Claims Resolution Specialist

Job SummaryThe Claims Resolution Specialist will be responsible for assessing and resolving various types of Short-Term Insurance claims. This role includes auditing claims, determining the extent of the insurance company's liability, and negotiating settlements with claimants as necessary.Key ResponsibilitiesAuditing claims to determine the extent of the...

Job Title: Claims Appeals Call Centre AgentWe're seeking a skilled Appeals Specialist to join our team at HR Studio. As a key member of our team, you will play a crucial role in analyzing and resolving verbal and written claims and authorization appeals.Key Responsibilities:Analyze and resolve appeal issues using available resources and sound...

We're seeking an Appeals Resolution Specialist to join our team at HR Studio.The ideal candidate will have the ability to analyze and resolve verbal and written claims and authorization appeals through coordination with providers and members. Key responsibilities include preparing responses within required timeframes, tracking the status of all appeals, and...

We are seeking an experienced Medical Claims Specialist to join our team at HR Studio Ltd. The ideal candidate will possess excellent analytical skills and have a strong understanding of medical terminology.The Medical Claims Specialist role involves processing medical claims efficiently and accurately, ensuring timely adjudication and resolution of pending...

Claims Assessor Specialist Business Unit: Vitality Life Function: Claims Administration Date: 11 Oct 2024 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 purpose, and whose own values align...

**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...

Position Overview: We are seeking a dedicated Appeals Specialist who will be responsible for the thorough analysis and resolution of both verbal and written claims and authorization appeals. This role involves effective coordination with healthcare providers and members, ensuring timely preparation of responses while maintaining exemplary record-keeping...

About the RoleWe're seeking a skilled and detail-oriented Claims Negotiation Specialist to join our team at HR Studio. As a key member of our operations team, you will play a critical role in ensuring the timely and accurate resolution of out-of-network claims.Key ResponsibilitiesInitiate contact with out-of-network provider offices to negotiate fees and...

Position Overview: We are seeking a dedicated Appeals Specialist who will be responsible for evaluating and resolving both verbal and written claims and authorization appeals. This role involves close collaboration with healthcare providers and members to ensure timely and accurate responses while maintaining meticulous records of all appeals. Key...

**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,...

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, recoveries, and settlement...

Stay safe online. Now more than ever it’s important to be cybersafe. See Santam’s tips to help you stay safe online. Learn more. We have an exciting opportunity for the Claims Specialist within SHA Risk Specialists. What will make you successful in this role? Key responsibilities: - Attend and manage all aspects related to a portfolio of specialist...

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,...

Job Title: Claims Appeals Call Centre AgentWe're seeking a skilled Appeals Resolution Expert to join our team at HR Studio.About the Role:As an Appeals Resolution Expert, you will be responsible for analyzing and resolving verbal and written claims and authorization appeals through coordination with providers and members.You will prepare responses within...

Job Title: Claims Appeals Call Centre AgentWe're seeking a highly skilled and detail-oriented Claims Appeals Call Centre Agent to join our team at HR Studio.About the Role:This is a challenging and rewarding role that requires strong analytical and communication skills. As a Claims Appeals Call Centre Agent, you will be responsible for analyzing and...

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 are seeking an Appeals and Complaints Resolutions Specialist to join our team at HR Studio.This role requires a highly organized and detail-oriented individual with excellent communication skills to analyze and resolve verbal and written claims and authorization appeals.The ideal candidate will have 2+ years of grievance and appeals, claims or related...

Job SummaryWe are seeking a highly skilled Technical Claims Administrator to join our PPS Life Insurance Operations Accounts team. As a key member of the Claims Administration department, you will be responsible for delivering exceptional technical administration services.Key ResponsibilitiesProcess claims across all areas of Servicing and Administration,...

Job PurposeTo ensure business and dealer operational compliance with specific rules and policies, we are seeking a Warranty Claims Specialist to provide effective warranty claims analysis and validation services.Key ResponsibilitiesValidate warranty claims to ensure compliance with company policies and procedures.Provide advice and support to business and...

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...