Field Claims Investigator

Field Claims RepresentativeWe are seeking a skilled Field Claims Representative to join our team at Cincinnati Insurance Company, Inc. As a Field Claims Representative, you will play a critical role in investigating and evaluating multi-line insurance claims through personal contact to ensure accurate settlements.Key Responsibilities:Conduct thorough claim...

Civil Investigator Job DescriptionFSA Federal is seeking a highly skilled Civil Investigator to support the US Attorney's Office in investigating and prosecuting healthcare fraud matters.Key Responsibilities:Conduct thorough investigations into healthcare fraud allegations, gathering and analyzing evidence to build a strong case.Collaborate with Assistant...

OverviewFSA Federal is seeking a skilled Civil Investigator to support the US Attorney's Office in investigating healthcare fraud and illegal opioid distribution.This role involves working with Assistant United States Attorneys, analyzing data from government databases, and conducting research to identify potential violations.ResponsibilitiesInitiate...

About the Role:    We are seeking a skilled Insurance Claims Examiner to join our team at Firma de Reclutamiento en PR. As an Insurance Claims Examiner, you will be responsible for reviewing and analyzing insurance claims to ensure they are accurate and valid.Responsibilities:    The successful candidate will have the following...

Job SummaryThe Senior Claims Representative is responsible for handling complex and mid-to-high exposure bodily injury and property damage claims under Ryder's self-administered liability program.Key ResponsibilitiesInvestigate and adjust claims, directing outside defense counsel, independent adjusters, experts, and other vendors in the claims-handling...

Job SummaryThe Senior Claims Representative position at Ryder System, Inc. involves handling complex and mid-to-high exposure bodily injury and property damage claims.Key Responsibilities:Investigate and adjust claims, directing outside defense counsel, independent adjusters, experts, and vendors as needed.Supervise vendors to ensure claims are handled...

Job Title: Claims Representative IJob Summary:We are seeking a Claims Representative I to join our team at Elevance Health. As a Claims Representative I, you will be responsible for processing and resolving claims in a timely and accurate manner. This role requires strong communication and analytical skills, as well as the ability to work in a fast-paced...

About the Role:FSA Federal is seeking a highly skilled Civil Investigator to support the US Attorney's Office in investigating healthcare fraud matters. As a key member of our team, you will play a critical role in advancing our mission to deliver unsurpassed services in support of law enforcement and homeland security.Key Responsibilities:Work with assigned...

Job Title: Manager Associate ClaimsA key member of our Elevance Health team, the Manager Associate Claims will play a vital role in providing oversight of a customer service unit. This position will work in a hybrid model, with a mix of remote and on-site work.Key Responsibilities:Establish and implement department policies and procedures.Audit and monitor...

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...

Job SummaryAbarca Health is seeking a highly 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...

Job SummaryThe Site Care Partner is a critical role that serves as the main client point of contact for investigative sites throughout a study life cycle. This individual is accountable for site start-up activities through activation, building and retaining investigator site relationships, and providing support from site recommendation through the lifecycle...

About the RoleWe are seeking a highly skilled Quality Assurance Analyst to join our team at Abarca Health. As a Quality Assurance Analyst, 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 ensure the quality of our...

Launch Your Medical Billing & Coding CareerAre you interested in a career in the medical billing and coding field? My Medical Billing Career can help you get started. With our training services, you'll gain the skills and knowledge needed to succeed in this in-demand field.Why Choose Medical Billing & Coding?The medical field is constantly evolving, and the...

Purpose and ScopeThe Business Office Coordinator plays a critical role in ensuring the accurate and timely documentation of insurance verification, billing, and collections at Hospital San Juan Capestrano. This position requires a high level of attention to detail and organizational skills to maintain a correct account balance and prevent accounts from...

About the RoleAbarca Health is seeking a skilled Healthcare Data Analyst to join our team. As a key member of our Data Analytics team, you will be responsible for analyzing healthcare claims data to identify trends and opportunities for improvement.Key ResponsibilitiesAnalyze healthcare claims data to assess trend performance and identify potential...

Purpose: The Business Office Coordinator is responsible for ensuring accurate and timely documentation of insurance verification, billing, and collections at Hospital San Juan Capestrano.Key Responsibilities:Verify and interpret insurance benefits and establish financial arrangements with patients.Estimate patient out-of-pocket expenses and make financial...

Job SummaryAcadia Healthcare seeks a skilled Business Office Coordinator to join our team. The ideal candidate will possess excellent communication and organizational skills, with a strong understanding of commercial insurance and Medicare/Medicaid policies.Key ResponsibilitiesVerify and interpret insurance benefits, establishing financial arrangements with...

Job SummaryFidelis Talent Solutions is seeking a highly organized and detail-oriented Digitization and Archiving Clerk to join our team. The successful candidate will be responsible for managing the receipt of claims, identifying, verifying, and transferring documents, as well as preparing reports and maintaining records.Key Responsibilities• Manage the...

About the JobThis role is responsible for researching and analyzing daily claims checks from insurance groups, verifying and processing physical checks in Caparra, and handling refunds and payments.Key ResponsibilitiesVerifies and analyzes invoices for advance checks, final payments, and leftovers.Receives and processes checks from claims staff.Processes...