The Claims Resolution Specialist I at Florida Cancer Specialists & Research Institute (FCS) is responsible for reviewing all medical insurance claims for resolution and payment. This role involves resolving incoming inquiries or payment denials from insurance providers, researching and responding to documentation requests from insurance carriers, and contacting insurance carriers to collect on open account balances. The position requires excellent knowledge of insurance carrier billing and reimbursement, medical terminology, ICD-9, and CPT codes, as well as at least one year of prior medical billing or medical collections experience.

Claims Resolution Specialist I

This entry-level position at Travelers Insurance Company is designed to develop skills for investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity. It involves completing required training to advance to Claim Professional, Outside Property, and includes handling 1st party property claims, estimating damages, negotiating settlements, and maintaining compliance with quality standards. The role is remote, requiring a mix of mobile work and/or work from home.

Claim Representative Trainee, Outside Property - Dunwoody, GA

Claim Representative Trainee

The Claims Processor I at Sutter Health is responsible for ensuring timely and accurate processing of claims for home health patients, working with insurance companies to obtain authorizations and eligibility. This role involves a variety of tasks including phone calls, electronic communication, and faxing to insurance companies. The position offers the possibility of working 8-hour shifts, including weekends.

Claims Processor I, Work From Home, UTAH ONLY

Claims Processor I

The Field Claims Representative at Cincinnati Insurance Company is responsible for investigating and evaluating multi-line insurance claims through personal contact to ensure accurate settlements. This role involves completing thorough claim investigations, interviewing insureds, claimants, and witnesses, consulting various records, evaluating claim facts and policy coverage, and preparing reports of findings and settlements. The position requires residing within the territory surrounding Annapolis, Maryland, and offers the opportunity for both experienced and entry-level representatives.

Claims- Field Claims Representative

Field Claims Representative

Amazon Selling Partner Recruitment and Success is seeking a dynamic and motivated Account Representative for our Direct Sales new business development team. The role involves recruiting and launching new brands within various categories, serving as the primary point of contact throughout the sales process, and executing sales strategies to exceed account acquisition and output goals. This position requires a blend of sales and marketing skills, with a focus on e-commerce and the Softlines, Hardlines, Seller Growth, BBA, or Consumables category.

Account Rep II, SPRS

Account Representative II

Apex Systems is seeking a CRM Support Representative II for a long-term position with a top-rated company. This role involves comprehensive case management and customer support for a user base of 80,000, with support provided via phone or messaging. The position is 100% remote, aside from team building events twice a year, and requires candidates to sit within 200 miles of specific locations in Texas, Missouri, Kansas, Kentucky, or Iowa.

CRM Support Rep II - 2036252

CRM Support Representative II

Premera Blue Cross is seeking Customer Service Representatives II to provide inbound and/or outbound customer service support, ensuring delivery of accurate, complete, and timely information pertaining to member policies and coverage. This role involves managing inbound and outbound calls, conducting research on claim status, investigating requests, and documenting all work to help ensure accuracy, identify trends, and improve processes. The position offers career progression opportunities, a 12-week paid virtual training program, and the option to work from home full-time.

Employer Customer Service Representative

Customer Service Representative II

PharMerica is seeking a Claims Specialist I to join their team in a remote, non-retail pharmacy environment. This role focuses on fulfilling the pharmaceutical needs of long-term care and senior living clients, with a focus on claims, billing, and insurance processing. The position offers a growth-oriented environment with opportunities for career advancement, competitive pay, and a comprehensive benefits package. Ideal candidates should have experience in Pharmacy, particularly for those transitioning from a retail to office environment.

Claims Specialist I

The Call Center Representative II at Trustmark is responsible for responding to a high volume of inbound client/customer requests and inquiries by providing information, processing basic customer profile changes, or directing requests to other functional business teams. This role involves making decisions focused on first call resolution, documenting customer interactions, and resolving issues by communicating with internal departments as necessary. The position requires a high school diploma or GED with 2-4 years of related experience.

Call Center Representative II - Temp.

Call Center Representative II

As a Property Resolution Claim Representative at Travelers Insurance Company, you will be at the heart of the Claim Organization, providing assurance to customers during challenging times by handling home and business claims. This role involves evaluating damage, negotiating on behalf of customers, and resolving personal and business property claims. You will leverage your interpersonal and critical thinking skills to navigate complex situations and ensure customer satisfaction, especially during catastrophes.

Experienced Property Resolution Claim Representative- NC, SC, VA or DC

Property Resolution Claim Representative

As a Claims Representative - Liability at Sedgwick, you will analyze mid-level Commercial General Liability claims to determine benefits due, ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. This role involves applying knowledge and experience to adjudicate complex customer claims, delivering innovative customer-facing solutions, and leveraging Sedgwick's global network of experts. The position offers flexibility, professional development opportunities, and a comprehensive benefits package.

Liability Claims Representative | Remote

Claims Representative - Liability

ARSIEM Corporation is seeking a Delegated Authorizing Official Representative 2 to support one of our government clients in Annapolis Junction, MD. This role involves assisting in identifying security requirements, performing security risk assessments, and ensuring the integration of Cybersecurity functions into the organization's IT environment. The position requires a bachelor's degree or additional experience, and specific certifications, and is ideal for candidates looking to make a significant impact on cybersecurity initiatives.

Delegated Authorizing Official Representative 2

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Claims Resolution Representative II Jobs in Washington, DC Hiring Now

Claims Resolution Specialist I

Claim Representative Trainee, Outside Property - Dunwoody, GA

Claims Processor I, Work From Home, UTAH ONLY

Claims- Field Claims Representative

Account Rep II, SPRS

CRM Support Rep II - 2036252

Claims- Field Claims Representative

Employer Customer Service Representative

Claims Specialist I

Call Center Representative II - Temp.

Experienced Property Resolution Claim Representative- NC, SC, VA or DC

Claims- Field Claims Representative

Liability Claims Representative | Remote

Delegated Authorizing Official Representative 2

Experienced Property Resolution Claim Representative- NC, SC, VA or DC