid.
Working accounts receivable to get any unpaid balances paid up.
Receive and post payments to patient accounts daily.
Insurance Claims Estimator Jobs
By Impression Roofing At , Frisco, 75034, Tx $67,949 - $74,193 a year
-Escalates concerns to management when job cost obtained on the supplement is not within margins
-Knowledgeable and up-to-date on all building code requirements for each state
-Strong organizational skills to manage jobs that are in multiple stages of the process
-Construction knowledge and experience is preferred, but not required.
How many years of Xactimate experience do you have?
-Manages insurance supplement approval process and following up on pending approvals
Sr Insurance Claims Analytics Specialist
By Tesla At , Fremont, Ca
Delivering key, actionable insights to management on how to improve the claims process, claims outcomes and customer experience
Excellent problem-framing, problem-solving and project management skills, working from first principles
Support the management of the team
Developing new tools for analyzing historic and emerging claims experience
Partnering with Finance & Accounting to provide reserve estimates and other key metrics
7+ years of relevant experience in insurance and analytics, particularly in claims
Geico Insurance Claims Specialist
By GEICO At , Macon, 31295, Ga $19 an hour
Benefits may be different by location. Benefit eligibility requirements vary and may include length of service.
Experience providing outstanding customer service by showcasing expertise, fostering trust and growing customer satisfaction
Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities
Eagerness to explore new skills and openness to different career paths
Premier Medical, Dental, and Vision Insurance with no waiting period**
Paid Vacation, Sick and Parental Leave
Claims Processor I / Veterinary Technician - Pets Best Insurance
By Synchrony Financial At , Charlotte, 28202, Nc From $21.50 an hour
3+ years recent clinical veterinary experience (dog and cat)
Knowledge of veterinary terms, abbreviations and conditions.
Knowledge of medical conditions and associated symptoms, procedures, treatments, secondary conditions and pharmaceuticals used in veterinary medicine
Knowledge of canine and feline breeds, anatomy and associated predispositions to illness.
Strong writing skills: organization, spelling, grammar and punctuation
Strong mathematical and problem-solving skills
Insurance And Claims Manager
By Midco At , Minneapolis, 55435, Mn
Model flexibility, resiliency and change management skills by staying self-aware, constantly learning, and finding ways to cut through ambiguous problems.
Bachelor’s Degree or equivalent work experience; focus on claims management experience preferred.
Minimum of five years of relevant risk management experience required.
Creates and implements risk management programs, updating, and monitoring compliance with insurance related programs including annual renewal and audits.
Oversees incident management and claims management including workers compensation programs, fleet safety program, and DOT compliance.
Ensure compliance programs are maintained with external reporting requirements (i.e., OSHA, WSI).
Social Insurance Specialist (Claims Specialist)
By US Social Security Administration At , Kalamazoo, Mi $57,118 - $74,250 a year
If you are relying on your education to meet qualification requirements:
All qualifications requirements must be met by the closing date of the announcement
Job offers are contingent on fingerprinting and background / security investigation results
Knowledge of government or corporate principles, objectives, policies, rules and regulations.
Skill in using online technology and automation tools.
Ability to manage multiple priorities and balance workloads.
Insurance Claims Processor Jobs
By Randstad USA At United States
Provide accurate and prompt information to management, employees, and clients.
Assist management by sending letters, making copies and making reservations, when requested.
Building and expanding on skills by engaging in educational opportunities.
Willingness to continue building skills through educational opportunities.
Minimum of 2 years’ experience in a related field
Strong problem solving, critical thinking, interpersonal, verbal & written communication skills.
Insurance Claims Specialist (Operation/Claims)
By Troy Medicare At , Remote $55,000 - $65,000 a year
Produce and provide senior management with performance and adherence data, reports on trends and other similar deliverables.
Review benefits configuration setup for accurate plan benefit change setup; provide recommendations on the design of claim payment system configuration.
Serve all stakeholders through continuous monitoring and auditing of claim processing, educational and problem-solving support
Collaborate with staff, business owners and delegates on ways to improve adherence to business and regulatory requirements.
Provide training and direction in developing procedures to comply with requirements.
4+ years of Medicare Advantage claim handling experience and demonstrated proficiency in analyzing and handling claims
Claims Supervisor Work Comp
By Gallagher Bassett At Dallas, TX, United States
Join a team of skilled professionals who are up for a challenge and take outstanding performance to heart!
Accelerate your career development with a diverse range of experiences across jurisdictions, industries and risks!
Manage workloads, define team goals, and motivate performance.
Minimum of 10 years related claims experience
Knowledge of all team member related functions
Supervise a Workers Compensation claims team delivering high quality and efficient service.
Supervisor, Claims- Remote Jobs
By Prime Therapeutics At Minneapolis, MN, United States
Manages cross-functional team members to meet or exceed service requirements.
Expert knowledge of medical terminology and ECD-9/CPT-4 coding experience
Recruits, attracts, develops, motivates and manages a high caliber of employees; Trains employees on products, policies and procedural changes.
Knowledge of MS Office software, specifically Excel
Experience in processing various products including HMO/PPO and Indemnity under both fully insured and self-funded arrangements
1+ years direct supervisory experience
Claims Specialist (Energy Technical Claims; Reinsurance, Co-Insurance)
By Liberty Mutual At , Remote $150,800 - $198,300 a year
Responsible for performance, development and coaching of staff (i.e. hiring, terminating, performance and salary management). Manage 2-3 direct reports.
Provide claims management by meeting with brokers, Risk Managers and reinsurers to implement and maintain claim management programs.
Experience required with energy claims; preferred experience with property and construction claims as well.
A minimum of 5 years of relevant and progressively more responsible claims handling experience required.
Advanced knowledge of a technical specialty
Knowledge of law and insurance regulations in various jurisdictions
Legal Administrative Specialist (Insurance Benefits Claims Examiner)
By U.S. Office of Personnel Management (OPM) At Washington, DC, United States

Summary As a Legal Administrative Specialist (Insurance Benefits Claims Examiner), you will be part of Healthcare and Insurance, Office of Personnel Management. If selected, you will review ...

Auto Liability Claims Supervisor - Toggle Insurance
By Farmers Insurance Group At , Remote
External candidates should have a minimum of three years of prior claims experience.
The same time-on-job requirement is preferred for internal candidates.
Job Location(s): R_US - RW - Remote Work
Reviews the settlement activity of the Field Claims Office or Claims Service Center to ensure sound systems, service, and security.
Sets and adjusts claim reserves within authority.
Responsible for compliance with published company procedures.
Head Of Claims & Insurance Operations
By Waymo At , Remote $180,000 - $223,000 a year
Provides strategic leadership and direction for the management of TPAs, cultivating a customer experience focused culture of excellence.
Shape the future of claims management in an autonomous world
The ability to effectively manage multiple projects while prioritizing high impact work
Advanced communication skills which are critical to building consensus across area of influence (external and/or internal relationships), team, and/or matrix environment.
Senior level knowledge of the insurance industry, its products and services.
While at Waymo, you will enjoy benefits that cover…
Insurance Claims Specialist Jobs
By GEICO At , Lakeland, 33801, Fl $18.86 an hour
Benefits may be different by location. Benefit eligibility requirements vary and may include length of service.
Experience providing outstanding customer service by showcasing expertise, fostering trust and growing customer satisfaction
Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities
Eagerness to explore new skills and openness to different career paths
Premier Medical, Dental, and Vision Insurance with no waiting period**
Paid Vacation, Sick and Parental Leave