Medical Claims Specialist

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...

About the RoleWe're seeking a highly skilled and experienced Senior Medical Claims Specialist to join our team at HR Studio. This is a challenging opportunity for an individual with excellent negotiation and communication skills to work closely with out-of-network providers to secure cost-effective service delivery.

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...

About the Role:We are seeking a highly skilled Claims Analyst to join our team at HR Studio Ltd.The ideal candidate will have extensive experience in medical claims processing, including knowledge of medical terminology and working in a production environment.Key Responsibilities:Review assigned claims or requests from a queue, maintaining a set inventory...

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...

**Job Title:** Medical Claims ExaminerAbout the Role:We are seeking a highly skilled Medical Claims Examiner to join our team at HR Studio Ltd. As a Medical Claims Examiner, you will be responsible for the timely and accurate processing and adjudication of medical claims.Key Responsibilities:Review assigned claims or requests from a queue, maintaining a set...

We are seeking a skilled and detail-oriented individual to fill the position of Medical Claims Negotiator at HR Studio.The successful candidate will be responsible for negotiating with out-of-network providers to ensure cost-effective service delivery, accurately performing data entry, and documenting related to the repricing of medical claims.Key...

**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,...

**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...

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? - You know how to communicate...

**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...

Claims Assessment and Management RoleThis position reports to the Team Manager Claims and is responsible for the assessment and management of long-term Sickness, Permanent Incapacity, and Disability claims. The successful candidate will transfer specialist claims knowledge, in-depth process knowledge, and client-centric principles.Main Responsibilities:Deal...

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...

Job Summary: We are seeking a skilled Claims Assessment and Management Professional to join our team at PPS Recruitment. The successful candidate will be responsible for assessing and managing long-term Sickness, Permanent Incapacity, and Disability claims.Key Responsibilities:Assess and manage long-term Sickness, Permanent Incapacity, and Disability...

**Business Unit**:Discovery Employee Benefits**Function**:Claims Administration**Date**:4 Oct 2024 - Achieve more than** **YOU BELIEVE** - Discovery Corporate & Employee Benefits- Claims and Underwriting Administrator**About Discovery** - Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in...

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.