Claim Health jobs

Senior New England Claims Specialist Syracuse, NY The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel.

Medical Representative - CVRM - HCM Vietnam - Ho Chi Minh City posted: Posted 30+ Days Ago

CA Senior WC Claims Specialist Sacramento (Folsom) CA The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel.

Medical Representative - ONCO - HCM Vietnam - Ho Chi Minh City posted: Posted 15 Days Ago

CA Senior WC Claims Specialist Sacramento (Folsom) CA The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel.

Warehouse Associate Banner Health Corp Chandler (7300 W Detroit St) posted: Posted Yesterday

Claims Consultant (Property/Auto/Liability Claims) 3 Locations posted: Posted 30+ Days Ago

Registered Dietitian BUMC South Tucson (2800 E Ajo Way) posted: Posted 30+ Days Ago

Sr. Claims Executive, Commercial Risk Remote US The Sr. Claims Executive is considered an expert in managing insurance claims on an individual and portfolio level for our clients, and is utilized as a trainer, mentor with their technical expertise. They must be able to execute with little to no tactical supervision; have knowledge and experience in claims handling and risk mitigation techniques. They are able to develop relationships and effectively communicate with a diverse range of clients, carriers and colleagues. They will engage as an extension of our client(s) to simplify the course of a complex claim and assist with navigation and efforts to resolve claims disputes or issues that may occur. They will partner with client(s) to evaluate, identify, design, implement, and measure claims management solutions to reduce their total cost of risk. PRIMARY RESPONSIBILITIES: Works with insurance company partners and clients in establishing claims protocols and or policy enhancements that ensure proper reporting, notification, settlement, defense, etc. Schedules and conducts claim reviews with clients and insurance company partners ensuring proper claims handling, reserve standards and settlement protocols. Act as a claims advocate and liaison for clients interested in mitigating claims costs. Regularly reviews individual claims within client portfolios and keeps reserves and records up-to-date and according to industry best practices. Serves as a mentor to colleagues as requested. Develops an understanding of marketing strategies and contributes to business development and renewal opportunities by attending client meetings to explain the firms approach to claims mitigation and resolution. Remains well-informed

Senior Lead Coordinator, Revenue Cycle 105 Mall Boulevard, Monroeville, Pennsylvania,United States Join our team as a Senior Lead Coordinator, Revenue Cycle and drive excellence in medical billing and claims management. Leverage your expertise in insurance verification, compliance, and team leadership to optimize revenue cycle outcomes. Collaborate with cross-functional teams and make a real impact on patient care and financial performance at CVS Health.

Medical Representative - CVRM - HCM Vietnam - Ho Chi Minh City posted: Posted 18 Days Ago

Principal Solutions Architect – Enterprise Architecture & Modernization Work at Home, Connecticut, United States Exciting opportunity for a Principal Solutions Architect to lead enterprise-wide architecture strategy and modernization in a high-volume healthcare ecosystem. Drive cloud-native transformation, partner with business leaders, and shape scalable solutions for claims and payment processing. Join us to influence the future of healthcare technology at CVS Health.

Medical Representative_ONC_GI/Hema(C) Taiwan posted: Posted 30+ Days Ago

Medical Representative - CVRM - HCM Vietnam - Ho Chi Minh City posted: Posted 24 Days Ago

Indemnity Claims Specialist Dallas TX The Indemnity Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.

Insurance Collector UNAVAILABLE, UNAVAILABLE, UNAVAILABLE Where You'll Work Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system. Job Summary and Responsibilities As an Insurance Collector, you will resolve unpaid insurance claims and collect outstanding balances from third-party payers. Every day you will review denials, initiate follow-up with insurers, rectify billing errors, submit appeals, and negotiate for maximum reimbursement. To be successful, you will understand billing regulations, possess strong problem-solving skills, and communicate effectively to optimize revenue recovery. Responsible for the timely follow-up on accounts and resolves denials and/or correspondence. Assists in process improvements to bring about greater c

Senior Claims Consultant, General Claims Perth - Railway posted: Posted 30 Days Ago

Medical Representative - ONCO - HCM Vietnam - Ho Chi Minh City posted: Posted 25 Days Ago

WC Disability Claims Specialist I - NY Pension PPD Syracuse, NY The WC Disability Claims Specialist manages within company best practices workers' compensation claims to best possible outcome, supporting the goals of claims department and of CorVel. This role manages the claims toward closure and looks for settlement opportunities throughout reviews.

Respiratory Therapist – Fife, WA WA FIFE

Senior Claims Specialist - Strategic Rotation Atlanta(Lawrenceville) GA The Senior Claims Specialist - Strategic handles or helps support the assigned adjuster on complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel.

Registered Respiratory Therapist Advanced Practitioner Banner Gateway Med Ctr (1900 N Higley Rd) posted: Posted Yesterday

CA WC Senior Claims Specialist (SIP, 4850) Rancho Cucamonga CA The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel.

Claims Supervisor - Strategic Rotation Atlanta(Lawrenceville) GA The Claims Supervisor-Strategic is responsible for supervising a direct reports team of Senior Claim Specialists - Strategic or assisting with the supervision of field claims specialists (indirect) as the need arises. The primary responsibility of this position is to ensure all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel.