Claims Specialist

Altom Transport is an elite commercial trucking carrier specializing in hauling a wide range of commodities, from hazardous materials to general lubricants and oils. With a strong reputation for safety, reliability, and excellence, we proudly serve across multiple divisions, including Al Warren Oil Co., Inc., Altom Canada ULC, and Excel Environmental.

We are looking for a dynamic Claims & Risk Specialist to join our growing team. This role offers the opportunity to work closely with multiple facets of the company, contributing to a culture of safety, efficiency, and exceptional service. If you are experienced, organized, and thrive in a fast-paced environment, this role is for you!

As the Claims & Risk Specialist, you will play a critical role in managing risk and insurance claims while collaborating with cross-functional teams to ensure smooth operations. You will report directly to the Director of Claims and Risk Management and will have...

Altom Transport is an elite commercial trucking carrier specializing in hauling a wide range of commodities, from hazardous materials to general lubricants and oils. With a strong reputation for safety, reliability, and excellence, we proudly serve across multiple divisions, including Al Warren Oil Co., Inc., Altom Canada ULC, and Excel Environmental.

We are looking for a dynamic Claims & Risk Specialist to join our growing team. This role offers the opportunity to work closely with multiple facets of the company, contributing to a culture of safety, efficiency, and exceptional service. If you are experienced, organized, and thrive in a fast-paced environment, this role is for you!

As the Claims & Risk Specialist, you will play a critical role in managing risk and insurance claims while collaborating with cross-functional teams to ensure smooth operations. You will report directly to the Director of Claims and Risk Management and will have...

Position Summary:

Samsung SDS plays a leading role in the global logistics market with unique logistics services. With its innovative IT technology, SDS developed the integrated logistics solution called “Cello” in 2010, started its logistics business in 2012 and expanded its logistics business with Business Process Outsourcing.

As Korea’s no.1 IT service provider, Samsung SDS has completed a number of SCM/logistics consulting and system development projects for the last 30 years. Based on the extensive experience and expertise it built over the years, Samsung SDS started to provide tech-based logistics services in 2012 and has now grown into a global top-level third-party logistics company.

We are seeking a proactive Logistics Claim Specialist to join our team in Dalton, Georgia. The primary responsibility of this role is to manage and resolve irregular situations in logistics operations, such as damages, losses, and...

Position Description:     The Claims Processing Specialist is responsible for reviewing and processing all claims from the billing system and the clearinghouse. Responsible for working exception and rejection reports to ensure claims get cleared and processed to the payer in a timely manner.

Pay: $22.28 - $24.40

Hours: Monday-Friday 8:00 am - 4:30 pm

Responsibilities:

·        Works claims to clear edits, scrub for errors or rejections and ensure claims get processed to payer for payment.

·        Trains new hires on basics of daily work.

·        Reviews Raintree BLING Follow-Up Dashboard for first and second edit rejections (R-T, R-Z).

·        Reviews and contacts patients as needed for...

Altom Transport is an elite commercial trucking carrier specializing in hauling a wide range of commodities, from hazardous materials to general lubricants and oils. With a strong reputation for safety, reliability, and excellence, we proudly serve across multiple divisions, including Al Warren Oil Co., Inc., Altom Canada ULC, and Excel Environmental.

We are looking for a dynamic Claims & Risk Specialist to join our growing team. This role offers the opportunity to work closely with multiple facets of the company, contributing to a culture of safety, efficiency, and exceptional service. If you are experienced, organized, and thrive in a fast-paced environment, this role is for you!

As the Claims & Risk Specialist, you will play a critical role in managing risk and insurance claims while collaborating with cross-functional teams to ensure smooth operations. You will report directly to the Director of Claims and Risk Management and will have...

Altom Transport is an elite commercial trucking carrier specializing in hauling a wide range of commodities, from hazardous materials to general lubricants and oils. With a strong reputation for safety, reliability, and excellence, we proudly serve across multiple divisions, including Al Warren Oil Co., Inc., Altom Canada ULC, and Excel Environmental.

We are looking for a dynamic Claims & Risk Specialist to join our growing team. This role offers the opportunity to work closely with multiple facets of the company, contributing to a culture of safety, efficiency, and exceptional service. If you are experienced, organized, and thrive in a fast-paced environment, this role is for you!

As the Claims & Risk Specialist, you will play a critical role in managing risk and insurance claims while collaborating with cross-functional teams to ensure smooth operations. You will report directly to the Director of Claims and Risk Management and will have...

Altom Transport is an elite commercial trucking carrier specializing in hauling a wide range of commodities, from hazardous materials to general lubricants and oils. With a strong reputation for safety, reliability, and excellence, we proudly serve across multiple divisions, including Al Warren Oil Co., Inc., Altom Canada ULC, and Excel Environmental.

We are looking for a dynamic Claims & Risk Specialist to join our growing team. This role offers the opportunity to work closely with multiple facets of the company, contributing to a culture of safety, efficiency, and exceptional service. If you are experienced, organized, and thrive in a fast-paced environment, this role is for you!

As the Claims & Risk Specialist, you will play a critical role in managing risk and insurance claims while collaborating with cross-functional teams to ensure smooth operations. You will report directly to the Director of Claims and Risk Management and will have...

Altom Transport is an elite commercial trucking carrier specializing in hauling a wide range of commodities, from hazardous materials to general lubricants and oils. With a strong reputation for safety, reliability, and excellence, we proudly serve across multiple divisions, including Al Warren Oil Co., Inc., Altom Canada ULC, and Excel Environmental.

We are looking for a dynamic Claims & Risk Specialist to join our growing team. This role offers the opportunity to work closely with multiple facets of the company, contributing to a culture of safety, efficiency, and exceptional service. If you are experienced, organized, and thrive in a fast-paced environment, this role is for you!

As the Claims & Risk Specialist, you will play a critical role in managing risk and insurance claims while collaborating with cross-functional teams to ensure smooth operations. You will report directly to the Director of Claims and Risk Management and will have...

Job Title: Claims Edit System specialist -

100% remote

Duration: 3+ Months

Summary: A health plan client of ours is seeking someone with a strong coding background (or CPC certification) to act as a Subject Matter Expert for Claims Edit System (CES) edits. Key tasks include reviewing edits against payment policies, benefit structures, and Medicare/Massachusetts Medicaid requirements, as well as documenting recommendations for leadership approval. This would be a 90-day contract (100% remote) and we’re looking for someone to start in the next 2 weeks (or sooner). Who do you know?

We need someone with Optum CES experience, this is crucial. Please send candidates with strong CES experience. Our client is actively interviewing: Catalyst Solutions

Claims Editing Experience: Please elaborate on your Optum CES...

Position Summary:

Samsung SDS plays a leading role in the global logistics market with unique logistics services. With its innovative IT technology, SDS developed the integrated logistics solution called “Cello” in 2010, started its logistics business in 2012 and expanded its logistics business with Business Process Outsourcing.

As Korea’s no.1 IT service provider, Samsung SDS has completed a number of SCM/logistics consulting and system development projects for the last 30 years. Based on the extensive experience and expertise it built over the years, Samsung SDS started to provide tech-based logistics services in 2012 and has now grown into a global top-level third-party logistics company.

Logistics Claims Specialist (“Claims Operator”) will be a part of Operation Group and work closely with Account Group and its Settlement subpart as well as the company’s Management/Finance Group. Claims Specialist will work on a resolution of logistics claims,...

🚕 Are you keen to work somewhere that’s stimulating and friendly, with loads of opportunities for growth and plenty of freedom to make a real impact? This could be the place for you!

We are looking for a Claims Specialist III (CS3) to join us at INSHUR! We’re based in Dallas, TX ⭐ , with offices in New York City  🗽and Westlake, CA ⛰️ and our company embraces a hybrid working model, allowing you to thrive in both collaborative office settings and the comfort of your own home 🏠. You’ll have the opportunity to work remotely while also connecting with your colleagues at our Dallas office at least 4 days a week initially and reducing to 1 day a week following your orientation, typically 90 days, fostering a dynamic and supportive environment.

You’ll be working on re-inventing insurance in exciting markets across multiple territories including the UK 🇬🇧, US 🇺🇸, and the Netherlands 🇳🇱, with plans to expand into new...

Overview:

Dane Street is seeking highly motivated candidates to join our team as a Disability Claims QA, specializing in Long Term Disability (LTD). We offer an exciting work environment, competitive compensation, and strong growth potential.

Summary:

As a Disability Claims QA - Long Term Disability Specialist, you will leverage your expertise in long-term disability claims to review and ensure to accuracy and completeness of reports accompanying medical records. You will communicate with physician reviewers and their teams to ensure clarity of information, address all posed questions, and meet client deadlines.

Key Responsibilities:

• Assess the quality of physician reports, ensuring they meet all client and jurisdictional standards specific to long-term disability claims.
• Verify that the claims support the physicians determinations in long-term disability claims.
...

Walnut Way Conservation Corp. is looking for a detail-oriented Claims Specialist to join our dedicated team. In this role, you will be responsible for managing and processing claims related to community services and programs, ensuring accuracy and compliance with our organizational standards and regulations.

The ideal candidate will possess strong analytical skills and the ability to handle sensitive information with discretion. You will play a vital role in supporting our mission by facilitating claims processing and providing exceptional service to claimants, ensuring their needs are met efficiently.

Essential Duties and Responsibilities

• Review and evaluate claims applications for accuracy, completeness, and compliance with established guidelines.
• Communicate with clients, community members, and internal teams to gather necessary information for claim processing.
• Process claims in a timely manner,...

Claims Specialist / Contract - Lake Success or Albany, NY (#25148)

Preferably has 2 years of collaborative project support

Greenlife Healthcare Staffing is currently seeking a Claims Specialist to fill an opening with a Non-profit organization located in Lake Success or Albany, New York.

Responsibilities of the Claims Specialist:

• Act as point-of-contact for appeal/dispute adjudication programs.
• Liaise with healthcare plans, providers, patients, and clients to coordinate requests, correspondence, and submission of case documentation, as necessary.
• Monitor appeal/dispute status and communication received on client portals.
• Conduct initial eligibility reviews and recommend a course of action to internal team and department management.
• Track and assign cases using commercial off-the-shelf and custom software applications.
• Review and provide case documentation to...

Who We Are:

Ride Health removes the transportation barriers that keep our most vulnerable populations from accessing health care. Ride Health partners with healthcare organizations and transportation providers to strengthen enterprise transportation programs and drive intelligent transitions of care. We blend technology and data with a human approach to break down access barriers and solve some of the biggest transportation challenges that care coordinators, providers, and payers face. Our platform maps out each patient’s unique needs and preferences for the best ride experience across clinical and social needs, ensuring greater access, improved efficiencies, lower costs, and better outcomes.

Who We’re Hiring:

The NEMT Medical Claims Specialist plays a critical role in processing non-emergency medical transportation claims efficiently and accurately. The ideal candidate will have experience with third-party...

We are looking for a Claim Specialist II (CS2) here at INSHUR. You’ll be working on re-inventing insurance in exciting markets across multiple territories, including the US, UK, and the Netherlands, and new European countries and US states as we expand. 

Supported by (and reporting to) the Claims Manager you'll be joining a friendly team of 30 specialists who believe in delivering great customer service at scale.

We value high performance and care deeply about making INSHUR feel like a place where everyone is building something really special, that we can all be proud of, and doing it with friends. 

What you'll do

As our Claim Specialist II (CS2) you will be responsible for handling and resolving commercial auto claims across the United States.  Initially, the claims that are assigned to you will involve coverage investigations, liability negotiations, vehicle repairs, and total losses, where you are...

We are looking for a Claim Specialist II (CS2) here at INSHUR. You’ll be working on re-inventing insurance in exciting markets across multiple territories, including the US, UK, and the Netherlands, and new European countries and US states as we expand. 

Supported by (and reporting to) Chanel Jones, Cynthia Barrios, and Kristi Thompson, you'll be joining a friendly team of 30 specialists who believe in delivering great customer service at scale.

We value high performance and care deeply about making INSHUR feel like a place where everyone is building something really special, that we can all be proud of, and doing it with friends. 

What you'll do

As our Claim Specialist II (CS2) you will be responsible for handling and resolving commercial auto claims across the United States.  Initially, the claims that are assigned to you will involve coverage investigations, liability negotiations, vehicle repairs, and...

The Rallye Motor Company, Long Island's premier luxury automotive group, has an opportunity for a Tire Claims Specialist with Rallye BMW! The ideal candidate is looking for a long-term position with an outstanding team, with excellent customer service experience to play a key role in ensuring a seamless and personalized automotive experience. Must be an energetic, reliable, motivated individual with automotive service experience.

Responsibilities for this position include:

• Work collaboratively with service advisors and technicians regarding tire claims with tire damage coverage.
• Handle paperwork for all tire claims for coverage and payment.
• Submit paperwork with the claims carrier for payments quickly and efficiently.
• Follow up with claims to ensure they are being processed correctly.
• Check with parts for tire pricing and availability.
• Effectively communicate with both vendors and customers on claims status.
...

We are looking for a Claim Specialist 1 here at INSHUR. You’ll be working on re-inventing insurance in exciting markets across multiple territories, including the US, UK, and the Netherlands, and new European countries and US states as we expand. 

Supported by (and reporting to) Cynthia Barrios and Chanel Jones, you'll be joining a friendly team of twelve specialists who believe in delivering great customer service in Claims.

We value high performance and care deeply about making INSHUR feel like a place where everyone is building something really special, that we can all be proud of, and doing it with friends. 

What you'll do

As our Claim Specialist I you will be responsible for handling initial loss reports, identifying exposures, confirming liability, setting reserves, answering questions, and delivering great customer service by phone and email.

We don’t have a checklist of skills - our hiring process is much...

Our client, based out of Tampa, FL, serves as a dedicated strategic partner to government and other agencies and is seeking a Sr. Specialist, Claims, who will be responsible for managing workers’ compensation claims activity from conception to resolution.

This is a fully remote role, with a salary range of $60-80k.

Requirements

Candidates must have:

• Bachelor's degree in business administration, risk management, or a related field.
• 5+ years of experience handling workers compensation claims
• Workers’ Compensation Multi-jurisdiction, self-insured company and/or TPA and AIC or similar designation preferred.
• Bilingual (English/Spanish) preferred.
• Must be authorized to work in the U.S. and able to travel within the Continental United States (CONUS).
• Must pass a background check after accepting a conditional offer of employment

Samsung SDS is a global leader in advanced analytics platforms and block chain technologies to serve a wide range of industries including smart manufacturing and global logistics. Logistics Claims Operator (“Claims Operator”) will be a part of Operation Group and work closely with Account Group and its Settlement subpart as well as the company’s Management/Finance Group. Claims Specialist will work on a resolution of logistics claims, including warehouse and transportation, and develop and maintain SOPs for logistics processes. The position handles and resolves complex claims with customers, shippers, consignees, and carriers relating to cargo loss incidents. This requires understanding of the logistics and supply chain, ability to establish priorities and plan functions accordingly, experience reporting and analysis, and collaborating with other business units within and outside the organization.

Responsibilities:

• Lead person in...