Claims Auditor Salary at Health Network One BETA

Job Description Job Description About Company: PayerFusion provides cost containment and medical claims processing achieves claim integrity and bill reductions PayerFusion’s TPA services utilize the latest medical claim processing technology coupled with our unique healthcare cost containment methodologies to provide you with the sharpest advantage possible. Our rules-driven medical claim administration tools enable you to remain competitive and compliant in an environment of ever-increasing costs and regulations. We take pride in being the solution for self-funded programs, international insurers, providers and anyone who requires unique and effective health plan and third-party administration services. As it relates to International Services, at PayerFusion Holdings, LLC, we offer our services for self-funded programs, international insurers, providers and anyone who requires unique and effective health plan and third-party administration services. PayerFusion approaches in healthcar

Job Description Job Description Quality Health Management (QHM) is a cost containment company founded in 2000. QHM specializes in reducing the cost of medical expenses, offering provider network access in over 80 countries and providing customized patient assistance primarily for international patients seeking care in the U.S. as well as patients seeking care globally outside of their country of origin. We are currently recruiting for a Claims Clerk. Responsibilities Answer, screen and transfer inbound phone calls Provide general claims support by completing outgoing/incoming requests for additional claim supporting documentation (medical records, itemized bills, corrected claims etc.) Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary. Work claims files to ensure the appropriate eligibility and provider records are matched Updates and maintains database as requested Scan, rename and attach documents Assist on different projects as instruct

POSITION SUMMARY: In this function, an individual performs within operational procedures that have been developed and has the authority and the ability to interpret and apply laws and regulations to case scenarios and maintain working relationships with customers, attorneys, insurance companies and local authorities. Assignments are generally broad in scope with frequent opportunity for exercising independent judgment in making claims management decisions subject to final review and approval by Claims Supervisor/Manager. DUTIES/RESPONSIBILITIES: Plan, organizes and reviews the investigation, negotiation and preparation of settlement recommendations of a variety of insurance claims; reviews accident reports, losses and litigation claims, reefer claims; and provides intra-company personnel with technical advice and assistance. Manage highly complex investigation of claims, including coverage issues liability, compensability and damages and all types of investigative activity or litigatio

Who We Are:: One of the worlds leading companies in the fields of medical assistance, travel assistance and insurance claims handling. Since 2009, we have been part of the prestigious reinsurance company Munich Reinsurance Company, a multinational insurance group that is one of the worlds leading reinsurers. We are a one-stop solution: 2 assistance hubs; 9 regional branch offices; claims invoices in 53 currencies invoiced in EUR or USD; over 70,000 providers and 190,000 cases handled annually make Euro-Center the only partner you need. Our structure enables our customers to partner with only one entity whilst still receiving global services from all our Euro-Centers on emergency medical assistance, all aspects of claims settlement, extensive cost containment, quality assurance and advanced reporting tools. The result is a cost-efficient global solution. This company holds one of the best provider networks worldwide, covering all countries and territories globally with extensive and cas

Overview: Being good neighbors helping people, investing in our communities, and making the world a better place is who we are at State Farm. It is at the core of how we operate and the reason for our success. Come join a #1 team and do some good! Build your career at one of the top companies for professional growth in the U.S.! Khakis optional At State Farm we invest in our employees by providing a competitive Total Rewards package: Starting Salary is $59,059.65-$79,230.63 annually. Because work-life-balance is a priority at State Farm, compensation is based on our standard 38:45-hour work week! Salary offered is dependent on skills and qualifications, with the high end of the range limited to applicants with significant relevant experience. You are also eligible for: An annual bonus based on individual and enterprise performance Annual merit increases 401(k) contribution Paid Time Off (PTO), plus: 5 days of Life Leave to take care of yourself and your family, Paid Volunteer Time, and

Job Description Job Description SUMMARY: The Statutory Accounting Manager is responsible for recording accounting activity and preparing periodic financial reports for People’s Trust Insurance Company in a timely and accurate manner. ESSENTIAL DUTIES AND RESPONSIBILITIES Obtaining or running queries of the Company’s policy and claims administration systems necessary to prepare journal entries in the Company’s accounting system including, but not limited to, the following: Direct written and unearned premiums Paid losses and loss adjustment expenses (LAE) Los and LAE reserves Calculating activity related to the Company’s reinsurance agreements, based upon a thorough understanding of the underlying agreements and preparing the related journal entries in the Company’s accounting system for the following: Ceded Written and unearned premiums Ceded paid losses and loss adjustment expenses Ceded loss and LAE reserves Ceding commissions Record investment-related transactions obtained from the

Job Description Job Description Benefits & Perks: Competitive Compensation Great Work Environment Career Advancement Opportunities Paid Time Off Health Insurance Dental Insurance Vision Insurance Retirement Benefits Job Summary: We are seeking a dedicated and detail-oriented Medical Billing/Insurance Specialist & Front Desk Support team member. This dual-role position involves managing insurance claims and billing processes while also providing support at the front desk to ensure a smooth and welcoming patient experience. As a Billing Specialist, you will handle insurance-related inquiries, process documentation, and collaborate with clients and providers to ensure accurate billing. As Front Desk Support, you will assist with scheduling, patient check-in/check-out, and general administrative duties. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable communicating over the phone and in person. This is a specialty medical practice wi

Job Description Job Description We are seeking a Health Insurance Agent/ Remote/ 100% Commission Based to join our team! You will be responsible for expanding the company's book of business by offering MAP insurance benefits to our existing clients who have been curated as qualified potential customers. Responsibilities: Present and sell insurance policies to new and existing clients Develop and calculate suitable plans based on clients' needs Resolve client inquiries and complaints Expand business reach through networking techniques Comply with insurance standards and regulations Track and identify areas of improvement Qualifications: Previous experience in insurance, customer service, or other related fields Ability to build rapport with clients Strong negotiation skills Excellent written and verbal communication skills Ability to prioritize and multitask Company Description Growing nationwide law firm with a dedicated practice in the area of disability law (e.g. Social Security Disa