Claims Specialist Salary at Genpact BETA

The Claims Specialist works with and reports to the Department Manager within the TPA Department. The position is located at 500 Steed Road: Ridgeland, MS 39157. Job Essential Duties and Responsibilities: To perform the job successfully, an individual must be able to perform each essential duty satisfactory. The requirements listed below are representative of the knowledge, skill and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Medical, dental and vision claims adjudication. Utilize MWG Administrators Policy Administration System and Claims Management Software to verify eligibility and review members accounts based on the policy assigned. Input data into MWG Administrators Claims Management Software. Handle incoming mail, provider appeals, and inquiries. Review member correspondence and process or direct to the appropriate department. Maintain quality customer services by following customer service p

The Claims Specialist works with and reports to the Department Manager within the TPA Department. The position is located at 500 Steed Road: Ridgeland, MS 39157. Job Essential Duties and Responsibilities: To perform the job successfully, an individual must be able to perform each essential duty satisfactory. The requirements listed below are representative of the knowledge, skill and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Medical, dental and vision claims adjudication. Utilize MWG Administrators Policy Administration System and Claims Management Software to verify eligibility and review members accounts based on the policy assigned. Input data into MWG Administrators Claims Management Software. Handle incoming mail, provider appeals, and inquiries. Review member correspondence and process or direct to the appropriate department. Maintain quality customer services by following customer service p

Introduction Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our clients and claimants, offering you the opportunity to join a team where your skills and dedication can truly make a difference. GUIDE. GUARD. GO BEYOND. We believe that every candidate brings something special to the table, including you! So, even if you feel that you’re close but not an exact match, we encourage you to apply. Overview See yourself in our team: In the role of an Customer Claims Specialist you will be responsible for providing an empathetic, personalised and customer centric service to stakeholders impacted by work injuries. The role is responsible for the proactive management of benefits for customers and clients w

Job Description Job Description The Claim Specialist is responsible for processing, reviewing, and resolving healthcare claims in accordance with company policies, industry regulations, and compliance standards. This role ensures timely and accurate claims adjudication while providing excellent customer service to internal and external stakeholders. Key Responsibilities: Review and process healthcare claims for accuracy, completeness, and compliance with company policies and industry standards. Investigate claim discrepancies, denials, and appeals, ensuring proper resolution within established guidelines. Communicate with healthcare providers, policyholders, and internal teams to resolve claim-related inquiries and discrepancies. Maintain detailed and accurate records of claims processing activities and outcomes. Ensure claims adjudication adheres to regulatory requirements, including HIPAA and other healthcare compliance standards. Assist in identifying trends and potential fraud or a

Job Description Job Description Claims Specialist Our client is a national organization providing a full spectrum of healthcare assessment and improvement services that foster more efficient use of resources and enhance healthcare quality. For more than 30 years they have been highly regarded and have had contracts with federal, state, and local government agencies, as well as private-sector clients. The company works nationally and has offices in 7 locations with headquarters in the NYC Metro area. They are currently seeking Claims Specialists who are responsible for effectively managing and resolving complex medical claims disputes. This role requires a strong understanding of healthcare regulations, excellent communication and interpersonal skills, and the ability to work independently and collaboratively within a fast-paced environment. This is an opportunity to gain valuable experience working at a well-respected healthcare organization. There is potential to transition to a perma

Zurich is currently looking for a to join our Rural Community Insurance Services (RCIS) team. RCIS is one of the leading crop insurance providers in the U.S. RCIS offers insurance protection in all 50 states through a national network of about 3,600 licensed agents. RCIS offers a wide range of private product coverages, including a diverse selection of named-peril options, supplemental and stand-alone insurance products as well as federal crop insurance plans through the United States Department of Agriculture’s Risk Management Agency. Together with RCIS agents, we protect America’s farmers and ranchers. The Crop Claim Specialist is to work out of the state of North Dakota. This incumbent will work from a home-based office. This position is scheduled to work 40 hours per week. Approximately 50% travel is expected to cover the territory. The ideal candidate will need to live and service within a 60-mile area of the following counties: Cavalier, Pembina, Walsh, Ramsey, Nelson, Grand Fork

It’s a great time to join AAA The Auto Club Group! JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time Exempt/Non Exempt: Salary Job Description: Michigan PIP Claim Specialist – The Auto Club Group What you will do: ***This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.*** Work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims. Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim process, and initiating documentation in the claim handling system. Complete complex coverage analysis. Ensure all possibl

We are seeking a detail-oriented and customer-focused Claims Specialist to join our team. The Claims Specialist will be responsible for managing, evaluating, and processing insurance claims efficiently while ensuring compliance with company policies and industry regulations. This position is 100% onsite Claims Specialist Responsibilities: Assisting with claims for property damage on vehicles Assisting with bodily injury claims that are filed by individuals injured in accidents Contacting customers, attorneys, doctors and hospitals Claims Specialist Requirements: Must have 3-5 years of claims experience License preferred, but not required Strong analytical and problem-solving skills. Excellent verbal and written communication skills Ability to handle sensitive information with confidentiality and professionalism Strong attention to detail and organizational skills If you are interested in this opportunity and meet the qualifications, please apply today! Thank you, Jessica McCourt Senior