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Claims Adjuster jobs at Charter Global - 36 jobs

  • Senior PMM - Insurtech & Claim Automation

    Hover 4.2company rating

    San Francisco, CA jobs

    A leading technology firm in San Francisco is looking for a Senior Product Marketing Manager to lead the marketing of insurance products. The ideal candidate will have 5-7 years of B2B SaaS experience, strong storytelling abilities, and be able to translate complex product functionalities into compelling narratives. The role entails collaboration across various teams and requires a deep understanding of customer challenges. Competitive salary and equity are offered along with comprehensive benefits. #J-18808-Ljbffr
    $80k-129k yearly est. 1d ago
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  • Senior Claims Adjuster Workers Compensation (CA)

    Canon Recruiting Group 3.3company rating

    San Francisco, CA jobs

    Job Description Job Title: Workers' Compensation Adjuster (Direct Hire) About Us We are a forward-thinking insurance provider committed to delivering exceptional service and claims outcomes. Our remote claims team collaborates cross-functionally to support injured workers, carriers, and medical partners while maintaining compliance with CA regulations and best-in-class customer service. Position Summary We're seeking an experienced Workers' Compensation Adjuster to manage a full caseload of assignments across California. In this direct-hire, you'll be responsible for handling claims from first notice of loss through resolution - ensuring compliance with state guidelines, mitigating risk, and delivering outstanding customer support. What You'll Do Handle a full portfolio of California Workers' Compensation claims from FNOL to settlement/closure Investigate, evaluate, and determine appropriate claim responses Coordinate with medical providers, employers, and legal counsel Negotiate settlements and manage complex claim scenarios Maintain compliance with California WC laws, regulations, and best practices Prepare detailed claim documentation and reports Communicate professionally with all stakeholders (verbally and written) Mentor or collaborate with junior adjusters as needed Required Qualifications 2+ years of Workers' Compensation adjusting experience in California Valid CA Adjuster License (preferred but not always required depending on employer) Strong understanding of CA WC statutes, regulations, and fee schedules Excellent analytical, decision-making, and organization skills Proven ability to work independently in a fully remote environment Proficiency with claims systems and Microsoft Office suite Nice-to-Have Experience with file litigation and complex claim handling Certification or advanced industry designations (e.g., AIC, CPCU, CWCA) Experience mentoring or guiding less-senior adjusters What We Provide Competitive base salary + performance incentives Comprehensive benefits (medical, dental, vision, life, disability) 401(k) with company match Paid time off and holidays Virtual training and professional development Supportive remote team culture Compensation $70,000 - $98,000+ annually (depending on experience and credentials) Why You'll Love This Role Opportunity to grow your WC career with mentorship and ongoing training Work-life balance in a modern, flexible environment Here at Canon Recruiting, People are our priority, and we are committed to Include Diversity in every segment of who we are. It is only through our Diversity, we are made a stronger organization, and increase our ability to provide top tier candidates that our clients have come to know Canon for. We have an inclusive environment all employees are celebrated for their unique differences. The different perspectives and experiences of our workforce give us the competitive advantage that is essential for success in an ever-changing market. By promoting inclusion with the same enthusiasm, we devote to quality and competency, and using the experience from a diverse assortment of backgrounds and experiences, Canon is able to improve the services and value we deliver to clients, employees, and customers. At Canon, Diversification and Inclusiveness are much more than a corporate ambition; they are a critical component in our daily corporate life. Canon Recruiting is committed to a diverse and inclusive workplace. Canon Recruiting is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. The pay range for this position is listed above. Base pay information is based on market location. We will consider for employment qualified applicants with arrest and conviction records. Our range of benefits may include health care and 401(k) savings plans. For individuals with disabilities who would like to request an accommodation, please email hr@canonrecruiting.com
    $70k-98k yearly 15d ago
  • Senior Claims Adjuster Workers Compensation (CA)

    Canon Recruiting Group 3.3company rating

    San Francisco, CA jobs

    Job Title: Workers' Compensation Adjuster (Direct Hire) About Us We are a forward-thinking insurance provider committed to delivering exceptional service and claims outcomes. Our remote claims team collaborates cross-functionally to support injured workers, carriers, and medical partners while maintaining compliance with CA regulations and best-in-class customer service. Position Summary We're seeking an experienced Workers' Compensation Adjuster to manage a full caseload of assignments across California. In this direct-hire, you'll be responsible for handling claims from first notice of loss through resolution - ensuring compliance with state guidelines, mitigating risk, and delivering outstanding customer support. What You'll Do Handle a full portfolio of California Workers' Compensation claims from FNOL to settlement/closure Investigate, evaluate, and determine appropriate claim responses Coordinate with medical providers, employers, and legal counsel Negotiate settlements and manage complex claim scenarios Maintain compliance with California WC laws, regulations, and best practices Prepare detailed claim documentation and reports Communicate professionally with all stakeholders (verbally and written) Mentor or collaborate with junior adjusters as needed Required Qualifications 2+ years of Workers' Compensation adjusting experience in California Valid CA Adjuster License (preferred but not always required depending on employer) Strong understanding of CA WC statutes, regulations, and fee schedules Excellent analytical, decision-making, and organization skills Proven ability to work independently in a fully remote environment Proficiency with claims systems and Microsoft Office suite Nice-to-Have Experience with file litigation and complex claim handling Certification or advanced industry designations (e.g., AIC, CPCU, CWCA) Experience mentoring or guiding less-senior adjusters What We Provide Competitive base salary + performance incentives Comprehensive benefits (medical, dental, vision, life, disability) 401(k) with company match Paid time off and holidays Virtual training and professional development Supportive remote team culture Compensation $70,000 - $98,000+ annually (depending on experience and credentials) Why You'll Love This Role Opportunity to grow your WC career with mentorship and ongoing training Work-life balance in a modern, flexible environment Here at Canon Recruiting, People are our priority, and we are committed to Include Diversity in every segment of who we are. It is only through our Diversity, we are made a stronger organization, and increase our ability to provide top tier candidates that our clients have come to know Canon for. We have an inclusive environment all employees are celebrated for their unique differences. The different perspectives and experiences of our workforce give us the competitive advantage that is essential for success in an ever-changing market. By promoting inclusion with the same enthusiasm, we devote to quality and competency, and using the experience from a diverse assortment of backgrounds and experiences, Canon is able to improve the services and value we deliver to clients, employees, and customers. At Canon, Diversification and Inclusiveness are much more than a corporate ambition; they are a critical component in our daily corporate life. Canon Recruiting is committed to a diverse and inclusive workplace. Canon Recruiting is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. The pay range for this position is listed above. Base pay information is based on market location. We will consider for employment qualified applicants with arrest and conviction records. Our range of benefits may include health care and 401(k) savings plans. For individuals with disabilities who would like to request an accommodation, please email hr@canonrecruiting.com
    $70k-98k yearly 13d ago
  • Remote - Claims Adjuster - Automotive

    Reynolds and Reynolds Company 4.3company rating

    Dallas, TX jobs

    ":"* This is a full-time, remote position working from 9:45am to 6:15pm CST American Guardian Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is seeking Claims Adjuster - Automotive for our growing team. In this role you will work remotely and be responsible for investigating, evaluating and negotiating minor to complex vehicle repair costs to accurately determine coverage and liability. You will take inbound calls to determine coverage based on contracts in order to appropriately resolve customer issues. Responsibilities will include, but are not limited to: -\tAnswering inbound calls -\tProvide information about claim processing and explain the different levels of contract coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the AGWS' system A home office package will be provided for this position. This includes two computer monitors, a laptop, keyboard and mouse. ","job_category":"Customer Service","job_state":"TX","job_title":"Remote - Claims Adjuster - Automotive","date":"2026-01-18","zip":"75201","position_type":"Full-Time","salary_max":"55,000. 00","salary_min":"50,000. 00","requirements":"2+ years of experience as an automotive mechanic within a service department, dealership, or independent shop~^~2+ years of experience adjusting automobile mechanical claims~^~ASE certification is a plus~^~Must have a quiet designated work space to work from home~^~Must have reliable internet with at least a download speed of 50mbps~^~Must be able to work effectively under pressure in a fast paced environment~^~Strong communication skills~^~Strong organizational and multi-tasking skills~^~High school diploma","training":"On the job","benefits":"We strive to offer an environment that provides our associates with the right balance between work and family. We offer a comprehensive benefits package including: - Medical, dental, vision, life insurance, and a health savings account - 401(k) with up to 6% matching - Professional development and training - Promotion from within - Paid vacation and sick days - Eight paid holidays - Referral bonuses Reynolds and Reynolds promotes a healthy lifestyle by providing a non-smoking environment. Reynolds and Reynolds is an equal opportunity employer. ","
    $40k-48k yearly est. 58d ago
  • Remote - Claims Adjuster - Automotive

    Reynolds and Reynolds Company 4.3company rating

    Phoenix, AZ jobs

    ":"* This is a full-time, remote position working from 9:45am to 6:15pm CST American Guardian Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is seeking Claims Adjuster - Automotive for our growing team. In this role you will work remotely and be responsible for investigating, evaluating and negotiating minor to complex vehicle repair costs to accurately determine coverage and liability. You will take inbound calls to determine coverage based on contracts in order to appropriately resolve customer issues. Responsibilities will include, but are not limited to: -\tAnswering inbound calls -\tProvide information about claim processing and explain the different levels of contract coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the AGWS' system A home office package will be provided for this position. This includes two computer monitors, a laptop, keyboard and mouse. ","job_category":"Customer Service","job_state":"AZ","job_title":"Remote - Claims Adjuster - Automotive","date":"2026-01-18","zip":"85001","position_type":"Full-Time","salary_max":"55,000. 00","salary_min":"50,000. 00","requirements":"2+ years of experience as an automotive mechanic within a service department, dealership, or independent shop~^~2+ years of experience adjusting automobile mechanical claims~^~ASE certification is a plus~^~Must have a quiet designated work space to work from home~^~Must have reliable internet with at least a download speed of 50mbps~^~Must be able to work effectively under pressure in a fast paced environment~^~Strong communication skills~^~Strong organizational and multi-tasking skills~^~High school diploma","training":"On the job","benefits":"We strive to offer an environment that provides our associates with the right balance between work and family. We offer a comprehensive benefits package including: - Medical, dental, vision, life insurance, and a health savings account - 401(k) with up to 6% matching - Professional development and training - Promotion from within - Paid vacation and sick days - Eight paid holidays - Referral bonuses Reynolds and Reynolds promotes a healthy lifestyle by providing a non-smoking environment. Reynolds and Reynolds is an equal opportunity employer. ","
    $36k-43k yearly est. 7d ago
  • Field Claim Representative

    Solera 4.5company rating

    New Jersey jobs

    Field Claims Representative Who We Are Solera is a global leader in data and software services that strives to transform every touchpoint of the vehicle lifecycle into a connected digital experience. In addition, we provide products and services to protect life's other most important assets: our homes and digital identities. Today, Solera processes over 300 million digital transactions annually for approximately 235,000 partners and customers in more than 90 countries. Our 6,500 team members foster an uncommon, innovative culture and are dedicated to successfully bringing the future to bear today through cognitive answers, insights, algorithms and automation. For more information, please visit solera.com The Role • Conduct and manage on-site insurance property claim inventory assignments pursuant to SOS field inventory processes. • Complete all tasks assigned in a diligent manner consistent with department, facility or operational and corporate goals and objectives. • Assist in business development activities in conjunction with new and existing service offerings. • Promote, build, and maintain good customer relations with adjusters assist in retention and repeat use. • Communicate with your Field Manager and Service Manager on a daily basis with regards to operational issues and/or improvements. • Follow all standard operating and safety procedures, written and oral, at all times. • Ability and willingness to take on additional responsibilities as assigned. What You'll Do • Strong problem solving, project management skills while maintaining excellent customer service with client policyholder and insurance company claim staff. • Present in a professional manner both in personal and vehicle appearance. • Ability to work in adverse conditions (post loss insurance claims). • Perform work assignments in a safe and concise manner, following all Enservio safety standards. • Proficient with Microsoft Office Suite. • Strong problem solving and analytical skills. • Strong interpersonal, writing and communication skills. • Excellent personal organization and leadership skills. • Results oriented with the ability to accomplish work in a team environment. • Property and Casualty claim experience a plus. • Restoration industry experience a plus. • Ability to travel to site location in your geographic area. • Ability to lift without any physical restrictions up to 30 pounds. • Work independent of direct onsite supervision. • Valid driver's license and reliable personal vehicle available for use. EQUAL OPPORTUNITY EMPLOYER SOLERA HOLDINGS, INC., AND ITS US SUBSIDIARIES (TOGETHER, SOLERA) IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE FIRM'S POLICY IS NOT TO DISCRIMINATE AGAINST ANY APPLICANT OR EMPLOYEE BASED ON RACE, COLOR, RELIGION, NATIONAL ORIGIN, GENDER, AGE, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, MARITAL STATUS, MENTAL OR PHYSICAL DISABILITY, AND GENETIC INFORMATION, OR ANY OTHER BASIS PROTECTED BY APPLICABLE LAW. THE FIRM ALSO PROHIBITS HARASSMENT OF APPLICANTS OR EMPLOYEES BASED ON ANY OF THESE PROTECTED CATEGORIES.
    $39k-50k yearly est. Auto-Apply 60d+ ago
  • Field Claim Representative

    Solera 4.5company rating

    California jobs

    Field Claims Representative - Virtual California Who We Are Solera is a global leader in data and software services that strives to transform every touchpoint of the vehicle lifecycle into a connected digital experience. In addition, we provide products and services to protect life's other most important assets: our homes and digital identities. Today, Solera processes over 300 million digital transactions annually for approximately 235,000 partners and customers in more than 90 countries. Our 6,500 team members foster an uncommon, innovative culture and are dedicated to successfully bringing the future to bear today through cognitive answers, insights, algorithms and automation. For more information, please visit solera.com. The Role • Conduct and manage on-site insurance property claim inventory assignments pursuant to SOS field inventory processes. • Complete all tasks assigned in a diligent manner consistent with department, facility or operational and corporate goals and objectives. • Assist in business development activities in conjunction with new and existing service offerings. • Promote, build, and maintain good customer relations with adjusters assist in retention and repeat use. • Communicate with your Field Manager and Service Manager on a daily basis with regards to operational issues and/or improvements. • Follow all standard operating and safety procedures, written and oral, at all times. • Ability and willingness to take on additional responsibilities as assigned. What You'll Do • Strong problem solving, project management skills while maintaining excellent customer service with client policyholder and insurance company claim staff. • Present in a professional manner both in personal and vehicle appearance. • Ability to work in adverse conditions (post loss insurance claims). • Perform work assignments in a safe and concise manner, following all Enservio safety standards. • Proficient with Microsoft Office Suite. • Strong problem solving and analytical skills. • Strong interpersonal, writing and communication skills. • Excellent personal organization and leadership skills. • Results oriented with the ability to accomplish work in a team environment. • Property and Casualty claim experience a plus. • Restoration industry experience a plus. • Ability to travel to site location in your geographic area. • Ability to lift without any physical restrictions up to 30 pounds. • Work independent of direct onsite supervision. • Valid driver's license and reliable personal vehicle available for use. It is impossible to list every requirement for, or responsibility of, any position. Similarly, we cannot identify all the skills a position may require since job responsibilities and the Company's needs may change over time. Therefore, the above job description is not comprehensive or exhaustive. The Company reserves the right to adjust, add to or eliminate any aspect of the above description. The Company also retains the right to require all employees to undertake additional or different job responsibilities when necessary to meet business needs. EQUAL OPPORTUNITY EMPLOYER SOLERA HOLDINGS, INC., AND ITS US SUBSIDIARIES (TOGETHER, SOLERA) IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE FIRM'S POLICY IS NOT TO DISCRIMINATE AGAINST ANY APPLICANT OR EMPLOYEE BASED ON RACE, COLOR, RELIGION, NATIONAL ORIGIN, GENDER, AGE, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, MARITAL STATUS, MENTAL OR PHYSICAL DISABILITY, AND GENETIC INFORMATION, OR ANY OTHER BASIS PROTECTED BY APPLICABLE LAW. THE FIRM ALSO PROHIBITS HARASSMENT OF APPLICANTS OR EMPLOYEES BASED ON ANY OF THESE PROTECTED CATEGORIES.
    $36k-43k yearly est. Auto-Apply 60d+ ago
  • Field Claim Representative

    Solera 4.5company rating

    Pennsylvania jobs

    Field Claims Representative/Philadelphia, PA Who We Are Solera is a global leader in data and software services that strives to transform every touchpoint of the vehicle lifecycle into a connected digital experience. In addition, we provide products and services to protect life's other most important assets: our homes and digital identities. Today, Solera processes over 300 million digital transactions annually for approximately 235,000 partners and customers in more than 90 countries. Our 6,500 team members foster an uncommon, innovative culture and are dedicated to successfully bringing the future to bear today through cognitive answers, insights, algorithms and automation. For more information, please visit solera.com What You'll Do • Conduct and manage on-site insurance property claim inventory assignments pursuant to SOS field inventory processes. • Complete all tasks assigned in a diligent manner consistent with department, facility or operational and corporate goals and objectives. • Assist in business development activities in conjunction with new and existing service offerings. • Promote, build, and maintain good customer relations with adjusters assist in retention and repeat use. • Communicate with your Field Manager and Service Manager on a daily basis with regards to operational issues and/or improvements. • Follow all standard operating and safety procedures, written and oral, at all times. • Ability and willingness to take on additional responsibilities as assigned. What You'll Bring • Strong problem solving, project management skills while maintaining excellent customer service with client policyholder and insurance company claim staff. • Present in a professional manner both in personal and vehicle appearance. • Ability to work in adverse conditions (post loss insurance claims). • Perform work assignments in a safe and concise manner, following all Enservio safety standards. • Proficient with Microsoft Office Suite. • Strong problem solving and analytical skills. • Strong interpersonal, writing and communication skills. • Excellent personal organization and leadership skills. • Results oriented with the ability to accomplish work in a team environment. • Property and Casualty claim experience a plus. • Restoration industry experience a plus. • Ability to travel to site location in your geographic area. • Ability to lift without any physical restrictions up to 30 pounds. • Work independent of direct onsite supervision. • Valid driver's license and reliable personal vehicle available for use. It is impossible to list every requirement for, or responsibility of, any position. Similarly, we cannot identify all the skills a position may require since job responsibilities and the Company's needs may change over time. Therefore, the above job description is not comprehensive or exhaustive. The Company reserves the right to adjust, add to or eliminate any aspect of the above description. The Company also retains the right to require all employees to undertake additional or different job responsibilities when necessary to meet business needs. EQUAL OPPORTUNITY EMPLOYER SOLERA HOLDINGS, INC., AND ITS US SUBSIDIARIES (TOGETHER, SOLERA) IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE FIRM'S POLICY IS NOT TO DISCRIMINATE AGAINST ANY APPLICANT OR EMPLOYEE BASED ON RACE, COLOR, RELIGION, NATIONAL ORIGIN, GENDER, AGE, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, MARITAL STATUS, MENTAL OR PHYSICAL DISABILITY, AND GENETIC INFORMATION, OR ANY OTHER BASIS PROTECTED BY APPLICABLE LAW. THE FIRM ALSO PROHIBITS HARASSMENT OF APPLICANTS OR EMPLOYEES BASED ON ANY OF THESE PROTECTED CATEGORIES.
    $34k-43k yearly est. Auto-Apply 60d+ ago
  • Field Claim Representative

    Solera 4.5company rating

    Pennsylvania jobs

    Field Claims Representative/Pittsburgh, PA Who We Are Solera is a global leader in data and software services that strives to transform every touchpoint of the vehicle lifecycle into a connected digital experience. In addition, we provide products and services to protect life's other most important assets: our homes and digital identities. Today, Solera processes over 300 million digital transactions annually for approximately 235,000 partners and customers in more than 90 countries. Our 6,500 team members foster an uncommon, innovative culture and are dedicated to successfully bringing the future to bear today through cognitive answers, insights, algorithms and automation. For more information, please visit solera.com What You'll Do • Conduct and manage on-site insurance property claim inventory assignments pursuant to SOS field inventory processes. • Complete all tasks assigned in a diligent manner consistent with department, facility or operational and corporate goals and objectives. • Assist in business development activities in conjunction with new and existing service offerings. • Promote, build, and maintain good customer relations with adjusters assist in retention and repeat use. • Communicate with your Field Manager and Service Manager on a daily basis with regards to operational issues and/or improvements. • Follow all standard operating and safety procedures, written and oral, at all times. • Ability and willingness to take on additional responsibilities as assigned. What You'll Bring • Strong problem solving, project management skills while maintaining excellent customer service with client policyholder and insurance company claim staff. • Present in a professional manner both in personal and vehicle appearance. • Ability to work in adverse conditions (post loss insurance claims). • Perform work assignments in a safe and concise manner, following all Enservio safety standards. • Proficient with Microsoft Office Suite. • Strong problem solving and analytical skills. • Strong interpersonal, writing and communication skills. • Excellent personal organization and leadership skills. • Results oriented with the ability to accomplish work in a team environment. • Property and Casualty claim experience a plus. • Restoration industry experience a plus. • Ability to travel to site location in your geographic area. • Ability to lift without any physical restrictions up to 30 pounds. • Work independent of direct onsite supervision. • Valid driver's license and reliable personal vehicle available for use. It is impossible to list every requirement for, or responsibility of, any position. Similarly, we cannot identify all the skills a position may require since job responsibilities and the Company's needs may change over time. Therefore, the above job description is not comprehensive or exhaustive. The Company reserves the right to adjust, add to or eliminate any aspect of the above description. The Company also retains the right to require all employees to undertake additional or different job responsibilities when necessary to meet business needs. EQUAL OPPORTUNITY EMPLOYER SOLERA HOLDINGS, INC., AND ITS US SUBSIDIARIES (TOGETHER, SOLERA) IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE FIRM'S POLICY IS NOT TO DISCRIMINATE AGAINST ANY APPLICANT OR EMPLOYEE BASED ON RACE, COLOR, RELIGION, NATIONAL ORIGIN, GENDER, AGE, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, MARITAL STATUS, MENTAL OR PHYSICAL DISABILITY, AND GENETIC INFORMATION, OR ANY OTHER BASIS PROTECTED BY APPLICABLE LAW. THE FIRM ALSO PROHIBITS HARASSMENT OF APPLICANTS OR EMPLOYEES BASED ON ANY OF THESE PROTECTED CATEGORIES.
    $34k-43k yearly est. Auto-Apply 60d+ ago
  • Field Claim Representative

    Solera 4.5company rating

    North Carolina jobs

    Field Claims Representative/Virtual US Who We Are Solera is a global leader in data and software services that strives to transform every touchpoint of the vehicle lifecycle into a connected digital experience. In addition, we provide products and services to protect life's other most important assets: our homes and digital identities. Today, Solera processes over 300 million digital transactions annually for approximately 235,000 partners and customers in more than 90 countries. Our 6,500 team members foster an uncommon, innovative culture and are dedicated to successfully bringing the future to bear today through cognitive answers, insights, algorithms and automation. For more information, please visit solera.com What You'll Do • Conduct and manage on-site insurance property claim inventory assignments pursuant to SOS field inventory processes. • Complete all tasks assigned in a diligent manner consistent with department, facility or operational and corporate goals and objectives. • Assist in business development activities in conjunction with new and existing service offerings. • Promote, build, and maintain good customer relations with adjusters assist in retention and repeat use. • Communicate with your Field Manager and Service Manager on a daily basis with regards to operational issues and/or improvements. • Follow all standard operating and safety procedures, written and oral, at all times. • Ability and willingness to take on additional responsibilities as assigned. Actively looking for positions in the following locations: -New York - Maryland/Virginia - North Carolina What You'll Bring • Strong problem solving, project management skills while maintaining excellent customer service with client policyholder and insurance company claim staff. • Present in a professional manner both in personal and vehicle appearance. • Ability to work in adverse conditions (post loss insurance claims). • Perform work assignments in a safe and concise manner, following all Enservio safety standards. • Proficient with Microsoft Office Suite. • Strong problem solving and analytical skills. • Strong interpersonal, writing and communication skills. • Excellent personal organization and leadership skills. • Results oriented with the ability to accomplish work in a team environment. • Property and Casualty claim experience a plus. • Restoration industry experience a plus. • Ability to travel to site location in your geographic area. • Ability to lift without any physical restrictions up to 30 pounds. • Work independent of direct onsite supervision. • Valid driver's license and reliable personal vehicle available for use. It is impossible to list every requirement for, or responsibility of, any position. Similarly, we cannot identify all the skills a position may require since job responsibilities and the Company's needs may change over time. Therefore, the above job description is not comprehensive or exhaustive. The Company reserves the right to adjust, add to or eliminate any aspect of the above description. The Company also retains the right to require all employees to undertake additional or different job responsibilities when necessary to meet business needs. EQUAL OPPORTUNITY EMPLOYER SOLERA HOLDINGS, INC., AND ITS US SUBSIDIARIES (TOGETHER, SOLERA) IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE FIRM'S POLICY IS NOT TO DISCRIMINATE AGAINST ANY APPLICANT OR EMPLOYEE BASED ON RACE, COLOR, RELIGION, NATIONAL ORIGIN, GENDER, AGE, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, MARITAL STATUS, MENTAL OR PHYSICAL DISABILITY, AND GENETIC INFORMATION, OR ANY OTHER BASIS PROTECTED BY APPLICABLE LAW. THE FIRM ALSO PROHIBITS HARASSMENT OF APPLICANTS OR EMPLOYEES BASED ON ANY OF THESE PROTECTED CATEGORIES.
    $31k-38k yearly est. Auto-Apply 60d+ ago
  • Remote Medical Claims Representative

    NTT Data North America 4.7company rating

    Plano, TX jobs

    At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. For more than 25 years, NTT DATA have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy. NTT DATA currently seeks a Remote **Medical Claims Representative** to join our team in **for a remote position** . This is a US based, W-2 project. All candidates will be paid through NTT DATA only. **Role Responsibilities** **- Pay rate is $18.00** -Processing of Professional claim forms files by provider -Reviewing the policies and benefits -Comply with company regulations regarding HIPAA, confidentiality, and PHI -Abide with the timelines to complete compliance training of NTT Data/Client -Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as per turnaround time/SLAs -Ensure claims are adjudicated as per clients defined workflows, guidelines -Sustaining and meeting the client productivity/quality targets to avoid penalties -Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA. -Timely response and resolution of claims received via emails as priority work -Correctly calculate claims payable amount using applicable methodology/ fee schedule **-Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities** **-Time management with the ability to cope in a complex, changing environment** **-Ability to communicate (oral/written) effectively in a professional office setting** **Required Skills/Experience** + 1+ year(s) hands-on experience in **Healthcare Claims Processing** + **Previously performing - in P&Q work environment; work from queue; remotely** + 2+ year(s) using a computer with Windows applications using a keyboard, **navigating multiple screens and computer systems, and learning new software tools** + Key board skills and computer familiarity - + **Toggling back and forth between screens** /can you navigate multiple systems. + Working knowledge of MS office products - Outlook, MS Word and **MS-Excel** . **Preferences** Amisys &/or Xcelys Preferred About NTT DATA: NTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize, and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo. Visit us at us.nttdata.com. NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team. Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is **$18.00/hourly** . This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.
    $18 hourly 58d ago
  • Claims Specialist - REMOTE 100%

    Capgemini 4.5company rating

    Scranton, PA jobs

    Capgemini is a global leader in consulting, digital transformation, technology and engineering services. The Group is at the forefront of innovation to address the entire breadth of clients' opportunities in the evolving world of cloud, digital and platforms. Building on its strong 50-year+ heritage and deep industry-specific expertise, Capgemini enables organizations to realize their business ambitions through an array of services from strategy to operations. Capgemini is driven by the conviction that the business value of technology comes from and through people. Today, it is a multicultural company of 270,000 team members in almost 50 countries. With Altran, the Group reported 2019 combined revenues of €17billion. Visit us at ****************** People matter, results count Capgemini is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, national origin, gender identity/expression, age, religion, disability, sexual orientation, genetics, veteran status, marital status or any other characteristic protected by law. This is a general description of the Duties, Responsibilities and Qualifications required for this position. Physical, mental, sensory or environmental demands may be referenced in an attempt to communicate the manner in which this position traditionally is performed. Whenever necessary to provide individuals with disabilities an equal employment opportunity, Capgemini will consider reasonable accommodations that might involve varying job requirements and/or changing the way this job is performed, provided that such accommodations do not pose an undue hardship. Click the following link for more information on your rights as an Applicant -http\://******************************************************************* Profile\: Claims Specialist - Remote (Monday-Friday $11.10 an hour) Skillset required: Able to utilize Microsoft Office suite to go through their emails, basically set up an online account, reset a password things of this nature which may be routine for a regular computer user. Productivity Management: • Should be able to meet daily task handling through various form & medium of communication, written and/or verbal or phone. • Should be able to meet the quality, productivity targets & defined timelines to ensure Service Level Agreements (SLAs) and ensure there is no penalty due to miss in SLA's. • S/he should ensure accuracy in the tasks completed. • Demonstrate analytical capabilities while performing tasks. • Should adhere to established policies, procedures, and compliance which result in a satisfactory audit rating Specialized/Practical Knowledge • Should have knowledge on ITES/BPO/KPO/Customer Service /Operations. - Computer literate, should be able to work with different programs and screens with the customer on the line. • Fresher or up to 6 months of experience in health care industry. • Exposure to business domain is an added advantage. • Excellent grasping powers able to understand the various processes. • Team player with excellent verbal and written communication skill. • Should have working knowledge of Microsoft Office skills (excel in particular) and dual monitor handling. • Willing to work in 24/7 environment and sign a service agreement as per company norms. • Ability to work in flexible work schedule, including holidays & weekends. KNOWLEDGE, SKILLS AND ABILITIES • Should be committed and focused to succeed under challenging work environment • Should be able to adapt with the changes in the processes and updates in a dynamic process. • Strong numerical skills and a positive "Can do" attitude combined with strong attention to detail and an awareness of current market issues. • Should seek feedback on one's performance and uses that feedback to grow • Open for working in high pressure environment. • All prospective employees must pass a thorough background check prior to joining and reference checks prior to offer. Candidates should be flexible / willing to work across this delivery landscape which includes and not limited to Agile Applications Development, Support and Deployment. Please email your resume to\: ***************************
    $11.1 hourly Auto-Apply 60d+ ago
  • Automative Claims Processing Representative

    Bcforward 4.7company rating

    San Antonio, TX jobs

    BCforward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers' needs into a full service personnel solutions organization. BCforward's headquarters are in Indianapolis, Indiana and also operates delivery centers in 20 locations in North America as well as India and Puerto Rico. We are currently the largest consulting firm and largest MBE certified firm headquartered in Indiana. Title : Transaction Processing Representative Location : SAN ANTONIO TX 78249 Duration : 12 Months Job Description: Basic Qualifications: 1-2 experience with automotive warranty, policy and procedure 1-2 years experience with management systems used in automotive warranty and administration Overtime will be required Qualifications Preferred Qualifications: Technical and mechanical background Experience with management systems used in automotive warranty Administration Skills: Experience with coding warranty claims and warranty administration. Good verbal and written communication skills. Computer and excel skills Education: High school or equivalent work/military experience Additional Information Thanks & Regards, BCforward Recruitment Team
    $29k-42k yearly est. 60d+ ago
  • Accounting Claims Manager

    Monster 4.7company rating

    Corona, CA jobs

    Energy: Forget about blending in. That's not our style. We're the risk-takers, the trailblazers, the game-changers. We're not perfect, and we don't pretend to be. We're raw, unfiltered, and a bit unconventional. But our drive is unrivaled, just like our athletes. The power is in your hands to define what success looks like and where you want to take your career. It's not just about what we do, but about who we become along the way. We are much more than a brand here. We are a way of life, a mindset. Join us. A day in the life: Rev up the excitement as you take charge of the Bottler Claims department! Your mission? Ensure the turbocharged processing and payment of promotional claims is as smooth and precise as our energy drinks. You're the policy guru, making sure all procedures are followed to a tee while also shaking things up by improving existing policies and creating new ones when needed. Build electrifying relationships with our sales force and bottlers, all centered around those thrilling promotional claims. Get ready to unleash your energy and make an impact! The impact you'll make: Ensure claims are processed timely and accurately Review and maintain aging Understand the promotional claims procedures and policies for processing invoices for payment Manage workload of claim reps Develops, implements, and maintains controls, procedures, and policies to ensure adherence to company guidelines met Addresses performance issues and makes recommendations for personnel actions Prepares annual performance evaluations Addresses day to day needs and issues as they arise Maintain open communicate with bottlers and sales personnel Approve timesheets Interview future candidates, when needed Train Bottlers on bill back submission, when needed for both Domestic and International roles Execute, Lead, Design, and/or Collaborate on Special projects as assigned (ad-hoc) Who you are: College degree a must - Preferably BA Accounting / Business Accounting Experience: 5- 7 years Management Experience: 2 years minimum Advanced/Power-User in Microsoft Excel and Outlook (please provide scores) SAP experience a plus Strong leadership skills Strong ability to problem solve Ability to prioritize work for themselves and others. Ability to adapt to frequent or ongoing changes. Flexibility and capacity to shift priorities based on the organizations' needs. Excellent interpersonal, written and verbal communication skills. Strong attention to detail, high level of accuracy, ability to prioritize/multi-task and meet deadlines in a fast-paced environment. Integrity, professionalism, discretion and ability to maintain confidentiality essential. Role requires the employee to have a sense of urgency, solid work ethics, strong organization skills, possess drive, attention to detail, ability to interact with key players, in addition to the ability to lead a team, provide guidance and support to subordinates and upper management. Eager to learn and open to suggestions Self-motivated Takes the initiative Strong Time Management Skills Bi-lingual capability a plus Monster Energy provides a competitive total compensation. This position has an estimated annual salary of $82,500 - $110,000. The actual pay may vary depending on your skills, qualifications, experience, and work location.
    $82.5k-110k yearly 60d+ ago
  • Bottler Claims Representative (Temp to Hire)

    Monster 4.7company rating

    Corona, CA jobs

    Energy: Forget about blending in. That's not our style. We're the risk-takers, the trailblazers, the game-changers. We're not perfect, and we don't pretend to be. We're raw, unfiltered, and a bit unconventional. But our drive is unrivaled, just like our athletes. The power is in your hands to define what success looks like and where you want to take your career. It's not just about what we do, but about who we become along the way. We are much more than a brand here. We are a way of life, a mindset. Join us. A day in the life: As a Bottler Claims Representative at Monster Energy, you'll be at the heart of the action, processing, validating, and coding promotional invoices with the precision of a high-speed racer! Get ready to rev up your data-entry skills and keep the promotions engine running smoothly. Your role is all about ensuring everything flows seamlessly, just like the thrilling rush of a Monster Energy drink! The impact you'll make: Review, validate, and process distributor invoices in accordance with company policies and procedures. Requires frequent communication with distributors and the Sales Team to obtain necessary supporting documentation and approvals. Verify invoice program details, ensure accuracy, compliance, and adherence to promotional execution or contractual agreements. -->> Collect, organize, and maintain supporting documents required for invoice validation and/or support in SAP, Vistex, Sales Force and or other source locations. Accurately code and enter invoice details into SAP, Vistex, Sales Force, and or other source locations, to ensure proper GL coding and reporting. Identify discrepancies or errors in claims and work with relevant teams to resolve issues efficiently. Ensure all claims adhere to company policies, industry regulations, and audit requirements. Maintain accurate and up-to-date records of processed claims for tracking and audit purposes. Identify opportunities to enhance efficiency and accuracy in claims processing workflows. Work closely with internal teams, including Finance and Sales and Chain Claims, to support business objectives and streamline operations alongside any additional ad hoc duties. Who you are: Prefer a Bachelor's Degree in the field of --Accounting, Math, Business Administration, or other related field of study Additional Experience Desired: Minimum 1 year of experience in Accounts Payable position Additional Experience Desired: Minimum 1 year of experience in processing vendor invoices, data entry, account reconciliation Computer Skills Desired: Proficiency with Microsoft's office desktop solutions (Intermediate Excel a must - Test Scores required), Teams, Outlook, SharePoint, SAP or other accounting technology a plus. Preferred Certifications: N/A Additional Knowledge or Skills to be Successful in this role: Typing, 10 Key desired Monster Energy provides a competitive total compensation. This position has an estimated hourly rate of $17.00 - $23.00 per hour. The actual pay may vary depending on your skills, qualifications, experience, and work location.
    $17-23 hourly 60d+ ago
  • Claims Analyst/Lead Claims Analyst/Senior Claims Analyst (Full-Time)

    MBP 4.1company rating

    Raleigh, NC jobs

    MBP is looking for Claims Analyst/Lead Claims Analyst/Senior Claims Analyst * in Tampa, FL, Raleigh, NC, or Washington DC areas, with significant experience developing and/or providing review and analysis of construction claims, specifically related to delay, productivity, and cost impacts. Highly proficient in Oracle P6 and experienced with one or more of the following: Microsoft Project, Phoenix Project Manager, or similar. Responsibilities Main Duties: * Performs review and analysis of construction claims. * Assists with development of contractor claims. * Develops and/or review time extension requests. * Assist with development of expert reports and exhibits. Qualifications Education * B.S. in Civil Engineering, Construction Management, or relevant experience which equates to this degree. * P.E. license, Certified Construction Manager, Planning and Scheduling Profession, or similar, certification preferred. Skills and Abilities * Experience developing and/or providing review and analysis of construction claims, specifically related to delay, productivity, and cost impacts. * Experience drafting expert reports and deliverables. * Proficient in Oracle P6 required and experienced with Microsoft Project desired. * Additional experience in one or more of the following desired: construction management, cost estimating, value engineering, risk management, constructibility review, and/or contract administration. * Ability to relate technical knowledge to a non-technical audience. * Proficiency in reading/understanding construction plans and specifications. * Proficiency with Microsoft Office software programs including Word, Excel, and PowerPoint. * Experience providing training, supervision, proposal development, and business development desired. * Occasional overnight travel may be required. STATUS: Full-time BENEFITS: * Competitive compensation with opportunities for semi-annual bonuses * Generous Paid Time Off and holiday schedules * 100% Employer paid medical, dental, vision, life, AD&D, and disability benefits (for individual) * Health Savings Account with company contribution * 401(k)/Roth 401(k) plan with company match * Tuition Assistance and Student Loan Reimbursement * Numerous Training and Professional Development opportunities * Wellness Program & Fitness Program Reimbursement Applicants must be authorized to work in the U.S. without sponsorship. MBP is an equal opportunity employer and does not discriminate on the basis of any legally protected status or characteristic. Protected veterans and individuals with disabilities are encouraged to apply.
    $57k-84k yearly est. Auto-Apply 37d ago
  • Third Party Claims Specialist

    DCS Asset Maintenance 4.5company rating

    Hazleton, PA jobs

    DCSAM is a family owned and operated business with treating all employees like family at the core of our values. Our employees provide innovative, safe, and high-quality infrastructure/maintenance contracting services to State DOTs, railroads, and other commercial/residential customers across the entire United States. Employees receive generous compensation packages, employee engagement events & career development programs, just to name a few of the perks of being part of the DCSAM family! To provide quality service, we need top-of-the-line employees. That is why we offer great compensation, awesome benefits, and a work environment worth bragging about! Job Description Claims Specialist will support asset management projects by providing accurate billing, collection and payment processing for claims related to highway and bridge asset repairs and/or incident management. This is an onsite position located at the corporate office in Hazleton PA. Duties include - but not limited to: Contacting insurance companies to obtain claim information relative to incidents and/or open claims in instances where vehicle owners have not notified insurance companies. Coordinate with project offices to obtain accurate information, records and photos needed to create invoices. Creation and submission of accurate invoices to insurance carriers and vehicle owners. Contacting insurance companies for payment status and mailing follow-up letters to vehicle owners for claims that remain unpaid at 30, 60 & 90 days. Accurately updating claim records for any contact or actions taken on claim invoice. Create and run reports as necessary for claim tracking and follow-up Support to project offices as necessary - including police report investigation and contacting insurance companies. Ability to prioritize workload and assist coworkers as necessary for heavy workload and/or vacation coverage. Provides general office support as needed for mail, payment processing and assistance to 3rd Party Claims Manager. Other duties as assigned. Qualifications EDUCATION: High School Diploma is required. EXPERIENCE: Prior experience in insurance claims preferred - 2 years or more relative experience Excellent computer skills - Proficient in Microsoft Office Word & Excel Customer service focused Detail oriented Self-starter - ability to work independently. Ability to interact productively and positively in a team environment. Ability to communicate effectively and professionally in both verbal and written form. PHYSICAL REQUIREMENTS: Ability to talk, hear and speak to coworkers, insurance carriers and vehicle owners over the phone. Able to use hands and fingers to use keyboard, operative office equipment, phones, and mobile devices. Able to see and read on computer screens and paper, close vision. Ability to lift and carry items up to 10 pounds. Ability to sit at a desk comfortably while working on a computer for extended periods of time. Additional Information Benefit Highlights: Challenging and rewarding work environment Competitive Compensation Excellent Medical, Dental, Vision and Prescription Drug Plan 401(K) Generous Paid Time Off Career Development Pay rate: $20.00-23.00/hour depending on experience Come be a part of the DeAngelo family, today! DCSAM is an equal opportunity employer and complies with all hiring and employment regulations. In the event an ADA accommodation is needed, DCSAM is happy to help all employees achieve gainful employment in an atmosphere where they are appreciated and respected. DCSAM offers subcontracting services to government agencies as such, candidates may be subject to pre-employment screenings such as criminal background checks, pre-employment, post-accident & reasonable impairment drug screenings, motor vehicle record checks, etc. as such, DCSAM complies with all federal and state regulatory guidelines including the FCRA.
    $20-23 hourly 15d ago
  • Third Party Claims Specialist

    DCS Asset Maintenance 4.5company rating

    Hazleton, PA jobs

    DCSAM is a family owned and operated business with treating all employees like family at the core of our values. Our employees provide innovative, safe, and high-quality infrastructure/maintenance contracting services to State DOTs, railroads, and other commercial/residential customers across the entire United States. Employees receive generous compensation packages, employee engagement events & career development programs, just to name a few of the perks of being part of the DCSAM family! To provide quality service, we need top-of-the-line employees. That is why we offer great compensation, awesome benefits, and a work environment worth bragging about! Job Description Claims Specialist will support asset management projects by providing accurate billing, collection and payment processing for claims related to highway and bridge asset repairs and/or incident management. This is an onsite position located at the corporate office in Hazleton PA. Duties include - but not limited to: Contacting insurance companies to obtain claim information relative to incidents and/or open claims in instances where vehicle owners have not notified insurance companies. Coordinate with project offices to obtain accurate information, records and photos needed to create invoices. Creation and submission of accurate invoices to insurance carriers and vehicle owners. Contacting insurance companies for payment status and mailing follow-up letters to vehicle owners for claims that remain unpaid at 30, 60 & 90 days. Accurately updating claim records for any contact or actions taken on claim invoice. Create and run reports as necessary for claim tracking and follow-up Support to project offices as necessary - including police report investigation and contacting insurance companies. Ability to prioritize workload and assist coworkers as necessary for heavy workload and/or vacation coverage. Provides general office support as needed for mail, payment processing and assistance to 3rd Party Claims Manager. Other duties as assigned. Qualifications EDUCATION: High School Diploma is required. EXPERIENCE: Prior experience in insurance claims preferred - 2 years or more relative experience Excellent computer skills - Proficient in Microsoft Office Word & Excel Customer service focused Detail oriented Self-starter - ability to work independently. Ability to interact productively and positively in a team environment. Ability to communicate effectively and professionally in both verbal and written form. PHYSICAL REQUIREMENTS: Ability to talk, hear and speak to coworkers, insurance carriers and vehicle owners over the phone. Able to use hands and fingers to use keyboard, operative office equipment, phones, and mobile devices. Able to see and read on computer screens and paper, close vision. Ability to lift and carry items up to 10 pounds. Ability to sit at a desk comfortably while working on a computer for extended periods of time. Additional Information Benefit Highlights: Challenging and rewarding work environment Competitive Compensation Excellent Medical, Dental, Vision and Prescription Drug Plan 401(K) Generous Paid Time Off Career Development Pay rate: $20.00-23.00/hour depending on experience Come be a part of the DeAngelo family, today! DCSAM is an equal opportunity employer and complies with all hiring and employment regulations. In the event an ADA accommodation is needed, DCSAM is happy to help all employees achieve gainful employment in an atmosphere where they are appreciated and respected. DCSAM offers subcontracting services to government agencies as such, candidates may be subject to pre-employment screenings such as criminal background checks, pre-employment, post-accident & reasonable impairment drug screenings, motor vehicle record checks, etc. as such, DCSAM complies with all federal and state regulatory guidelines including the FCRA.
    $20-23 hourly 20d ago
  • Claims Satisfaction Specialist

    Xifin, Inc. 4.1company rating

    Westlake Village, CA jobs

    Are you interested in harnessing technology and AI to transform healthcare? At XiFin, we believe a healthier, more efficient healthcare system starts with strong financial and operational foundations. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care. We're on a mission to simplify the business side of healthcare-and we know that mission takes people from all backgrounds and experiences. Whether you're early in your career or bringing years of expertise, we welcome your perspective, your curiosity, and your passion. We value individuals who ask questions, challenge the status quo, and want to grow while making a real difference. About the Role The Claims Satisfaction Specialist in Radiology Billing supports payment posting operations by coordinating workflow between the internal payment team and the offshore payment posting team. This role ensures payments are processed accurately and on time, follows up on pending items, and assists with daily payment intake and deposit activities. The ideal candidate will have strong attention to detail, effective communication skills, and the ability to thrive in a fast-paced environment with shifting priorities. A solid understanding of payment posting and EOB processes in a healthcare or medical billing setting is essential. This position will be located at our office Westlake Village, CA. How you will make an impact: In this role, you'll: * Create and assign daily payment posting batches and workloads for the offshore payment posting team. * Review and resolve payments pended by the offshore team due to missing EOBs, unidentified patients, balancing discrepancies, or other exceptions. * Collaborate with internal teams to obtain missing information or clarify payment posting details as needed. * Assist with opening and sorting incoming mail related to payments and correspondence. * Scan and deposit checks into the bank following established procedures. * Act as a point of contact for client inquiries related to radiology claim status, billing issues, and payer responses. * Provide clear, professional, and timely updates to clients regarding claim progress and resolution outcomes. * Support process improvement initiatives related to payment posting accuracy and efficiency. * Maintain detailed records and documentation of payment activities and resolutions. * Provide feedback to management regarding trends in claim errors, payer changes, or system inefficiencies impacting client satisfaction. * Ensure all client communications and claim-related actions adhere to HIPAA, CMS, protected health information (PHI), and payer compliance requirements. * Represent the organization with professionalism and integrity in all client and payer interactions. * Assist with audits and special projects What you will bring to the team: We're looking for someone with a growth mindset and a passion for learning. You might be a great fit if you: * Excellent communication and interpersonal skills with a strong focus on client service. * Strong organizational, analytical, and follow-up skills. * Ability to manage multiple client accounts and priorities simultaneously. * High attention to detail with accuracy in documentation and reporting. * Collaborative mindset with the ability to work effectively across departments. * Positive, solution-oriented attitude with a commitment to continuous improvement. Skills and experience you have: You don't need to check every box. We will consider a combination of education and experience, including: * High school diploma or equivalent required; Associate's or Bachelor's degree in Healthcare Administration, Business, or related field strongly preferred. * Minimum 2-4 years of experience in medical billing, customer service, or claims resolution-radiology experience strongly preferred. * Familiarity with CPT, HCPCS, and ICD-10 codes and payer claim processes. * Proficiency in Microsoft Office Suite; CRM or ticketing system experience a plus. * Experience with billing or RCM systems (e.g., XiFin, Imagine, Epic, Athena, eClinicalWorks) preferred. Why XiFin? We're more than just a healthcare technology company-we're a team that cares about people. Here's a glimpse at what we offer: * Comprehensive health benefits including medical, dental, vision, and telehealth * 401(k) with company match and personalized financial coaching to support your financial future * Health Savings Account (HSA) with company contributions * Wellness incentives that reward your preventative healthcare activities * Tuition assistance to support your education and growth * Flexible time off and company-paid holidays * Social and fun events to build community at our locations! Pay Transparency At XiFin, we believe in pay transparency and fairness. The expected hourly rate for this role is $20.00 to $24.00, based on your experience, skills, and geographic location. Depending on your qualifications, you may be considered for a Specialist or Sr. Specialist title. Final compensation will be determined during the selection process and may vary accordingly. Accessibility & Accommodations We're committed to providing an inclusive and accessible experience for all applicants. If you need a reasonable accommodation during the application process, please contact us at ************. Equal Opportunity Employer XiFin is proud to be an equal opportunity employer. We value diverse voices and do not discriminate on the basis of race, color, religion, national origin, gender, gender identity, sexual orientation, disability, age, veteran status or any other basis protected by law. Ready to apply? We'd love to hear from you-even if you're not sure you meet every qualification. If you're excited about the role and believe you can contribute to our team, please apply. Let's build something meaningful together.
    $20-24 hourly 60d+ ago
  • Claims Satisfaction Specialist

    Xifin 4.1company rating

    Westlake Village, CA jobs

    Are you interested in harnessing technology and AI to transform healthcare? At XiFin, we believe a healthier, more efficient healthcare system starts with strong financial and operational foundations. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care. We're on a mission to simplify the business side of healthcare-and we know that mission takes people from all backgrounds and experiences. Whether you're early in your career or bringing years of expertise, we welcome your perspective, your curiosity, and your passion. We value individuals who ask questions, challenge the status quo, and want to grow while making a real difference. About the Role The Claims Satisfaction Specialist in Radiology Billing supports payment posting operations by coordinating workflow between the internal payment team and the offshore payment posting team. This role ensures payments are processed accurately and on time, follows up on pending items, and assists with daily payment intake and deposit activities. The ideal candidate will have strong attention to detail, effective communication skills, and the ability to thrive in a fast-paced environment with shifting priorities. A solid understanding of payment posting and EOB processes in a healthcare or medical billing setting is essential. This position will be located at our office Westlake Village, CA. How you will make an impact: In this role, you'll: Create and assign daily payment posting batches and workloads for the offshore payment posting team. Review and resolve payments pended by the offshore team due to missing EOBs, unidentified patients, balancing discrepancies, or other exceptions. Collaborate with internal teams to obtain missing information or clarify payment posting details as needed. Assist with opening and sorting incoming mail related to payments and correspondence. Scan and deposit checks into the bank following established procedures. Act as a point of contact for client inquiries related to radiology claim status, billing issues, and payer responses. Provide clear, professional, and timely updates to clients regarding claim progress and resolution outcomes. Support process improvement initiatives related to payment posting accuracy and efficiency. Maintain detailed records and documentation of payment activities and resolutions. Provide feedback to management regarding trends in claim errors, payer changes, or system inefficiencies impacting client satisfaction. Ensure all client communications and claim-related actions adhere to HIPAA, CMS, protected health information (PHI), and payer compliance requirements. Represent the organization with professionalism and integrity in all client and payer interactions. Assist with audits and special projects What you will bring to the team: We're looking for someone with a growth mindset and a passion for learning. You might be a great fit if you: Excellent communication and interpersonal skills with a strong focus on client service. Strong organizational, analytical, and follow-up skills. Ability to manage multiple client accounts and priorities simultaneously. High attention to detail with accuracy in documentation and reporting. Collaborative mindset with the ability to work effectively across departments. Positive, solution-oriented attitude with a commitment to continuous improvement. Skills and experience you have: You don't need to check every box. We will consider a combination of education and experience, including: High school diploma or equivalent required; Associate's or Bachelor's degree in Healthcare Administration, Business, or related field strongly preferred. Minimum 2-4 years of experience in medical billing, customer service, or claims resolution-radiology experience strongly preferred. Familiarity with CPT, HCPCS, and ICD-10 codes and payer claim processes. Proficiency in Microsoft Office Suite; CRM or ticketing system experience a plus. Experience with billing or RCM systems (e.g., XiFin, Imagine, Epic, Athena, eClinicalWorks) preferred. Why XiFin? We're more than just a healthcare technology company-we're a team that cares about people. Here's a glimpse at what we offer: Comprehensive health benefits including medical, dental, vision, and telehealth 401(k) with company match and personalized financial coaching to support your financial future Health Savings Account (HSA) with company contributions Wellness incentives that reward your preventative healthcare activities Tuition assistance to support your education and growth Flexible time off and company-paid holidays Social and fun events to build community at our locations! Pay Transparency At XiFin, we believe in pay transparency and fairness. The expected hourly rate for this role is $20.00 to $24.00, based on your experience, skills, and geographic location. Depending on your qualifications, you may be considered for a Specialist or Sr. Specialist title. Final compensation will be determined during the selection process and may vary accordingly. Accessibility & Accommodations We're committed to providing an inclusive and accessible experience for all applicants. If you need a reasonable accommodation during the application process, please contact us at ************. Equal Opportunity Employer XiFin is proud to be an equal opportunity employer. We value diverse voices and do not discriminate on the basis of race, color, religion, national origin, gender, gender identity, sexual orientation, disability, age, veteran status or any other basis protected by law. Ready to apply? We'd love to hear from you-even if you're not sure you meet every qualification. If you're excited about the role and believe you can contribute to our team, please apply. Let's build something meaningful together.
    $20-24 hourly Auto-Apply 60d+ ago

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