, we want to know more about you! As a Field Claims Specialist, you'll investigate and resolve moderate to severe property... of claims and other related business systems. Delivers an outstanding customer service experience to all internal, external...
Specialist is part of a team focused on behavioral health and emotional wellbeing navigation and support. The team is responsible... Specialist is to provide one-to-one engagement support with the member, listening for spoken and unspoken needs and then guiding...
Health Escalation Specialist is an individual contributor role responsible for an exciting variety of responsibilities... Insurance experience 2+ years of Telephonic Customer Service experience 1+ years in Optum behavioral health experience 1...
. The Adaptive Portal Applications Specialist is primarily responsible for the configuration, setup and testing of specific... application areas within the portal (claims, benefits / eligibility, employer reporting, check register, etc.). The Adaptive...
medical claims 1+ years of experience in a healthcare insurance environment, using the telephone and computer as the primary...+ years of previous OR current benefit quality experience with utilizing UMR’s Claims Processing System (UMR CPS / Jacada...
criteria’s must be followed to successfully receive reimbursement for the post service claim billed Collaborate with relevant.../collections for government and commercial payers Track and monitor processed claims, review, and follow to ensure payment...
or in one of our offices. What Will You Do? Directly handles assigned severity claims. Provides quality customer service and ensures file..., reserving, negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims. Provides quality claim...
for the company while solving complex health care inquires. The Customer Specialist (Service Account Manager Associate) acts... by use of knowledge, research, and internal contacts Identify potential claim and / or customer service issues...
with the UMR claims system) Understanding of COBIS for reports Experience as a customer specialist/operations service manager... OR older 3+ years of customer service and/or claims processing experience 3+ years of experience supervising direct reports...
of escalation for member level issues Supports frontline supervisor in day-to-day tasks Flexes to support various specialist... setting, such as Billing in a healthcare setting, either through a payer or provider Service role in insurance 1+ years...