CLAIMS ADJUSTMENT SPECIALIST NATIONAL jobs in USA, United Kingdom

. As a Claims Adjustment Specialist you would be reviewing open negotiation request from providers and determine eligible... significantly as a result of the No Surprises Act section of the federal Consolidated Appropriations Act. The Claims Adjustment...

UnitedHealth Group

significantly as a result of the No Surprises Act section of the federal Consolidated Appropriations Act. The Claims Adjustment... Specialist responsible for reviewing, researching, investigating, and resolving Out of Network regulatory disputes. As a key...

UnitedHealth Group

for entertainment and experiences to call your own in Columbus. Learn more at ! About the job: The Risk Adjustment Coding Specialist... of corrected claims. Reviews Payor data for Gaps in Care and RAF Scores What we're looking for: Education: High School...

Trinity Health

Specialist, you will manage a pending of at least 70 claims arising from property, physical damage, and cargo... required to successfully pursue recovery. Accountable for the equitable and prompt adjustment and management of assigned claims to disposition...

Crum & Forster Insurance

appropriate payment adjustment into the claims system. Must complete duties with a high level of detailed quality...). Comfortable adapting to change. General Job Information Title Claims Resolution Specialist Grade 20 Work Experience...

Magellan Health

Specialist, you will manage a pending of at least 125 claims arising from BI, BIUI, BIUM, GL, as well as the accompanying auto... needs. Accountable for the equitable and prompt adjustment and management of assigned claims to disposition in accordance...

Crum & Forster Insurance

, NY; or Schaumburg, IL As a General Liability (GL) Senior Claims Specialist, you will work with a team of claims... and ability to collaborate across work groups Familiarity with claims adjustment process and vendor utilization Understanding of financial...

Zurich

appropriate payment adjustment into the claims system. Must complete duties with a high level of detailed quality...). Comfortable adapting to change. General Job Information Title Claims Resolution Specialist Grade 20 Work Experience...

Magellan Health

JOB DESCRIPTION The REH TPA-Oversight Senior Claim Specialist is responsible for investigating and settling high... exposure, high risk claims while ensuring a high level of customer service and claim file quality while providing oversight...

Chubb

Job Description: The REH TPA-Oversight Senior Claim Specialist is responsible for investigating and settling high... exposure, high risk claims while ensuring a high level of customer service and claim file quality while providing oversight...

Chubb

available for a Claims Specialist within our Commercial Lines Shared Economy team! The Claims Specialist II, Rideshare works... experience in claims adjustment, general insurance or formal claims training. Required to obtain and maintain all applicable...

State Auto

available for a Senior Claims Specialist within our Commercial Lines division! The Senior Claims Specialist works within a Claims Team.... Minimum of 2 years experience in claims adjustment, general insurance or formal claims training. Required to obtain and maintain...

State Auto

Claims Specialist I to join our team! In this role you will be responsible for: Documentation of claims file... collaborating across work groups Ability to develop and maintain strong relationships Understands claims adjustment process...

Zurich

appropriate payment adjustment into the claims system. Must complete duties with a high level of detailed quality...). Comfortable adapting to change. General Job Information Title Claims Resolution Specialist (Must reside in California) Grade...

Magellan Health

Claims Resolution Specialist (Claims) CalOptima CalOptima Health is seeking a highly motivated an experienced... Claims Resolution Specialist (Claims) to join our team. The Claims Resolution Specialist (Claims) will be responsible...

CalOptima

and freedom. Could This Be For You? The Priority Claims Specialist - Remote will ensure payment for services provided... adherence to adjustment, refund and write-off policies/procedures as outlined in Hanger Clinic Standard Operating Procedures...

Hanger

, the principal responsibilities of the Claims Specialist include: Audit Activities: Audit a designated percentage...Job Description: PRINCIPAL RESPONSIBILITIES: Under the general supervision of the Manager, Claims Operation Support...

Alameda Alliance for Health