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In this role you will lead a global product team spanning P&C insurance domain experts, UX design, engineering, product marketing, alliances and other cross-functional teams to own and drive Claims product vision and strategy from ideation to successful adoption by Guidewire customers.
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Overview Summary: Digitech is seeking a Claims Resolution Specialist (Insurance Biller) to work claims after they’ve been submitted to commercial insurance carriers. Essential Duties and Responsibilities: Work claims that are pending, are unable to be released or have been denied or incorrectly paid by Insurance carriers.
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Drives Operational metrics, including but not limited to the following: productivity, VBP, SVP, ACH, claims alert, late EMS, unverified services, orders audit, and agency financial statements to ensure the organization is on target with company goals related to operational efficiency, growth, quality, and finances.
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Supervises outside vendors retained for investigations, cost containment, expert witnesses, and litigation management to ensure claims are being handled appropriately according to the applicable jurisdiction.
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The medical billing and collection specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, and posting adjustments and collections of Medicare, Medicaid Managed Care, and commercial insurance payers.
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BenefitsWe have an array of benefits to fit your needs, including: medical/dental/vision, life insurance, short and long term disability coverage, paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date, nine paid holidays, 8 hours of Lifetime paid time off, 8 hours of Unity Day paid time off, 401(k) with company match, company-paid pension plan, business casual attire, and more.
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Tuition Assistance and much more Wawanesa General Insurance Company is an equal opportunity employer and is committed to a diverse workforce. Job OverviewWorking under minimal supervision, the Member Experience Specialist – Claims contributes to Wawanesa’s goal of delivering an exceptional and consistent claims service experience by enhancing relationships with members through tracking and trending feedback utilizing various data sources.
$74,979 - $123,715 a yearRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Adjust claims in practice management system that hit system edits as needed for the release of accurate claim information. Position Duties and Responsibilities· Translate/Map doctors and insurances from outside organizations to flow through the system with the appropriate doctor or insurance within the practice management system.
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Great Place to Work®Most Loved Workplace® Forbes Best-in-State EmployerNo-Fault/PIP/NJ SAIP Injury ExaminerPRIMARY PURPOSE: Investigates, negotiates, and resolves personal injury protection (PIP) and medical payments (Med Pay) claims in accordance with policy provisions, best practices, and jurisdictional requirements.
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Analyze customer's inquiries and determine correct steps for resolution, interpret benefit information, and claims processing accuracy. Knowledge: Basic understanding of insurance and medical terminology, coding and standard medical billing practices preferred.
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We excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims, business interruption and daily property claims, as well as handle complete liability investigations, task assignments including scene investigations and property damage appraisals, construction defect claims as well as first party automobile claims for personal and commercial insurance policyholders.
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The Default FHA Claims QA Analyst II will work under moderate supervision, responsible for reviewing FHA mortgage insurance claims for accuracy and submitting the claim form for filing.
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Translates configuration rules, fee schedules, contract terms, provider data code sets, and benefits into systems parameters to ensure accurate managed care operations (i.e. enrollment & billing, claims processing, etc.
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The Residential Property Inspector (Inspector), also known as the damage assessor, performs comprehensive damage assessments, similar to that of a large loss insurance claims adjustor. The Inspector performs damage assessments to document completed repairs and establish the scope of work for homeowner rehabilitation and reconstruction projects funded by HUD’s Community Development Block Grant Disaster Recovery (CDBG-DR) Program.
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Tell stories of insurance claims gone right AND wrong. We invest in you with insurance sales education and training. With a team of hungry sales professionals and a drive to exceed our goals every day, we exist to change the insurance world for the better.
$1,500 - $5,000 a monthFull-timeRemoteExpandApply NowActive JobUpdated 1 month ago
insurance claims jobs in Oregon, OR
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