Out-of-Network Claims and Negotiations Specialist

Job Title: Out-of-Network Claims and Negotiations CoordinatorWe're seeking a skilled and detail-oriented Out-of-Network Claims and Negotiations Coordinator to join our team at HR Studio. As a key member of our healthcare contracting team, you will be responsible for negotiating with out-of-network providers to ensure cost-effective service delivery.Key...

Job Title: Out-of-Network Claims and Negotiations CoordinatorWe're seeking a skilled and detail-oriented professional to join our team at HR Studio as an Out-of-Network Claims and Negotiations Coordinator.About the Role:This is a unique opportunity to work with out-of-network providers to negotiate claims and ensure cost-effective service delivery. As a key...

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 SummaryWe're seeking a skilled Out-of-Network Claims and Negotiations Coordinator to join our team at HR Studio. As a key member of our operations team, you will play a critical role in ensuring timely and cost-effective service delivery for our clients.Key ResponsibilitiesEstablish and maintain relationships with out-of-network providers to negotiate...

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...

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...

Role OverviewWe are seeking a skilled Provider Contracting and Negotiation Specialist to join our team at HR Studio Ltd. As a key member of our team, you will be responsible for negotiating with out-of-network providers to ensure cost-effective service delivery.Key ResponsibilitiesInitiate contact with out-of-network provider offices to manage requests from...

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...

We are seeking a skilled Network Contracting Consultant to join our team at HR Studio Ltd. This role is ideal for individuals with a strong background in provider contracting, data administration, and network management.The successful candidate will be responsible for negotiating fees and rates with out-of-network providers, ensuring cost-effective service...

**Job Title:** Network Contracting Consultant**Job Summary:At HR Studio Ltd, we are seeking a highly skilled Network Contracting Consultant to join our team. As a key member of our team, you will be responsible for negotiating with out-of-network providers to secure cost-effective services for our clients.**Key Responsibilities:**Initiate contact with...

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...

**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,...

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...

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: Medical Claims NegotiatorJob Summary: We are seeking a skilled Medical Claims Negotiator to join our team at HR Studio Ltd.Key Responsibilities:Initiate contact with out-of-network provider offices to negotiate fees and ratesManage requests from a designated queue and accurately perform data entry and documentation related to the repricing of...

We are seeking a skilled Recoveries Negotiator to join our Hollard Insure, Specialised Claims Services Department (Operations) on a fixed-term contract basis.Key Responsibilities:Manage end-to-end negotiation and settlement of recovery motor and non-motor claims.Ensure operational effectiveness and profitability in claim management.Effectively manage costs,...

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,...

**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,...

Oversee and manage the entire claims process, from initial assessment to final settlement. Ensure that all claims are handled efficiently and in accordance with PPS Short-Term Insurance Company's policy terms and conditions. Administer and validate claims correctly, utilizing negotiation and settlement skills to resolve conflicts and achieve successful...

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...