Provider Claim Resolution Specialist Jobs | Glassdoor

Provider Claim Resolution Specialist Jobs

1,650 Jobs
Created with Sketch.
Filters
Created with Sketch.
Filters
  • 2.8
    CVS Caremark Corporation – Scottsdale, AZ
    Est. Salary $29k-$41k
    11 days ago 11d
    you need to provide resolution to members and we will provide a team structure to partner with you on resolutions. Supporting… Conduct in depth research on member issues in order to provide quality resolution. - Creatively construct written communication to…
  • 2.9
    Universal Health Services – Reno, NV
    Est. Salary $25k-$35k
    Today 7hr
    The Claims Resolution Specialist acts as a liaison between members, providers and employer groups in resolving verbal and written… medical terminology. Minimum 2 years experience in health care claims processing, preferably in a managed care environment, including…
  • Roanoke Insurance Group – Schaumburg, IL
    Est. Salary $27k-$38k
    20 days ago 20d
    Roanoke Claims is searching for a motivated, positive individual to join our team as a Marine Claims Resolution Specialist. This… competitors with excellent customer and claims services. As a Marine Claim Specialist, you will have the opportunity to utilize…
  • 3.3
    Texas Dow Employees Credit Union – Sugar Land, TX
    Est. Salary $33k-$46k
    3 days ago 3d
    REPORTS TO: Loan Resolutions Loss Mitigation Manager WHAT IT MEANS TO BE A TDECU LOAN RESOLUTIONS Specialist– Loan Resolutions… a specific Loan Resolutions Specialist team or queue to ensure Legendary REAL Service and one-call resolution for member.…
  • 3.2
    CNA – Chicago, IL
    1 days ago 23hr
    8. Provide guidance and assistance to Claims Specialists and other Claims staff. 9. May be responsible for special claims projects… knowledge of claims and insurance industry theory and practices. 2. Advanced technical and product expertise, claims resolution and…
  • 2.8
    CVS Caremark Corporation – Scottsdale, AZ
    Est. Salary $29k-$41k
    11 days ago 11d
    you need to provide resolution to members and we will provide a team structure to partner with you on resolutions. Supporting… Conduct in depth research on member issues in order to provide quality resolution. - Creatively construct written communication to…
  • 2.9
    Universal Health Services – Reno, NV
    Est. Salary $25k-$35k
    Today 7hr
    The Claims Resolution Specialist acts as a liaison between members, providers and employer groups in resolving verbal and written… medical terminology. Minimum 2 years experience in health care claims processing, preferably in a managed care environment, including…
  • 3.7
    Crum & Forster – United States
    Est. Salary $34k-$54k
    8 days ago 8d
    to Claim Specialist. At this skill level the adjuster will be responsible for handling claims from beginning to resolution with… Summary: The Claims Trainee is responsible for providing superior customer service to policyholders, agents, claimants and others…
  • 3.0
    Florida Cancer Specialists – Fort Myers, FL
    Est. Salary $25k-$35k
    9 days ago 9d
    16-1525 Post Date 12/21/2016 Title Insurance Claim Resolution Specialist Employment Type Full Time Job Location Corporate… Diploma or GED Required. The Medical Collector – Claims Resolution Specialists must have excellent knowledge of insurance carrier…
  • 3.3
    CSAA Insurance Group – Colorado Springs, CO
    Est. Salary $37k-$51k
    15 days ago 15d
    Job Title Early Injury Resolution Specialist Requisition Number R1403 Early Injury Resolution Specialist (Open) Location Colorado… NPS score. Manages physical damage claim for third party to control expenses and provide services to aid in management and…
  • 2.7
    CareSource – Dayton, OH
    1 days ago 23hr
    outcome of the claim appeal § Identify System changes, log the ticket and track the resolution § Complete claim appeal through… Operation, Provider Service Center and claims § Review claim appeals for possible fraud and abuse and report to SIU § Research…
  • 3.7
    Alignment Healthcare – Tampa, FL
    Est. Salary $27k-$37k
    7 days ago 7d
    supporting documentation for the resolution of provider disputed claims. * Responds to incoming Provider Disputes accurately, timely… Provider Dispute Resolution Specialist External Description:Summary The Provider Dispute Resolution Specialist is the point…
  • 3.0
    Cross Country Home Services – Sunrise, FL
    Est. Salary $40k-$59k
    17 days ago 17d
    CCHS. Summary of Responsibilities Lead resolution of escalated claims involving issues with service contractors, clients… perceptions of CCHS claims and service network Provide training assistance to all call center departments as needed Provide SNAD with…
  • 3.2
    WellCare – Cypress, CA
    Est. Salary $34k-$48k
    6 days ago 6d
    Processes claim adjustment and provide appropriate level of coaching, analysis and resolution to CSR or Provider. Identify root… answering escalated claim adjustment requests and resolving issues received through transferred provider phone calls, customer…
  • 3.8
    Pride Institute – Reno, NV
    Est. Salary $25k-$35k
    3 days ago 3d
    The Claims Resolution Specialist acts as a liaison between members, providers and employer groups in resolving verbal and… medical terminology. Minimum 2 years� experience in health care claims processing, preferably in a managed care environment, including…
  • 2.9
    Select Medical – Mechanicsburg, PA
    Est. Salary $25k-$35k
    2 days ago 2d
    Overview As one of the nation's largest providers of specialized hospital, rehabilitative and outpatient care, Select… therapy and/or occupational medicine. Our outpatient team also provides physical therapy and athletic training to approximately 300…
  • 3.2
    Zurich North America – Dallas, TX
    Est. Salary $41k-$63k
    2 days ago 2d
    your caseload with minimal direction. You will manage claims through resolution and in accordance with Zurich’s best practices and… experienced claims professional to join our team. You will handle a caseload of commercial general liability (GL) claims of moderate…
  • 3.0
    Florida Cancer Specialists – Fort Myers, FL
    Est. Salary $26k-$37k
    7 days ago 7d
    Requisition Number 16-1299 Post Date 9/30/2016 Title Claims Resolution Specialist Team Lead Employment Type Full Time Job Location… Review all insurance claims over 30 days old. Handle any incoming inquiries from insurance providers on the assigned accounts…
  • 3.2
    UnitedHealth Group – Greensboro, NC
    Est. Salary $25k-$37k
    1 days ago 18hr
    709187 Job Title: Platinum Provider Claims Adjustment Specialist - US Telecommute Job Family: Claims Business Segment: UHC… This Job Platinum Provider Claims Adjustment Specialist - US Telecommute - 709187 Apply Now…
  • 3.5
    Liberty Mutual – Weston, MA
    Est. Salary $46k-$63k
    9 days ago 9d
    an assigned caseload from the investigation of the claim through resolution. This includes making decisions about liability/compensability… Mutual Insurance - A Fortune 100 Company! The Claims Case Manager works within a Claims Service Team, using the latest technology…
  • 3.5
    Liberty Mutual – Irving, TX
    Est. Salary $44k-$62k
    6 days ago 6d
    Mutual Insurance - A Fortune 100 Company! The Claims Specialist works within a Claims Service Team, using the latest technology to… an assigned caseload from the investigation of the claim through resolution. This includes making decisions about liability/compensability…
  • 3.0
    Florida Cancer Specialists – Fort Myers, FL
    Est. Salary $25k-$35k
    7 days ago 7d
    . Accounts Receivable Claims Resolution Specialist for RxToGo: Review all insurance claims over 30 days old. Handle… Number 17-0350 Post Date 3/17/2017 Title A/R Claims Resolution Specialist RxToGo Employment Type Full Time Job Location…
  • 3.4
    First American – Phoenix, AZ
    21 days ago 21d
    duties as the Call Specialist plus the following: • Takes ownership of claims and drives claim closure/resolution. • Identifies… Requisition ID 36088BR Position Title Spec,Claims Resolution Claim Job Family Customer/Acct Mgmt Svcs Job Location AZ-Phoenix…
  • 3.2
    WellCare – Tampa, FL
    Est. Salary $41k-$59k
    10 days ago 10d
    through Provider feedback, quality monitors and payment accuracy. Assist in education of Providers as it relates to claims processing… answering escalated claim adjustment requests and resolving issues received through transferred provider phone calls, customer…
  • 2.9
    Change Healthcare – Oceanport, NJ
    Est. Salary $32k-$44k
    2 days ago 2d
    Title Resolution Specialist City Oceanport State NJ Description This position is responsible for providing high quality… Application functions to obtain information and/or provide updates regarding claim status • Identifies and takes appropriate actions…
  • 3.4
    Mutual of Enumclaw Insurance – Spokane, WA
    Est. Salary $33k-$48k
    14 days ago 14d
    Office products and claims related software programs Strong communication skills Experience in conflict resolution and problem solving… insurance claims Provide Ethical, Responsive, Personal and Efficient claim service Adjustment of low/moderate property claims Interact…
  • 3.2
    Arthur J. Gallagher & Co. – Aliso Viejo, CA
    Est. Salary $45k-$63k
    2 days ago 2d
    casualty third party claims service organizations in our industry and throughout the world. Gallagher Bassett provides services to Fortune… coverage and settles moderately complex claims in one or more of Gallagher Bassett’s specialty claims areas. Generally, incumbent does…
  • Reno, NV
    3 days ago 3d
    The Claims Resolution Specialist acts as a liaison between members, providers and employer groups in resolving verbal and… medical terminology. Minimum 2 years� experience in health care claims processing, preferably in a managed care environment, including…
  • 3.2
    Molina Healthcare – Long Beach, CA
    Est. Salary $115k-$222k
    1 days ago 18hr
    Plan's Provider Services functions. • Focuses on effective and efficient Provider education and outreach, expedient resolution of… ideally working with Medicaid providers, (i.e. physician, specialists, group and hospital providers and various forms of contracting…
  • 2.9
    Bankers Financial – Saint Petersburg, FL
    16 days ago 16d
    warranty and claim issues to be covered and excluded. Provide technical assistance to the Technical Claims Specialist and defense… Objective The Claims Engineer provides technical support to the processing of claims, including evaluating claims submitted, inspection…
Page 1 of 56
Be the first to get new jobs like these: