Senior Medical Claims Specialist

Job DescriptionAs a Medical Claims Specialist at HR Studio Ltd, you will play a crucial role in ensuring timely and accurate processing and adjudication of claims. The ideal candidate will have a strong eye for detail, excellent communication skills, and the ability to work effectively in a fast-paced production environment.About the RoleWe are seeking a...

Senior Medical Assessor RoleThe successful candidate will be responsible for managing claims in accordance with policy terms and conditions. They will be accountable for claims processes and procedures, and will work with stakeholders to develop return to work plans as needed. The ideal candidate will have a strong understanding of claims management and will...

We are seeking a skilled Medical Claims Processing Specialist to join our team at HR Studio Ltd. This is an exciting opportunity for an experienced claims professional to take their career to the next level.Job Summary:The ideal candidate will have a strong background in medical claims processing, including knowledge of medical terminology and experience...

Job Title: Medical Claims AdjudicatorAbout the Role:We are seeking a skilled Medical Claims Adjudicator to join our team at HR Studio Ltd. The successful candidate will be responsible for the timely and accurate processing and adjudication of medical claims.Key Responsibilities:- Review assigned claims or requests from a queue and maintain a set inventory...

We're seeking a skilled Medical Claims Examiner to join our team at HR Studio. As a Claims Analyst, you will be responsible for providing timely and accurate processing and adjudication of claims.About the RoleYou will be part of a dynamic team responsible for reviewing assigned claims or requests from a queue, maintaining a set inventory level. Your key...

Company Overview:\Helpers Studio Ltd is a leading provider of innovative solutions in the field of medical claims processing. Our company prides itself on its commitment to excellence and customer satisfaction. \Salary:\$60,000 - 80,000 per year, depending on experience \Job Description:\\\\The ideal candidate will be responsible for the timely and...

We are seeking a Claims Expertise Specialist to join HR Studio Ltd. The successful candidate will be responsible for timely and accurate processing and adjudication of claims.The role involves researching and processing claims or related requests for covered members or providers across various products including medical, pharmacy, vision and related...

Job OverviewWe are seeking an experienced Medical Claims Specialist to join our team at HR Studio Ltd.This is a unique opportunity to work in a dynamic environment where you will be responsible for processing and adjudicating medical claims efficiently and accurately.

**What will you do?** - We have an exciting opportunity for a **Senior Claims Specialist: Motor** within **SHA Risk Specialists**.**What will make you successful in this role?** **Claims Portfolio** - Attend to all aspects related to a portfolio of claims e.g. new claims, current files, diary, mail, recoveries, third party claims, attorney matters,...

**Business Unit**:Vitality Life**Function**:Claims Administration**Date**:11 Oct 2024Discovery - VitalityLife - Claims Assessor - Specialist - About Discovery VitalityLife - Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core...

**What will you do?** - We have an exciting opportunity for the Claims Specialist within SHA Risk Specialists.**What will make you successful in this role?** **Key responsibilities**: **Claims Practice Management**: - Attend and manage all aspects related to a portfolio of specialist claims such as claims registration, case management, drafting, diary,...

Job Title: Senior Appeals Specialist - Claims Resolution ExpertAbout the Role:We are seeking a highly skilled and experienced Senior Appeals Specialist to join our team at HR Studio Ltd. As a key member of our appeals department, you will play a vital role in analyzing and resolving complex claims and authorization appeals.Key Responsibilities:• Conduct...

Job Title: Claims AdministratorWe are seeking a skilled and detail-oriented Claims Administrator to join our team at HR Studio Ltd. As a key member of our claims processing team, you will be responsible for ensuring the timely and accurate processing of medical claims.**Job Description:**The successful candidate will have a strong understanding of medical...

**Introduction** Processing of medical expense shortfall (gap cover) claims in accordance with stipulated service levels and in terms and conditions of cover as defined in policy wording. **Role Purpose** Processing of medical expense shortfall (gap cover) claims in accordance with stipulated service levels and in terms and conditions of cover as defined...

We are seeking a highly skilled Medical Claims Negotiator to join our team at HR Studio Ltd. As a key member of our healthcare industry team, you will play a crucial role in negotiating medical claims on behalf of our clients.The ideal candidate will have excellent communication and negotiation skills, with the ability to work effectively with out-of-network...

**EXEPERIENCE IN THE FINANCIAL SERVICES INDUSTRY/LIFE INSURANCE ESSENTIAL** - Responsible to drive the formulation and implementation of the risk model and underwriting philosophy, analyse claims and other data when assessing claims. - Providing feedback on all claims, liaising with relevant stakeholders, and utilise their skills, knowledge, and experience...

We're looking for… A Claims Analyst that will provide timely and accurate processing and adjudication of claims.  You will be doing research, and processing claims or related requests for covered members or providers across various products including medical, pharmacy, vision and related healthcare options.  Who are you? ...

We’re looking for… A Provider Contracting and Negotiating Specialist who will be responsible for working on behalf of the client to negotiate their out of network claims when applicable. You will work directly with out of network providers to work out a single case agreement/fee or direct contract for submitted medical claims. Who are you? - You can...

About the RoleWe're seeking a skilled Claims Processing Specialist to join our team at HR Studio. This is a full-time opportunity with a competitive salary.

Job Description:We are seeking a highly skilled Senior Provider Contracting Specialist to join our team at HR Studio Ltd. This is an exciting opportunity for a motivated individual to work in a dynamic environment, utilizing their negotiation and problem-solving skills to achieve cost-effective service delivery.About the Role:The ideal candidate will be...