Medical Claims Professional

Requirements:Associate degree, preferred in Medical Billing, and or 2+ years of related experience.Fully bilingual in English and Spanish.Key Responsibilities:Process and analyze medical claims with high accuracy.Ensure compliance with regulatory requirements.

AIG is a leading global insurance organization providing property casualty insurance in over 70 countries and jurisdictions. The company aims to make a positive difference for its colleagues and communities, encouraging volunteer efforts through the Volunteer Time Off and Matching Grants Programs.Job OverviewThis role leads and manages the Medium Complexity...

Claims Examiner Job DescriptionEvaluate and analyze insurance claims to determine validity and ensure fair payouts. Review reports prepared by external parties, such as medical professionals or contractors, to verify information.Key Responsibilities:1. Review insurance policy terms and conditions against claims received.2. Conduct on-site inspections or...

About the Role:As a Financial Claims Specialist at AIG, you will be responsible for assessing and managing complex liability claims within authority limits. You will perform coverage and quantum analysis throughout the claims' lifecycles, ensuring timely and accurate resolutions for our customers.What You'll Do:Proactively assess and manage complex liability...

We are seeking a highly skilled Auto Bodily Injury Claims Specialist to join our team at First Chicago Insurance Company. Our new office in Oak Brook is now open and we are looking for an experienced professional to support our growth.Key Responsibilities:Investigate and settle automobile bodily injury claimsReview and determine course of action on each file...

Company OverviewOptum, a global organization, delivers care aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best.We have a culture guided by diversity and inclusion,...

Ryder System, Inc. is seeking an experienced Claims Expertise Manager to handle complex claims and lead our team in delivering exceptional results.The estimated salary for this position ranges from $75K to $80K annually, depending on experience.Job Description:We are looking for a seasoned Claims Expertise Manager to join our Risk Management team. In this...

Job Title: Claims Adjuster SpecialistFirma de Reclutamiento en PR is seeking a highly skilled Claims Adjuster Specialist to join our team. This role plays a crucial part in handling claims and ensuring that customers receive fair compensation for their losses.About the Role:This position involves reviewing and evaluating insurance claims to determine their...

Compensation for this role is estimated to be around $65,000 - $85,000 per year.About the PositionFirma de Reclutamiento en PR is seeking a highly skilled Insurance Claims Examiner to join our team. As an Insurance Claims Examiner, you will play a critical role in ensuring that insurance claims are processed efficiently and fairly.Job DescriptionThe...

At UnitedHealth Group, our mission is to provide quality healthcare services to millions of people worldwide. We believe that everyone deserves access to healthcare, and we strive to make the health system work better for everyone.We are seeking a skilled Claims Representative to join our team. In this role, you will be responsible for authorizing payments...

About the Marine Claims Adjuster RoleAIG, a global leader in commercial and personal insurance solutions, is seeking a skilled Marine Claims Adjuster to join their team. This exciting opportunity will allow the successful candidate to utilize their expertise in claims handling to deliver exceptional customer service and drive business growth.Key...

About the RoleBusy Season Staffing Solutions is seeking an experienced Claims Adjuster to join our team. As a key member of our team, you will be responsible for evaluating and examining claims, reviewing reports prepared by external parties, and ensuring compliance with insurance policies.Job DescriptionWe are looking for a skilled professional with...

Job DescriptionWe are seeking a highly skilled Financial Lines Claims Specialist to join our team. In this role, you will be responsible for assessing and managing complex liability claims within authority limits from the first notification of loss to a timely, accurate and customer-focused resolution.The ideal candidate will have a strong understanding of...

Company Overview">Elevance Health is a leading healthcare company dedicated to improving lives and communities. We are a Fortune 25 company with a long history in the healthcare industry, seeking leaders at all levels who are passionate about making an impact on our members and the communities we serve.">Salary">We offer a competitive salary of approximately...

Job Overview:">The Medical Billing Specialist - Accounts Receivable position at Acadia Healthcare is a rewarding opportunity for individuals with strong customer service skills and medical billing/collections experience. This role is responsible for the timely submission of claims to third-party payors and collection of outstanding accounts receivable.">Key...

Abarca Health is igniting a revolution in healthcare, and we're looking for a skilled Pharmacy Claims Quality Assurance Specialist to join our team.Job DescriptionWe're seeking a detail-oriented professional with 2+ years of experience in quality assurance and software development life cycles. As a Pharmacy Claims Quality Assurance Specialist, you'll be...

About the RoleAbarca Health is seeking a skilled Pharmacy Claims Quality Assurance Specialist to join our team. As a key member of our Quality Oversight Department, you will play a critical role in ensuring the quality and integrity of our pharmacy claims testing and adjudication processes.Key ResponsibilitiesOptimize testing and monitoring activities to...

Are you looking for a challenging and rewarding career opportunity? We at Kelly Services, Inc. are seeking a highly skilled Data Entry Operator II to join our team in San Juan, Puerto Rico. This is an excellent chance to grow your skills and experience in medical claims and data entry.We offer a competitive salary based on experience: $14.00 per hour,...

About the Role:We are seeking a highly skilled Credit & Collections Specialist to join our team at Elevance Health. This individual will play a vital role in collecting past due health insurance premiums and/or claims, ensuring timely payments and maintaining excellent customer relationships.Key Responsibilities:Contact clients to discuss outstanding...

Job DescriptionWe are seeking a skilled and detail-oriented individual to join our team as a Professional Check Processor in the Caparra area.About the JobThe successful candidate will be responsible for verifying and analyzing invoices for advance checks, final payments, leftovers, substitution, and payments to the workshop that are requested for issuance....