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Claim processor jobs in Arkansas - 29 jobs

  • Claims Examiner

    Harris Computer Systems 4.4company rating

    Claim processor job in Arkansas

    Responsibilities & Duties:Claims Processing and Assessment: * Evaluate incoming claims to determine eligibility, coverage, and validity. * Conduct thorough investigations, including reviewing medical records and other relevant documentation. * Analyze policy provisions and contractual agreements to assess claim validity. * Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: * Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. * Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. * Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: * Ensure compliance with company policies, procedures, and regulatory requirements. * Maintain accurate records and documentation related to claims activities. * Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: * Identify opportunities for process improvement and efficiency within the claims department. * Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. * Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: * Generate reports and provide data analysis on claims trends, processing times, and outcomes. * Contribute to the development of management reports and presentations regarding claims operations.
    $33k-45k yearly est. Auto-Apply 9d ago
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  • Claims Examiner

    Harriscomputer

    Claim processor job in Arkansas

    Responsibilities & Duties:Claims Processing and Assessment: Evaluate incoming claims to determine eligibility, coverage, and validity. Conduct thorough investigations, including reviewing medical records and other relevant documentation. Analyze policy provisions and contractual agreements to assess claim validity. Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: Ensure compliance with company policies, procedures, and regulatory requirements. Maintain accurate records and documentation related to claims activities. Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: Identify opportunities for process improvement and efficiency within the claims department. Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: Generate reports and provide data analysis on claims trends, processing times, and outcomes. Contribute to the development of management reports and presentations regarding claims operations.
    $24k-37k yearly est. Auto-Apply 12d ago
  • Transportation Claims Examiners - Full Time, Remote (Anywhere in the US)

    Claimspro LP

    Claim processor job in Little Rock, AR

    Company:ClaimsPro LP - International Programs GroupTransportation Claims Examiners - Full Time, Remote (Anywhere in the US) Claims Examiner - Transportation IPG works in the contiguous 48 states, Hawaii, and Puerto Rico handling a variety of claims including, but not limited to auto physical damage, inland marine cargo, dealers' open lot, property damage (commercial and homeowners) and general liability. Overview: Reporting to a Claims Supervisor, the Claims Examiner is responsible for investigating and settling transportation and first party claims and third-party claims, with an emphasis on strong communication and customer service, while utilizing state specific guidelines. Role Responsibilities: Initiate the investigation of new claims Make liability/coverage decisions Evaluate and negotiate settlements of collision, specified perils, property damage, and transportation losses as appropriate. Manage and oversee the work of outside adjusters, appraisers and experts. Establish contact with the insured and claimant within established protocol. Recognize coverage issues and bring them to the attention of the supervisor. Develop basic understanding of liability and coverage principles. Recognize state specific laws and claims regulations throughout the United States to insure proper compliance in claims investigation including sending and securing proper documentation. Complete research to determine market value on automobiles and heavy equipment to make recommendations on total loss settlement values using proper state valuation methods. Summarize and make recommendations for disposition of claims in excess of the individual settlement authority. Respond to time sensitive material including but not limited to intercompany arbitration hearings, and department of insurance complaints. Manage a diary system to systematically review and resolve claims within the specified state compliance guidelines. Maintain state license by completing continuing education coursework and/or work towards a claims designation. Handle small claim suits as needed. Other duties as assigned by the claims supervisor Duties may be added, deleted or changed at any time at the discretion of management, formally or informally, either verbally or in writing. Qualifications: High School Diploma or Equivalent required; Bachelor's degree is preferred Experience with Lloyd's of London is considered an asset Proficient in Microsoft Office ; Experience with Xactimate Able to be licensed in states, countries where necessary AIC designation preferred Competencies: Use of clear, rational, thinking supported by evidence to audit fees of independent adjusters, appraisers, and other vendors in order to properly manage and pay expense invoices. Strong writing skills and proper use of grammar to prepare written status reports for the principal. Document claim file notes clearly with all communications and activities that occur during of handling the claim using factual and objective information. Ability to plan and exercise conscious control over the amount of time spent on specific activities. Strong Communicator (verbal and written) Ability to multi-task and handle high volume of concurrent tasks Work collaboratively with others inside and outside the company Environment/Working Conditions: Dynamic environment with tight deadlines, number and changing priorities All prospective employees must pass a background check Office environment including prolonged periods of computer use Location: Remote working but may require some travel to home office, etc. Only US Residents will be considered SCM Insurance Services and affiliates welcome and encourage applications from people with disabilities. Accommodations are available on request for candidates throughout the recruitment and assessment process. SCM Insurance Services (SCM) and its affiliated companies will not accept unsolicited resume submittals from third- party recruiters and hereby request agencies to not contact SCM employees or managers directly to present candidates. Be advised SCM will NOT pay a fee for any placement resulting from the receipt of an unsolicited resume and will consider any unsolicited resumes forwarded public information. SCM welcomes resumes submitted directly from candidates.
    $24k-37k yearly est. Auto-Apply 12d ago
  • Benefit and Claims Analyst

    Highmark Health 4.5company rating

    Claim processor job in Little Rock, AR

    This job is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various departments across the enterprise, including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims, and Medical Policy. The person in this position must fully understand all product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements. **ESSENTIAL RESPONSIBILITIES** + Coordinate, analyze, and interpret the benefits and claims processes for the department. + Serve as the liaison between the department and the claims processing departments to facilitate care/case management activities and special handling claims. Communicate benefit explanations clearly and concisely to all pertinent parties. + Investigate benefit/claim information and provide technical guidance to clinical and claims staff regarding the final adjudication of complex claims. Research and investigate conflicting benefit structures in multi-payor situations. + Provide prompt, thorough and courteous replies to written, electronic and telephonic inquiries from internal/external customers (e.g., clinical, sales/marketing, providers, vendors, etc.) Follow-up on all inquiries in accordance with corporate and regulatory standards and timeframes. + Must have the ability to apply knowledge about the business operations of the area within the defined scope of the job. Assess benefit limitations in accordance with Medical Policy Guidelines. + Monitor and identify claim processing inaccuracies. Bring trends to the attention of management. + Assist with handling inbound calls and strive to resolve customer concerns received via telephone or written communication. + Work independently of support, frequently utilizing resources to resolve customer inquiries. + Collaborate with Clinical Strategy, Sales/Client Management and other areas across the enterprise to respond to client questions and concerns about care/case management and high-cost claimants. + Gather information and develop presentation/training materials for support and education. + Other duties as assigned or requested. **EDUCATION** **Required** + High School or GED **Substitutions** + None **Preferred** + Associate's degree in or equivalent training in Business or a related field **EXPERIENCE** **Required** + 3 years of customer service, health insurance benefits and claims experience. + Working knowledge of Highmark products, systems (e.g., customer service and clinical platforms, knowledge resources, etc.), operations and medical policies + PC Proficiency including Microsoft Office Products + Ability to communicate effectively in both verbal and written form with all levels of employees **Preferred** + Working knowledge of medical procedures and terminology. + Complex claim workflow analysis and adjudication. + ICD9, CPT, HPCPS coding knowledge/experience. + Knowledge of Medicare and Medicaid policies **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Knowledge of principles and processes for providing customer service. This includes customer needs assessment, meeting quality standards for services + Knowledge of administrative and clerical procedures and systems such as managing files and records, designing forms and other office procedures + The ability to take direction, to navigate through multiple systems simultaneously + The ability to interact well with peers, supervisors and customers + Understanding the implications of new information for both current and future problem-solving and decision-making + Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate and not interrupting at inappropriate times + Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems + Ability to solve complex issues on multiple levels. + Ability to solve problems independently and creatively. + Ability to handle many tasks simultaneously and respond to customers and their issues promptly. **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $21.53 **Pay Range Maximum:** $32.30 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J273827
    $21.5-32.3 hourly 12d ago
  • Adjudicator, Provider Claims-On the phone

    Molina Healthcare Inc. 4.4company rating

    Claim processor job in Benton, AR

    Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. * Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution. * Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. * Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions. * Assists in reviews of state and federal complaints related to claims. * Collaborates with other internal departments to determine appropriate resolution of claims issues. * Researches claims tracers, adjustments, and resubmissions of claims. * Adjudicates or readjudicates high volumes of claims in a timely manner. * Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership. * Meets claims department quality and production standards. * Supports claims department initiatives to improve overall claims function efficiency. * Completes basic claims projects as assigned. Required Qualifications * At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. * Research and data analysis skills. * Organizational skills and attention to detail. * Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. * Customer service experience. * Effective verbal and written communication skills. * Microsoft Office suite and applicable software programs proficiency. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.16 - $38.37 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $21.2-38.4 hourly 4d ago
  • Insurance Claims Analyst (Full time, Monday - Friday 8AM - 4:30PM)

    Washington Regional Medical Center 4.8company rating

    Claim processor job in Fayetteville, AR

    Organization Overview, Mission, Vision, and Values Our mission is to improve the health of people in the communities we serve through compassionate, high-quality care, prevention, and wellness education. Washington Regional Medical System is a community-owned, locally governed, non-profit health care system located in Northwest Arkansas in the heart of Fayetteville, which is consistently ranked among the Best Places to live in the country. Our 425-bed medical center has been named the #1 hospital in Arkansas for five consecutive years by U.S. News & World Report. We employ 3,400+ team members and serve the region with over 40 clinic locations, the region's only Level II trauma center, and five Centers of Excellence - the Washington Regional J.B. Hunt Transport Services Neuroscience Institute; Washington Regional Walker Heart Institute; Washington Regional Women and Infants Center; Washington Regional Total Joint Center; and Washington Regional Pat Walker Center for Seniors. Position Summary The role of the Insurance Claims Analyst reports to the corresponding Insurance Billing Manager. This position is responsible for providing exceptional billing and AR follow up of Washington Regional Hospital and Clinic claims. This position oversees research and resolution of insurance billing issues at the time of claims submission, receipt of denial or non-contracted payment, and refund requests. This position must have the ability to learn and understand multiple software systems. Essential Position Responsibilities * Review and research insurance denials receive through insurance remittances, payor correspondence, or Clearinghouse rejections in an accurate and timely manner * Respond appropriately to payor denials through written and/or verbal appeals processes for payor specific denials * Provide effective communication with patients, insurance companies, and staff * Maintain AR collection of claims at less than 30 days of account age * Collaborate with necessary departments to ensure overall account accuracy and issue resolutions * Reconcile transactions to ensure payments are balanced * Provide timely and efficient follow-up on all outstanding AR using assigned ATB worklist reports, using various systems including: Payor portals, Payor phone inquiries and/or written communications * Assigned to specific insurance(s) and providers/specialties but expected to learn on the job other insurances and specialties for career growth * Maintain current assigned insurance(s) guidelines, policies, and procedures related to payment of claims Qualifications * Education: High School graduate or GED * Licensure and Certifications: N/A * Experience: * Previous billing and claims experience within a hospital and/or clinic business office with 2+ year experience, preferred. * Basic working knowledge of the MS Office suite of software, and the ability to operate standard office equipment. * Broad knowledge of medical terminology, medical collections, MS-DRG coding methodology, ICD-10 and CPT coding, preferred. Work Environment: This position will spend 80% of time sitting while performing work in a standard office environment and 20% of time standing and/or walking while pushing, pulling, lifting, and/or carrying up to 50 lbs.
    $48k-72k yearly est. 14d ago
  • Senior Claims Business Analyst

    NTT Data 4.7company rating

    Claim processor job in Little Rock, AR

    NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Senior Claims Business Analyst to join our team in Little Rock, Arkansas (US-AR), United States (US). The successful candidate will join a collaborative team providing Project Management Office (PMO) support for a state Medicaid program. Under the guidance of the team manager, they will contribute to the execution of key tasks, activities, and deliverables. This role involves close coordination with state business staff, external vendors, and internal consultants to ensure the effective analysis, planning, design, testing, and implementation of critical system enhancements and business process improvements. The ideal candidate will possess in-depth expertise in Medicaid systems, particularly in all facets of claims adjudication and demonstrate a strong ability to translate complex business requirements into clear, actionable technical solutions. Job Responsibilities Include: * Review project artifacts/deliverables throughout the system development life cycle for quality, compliance, and completeness, document observations and findings using project team processes and standards. * Analyze and document business, technical, and user requirements related to Medicaid Claims Adjudication and other functional areas. * Collaborate with state business users, vendors, and internal teams to ensure alignment on project goals and deliverables. * Identify and communicate project risks, issues, and dependencies. * Conduct research and provide recommendations to resolve business challenges. * Develop and execute User Acceptance Testing (UAT) * Create and deliver presentations and training materials for business users and stakeholders. Required Qualifications: * Minimum 10 years of experience in supporting or developing Health Care systems * Minimum 9 years of experience in supporting large, complex Medicaid implementation projects, system development methodology and project management principles * Minimum of 9 years of experience in Medicaid Claims Adjudication, including understanding of claims processing workflows, adjudication rules, mass-adjustments, and system functionality * Minimum 9 years of experience with elicitation and verification of business and technical requirements * Minimum 9 years of experience conducting reviews of system development life cycle documentation, project and technical architecture, and design deliverables/artifacts * Undergraduate degree or 4 additional years of relevant experience Preferred Skills: * Experience translating Federal and State regulations into working requirements that are actionable by technical teams * Experience working with Medicaid Enterprise Systems (MES) vendors * Experience with claims editing tools, adjudication engines, or Medicaid analytics platforms * Ability to bridge communication between non-technical business users and technical teams * Strong analytical, problem-solving, and documentation skills Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting pay range for this remote role is $89,032- $145,000. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance. This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, 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. About NTT DATA NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D. Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client's needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only **************** ******************************* email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, ************************************* NTT DATA endeavors to make ********************** accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at ************************************* This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.
    $89k-145k yearly Auto-Apply 46d ago
  • Crop Insurance Adjuster - Northeast Arkansas

    Farmers Mutual Hail 4.3company rating

    Claim processor job in Arkansas

    Crop Insurance Adjuster At Farmers Mutual Hail (FMH), our mission is simple: protect the livelihoods and legacies of America's farmers through the complete farm insurance solutions we offer. As America's Crop Insurance Company™, we are headquartered in the U.S. and have been owned by the farmers we insure for over 125 years. As a full-time Crop Insurance Adjuster at FMH, you'll complete field inspections, read maps and aerial photos, measure fields, climb storage bins, and discuss findings of crop losses with producers to enable America's farmers to clothe, feed, and fuel the world. Due to the required travel, the potential candidate will need to be located in Northeast Arkansas to be successful in this role. BENEFITS: Our employees appreciate our family-oriented culture, and we make sure their benefits reflect that. In addition to a competitive salary and bonuses, medical/dental/vision plan, 401(k) plan with a generous company match, you will be eligible for benefits such as: Paid Parental leave and Caregiver leave This position will receive a vehicle, cell phone, and paid expenses for travel Employee appreciation events Employee Assistance Program (EAP) for support when you and your family need it REQUIREMENTS: To be considered for this role, you will need the following: Experience: A minimum of 1 to 5 years of crop insurance adjusting experience or an agriculture background is preferred. Education: High school diploma or general education degree (GED) required; Associates and/or Bachelor's degree in business or an ag-related field preferred. Skills: Must possess basic computer skills: Ability to use a computer, printer, scanner, Internet and Microsoft Office Products. Additional Requirements: Must be available to attend all Company-mandated training events and conferences and be able to travel for work-related reasons for periods of time exceeding twenty-four (24) hours. Must be able to physically climb heights in excess or ten (10) feet, walk distances over ¼ mile over uneven terrain, and stand without rest for periods of time greater than one hour. Must maintain a valid driver's license, clean MVR, and own a vehicle. RESPONSIBILITIES: Understands and is able to work claims for all major crops, policy/plan types, in all stages of growth. Effectively and clearly communicates regulations and interpretations to producers, agents, and Company staff regarding claims processes. Stays current with RMA-requirements and maintains CAPP certification if working multi-peril crop insurance (MPCI) claims. Maintains a State Adjuster License where required. Does this sound like a good fit for you? Apply today through our website! This position is not eligible for sponsorship for work authorization by Farmers Mutual Hail Insurance Company of Iowa. Therefore, if you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. Farmers Mutual Hail Insurance Company does not discriminate in employment (EOE). All qualified applicants are encouraged to apply. #LIDNP
    $42k-54k yearly est. Auto-Apply 26d ago
  • ESIS Claims Representative, WC

    Chubb 4.3company rating

    Claim processor job in Arkansas

    Are you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader in risk management and insurance services, where your skills and talents can help us create safer workplaces and support employees during their times of need. At ESIS, we're dedicated to providing exceptional service and innovative solutions, and we're looking for passionate individuals to be part of our dynamic team. If you're eager to advance your career in a collaborative environment that values integrity and growth, explore our exciting workers' compensation roles today and discover how you can contribute to a brighter future for employees everywhere! The Workers' Compensation Claims Representative under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. Louisiana jurisdiction experience is required. Duties may include but are not limited to: Receive assignments. Reviews claim and policy information to provide background for investigation and may determine the extent of the policy's obligation to the insured depending on the line of business. Contacts, interviews and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information. Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company's obligation to the insured under the policy contract. Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc. Sets reserves within authority limits and recommends reserve changes to Team Leader. Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions. Prepares and submits to Team Leader unusual or possible undesirable exposures. Assists Team Leader in developing methods and improvements for handling claims. Settles claims promptly and equitably. Obtains releases and timely issues indemnity benefits if due and owing. Informs claimants, insureds/customers, or attorney of denial of claim when applicable. May assist Team Leader and company attorneys in preparing cases for trial by taking statements. Continues efforts to settle claims before trial. Refers claims to subrogation as appropriate. May participate in claim file reviews and audits with customer/insured and broker. Administers Workers' Compensation benefits timely and appropriately per Jurisdiction. Maintains control of claim's resolution process to minimize current exposure and future risks Establishes and maintains strong customer relations OTHER DUTIES MAY INCLUDE: Working all queues and diary in a timely manner Investigating compensability and benefit entitlement Reviewing and approving medical bill payments Managing vocational rehabilitation 1-4 years' experience handling Workers' Compensation claims Knowledge of claims handling and familiarity with claims terminologies Effective negotiation skills Strong communication and interpersonal skills to be capable of dealing with claimants, customers, insureds, brokers, attorneys etc. in a positive manner concerning losses. Ability to self-motivate and work independently, excels in organization and time management skills Knowledge of company products, services, coverages, and policy limits, along with awareness of the company's claims best practices and client service instructions Knowledge of applicable state and local laws. An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.
    $35k-44k yearly est. Auto-Apply 57d ago
  • Field Claims Representative

    Auto-Owners Insurance 4.3company rating

    Claim processor job in Little Rock, AR

    We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated and experienced field claims professional to join our team. This job handles insurance claims in the field under general supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job requires mastery of claims-handling skills and requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability Handle multi-line property and casualty claims in an assigned territory with an emphasis on property claims Become familiar with insurance coverage by studying insurance policies, endorsements and forms Work toward the resolution of claims, and attend arbitrations, mediations, depositions, or trials as necessary Ensure that claims payments are issued in a timely and accurate manner Handle investigations by phone, mail and on-site investigations Desired Skills & Experience Bachelor's degree or direct equivalent experience handling property and casualty claims A minimum of 3 years handling multi-line property and casualty claims with an emphasis on property claims Field claims handling experience is preferred but not required Knowledge of Xactimate software is preferred but not required Above average communication skills (written and verbal) Ability to resolve complex issues Organize and interpret data Ability to handle multiple assignments Ability to effectively deal with a diverse group individuals Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents) Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. *Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-DNP #LI-Hybrid #IN-DNI
    $33k-41k yearly est. Auto-Apply 20d ago
  • Claims Analyst

    Priorityoneinc

    Claim processor job in Little Rock, AR

    Priority1 strives to go beyond simply offering jobs. We foster careers by creating a great working environment for our team members. We hire talented individuals who will provide the best support and can quickly adapt to the rapidly changing world of logistics. These talented men and women drive our business, and we are committed to their success. Priority1 was founded in 1995 with the same entrepreneurial spirit that still drives our business today. We are a mix of great people and great technology. Our success is driven by a strong partnership of employees, customers, and carriers. We also employ an industry-best Transportation Management System (TMS). We are a full service logistics company partnering with thousands of national and regional truckload and LTL carriers. We offer less than truckload (LTL), full truckload (TL), expedited, roadshow, warehousing, and ocean freight services. Responsibilities Filing claims on behalf of the customer Follow-up on the status internally, with the carriers, and with the agent partners Application of claim payments from the carrier Liaison between Agent Partners, Key Account Reps, and Carriers Owning the claims process and ensuring it is achieved successfully Qualifications Previous Customer Service experience preferred Skilled in both verbal and written communication Proven analytical and problem solving skills Capable of identifying customer needs and maintain and support a customer service philosophy Ability to use decision making skills to offer options and resolve problems in a variety of contexts in a fast paced environment. Has talent to exercise good judgment. Knack for adapting to constant changes in work environment, work assignments, and/or changes in priorities Education: College degree preferred or equivalent work experience. College hours or a college degree may be substituted for some experience as deemed appropriate. Compensation $15.25 per hour Medical Insurance with premiums paid at 100% for employees AND dependent. Dental Insurance 100% paid for Employee. Vision Insurance HSA with Employer Contributions Life Insurance Short Term Disability Long Term Disability 401(k) Plan Profit Sharing: Typical annual contribution of 15% of total eligible compensation Paid Holidays AND PTO Physical Requirements: Job functions require long periods of sitting and working from computer workstation; ability to multi-task, problem solve, and prioritize daily workload; excellent organization and record keeping skills; comfortable with oral and written communications, primarily on the telephone and email. Requires extended periods of sitting, normal walking, bending, twisting, and stretching. Capability of sight and hearing required. Ability to deal with stressful situations and occasionally working extended hours. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Priority1 is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Priority-1, Inc. will provide reasonable accommodations with the application process upon your request as required to comply with applicable laws. If you have a disability and require assistance in this application process, please email ***********************. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
    $15.3 hourly Auto-Apply 60d+ ago
  • Pyschological Examiner

    EGA Associates

    Claim processor job in Conway, AR

    EGA Associates a service-disabled Veteran owned small business, SDVOSB, with a big impact! We work with schools, hospitals, state facilities, VA medical centers, and Department of defense facilities nationally. We are hiring Licensed Psychologist Examiner for an intermediate care facility. Responsibilities Administer and scores psychological tests, interprets and evaluates test results, and determines an individualized behavioral management/treatment program. Provide psychological counseling, cognitive behavior and psychosocial skills instruction, and behavior modification/management recommendations. Monitor behavior management and treatment programs, documents progress or regression, modifies programs, as necessary, and prepares and maintains progress reports on each client. Attend staff/professional meetings and workshops as scheduled to discuss progress/problems of clients and make recommendations regarding behavior management. conduct in-service training for direct care staff on implementation of behavior management procedures or may train family members on treatment methods to be continued at home. Supervise professional staff by interviewing, recommending for hire, assigning and reviewing work, training, and evaluating performance. Qualifications: Licensed as a Psychologist Examiner by the Arkansas State Board Independent Psychological Examiner (LPE-I) Benefits! EGA Associates, LLC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
    $28k-42k yearly est. 60d+ ago
  • Claims Denial Specialist

    Medical Assets Holding Company LLC

    Claim processor job in Russellville, AR

    The Claims Denial Specialist works within the organization's revenue cycle to investigate, resolve, and appeal denied insurance claims. By identifying the root causes of denials, correcting errors, and communicating with insurance companies, they help prevent revenue loss and secure proper reimbursement for services. Core responsibilities Denial analysis and resolution: Research denied or rejected claims by reviewing insurance correspondence, billing and coding documentation, and patient medical records. Appeals processing: Prepare and submit detailed, well-argued appeals to insurance payers, often citing clinical documentation, payer-specific policies, and contractual language. Investigative follow-up: Follow up on appeals and resubmitted claims with insurance companies, typically by phone or through payer portals, to resolve outstanding issues and ensure timely reimbursement. Process improvement: Identify trends and patterns in claim denials to help prevent future errors. This often involves collaborating with other departments, such as billing and coding, to improve processes. Documentation and reporting: Accurately document all communication and actions taken on a claim within the patient accounting system. Create and deliver reports to management on denial trends and recovery efforts. Compliance monitoring: Stay up-to-date with changing regulations, payer guidelines, and billing rules for government programs (like Medicare and Medicaid) and commercial insurance. Essential qualifications and skills Healthcare knowledge: A strong understanding of the healthcare revenue cycle, medical terminology, and medical coding systems. Experience with electronic health record (EHR) systems and billing software. The ability to conduct root-cause analysis, recognize patterns in denial data, and use critical thinking to build effective appeal strategies. Excellent written communication for drafting persuasive appeal letters and verbal communication for interacting with payers, providers, and patients. Professional certifications such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) are often preferred or required. Meticulous attention to detail is necessary to review complex documentation, catch errors, and ensure all resubmissions are accurate and compliant.
    $30k-51k yearly est. Auto-Apply 60d+ ago
  • Claims Intake Representative I

    J.B. Hunt Transport 4.3company rating

    Claim processor job in Lowell, AR

    Job Title: Claims Intake Representative I Department: Insurance Country: United States of America State/Province: Arkansas City: Lowell Full/Part Time: Full time Under close supervision, the incumbent is responsible for intake and investigation of claims-related incidents. Based on department alignment, the incidents include but are not limited to Cargo, Casualty, Final Mile Service, or Work Comp Incidents. The incumbent will collaborate with team members to ensure communication, information, and documentation flow through to support each incident between the customer and internal J.B. Hunt stakeholders. Additionally, they receive and respond to routine correspondence following established procedures not requiring management review. : Key Responsibilities: Input & manage new incident reports using established processes. Incidents could include but are not limited to; investigations of accidents, private property damage, cargo-related losses, work compensation injuries/illnesses, drug alcohol allegations, and other unnamed emergency situation reporting. Manage incident intake through phone, email, or other communication methods. Professionally communicate with internal and external stakeholders, relaying details of loss as well as potential liabilities. Set up DOT and NON-DOT tests with Compliance Safety Systems, brief drivers, complete DOT timeline, and arrange transportation to sites. Hire transload/rework vendors or adjusters to assist in the mitigation or investigation of cargo incidents. Qualifications: Minimum Qualifications: High School Diploma or GED equivalent with less than 1 year of relevant experience AND/OR Demonstration of the following skills and abilities through education, certifications, military, or other experiences: Ability to make time-sensitive decisions Ability to multitask Ability to type at least 30 words per minute Ability to work both independently and as part of a team Basic deductive reasoning skills Proficient active listening skills Self-motivation Ability to deal with difficult individuals Schedule: Sat - Sun: 0600-1800 Mon & Tues: 1600-Midnight This position is not eligible for employment-based sponsorship. Compensation: Factors which may affect starting pay within this range may include skills, education, experience, geography, and other qualifications of the successful candidate. This position may be eligible for annual bonus and incentives based on profitability or volumes in accordance with the terms of the Company's bonus and incentive plans, as applicable and in effect from time to time. Benefits: The Company offers the following benefits for full-time positions, subject to applicable eligibility requirements, as may be in effect from time to time: medical benefit, dental benefit, vision benefit, 401(k) retirement plan, life insurance, short-term and long-term disability coverage, paid time off commensurate with tenure (includes vacation and sick time), six weeks of paid maternity leave along with two weeks of paid parental leave, and six paid holidays annually. Education: GED (Required), High School (Required) Work Experience: Customer Service/Account Manager, Transportation/Logistics Job Opening ID: 00610163 Claims Intake Representative I (Open) “This job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.” J.B. Hunt Transport, Inc. is committed to basing employment decisions on the principles of equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, persons with disabilities, protected veterans or other bases by applicable law.
    $29k-36k yearly est. Auto-Apply 22d ago
  • Claims Examiner

    Harris Computer Systems 4.4company rating

    Claim processor job in Benton, AR

    Responsibilities & Duties:Claims Processing and Assessment: * Evaluate incoming claims to determine eligibility, coverage, and validity. * Conduct thorough investigations, including reviewing medical records and other relevant documentation. * Analyze policy provisions and contractual agreements to assess claim validity. * Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: * Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. * Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. * Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: * Ensure compliance with company policies, procedures, and regulatory requirements. * Maintain accurate records and documentation related to claims activities. * Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: * Identify opportunities for process improvement and efficiency within the claims department. * Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. * Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: * Generate reports and provide data analysis on claims trends, processing times, and outcomes. * Contribute to the development of management reports and presentations regarding claims operations.
    $33k-45k yearly est. Auto-Apply 9d ago
  • Adjudicator, Provider Claims

    Molina Healthcare Inc. 4.4company rating

    Claim processor job in Benton, AR

    Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. * Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution. * Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. * Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions. * Assists in reviews of state and federal complaints related to claims. * Collaborates with other internal departments to determine appropriate resolution of claims issues. * Researches claims tracers, adjustments, and resubmissions of claims. * Adjudicates or readjudicates high volumes of claims in a timely manner. * Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership. * Meets claims department quality and production standards. * Supports claims department initiatives to improve overall claims function efficiency. * Completes basic claims projects as assigned. Required Qualifications * At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. * Research and data analysis skills. * Organizational skills and attention to detail. * Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. * Customer service experience. * Effective verbal and written communication skills. * Microsoft Office suite and applicable software programs proficiency. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.16 - $38.37 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $21.2-38.4 hourly 13d ago
  • Property Claims Supervisor - Full Time, Remote (Little Rock, Arkansas)

    Claimspro LP

    Claim processor job in Little Rock, AR

    Company:ClaimsPro LP - International Programs GroupProperty Claims Supervisor - Full Time, Remote (Little Rock, Arkansas) IPG works in the contiguous 48 states, Hawaii, and Puerto Rico handling a variety of claims including, but not limited to auto physical damage, inland marine cargo, dealers' open lot, property damage (commercial and homeowners) and general liability. Overview: Reporting to the Head of Claims, US, the Claims Supervisor is responsible for supervising all claim activity and team of employees. Role Responsibilities: Review, assign, and provide supervision of all claim activity for designated claims to ensure compliance with IPG standards, client specific handling instructions and in accordance with applicable laws. Oversee investigation, evaluation and adjustment of assigned claims in accordance with established claim handling standards and laws. Reserve establishment and/or oversight of reserves for designated claims within established reserve authority levels. Conduct file reviews to oversee coverage review, ensure proper claims handling, and provide feedback on steps to move file to conclusion. Review and approve payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority. Negotiate settlements in accordance within IPG standards, client specific handling instructions and state laws, when appropriate. Assist designated claim staff in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.) Provide education, training and assist in the development of claim staff Supervision of all claim activity for specified team. Compliance with IPG standards and special client handling instructions as established Maintain state license by completing continuing education coursework and/or work towards a claims designation. Uses various metric driven tools such as diaries and the UAP to evaluate performance and identify problem areas in advance of them becoming service issues Reviews findings with team member to jointly develop a plan for corrective action Defines team goals and communicates those goals to assigned team. Motivate team to perform at the highest level Ensures receipt and maintenance of appropriate licenses and/or certifications for themselves and all assigned staff for all states in which states are being handled Communicates with clients, carriers, and brokers in a professional, positive and proactive manner Works collaboratively across all internal departments Must adhere to all company and department personnel policies and procedures This job description is not intended to be all-inclusive, and you will also perform other responsibilities as assigned by your immediate supervisor or other management as directed Duties may be added, deleted or changed at any time at the discretion of management, formally or informally, either verbally or in writing Qualifications: High School Diploma or Equivalent required; Bachelor's degree is preferred Experience with Lloyd's of London is considered an asset Minimum of 3-5 years claim handling experience Proficient in Microsoft Office Experience with variety of insurance policies a plus Able to be licensed in states, countries where necessary AIC designation preferred Competencies: Use of clear, rational, thinking supported by evidence to audit fees of independent adjusters, appraisers, and other vendors to properly manage and pay expense invoices. Strong writing skills and proper use of grammar to prepare written status reports for the principal. Document claim file notes clearly with all communications and activities that occur during the of handling the claim using factual and objective information. Ability to plan and exercise conscious control over the amount of time spent on specific activities. Strong Communicator (verbal and written) Ability to multi-task and handle high volume of concurrent tasks Work collaboratively with others inside and outside the company Environment/Working Conditions: Dynamic environment with tight deadlines, numbers, and changing priorities Only US residents will be considered All prospective employees must pass a background check Office environment including prolonged periods of computer use Location: Remote work but may require some travel to home office, etc. SCM Insurance Services and affiliates welcome and encourage applications from people with disabilities. Accommodations are available on request for candidates throughout the recruitment and assessment process.
    $45k-81k yearly est. Auto-Apply 2d ago
  • ESIS Claims Representative, WC

    Chubb 4.3company rating

    Claim processor job in Little Rock, AR

    Are you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader in risk management and insurance services, where your skills and talents can help us create safer workplaces and support employees during their times of need. At ESIS, we're dedicated to providing exceptional service and innovative solutions, and we're looking for passionate individuals to be part of our dynamic team. If you're eager to advance your career in a collaborative environment that values integrity and growth, explore our exciting workers' compensation roles today and discover how you can contribute to a brighter future for employees everywhere! The Workers' Compensation Claims Representative under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. Duties may include but are not limited to: Receive assignments. Reviews claim and policy information to provide background for investigation and may determine the extent of the policy's obligation to the insured depending on the line of business. Contacts, interviews and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information. Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company's obligation to the insured under the policy contract. Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc. Sets reserves within authority limits and recommends reserve changes to Team Leader. Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions. Prepares and submits to Team Leader unusual or possible undesirable exposures. Assists Team Leader in developing methods and improvements for handling claims. Settles claims promptly and equitably. Obtains releases and timely issues indemnity benefits if due and owing. Informs claimants, insureds/customers, or attorney of denial of claim when applicable. May assist Team Leader and company attorneys in preparing cases for trial by taking statements. Continues efforts to settle claims before trial. Refers claims to subrogation as appropriate. May participate in claim file reviews and audits with customer/insured and broker. Administers Workers' Compensation benefits timely and appropriately per Jurisdiction. Maintains control of claim's resolution process to minimize current exposure and future risks Establishes and maintains strong customer relations OTHER DUTIES MAY INCLUDE: Working all queues and diary in a timely manner Investigating compensability and benefit entitlement Reviewing and approving medical bill payments Managing vocational rehabilitation 1-4 years' experience handling Workers' Compensation claims Knowledge of claims handling and familiarity with claims terminologies Effective negotiation skills Strong communication and interpersonal skills to be capable of dealing with claimants, customers, insureds, brokers, attorneys etc. in a positive manner concerning losses. Ability to self-motivate and work independently, excels in organization and time management skills Knowledge of company products, services, coverages, and policy limits, along with awareness of the company's claims best practices and client service instructions Knowledge of applicable state and local laws. An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.
    $35k-44k yearly est. Auto-Apply 57d ago
  • Auto Claims Representative

    Auto-Owners Insurance 4.3company rating

    Claim processor job in Little Rock, AR

    We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: Investigate, evaluate, and settle entry-level insurance claims Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products Learn and comply with Company claim handling procedures Develop entry-level claim negotiation and settlement skills Build skills to effectively serve the needs of agents, insureds, and others Meet and communicate with claimants, legal counsel, and third-parties Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment Study, obtain, and maintain an adjuster's license(s), if required by statute within the timeline established by the Company or legal requirements Desired Skills & Experience Bachelor's degree or direct equivalent experience with property/casualty claims handling Ability to organize data, multi-task and make decisions independently Above average communication skills (written and verbal) Ability to write reports and compose correspondence Ability to resolve complex issues Ability to maintain confidentially and data security Ability to effectively deal with a diverse group individuals Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents) Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage Continually develop product knowledge through participation in approved educational programs Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. *Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-DNI #IN-DNI
    $33k-41k yearly est. Auto-Apply 20d ago
  • Claims Denial Specialist

    Medical Assets Holding Company LLC

    Claim processor job in Russellville, AR

    The Claims Denial Specialist works within the organization's revenue cycle to investigate, resolve, and appeal denied insurance claims. By identifying the root causes of denials, correcting errors, and communicating with insurance companies, they help prevent revenue loss and secure proper reimbursement for services. Core responsibilities Denial analysis and resolution: Research denied or rejected claims by reviewing insurance correspondence, billing and coding documentation, and patient medical records. Appeals processing: Prepare and submit detailed, well-argued appeals to insurance payers, often citing clinical documentation, payer-specific policies, and contractual language. Investigative follow-up: Follow up on appeals and resubmitted claims with insurance companies, typically by phone or through payer portals, to resolve outstanding issues and ensure timely reimbursement. Process improvement: Identify trends and patterns in claim denials to help prevent future errors. This often involves collaborating with other departments, such as billing and coding, to improve processes. Documentation and reporting: Accurately document all communication and actions taken on a claim within the patient accounting system. Create and deliver reports to management on denial trends and recovery efforts. Compliance monitoring: Stay up-to-date with changing regulations, payer guidelines, and billing rules for government programs (like Medicare and Medicaid) and commercial insurance. Essential qualifications and skills Healthcare knowledge: A strong understanding of the healthcare revenue cycle, medical terminology, and medical coding systems. Experience with electronic health record (EHR) systems and billing software. The ability to conduct root-cause analysis, recognize patterns in denial data, and use critical thinking to build effective appeal strategies. Excellent written communication for drafting persuasive appeal letters and verbal communication for interacting with payers, providers, and patients. Professional certifications such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) are often preferred or required. Meticulous attention to detail is necessary to review complex documentation, catch errors, and ensure all resubmissions are accurate and compliant.
    $30k-51k yearly est. Auto-Apply 56d ago

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Claimspro LP

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Top 4 Claim Processor companies in AR

  1. L3Harris

  2. Sedgwick LLP

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