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LOCATION: Remote
GENERAL STATEMENT OF JOB
Responsible for all accounting functions related to a designated area of physical and behavioral health medical claims processing to ensure that providers receive timely and accurate payment. This position is responsible for claims adjudication through continuous monitoring and quality control measures. Responsibilities include finalizing c...

About Firstsource
Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes.
We are trusted brand custodians and long-term partners to 100+...

The Doctors Company is seeking an experienced Claims Specialist for our Region II team. This is a remote or hybrid opportunity, depending on the final candidate’s location from the company's office, with the preferred location in the Midwest.
The Claims Specialist independently and pro-actively manages the medical malpractice claims for assigned members. Monitors and reviews all new claims for...

LOCATION: Remote - This is a home based, virtual position that operates Monday-Friday from 8:30am-5:00pm EST. Vaya Health welcome applications from NC, SC, GA, TN, VA, MD, and FL.
GENERAL STATEMENT OF JOB
Responsible for all accounting functions related to a designated area of physical and behavioral health medical claims processing to ensure that providers receive timely and accurate payment. ...

The Doctors Company is seeking an experienced Claims Specialist for our Region II team. This is a remote or hybrid opportunity, depending on the final candidate's location from the company's office, with the preferred location in the Midwest.
The Claims Specialist independently and pro-actively manages the medical malpractice claims for assigned members. Monitors and reviews all new claims for ...

This position is responsible for the day-to-day operations of reviewing and processing predeterminations, claims, appeals, and other inquiries utilizing independent decision making in accordance with medical policy, standards of medical practice, and within contractual benefits. Must be able to communicate these decisions to internal staff and to providers, members, and the Kansas Insurance Dep...

Job Description
Possess a thorough working knowledge of the revenue cycle management process. Responsible for the research and resolution of aging account receivables to that are either unpaid or incorrectly paid. Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion, and safety.
Responsibilities
* Analyze, audit and resolve claims outstanding, denied, ...

Providence caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Providence is calling a Sr. Professional Liability Medical Claims Manager who will:
Inv...

Learn more at
Castle Biosciences Inc. is growing, and we are looking to hire a Reimbursement, Medical Claims, Appeal Writing Specialist working remotely from your home office based in the USA, with a start date prior to August 7, 2025.
A DAY IN THE LIFE OF A Medical Claims, Appeal Writing Specialist,
A typical day will include creating new appeal letters to dispute claim denials for Castle's p...

Description
The Senior Claims Process Owner (SCPO) will provide dedicated support to the Medical (No Fault) Litigation Claims organization. In this role, you will own and manage key processes that drive operational excellence and deliver competitive advantages for Liberty Mutual.
As a change champion, you will shape and develop processes that balance loss control, expense management, employee...

Call Center Representative - Medical Provider Claims Support
Smart Data Solutions, a leading provider of data management, claim routing and workflow solutions to health plans and TPAs, is looking for Call Center Representatives to join our team!
What you'll be doing?
* Answer incoming provider calls and assist them with questions regarding claim status and other billing concerns.
* Thor...

Overview
Empower AI is AI for government. Empower AI gives federal agency leaders the tools to elevate the potential of their workforce with a direct path for meaningful transformation. Headquartered in Reston, Va., Empower AI leverages three decades of experience solving complex challenges in Health, Defense, and Civilian missions. Our proven Empower AI Platform® provides a practical, sustain...

Employment Type:
Full timeShift:
Description:
POSITION PURPOSE
Work Remote Position
(Pay Range: $16.1738-$24.1614)
Performs day-to-day payment posting reconciliation activities within the hospital revenue operations ($3-5B NPR) of an assigned Patient Business Services (PBS) location. Serves as a member of the Payment Posting team at an assigned PBS location responsible for ensuring accurate ...

Crum & Forster Company Overview
Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A" (Excellent) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recogni...

LOCATION: Remote
GENERAL STATEMENT OF JOB
The Claims Supervisor administers all accounting functions related to a designated area of physical and behavioral health medical claims processing to ensure providers receive timely and accurate payment. Supervision of claims adjudication through continuous monitoring and quality control measures. Finalize claims processed electronically ...

* Short Term Disability Claims Experience Required*
When it comes to making a meaningful difference in the lives of our customers and employees, USAble Life is always ready. We are a diverse group of individuals working together to go the extra mile. Through our DEI initiatives, employees feel empowered to bring their talents and voice to our culture.
Our passion for delivering the best prod...

Job Details
Level: Experienced Job Location: Sacramento - Rancho Cordova, CA Position Type: Full Time Education Level: High School Diploma or GED Salary Range: $90000.00 - $100000.00 Salary Travel Percentage: None Job Shift: Day Job Category: Insurance
Claims Examiner III _ (Hybrid)
This is a Hybrid position at our Rancho Cordova, CA branch. Please sign the applica...

SUMMARY OF JOB PURPOSE AND FUNCTION:
The Claims Specialist, Senior Claims Specialist, and Worker’s Compensation Claims Specialists manage a book of workers’ compensation claims until closure, as assigned by Lead Workers’ Compensation Specialist. Investigates claims to make sure they are work related. Maintains lost time injury and critical claim report database. Acts as a liaison between VCA, ...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top...

REMOTE opportunity within the U.S. Preferred claims experience in Virginia or South Carolina
Claim Representative II:
This is the intermediate level of the claim handler career path. Handles moderate to difficult claims. Exercises progressively more discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves. Negotiates and set...