NewGovernment Affairs Executive Sentry InsuranceGovernment Affairs ExecutiveNashville, TNExperience in a State DOI, and NAIC, or regulatory agency dealing with insurance financial services, state legislator or political campaign, think-tank public policy organization or trade association, corporate government relations department especially in the financial services industry . Developing and implementing strategic and advocacy plans for achieving public policy, legislative, and regulatory results in an assigned state and local market that are favorable to the organization and consistent with the overall legislative strategy.
Insurance Claims Specialist (Construction Defects and Property Damage) DPR Construction IncInsurance Claims Specialist (Construction Defects and Property Damage)Nashville, TNKey Skills: ⢠Basic working knowledge and familiarity of: ⢠Commercial General Liability ⢠Property Insurance (Including Inland Marine and Builder's Risk) ⢠Pollution Liability ⢠Professional Liability ⢠Controlled Insurance Programs (CCIP/OCIP) ⢠RMIS Systems ⢠Construction Industry Expertise ⢠Strategic thinking ⢠Strong written and oral communication skills ⢠High level of EQ (Soft skills) ⢠Self-Starter ⢠Highly organized and responsive; ability to meet deadlines ⢠Detail Oriented ⢠Contractual risk assessment ⢠Dispute management ⢠Integrity ⢠Ability to mentor and inspire others ⢠Team player ⢠Willingness to understand and advance the DPR Culture ⢠Proactive Learner. Act as a liaison between all parties involved, including but not limited to, carriers, clients, trade partners, brokers, consultants, attorneys and DPR project teams (and DPR-related entities), as it relates to claim progress, strategy, expenses, and settlements.
Claims Specialist ā Business Insurance Marsh McLennanClaims Specialist ā Business InsuranceMaryville, TennesseeWith offices across North America, we combine the personalized service model of a local consultant with the global resources of the worldās leading professional services firm, Marsh (NYSE: MRSH). Marsh McLennan Agency (MMA) provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities.
NewIndemnity Claims Specialist CorVel Enterprise Claims, Inc.Indemnity Claims SpecialistFranklin, TNRemote$52,999ā$85,473 / yearPart timeThe Indemnity Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workersā compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Senior Claims Specialist - TN Workers'''' Compensation Great American Insurance CompanySenior Claims Specialist - TN Workers'''' CompensationTennessee, TN$95,000ā$105,000 / yearWe take an extremely aggressive and proactive approach to claims adjusting and are looking for the person who not only knows their territory's comp laws but also enjoys the role of putting that experience to good use. Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance focusing on specialty commercial products for businesses.
Bodily Injury Claims Specialist Auto-Owners Insurance GroupBodily Injury Claims SpecialistJackson, TNThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
ESIS Senior Claims Specialist, WC Chubb LtdESIS Senior Claims Specialist, WCNashville, TN$71,000ā$104,400 / yearAbility to plan, organize, and implement general business and people management practices, supported by completion of management and technical programs, business or legal coursework, or equivalent practical experience. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industrys broadest selections of risk management solutions covering both pre- and post-loss services.
NewClaims Escalation Specialist Fast Pace HealthClaims Escalation SpecialistTennesseeFull timeThe Claim Escalation Specialist will perform the daily collections and management of outstanding accounts, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments. Performs daily on collecting and managing of outstanding accounts, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments.
Indemnity Claims Specialist CorVel CorpIndemnity Claims SpecialistFranklin, TNRemote$52,999ā$85,473 / yearThe Claims Specialist manages within company best practices low to mid Auto and/or General Liability claims, including bodily injury and property damage within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Quality Control Specialist - Medicare Pharmacy Claims Health Care Service CorpQuality Control Specialist - Medicare Pharmacy ClaimsNashville, TNRemote$20.04ā$44.61 / hourThe Quality Control Specialist conducts regular audits to verify adherence to regulations, internal policies, and operational procedures, while maintaining thorough documentation to support potential CMS program audits. Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistTNRemote$137,496ā$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
Leave and Disability Claims Roles UNUM GroupLeave and Disability Claims RolesUSA, TN$22.12ā$24.04 / hourWhether youāre directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. When you apply, you'll be considered for positions such as Integrated Paid Leave Specialist, STD Benefits Specialist Trainee, Associate Leave Specialist, Eligibility Specialist and Associate Life Event Specialist.
Claim Benefit Specialist Operations CVS Health CorpClaim Benefit Specialist OperationsFranklin, TN$17ā$28.46 / hourPerforms claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Analyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWork At Home, TN$17ā$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
NewClaim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionNashville, TN$59,059.65ā$90,000 / year37010 37015 37022 37029 37031 37032 37035 37040 37042 37043 37048 37049 37066 37072 37073 37075 37076 37080 37082 37115 37122 37138 37141 37143 37146 37148 37172 37181 37186 37187 37188 37189 37201 37203 37206 37207 37208 37209 37210 37212 37213 37214 37216 37218 37219 37228 37243. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Auto Claims Appraiser Sentry Insurance GroupAuto Claims AppraiserNashville, TNLead efficient claim decisions by assessing losses, building estimates, and securing fair settlements while collaborating with repair teams and tracking the latest repair technology. Knowledge of vehicle repairs gained from previous experience in a repair facility, appraising responsibilities, or collision repair course work preferred.
Billing Specialist/Insurance Collector Acadia Healthcare Co IncBilling Specialist/Insurance CollectorChattanooga, TN$19ā$24 / hourIf you''re passionate about making a difference in the lives of those in need through compassionate therapeutic practices and thrive in a supportive team environment that fosters learning and growth, this position is perfect for you! Gather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.
Managing Director Property Claims HCA HealthcareManaging Director Property ClaimsNashville, TNMajor Responsibilities: Proactively manage system-wide property claims including oversight of between HCA facility contacts, corporate functional areas, Third Party Administrator (TPA), forensic accountants, broker claims representative and captive insurer/fronting parties. This includes oversight of HCAās property claims handling via coordination between HCA facility contacts, corporate functional areas, Third Party Administrator (TPA), forensic accountants, broker claims representative and captive insurer/fronting parties.
Insurance Billing Specialist LifeLinc CorporationInsurance Billing SpecialistMemphis, TennesseeWorking Accounts Receivable weekly - starting with the most aged accounts ā and has the ability to file reconsiderations and appeals with insurers / governmental agencies. Two years or more experience in healthcare revenue cycle, denials management, revenue integrity, medical records, follow-up, hospital business office or physician practice office.
Insurance Follow-Up Specialist IVX HealthInsurance Follow-Up SpecialistBrentwood, TNRemote$22ā$25 / hourOur Insurance Follow Up Specialists are a vital part of the patient care journey, ensuring that every claim is handled with precision, empathy, and a clear understanding of how billing impacts both access to care and peace of mind. IVX Health is a national provider of infusion and injection therapy for individuals managing complex chronic conditions like rheumatoid arthritis, Crohn's disease, and multiple sclerosis.
Regional Senior Casualty Claim Specialist - Litigation AAA Southern New EnglandRegional Senior Casualty Claim Specialist - LitigationTNBy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals.
Insurance Coordinator and Credentialing Specialist-Dentistry Business Office University of Tennessee SystemInsurance Coordinator and Credentialing Specialist-Dentistry Business OfficeMemphis, TNPerforms daily audits on patient health records to ensure financial and coding accuracy, including the presence of complete and compliant chart documentation; initiates corrections and communicates errors to providers and staff; requests additional information or documentation as needed; monitors and notifies providers of missing charges. Proactively resolves payment issues by anticipating and identifying problems and coordinating appropriate solutions before claim submission; corrects fees on accounts as needed before claim submission; responds to payor requests for additional information for pending claims.
Insurance Specialist Tennessee Cancer SpecialistsInsurance SpecialistKnoxville, TennesseeMINIMUM QUALIFICATIONS ⢠High School diploma or equivalent required ⢠Minimum two (2) years combined medical billing and payment experience required ⢠Demonstrate knowledge of state, federal, and third party claims processing required ⢠Demonstrate knowledge of state & federal collections guidelines ⢠Must successfully complete required e-learning courses within 90 days of occupying position PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. You will need sufficient manual dexterity for operating office equipment (keyboard, telephone, copier, etc.), and vision and hearing must be adequate for viewing computer screens for prolonged periods of time and hearing customers during in-person and telephone conversations.
Senior Financial Clearance Specialist (Prior Insurance Authorization exp required; V.A. exp preferred) - ONSITE Vanderbilt University Medical CenterSenior Financial Clearance Specialist (Prior Insurance Authorization exp required; V.A. exp preferred) - ONSITENashville, TennesseeProblem Solving (Intermediate): Uses critical thinking and process improvement i.e. coaches and mentors development of problem statement, describes current state, identifies root causes, creates future state, coaches and mentors development of solutions and action plans with a sustainability plan. Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world.
Insurance Verification Specialist Charlie HealthInsurance Verification SpecialistNashville, TNPlease note that this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported.
Insurance Verification Specialist Charlie Health IncInsurance Verification SpecialistNashville, TNPlease note that this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported.
Field Claims Adjuster III, PL Property (Flex Team) Nationwide Mutual Insurance CoField Claims Adjuster III, PL Property (Flex Team)Nashville, TN$79,500ā$148,500 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. Qualifications: Ā· 5 years of insurance field/property claims handling or adjusting experience Ā· Solid experience/proficiency with Xactimate Ā· Solid experience writing own estimates and handling claims start to finish Ā· Strong customer service competency Ā· Strong written & verbal communication skills.
Claims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance CoClaims Adjuster II, Field Property - National CatastropheNashville, TN$62,500ā$115,500 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. In this role, you'll conduct on-site inspections, evaluate property damages, determine policy coverage, and make timely, accurate decisions using a variety of tools and resources, including vendor estimates, independent adjusters, and self-written assessments.
Insurance Preauthorization Specialist - McMinnville, TN National HealthCare CorpInsurance Preauthorization Specialist - McMinnville, TNMcMinnville, TNIf you are interested in working for a leader in senior care and share NHCs values of honesty and integrity, please apply today and find out more about us at nhhccare.com/careers. We are dedicated to meeting patient needs through an interdisciplinary approach combining compassionate care with cost-effective health care services.
Insurance Preauthorization Specialist National HealthCare CorpInsurance Preauthorization SpecialistMurfreesboro, TNIf you are interested in working for a leader in senior care and share NHCs values of honesty and integrity, please apply today and find out more about us at nhhccare.com/careers. We are dedicated to meeting patient needs through an interdisciplinary approach combining compassionate care with cost-effective health care services.
Insurance Specialist CorroHealth IncInsurance SpecialistTNThe Insurance Specialist will be required to have flexibility to learning and comprehending complex hospital systems and keen analytical skills to evaluate appropriate next steps to bring aged account receivables to resolution. The Insurance Specialist will be responsible to ensure cash recovery goals are met and assigned hospital receivables are appropriately addressed according to company, client and federal guidelines.
Environmental Practice, Insurance Marketing Specialist Marsh & McLennan Companies IncEnvironmental Practice, Insurance Marketing SpecialistNashville, TNAs our Insurance Marketing Specialist on the Environmental Practice team, you'll support producers and account teams by owning the marketing and placement workflow for environmental/pollution liability business insurance submissions. Working as the primary placement resource for the environmental practice, you will analyze submissions, recommend market strategies, negotiate coverage and pricing with carriers, prepare proposals, and binds coverage as appropriate.
Sr Claims Reviewer TriWest Healthcare AllianceSr Claims ReviewerNashville, TNRemoteFull timeProficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.
NewEntry-Level Medical Billing Specialist ReveljobsEntry-Level Medical Billing SpecialistMemphis, TennesseeThe Entry-Level Medical Billing Specialist will assist with preparing and reviewing insurance claims, updating patient and insurance information, supporting basic billing and coding processes, and helping patients with billing-related questions. A confidential healthcare organization is seeking a detail-oriented Entry-Level Medical Billing Specialist to support medical billing, insurance claims, patient account questions, coding-related workflows, and general administrative functions.
NewTemporary Subrogation Claim Support Processor AAA Southern New EnglandTemporary Subrogation Claim Support ProcessorTN$15ā$20 / hourBy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. This position also provides support to CR1 staff during periods of high volume, which includes compiling claim packets and referring eligible claims with supporting documentation to collection vendors, excluding claims involving total losses.
Imaging Insurance Coordinator Tennesssee OncologyImaging Insurance CoordinatorTullahoma, TNWorks with centralized insurance authorization coordinators to verify eligibility when it has not recently been verified in PMS, if Subscriber ID or group number doesn't not match scanned insurance card, if eligibility shows conditional verification, if copay information is missing and if patient just turned 65 and PMS doesn't have a note about patient going on Medicare. Established 1976 in Nashville, Tennessee Oncology's mission remains unchanged: To provide access to high-quality cancer care and the expertise of clinical research for all patients, at convenient locations within their community and close to their home.
Medical Billing / Coding Representative - University Cancer Specialists University Physicians Association IncMedical Billing / Coding Representative - University Cancer SpecialistsAlcoa, TNUniversity Physicians' Association is looking for a full-time Medical Billing / Coding Representative for University Cancer Specialists located in Alcoa, TN. REQUIRED EDUCATION & TRAINING: Requires High School education or equivalency, medical billing courses or college preferred.
Specialist-Billing Baptist Memorial Health Care CorpSpecialist-BillingMemphis, TNResponsible for the daily completion of both cliams edit, denial, and no response billing functions for timely follow up. Bills, collects and submits all insurance and TPA claims according to payer guidelines, and established procedures and workflows.
NewBilling Specialist Guardian PharmacyBilling SpecialistMemphis, TNOur core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.
Billing Specialist Tailored ManagementBilling SpecialistNashville, TNRemote$22ā$22 / hourThis role is responsible for preparing and submitting claims, resolving billing issues, and ensuring accurate and timely reimbursement while maintaining compliance with payer and regulatory requirements. We are seeking a detail-oriented Billing Specialist to support Revenue Cycle Management (RCM) operations for Urology, Radiation Oncology, and Imaging services.
Medical Billing Specialist-Hearing & Speech Center University of Tennessee SystemMedical Billing Specialist-Hearing & Speech CenterKnoxville, TN$19.67ā$21 / hourJOB SUMMARY/ESSENTIAL JOB FUNCTIONS: The Medical Billing Specialist supports the Director of Operations and the Clinical Program Directors by performing duties related to billing and maintenance of financial records for clinical operations. This includes maintaining the integrity of insurance payment transactions, AR management and reconciliation, expenses, billing/payment disputes, bank deposits, and electronic records management/auditing etc.
Placement Associate - Commercial Insurance TIS Insurance Services, Inc.Placement Associate - Commercial InsuranceKnoxville, TNThe Placement Associate is responsible for sending out submissions and soliciting quotes for both new business and re-marketed existing business for our Commercial Insurance clients. Collaborate with the Placement Specialists to develop a marketing/re-marketing strategy that results in optimal pricing and coverage quotes.
Medical Billing and Collections Specialist Neuhaus Foot and AnkleMedical Billing and Collections SpecialistSmyrna, TennesseeIf want to be in a positive work environment that feels like a work family and have a career that is impactful and important to those you serve, you'll want to join Neuhaus Foot and Ankle. The above statement reflects the general duties considered necessary to describe the principal functions of the job as identified, and shall not be considered as a detailed description of all the work requirements that may be inherent in the job.
Account Reimbursement Specialist TwelveStone Health PartnersAccount Reimbursement SpecialistMurfreesboro, TNChronic conditions include Multiple Sclerosis, NMOSD, Myasthenia Gravis, CIDP, ITP, Migraine Prevention, Crohn's Disease, Ulcerative Colitis, Plaque Psoriasis, Alpha 1 Antitrypsin Deficiency, Primary Immunodeficiency, hATTR Amyloidosis, Thyroid Eye Disease, and many others. Functional Competencies: Denials processing, claims, ability to handle multiple priority and tasks, strong attention to detail, strong verbal and written communication skills, analytical skills, computer skills (Outlook, Excel, Word, etc.).
Patient Account Representative, Fort Sanders Women''s Specialists Covenant HealthPatient Account Representative, Fort Sanders Women''s SpecialistsKnoxville, TNConducts in-office collection activities including reviewing accounts prior to office visits, establishing delivery contracts with patients, explaining accounts to patients and setting up payment plans. None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED.
Specialist-Billing Baptist Memorial Health CareSpecialist-BillingMemphis, TNResponsible for the daily completion of both cliams edit, denial, and no response billing functions for timely follow up. Bills, collects and submits all insurance and TPA claims according to payer guidelines, and established procedures and workflows.
Appeals Specialist Medical Data SystemsAppeals SpecialistTennesseeEssential DutiesComplete insurance-related tasks such as correcting and resubmitting claims, filing appeals, and contacting insurance companies, attorneys, or patients regarding outstanding balances. Proficient knowledge of insurance processes, including claim submission, claim denials, HCPCS/CPT/ICD-10 coding basics, and claim status inquiries.
Life/Health Insurance Position - State Farm Agent Team Member Chad Hart - State Farm AgentLife/Health Insurance Position - State Farm Agent Team MemberDyersburg, TNAs a customer-oriented expert, you will market the Life/Health insurance services and products to benefit customers and their families. As a strategic and emotionally intelligent resource to the community, we are excited to expand our successful agency with your skillset.
Patient Collection Specialist Honeycomb Management Group LLCPatient Collection SpecialistMemphis, TNThe Patient Collection Specialist is required to have close visual acuity including color, depth perception, and field of vision to perform an activity, such as assessing patients, and analyzing data and figures; viewing a computer terminal; or extensive reading. Honeycomb Management Group is a Managed Services Organization and manages primary care practices and specialty care practices with multiple locations in Memphis, Tennessee and Mississippi.
Revenue Specialist, First Party Auto, MVA EnableComp LLCRevenue Specialist, First Party Auto, MVAFranklin, TNEnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes.