7,047 Claims jobs in the United States

Insurance Claims Specialist

Peach Tree Dental - Monroe, LA

Monroe, LA 71270

Job details

Salary: Starting from $16.00-$20.00/hourly

Pay is based on experience and qualifications.

**incentives after training vary and are based on performance

Job Type: Full-time

Full Job Description

With our hearts, minds, and hands, we build better smiles, better relationships, and better lives. Living this purpose over the last 25 years has allowed us to create a world-class dental organization that continues to grow. At every turn, you will see our continued investment in leadership, the community, and advanced technologies. Do you want to be a part of developing one of the leading models of dental care in Louisiana? Do you thrive in a fast-paced, progressive environment? The role of the Insurance Claims Specialist could be for you!

Please go to WWW.PEACHTREEDENTAL.COM to complete your online application and assessments or use the following URL:

Qualifications

• High school or equivalent (Required)
• Takes initiative.
• Has excellent verbal and written skills.
• Ability to manage all public dealings in a professional manner.
• Ability to recognize problems and problem solve.
• Ability to accept feedback and willingness to improve.
• Ability to set goals, create plans, and convert plans into action.
• Is a Brand ambassador, both in and outside of the facility.

• Medical, Dental, Vision Benefits
• Dependent Care & Healthcare Flexible Spending Account
• Simple IRA With Employer Match
• Basic Life, AD&D & Supplemental Life Insurance
• Short-term & Long-term Disability

• Competitive pay + bonus
• Paid Time Off & Sick time
• 6 paid Holidays a year

Insurance Claims Specialist

Snaggle Dental

West Monroe, LA 71291

Job details

Salary: Starting from $16.00-$20.00/hourly

Pay is based on experience and qualifications.

**incentives after training vary and are based on performance

Job Type: Full-time

Full Job Description

With our hearts, minds, and hands, we build better smiles, better relationships, and better lives. Living this purpose over the last 25 years has allowed us to create a world-class dental organization that continues to grow. At every turn, you will see our continued investment in leadership, the community, and advanced technologies. Do you want to be a part of developing one of the leading models of dental care in Louisiana? Do you thrive in a fast-paced, progressive environment? The role of the Insurance Claims Specialist could be for you!

Please go to WWW.PEACHTREEDENTAL.COM to complete your online application and assessments or use the following URL:

Qualifications

• High school or equivalent (Required)
• Takes initiative.
• Has excellent verbal and written skills.
• Ability to manage all public dealings in a professional manner.
• Ability to recognize problems and problem solve.
• Ability to accept feedback and willingness to improve.
• Ability to set goals, create plans, and convert plans into action.
• Is a Brand ambassador, both in and outside of the facility.

• Medical, Dental, Vision Benefits
• Dependent Care & Healthcare Flexible Spending Account
• Simple IRA With Employer Match
• Basic Life, AD&D & Supplemental Life Insurance
• Short-term & Long-term Disability

• Competitive pay + bonus
• Paid Time Off & Sick time
• 6 paid Holidays a year

Insurance Claims Specialist

Job Description

Mid Florida Financing is looking for an Insurance Specialist to join our team in Lakeland, FL. This position will provide insurance coverage to our new and existing clients. We are looking for someone who is self-motivated, organized, and has the ability to work independently.

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Vision insurance

Responsibilities:

• Provides exceptional customer service while investigating policy coverage, liability and damages in a timely manner
• Gathers information and documents claim file to comply with company guidelines and state compliance and regulations
• Negotiates timely and appropriate settlements with insurance companies
• Manages pending claims to meet company quality criteria
• Recognizes recovery opportunities in regards salvage vehicles
• Performs other related duties as assigned or required.
• Assists internal and external customers with problems or questions regarding claims by phone or through written correspondence while providing a high level of customer service.

Job Type: Full-time

Pay: $16.00 per hour

Expected hours: 40 per week

Schedule:

• Monday to Friday

Work Location: In person

We are an equal opportunity employer.

Insurance Claims Specialist

Peach Tree Dental - Ruston

Ruston, LA 71270

Job details

Salary: Starting from $14.00-$18.00/hourly

Pay is based on experience and qualifications.

**incentives after training vary and are based on performance

Job Type: Full-time

Full Job Description

With our hearts, minds, and hands, we build better smiles, better relationships, and better lives. Living this purpose over the last 25 years has allowed us to create a world-class dental organization that continues to grow. At every turn, you will see our continued investment in leadership, the community, and advanced technologies. Do you want to be a part of developing one of the leading models of dental care in Louisiana? Do you thrive in a fast-paced, progressive environment? The role of the Insurance Claims Specialist could be for you!

Please go to WWW.PEACHTREEDENTAL.COM to complete your online application and assessments or use the following URL:

Qualifications

• High school or equivalent (Required)
• Takes initiative.
• Has excellent verbal and written skills.
• Ability to manage all public dealings in a professional manner.
• Ability to recognize problems and problem solve.
• Ability to accept feedback and willingness to improve.
• Ability to set goals, create plans, and convert plans into action.
• Is a Brand ambassador, both in and outside of the facility.

• Medical, Dental, Vision Benefits
• Dependent Care & Healthcare Flexible Spending Account
• Simple IRA With Employer Match
• Basic Life, AD&D & Supplemental Life Insurance
• Short-term & Long-term Disability

• Competitive pay + bonus
• Paid Time Off & Sick time
• 6 paid Holidays a year

Join to apply for the Insurance Claims Specialist role at Lee Health .

Location: Santa Barbara Professional Center - 224 Santa Barbara Blvd, Cape Coral, FL 33991

Department: Patient Business Office

Work Type: Full Time

Shift: 1/8:00 AM to 4:30 PM

Pay Rate: $17.34 - $21.67/hour

Responsible for hospital claims billing, follow-up, denials resolution, and account reconciliation. Must promote positive relations, work independently or in teams, track problems and trends, and utilize reimbursement avenues. Requires multi-tasking, critical thinking, excellent customer service, and a friendly attitude.

• Previous healthcare or financial experience required
• Experience with insurance collections in hospital or medical office preferred

• High School Diploma or Equivalent required

• 1 year billing/insurance experience preferred

• Florida licensure required or not required (preferred)
• Certifications/Registrations: required or preferred (not specified)

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Finance and Sales
• Industry: Hospitals and Healthcare

This job posting appears active and relevant.

Location: Access Medical South dba Medical Equipment Solutions -12681 Creekside LaneFort Myers FL 33919

Department: DNU - Access Medical South

Work Type: Full Time

Shift: Shift 1/8:00:00 AM to 4:30:00 PM

Minimum to Midpoint Pay Rate: $17.34 - $21.67 / hour

Provides claim follow up, resolution of and payment from insurance companies for unpaid claims of LMHS employed physicians. Duties will include completing outstanding insurance reports, researching insurance correspondence, documenting in the Medic computer system, following up on customer inquiries and/or complaints, and communicating with other departments. Duties may also include posting of insurance and patient receipts, customer service phone calls, and assisting intra- departmentally to resolve accounts.

US:FL:Fort Myers

The Claims Specialist will be responsible for assisting with the management of the Fleet Vehicle Safety & Operations Policy for DPR (and DPR related entities) across the US, as well as first and third-party auto physical damage and low severity property damage claims as requested by, and under the supervision of, DPRs Insured Claims Manager.

Specific Duties include:

Claims & Incident Management:

• Initial processing of first and third-party auto and low severity property damage incidents involving DPR (and DPR related entities), including but not limited to:
  • Input and/or review all incidents reported in DPRs RMIS system.
  • Maintain incident records in Insurance Teams document management system.
  • Ensure all necessary information is compiled to properly manage the claims, including working with the internal teams to identify culpable parties, potential risk transfer to the culpable trade partner, if applicable, collecting documents such as incident reports, root cause analyses, if any, and vehicle lease or rental agreements.
• Report, with all appropriate documents and information, all claims for DPR (and DPR related entities) to all potentially triggered insurance policies for various types of programs (traditional, CCIP, OCIP), including analyzing contractual risk transfer opportunities.
• Assess potential risk transfer opportunities and ensure additional insured tenders or deductible responsibility letters are sent, where applicable.
• Liaison with the carriers in evaluating whether claims reported directly to the carriers are appropriate.
• Manage all auto and low severity property damage claims, as assigned, in the DPR RMIS system for DPR (and DPR related entities), including ensuring that all information is kept up to date.
• Provide in-network aluminum certified repair shop information to drivers following an incident.
• Act as a liaison between our carriers, auto repair shops, Operations, Fleet and EHS teams related to claim progress, strategy, expenses and settlement.
• When required, notify the applicable States Department of Motor Vehicles office of motor vehicle accidents by preparing and mailing the specific State form.
• Work with Insurance Controller on auto program claim reports
• Liaison with Operations, Fleet and EHS teams on new incident reporting processes, as needed.

Fleet Vehicle Safety & Operations Policy Management :

• Manage the Fleet Risk Index scores for authorized drivers, ensuring its accurate and up to date based on incidents and MVRs
• Assign training to authorized drivers based on MVA incidents, MVRs and citations, as well as managing completion of the training
• Ensure authorized driver list is kept current
• Liaison with internal HR, Fleet, EHS and Business Unit Leaders, where appropriate, on suspending vehicle usage permissions
• Responsible for working with internal teams on implementing appropriate updates to the Fleet Vehicle Safety & Operations Policy

Key Skills:

• Strategic thinking
• Ability to mentor and inspire others
• Integrity
• Team player
• Strong writing and communication skills
• Self-Starter
• Highly organized and responsive ability to meet deadlines
• Detail Oriented
• Basic working knowledge in all of the following coverages/programs: auto insurance, commercial general liability, property insurance, and controlled insurance programs.
• Risk and dispute management insured claims

Qualifications :

• A minimum of five years relevant insurance industry experience
• Previous experience in auto claims management highly desired

DPR Construction is a forward-thinking, self-performing general contractor specializing in technically complex and sustainable projects for the advanced technology, life sciences, healthcare, higher education and commercial markets. Founded in 1990, DPR is a great story of entrepreneurial success as a private, employee-owned company that has grown into a multi-billion-dollar family of companies with offices around the world.

Working at DPR, you'll have the chance to try new things, explore unique paths and shape your future. Here, we build opportunity togetherby harnessing our talents, enabling curiosity and pursuing our collective ambition to make the best ideas happen. We are proud to be recognized as a great place to work by our talented teammates and leading news organizations like U.S. News and World Report, Forbes, Fast Company and Newsweek.

Explore our open opportunities at .

Job Summary:

Join our dynamic team as an Insurance Claims Specialist. In this role, you will play a crucial part in analyzing and processing insurance claims to determine insurance carrier liabilities while upholding our company’s mission and values. Your primary responsibilities will include efficient adjudication of claims, clear communication with insured parties, travel suppliers, medical facilities, and compliance with all state Department of Insurance regulations. Some weekend work may be required. This position reports to the Claims Supervisor.

Principal Duties and Responsibilities:

Claims Processing and Coordination

1. Process assigned claims promptly, accurately, and efficiently while following established policies and best practices.
2. Review claim forms, Physician Statements, and documentation to validate completeness.
3. Communicate with insured individuals, healthcare providers, agents, and other necessary parties to obtain proper documentation and resolve claims.
4. Maintain accurate reserves for each claim file.
5. Ensure comprehensive file documentation is collected and retained, including all correspondence.
6. Investigate claims and coordinate with outside adjusters and investigators as required.
7. Issue denial of benefits letters when necessary.
8. Manage attorney-represented claims effectively.
9. Address and respond to Department of Insurance complaint letters.
10. Respond to inquiries related to claims status both via written and phone communication.
11. Ensure timely and accurate payment issuance.
12. Consistently apply current Federal and State insurance regulations across all jurisdictions.

Customer Service

1. Provide clear responses to internal and external customer inquiries regarding coverage and policy information.

Teamwork and Department Support

1. Assist in mentoring and training new employees as needed.
2. Take on additional assignments or special projects as directed by management.

Required / Desired Knowledge, Experiences, and Skills:

1. Exceptional verbal and written communication, problem-solving, and organizational skills.
2. Strong reading, writing, comprehension, and proofreading abilities.
3. Familiarity with standard practices, regulations, and laws in the insurance field is preferred.
4. Bilingual proficiency in English and Spanish (verbal, reading, and writing) is a plus.

Education/Certifications:

1. High School Diploma or equivalent is required; a Bachelor's degree from an accredited institution is a plus.
2. Prior experience in claims processing and customer service is highly preferred.

Physical Working Environment:

This role requires the ability to stand, walk, and sit for extended periods. The employee will use hands for grasping and handling and may need to lift or move up to 10 pounds frequently and up to 25 pounds occasionally. Specific vision abilities required include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus.

The above statements describe the general nature of work involved in this role and are not intended to be an exhaustive list of all responsibilities, duties, and skills necessary for employees in this classification.