PART_TIME

FEED

UNKNOWN

Utilizes insurance and billing expertise to resolve denials and patient questions/concerns filtered through Patient Services Reps regarding their billing statements and insurance notifications. Candidates should be service-oriented, a team player, and be able to provide extraordinary care, every day to our patients.

McFarland Clinic, P.C.

Claims Follow-up Specialist I (FT/PT)| Business Services | Ames | 2026-149

We can address immediate needs, help support positive long term medical and lifestyle choices that provide for better outcomes, leverage cutting edge in-home care technologies, and help avoid unnecessary visits to busy healthcare facilities. The Claims Support Specialist provides support to the health plan members, providers and third party adjudicator to ensure understanding of the application of benefits and accuracy, timeliness and appropriateness of claims payments.

HOUR

Nascentia Health Inc

Claims Support Specialist

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For candidates located in San Francisco, CA; Washington DC; our Massachusetts based offices and the New York City metro area, the base salary range is $118,000 - $138,000. In return, we promise you support, opportunities and performance-led financial rewards in a flexible work environment where you can: Shape the future: Help us lead an insurance transformation to better protect people, businesses and society.

Intact Insurance Specialty Solutions

Claims Quality Control Specialist (Hybrid)

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Required Education and Certifications : Associate’s degree in a related field (health administration, pharmacy technician, desired), or combination of education and experience; Certification in a medical terminology course or coursework in medical anatomy. We provide advocacy, financial services, and business solutions that help over 900 consumer-owned electric cooperatives across the country serve their communities and we operate with integrity, transparency, and a spirit of innovation.

NRECA

Sr Specialist, Pharmacy Claims

FULL_TIME

This position serves as a strategic partner to operations, culinary leadership, human resources, facilities, and executive management to protect employees, guests, assets, brand reputation, and financial performance. Through extraordinary attention to detail and fostering a culture of safety and accountability, the Claims and Compliance Specialist will work directly with the insurance brokers and consultants to work toward the development, implementation, and maintenance of a greater risk management program.

Sprout II LLC

Claims and Compliance Specialist

Daily expectations include explaining the repair process and damage details to our customers, writing original and supplemental damage estimates, making total loss determinations and valuations, negotiating with auto body shops on repair strategies and costs, and occasionally conducting independent adjuster appraisal re-inspections. As a Desk or Hybrid Auto Damage Appraiser, you will be completing quality appraisals of damaged vehicles either virtually with reference to photos or occasionally in-person, to help our customers restore vehicles to their pre-loss condition.

At Liberty Mutual, we believe progress happens when people feel secure. By providing protection for the unexpected and delivering it with care, we help people embrace today and confidently pursue tomorrow.
 In business since 1912, and headquartered in Boston, today we are the eighth largest global property and casualty insurer based on 2023 gross written premium. We also rank 87th on the Fortune 100 list of largest corporations in the US based on 2023 revenue. As of December 31, 2023, we had $49.4 billion in annual consolidated revenue.
 We employ over 40,000 people in 29 countries and economies around the world. We offer a wide range of insurance products and services, including personal automobile, homeowners, specialty lines, reinsurance, commercial multiple-peril, workers compensation, commercial automobile, general liability, surety, and commercial property.

Liberty Mutual Holding Company Inc

Claims Resolution Specialist II

Using a Whole Person Care approach, you will work collaboratively with members, caregivers, healthcare providers, and multidisciplinary care teams to identify risks, address barriers to care, and promote improved health outcomes. If you are an experienced RN who is passionate about supporting individuals with complex healthcare needs and are interested in a seasonal work-from-home opportunity, apply today to be considered for upcoming Senior Care Specialist opportunities.

Sagility

Senior Care Specialist (Registered Nurse) â Work From Home

Appcast Exclusive 1

Duty 3: Corrects all claims issues prior to submission which may be, but are not limited to, quality audits of patient demographic information and insurance eligibility, cross referencing with previous services, verifying payer authorizations, identifies and bills missing and late charges and corrects all necessary discrepancies. Duty 9: Identifies high-risk accounts, prioritizes follow up efforts, efficiently contacts various insurance payors to determine reasons for outstanding claims and proactively communicates to facilitate timely payment of submitted claims.

Blanchard Valley Health System

PFS Professional Medical Billing Specialist (PRN)

Indexing, organizing, and uploading correspondence, photos, reports, invoices, and legal documents while keeping file notes, diary dates, and claim data accurate, current, and compliant with company policies for PII, PHI, and other confidential data. Maintaining department tracking tools and logs, correcting incomplete, inconsistent, or miscoded claims found in exception reports, and preparing monthly, ad hoc, regulatory, and audit reports for claims management, finance, underwriting, and reinsurance.

YEAR

Kinsale Management, Inc

Claims Operations Specialist

This includes assessing claim eligibility, managing reporting obligations, coordinating objections and appeals, supporting accommodation and return-to-work (RTW) programs, and representing the employer in claims-related proceedings when required. IPEX is committed to providing accommodations for people with disabilities throughout the recruitment process and, upon request, will work with qualified job applicants to provide suitable accommodation in a manner that takes into account the applicant’s accessibility needs due to disability.

IPEX

Senior Specialist, Claims

ADAPTED_NOW

OTHER

The position works closely with employees, Human Resources, payroll partners, benefit carriers, brokers, and other external partners to resolve issues, maintain accurate records, support open enrollment, and ensure benefit and payroll-related transactions are completed accurately and timely. Isuzu is seeking motivated, talented individuals to join our team as we complete our state-of-the-art assembly plant and launch production of high-quality, reliable, and environmentally responsible medium-duty commercial trucks in Greenville County, South Carolina.

Payroll and Benefits Specialist

Travel as required to participate with Program Managers, Brokers, Reinsurance Intermediaries, Claim TPA's, and other clients, including traveling to Industry association meetings and conferences. Work in close collaboration with cross-functional teams including Underwriting, Actuarial, Product, Finance, and Treasury to analyze and structure existing and new Program Business.

TruStage Financial Group Inc

Program Claim Specialist (Remote USA)

Kinsale Insurance

The Claims Adjustment Specialist analyzes and processes medical claim adjustments related to overpayments, underpayments, provider corrected claims, and reimbursement discrepancies. As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.

UCLA Health System

Claims Adjustment Specialist

Manage product allocations, including short-dated and backordered products, and facilitate approvals for drop-ship requests. Investigating Advanced Ship Notice (ASN) or Electronic Data Interchange (EDI) discrepancies and working with internal teams to resolve issues.

Every day, System One focuses on services and solutions that require a high degree of specialization, in-demand technical skills, and large-scale operational expertise. We are essential partners to those on the front lines of our nation’s most critical infrastructure, technology, and life sciences initiatives. 
Founded more than 40 years ago as a staffing partner to the engineering industry, today System One is a diversified organization operating in over 50 locations and putting more than 9,000 people to work in the United States, Canada, and the United Kingdom.

System One

Specialist, Customer Operations

Aliaxis

As a key member of our Claims Adjuster team, you will: Investigate, evaluate, and resolve complex major claims, applying your claims experience and analytical skills to make informed decisions and bring claims to resolution. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence.

Gallagher, a global insurance brokerage and risk management services firm, helps clients address risk, protect assets and recover from losses. The products and services we provide keep businesses and institutions running, and enable individuals and families to rebuild their lives. Gallagher is the only insurance broker recognized by the Ethisphere Institute as a World's Most Ethical Company.
 
Gallagher provides retail and wholesale property and casualty brokerage, alternative risk transfer services, employee benefit consulting, and actuarial services. Gallagher also offers claims and information management, risk control consulting and appraisal services, human resource consulting, and retirement services.

Gallagher

Senior Claims Practice Specialist- Liability

[AW]-iCims

In addition to ensuring essential administrative functions run smoothly, you may also interact with customers and medical providers by phone or in person when applicable. High School diploma/GED equivalent or higher and a minimum of one year of administrative or clerical support experience.

At Progressive, our diverse group of more than 33,000 talented professionals come from all walks of life and all fields of business-spanning six large corporate offices and hundreds of smaller claims and legal offices around the country.

Whether it's the pride of working for a successful, Fortune 200 Company or the enjoyment of experiencing a unique work environment every single day-you'll soon find out there are a lot of perks to working here.

Progressive is a place where innovation and collaboration are a way of life, where hard work is celebrated and rewarded, where you can see what you're truly made of … and love what you do.

The Progressive Corp

Claims Administrative Support Specialist

Researches credit balances for Medicare, Medicare HMO, Medicaid, and Medicaid HMO and handles appropriately. Related Years of Experience Required: Two years’ experience in healthcare billing, or related experience.

DCMC

Claims Resolution Specialist - Patient Financial Services - 1.0 FTE (40 hours a week)

Required computer skills: must have experience with data entry and word processing, be capable of operating routine office equipment, possess a working knowledge of MS Office applications, and understand how to navigate through multiple web-based applications. ElevatePFS believes in making a positive impact not only within our industry but also with our employees -the organization's greatest asset!

Claims Specialist Jobs in the United States

Claims Follow-up Specialist I (FT/PT)| Business Services | Ames | 2026-149 McFarland Clinic, P.C.

Claims Support Specialist Nascentia Health Inc

Claims Quality Control Specialist (Hybrid) Intact Insurance Specialty Solutions

Sr Specialist, Pharmacy Claims NRECA

Claims and Compliance Specialist Sprout II LLC

Claims Resolution Specialist II Liberty Mutual Holding Company Inc

Senior Care Specialist (Registered Nurse) â Work From Home Sagility

PFS Professional Medical Billing Specialist (PRN) Blanchard Valley Health System

Claims Operations Specialist Kinsale Management, Inc

Senior Specialist, Claims IPEX

Payroll and Benefits Specialist HTI

Program Claim Specialist (Remote USA) TruStage Financial Group Inc

Claims Operations Specialist Kinsale Insurance

Claims Adjustment Specialist UCLA Health System

Specialist, Customer Operations System One

Senior Specialist, Claims Aliaxis

Senior Claims Practice Specialist- Liability Gallagher

Claims Administrative Support Specialist The Progressive Corp

Claims Resolution Specialist - Patient Financial Services - 1.0 FTE (40 hours a week) DCMC

OOS Senior Claim Specialist Elevate Patient Financial Solutions Inc

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