Claim Health jobs

Medical Representative - CVRM - HN Vietnam - Hanoi posted: Posted 10 Days Ago

Medical Only Claims Specialist KS - KansasCity OverlandP The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers' compensation claims under close supervision, supporting the goals of the Claims Department and of CorVel.

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

Senior Indemnity Claims Specialist KS - KansasCity OverlandP; Des Moines IA; St. Louis MO; Omaha, NE; Minneapolis MN The Senior Indemnity 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. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and

In-Home Health - NP/PA (Full Time) - Bronx, New York NY-Bronx posted: Posted Yesterday

SME - Medicaid Program Integrity and Claims Audits Remote, UNAVAILABLE, US Overview BerryDunn is seeking a Senior Consultant with subject matter expertise in Medicaid program integrity and claims audits to assist clients with prevention and detection of fraud, waste, and abuse. This individual will be responsible for assisting with risk assessment, external audit coordination, interpretation and application of Medicaid policy and applicable code of federal regulations, and conducting Medicaid medical, dental, behavioral health, and pharmacy claims audits. You will work remotely, hybrid, or in one of our offices, mainly helping client in Guam. You will report to and partner with Government Assurance Practice Group management team members for both client work and career development. With a growth mindset, you will drive your own development with support from our management team. Travel Expectations: Travel to client sites can range up to 50%. You Will Establish and monitor Medicaid program integrity objectives, and key performance indicators (KPIs). Ensure the Medicaid program integrity policies and procedures meet federal and state policies and grants compliance. Research Medicaid policies and regulations. Advise and assist clients in translating Medicaid policy and program needs into system requirements and change requests, ensuring the State's program, policy, and business objectives are accurately captured using industry-standard language. Provide frequent, clear, and consistent communication to the client, team members, and vendors. Develop or up

Dietary Clerk - PRN HM The Woodlands - Main Hospital Building posted: Posted Yesterday

Claims Representative St. Louis, MO (Resla) Future Claims Representative Opportunities at EquipmentShare! EquipmentShare is accepting applications for a future Claims Representative in the St. Louis, MO area. At EquipmentShare, we're not just filling a role - we're assembling the best team on the planet to build something that's never been built before . We're on a mission to transform an industry that's been stuck in the past by empowering contractors and communities through innovative technology, real-time support, and a team that truly cares. We're accepting applications for a future Claims Representative role at our rental facility in St. Louis, MO , and we're looking for someone who's ready to grow with us, bring energy and drive to their work, and help us build the future of construction. As a Claims Representative, you will be responsible for handling all aspects of insurance claims, including initial reporting, documentation, assessment, and resolution. Schedule: Monday to Friday, 7:00 AM to 5:00 PM, and offers overtime pay after working 40 hours. (On call during the weekend only in special circumstances) Primary Responsibilities - Claims Processing: Efficiently process insurance claims from initiation to resolution. This includes verifying claim information, assessing damages, and determining claim validity. - Customer Service: Provide empathetic and knowledgeable support to customers filing claims. Guide them through the claims process, keeping them informed of their claim status and next steps. - Documentation and Record Keeping: Maintain accurate and detailed records of all claims, including customer interactions, assessments, and claim resolutions. - Liaison with

Home Health Baylor Physical Therapist Asheville, NC posted: Posted Yesterday

Claims Quality Assurance San Diego, CA The Claims Quality Assurance serves as the technical claims expert for the Claims Operations by auditing compliance with established CorVel, industry and carrier claim handling standards. The primary responsibility is evaluating claim handling quality, accuracy, and timeliness in categories including but not limited to: coverage analysis, investigation, valuation, reserving, compliance and accurate disposition of claims. This role has the ability to interpret results and trends in order to deliver operational reporting, and participate in the development and presentation of training. ESSENTIAL FUNCTIONS & RESPONSIBILITI

Health Unit Coordinator Ogallala Community Hosp (2601 N Spruce St) posted: Posted 30+ Days Ago

Claim Officer Thailand Responsibilities. To review claim notification emails sent from branch offices via DC system on a daily basis. To verify the claim reports submitted by branches, ensuring that all claims conform to...

Patient Financial Services Wellington Banner Med Grp (7859 6th St) posted: Posted 9 Days Ago

Senior Claims Specialist Las Vegas NV 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.

Senior Claims Specialist - NY Syracuse, NY 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.

Therapist I-1 Peak Behavioral Health posted: Posted 30+ Days Ago

Medical Representative China - Beijing posted: Posted 30+ Days Ago

Senior WC Claims Specialist FLOAT 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.

Medical Representative - CVRM - Baghdad Iraq posted: Posted 2 Days Ago

Senior Claims Specialist - West Virginia West Virginia 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.

CA Senior 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.

Registered Nurse - PRN Palms Behavioral Health posted: Posted Yesterday

Claims Handler - Travel - with APA/CIP Qualification (UK/IRL) UK (Remote) | Remote | Ireland (Remote) READY TO GROW YOUR CLAIMS CAREER FASTER THAN THE TRADITIONAL INDUSTRY ALLOWS? We're looking for a Travel Claims Handler to join ClaimSorted. This role is ideal for: - a Claims Handler who wants to build their career at a company that rewards performance, not tenure - someone with 6+ months of claims experience who is hungry to learn and grow fast We are not looking for tenure for the sake of it. We are looking for people with talent, ambition, work ethic, and the drive to build a real career. If you join us, we will give you the training and support to become the best Claims Handler possible - from people management to performance management, data, quality, and capacity planning. Our goal is to help you become one of the best claims leaders of the future. ABOUT CLAIMSORTED ClaimSorted is a Third-Party Administrator (TPA) that manages insurance claims end to end on behalf of insurers, in a ~$200B industry. We combine a high-performing claims team with an AI-enabled platform to deliver claims up to 3x faster, with better service and better economics for insurers. We're backed by Y Combinator, Atomico, and Eurazeo, have raised $16M+, and already manage claims for 30+ insurers across more than $200M in insurance premiums. WHAT YOU'LL DO - Handle claims end to end: from first notification of loss through to settlement - Communicate with policyholders throughout the claims

Medical Representative - CVRM - HCM Vietnam - Ho Chi Minh City posted: Posted 4 Days Ago