Claims Quality Specialist

At NEXTCARE Claims Management LLC, we are seeking a skilled Medical Claims Officer to join our team. In this role, you will be responsible for providing quality service to clients by promptly and effectively assessing and processing claims according to our operations set standards.Main Responsibilities:Claims Administration: Manage routine daily claims...

NEXTCARE Claims Management LLC is seeking an experienced Senior Medical Claims Specialist to join our team.About the Role:Job Summary: The successful candidate will provide quality service to clients, managing routine daily claims administration work, evaluating claims, and handling International Preauthorization cases.Key Responsibilities: Manage claims...

About UsNEXTCARE Claims Management LLC is a leading provider of healthcare claims management services. We are committed to delivering high-quality service to our clients while maintaining the highest level of integrity and transparency.Our ideal candidate will be a team player who is able to work effectively with others, demonstrate excellent communication...

What We DoThe Claims Quality & Support Officer responsible for activities concerned with review and inspection to apply quality standards for operational claim processes and adjudicationWhat You Do Prepare concise documentation and audit reports, including recommendations to claims management for improvements with corrective action plans; Audit, assess, and...

We are proud to offer a challenging and rewarding career opportunity as a Claims Management Professional at NEXTCARE Claims Management LLC.About the Role:Job Summary: The successful candidate will provide quality service to clients, managing routine daily claims administration work, evaluating claims, and handling International Preauthorization cases.Key...

The Medical Claims – Assessor will provide quality service to clients by promptly and effectively assessing and processing claims and approval according to operations set standards.Main TasksManages routine daily claims administration work.Evaluates claims with regards to eligibility.International Preauthorization.Attends calls and e-mails from insurance...

We are seeking a highly skilled Healthcare Claims Analyst to join our team at NEXTCARE Claims Management LLC.About the Role:Job Summary: The successful candidate will provide quality service to clients, managing routine daily claims administration work, evaluating claims, and handling International Preauthorization cases.Key Responsibilities: Manage claims...

The Medical Claims Officer will provide quality service to clients, promptly and effectively assess and process claims and approval according to operations set standards.MAIN TASKSManages routine daily claims administration work.Evaluates claims with regards to eligibility.Takes decisions on high cost and complicated cases based on standard operating...

We're looking for a seasoned professional to join our team as a Demurrage Claims Specialist.About the Role:The successful candidate will be responsible for assessing vessel performance, evaluating claims, and analyzing data to inform management decisions.Key Accountabilities:Assess vessel performance and raise claims against freight invoices.Determine claim...

The Claims Management Specialist plays a critical role in the claims process, ensuring accuracy and efficiency. They review claim documents, coordinate investigations, and make informed decisions regarding coverage and settlement amounts.Responsibilities:Review and analyze claim documents and supporting evidence to determine coverage eligibility.Determine...

The Data Quality Specialist is responsible for ensuring the accuracy and integrity of our client data. This involves managing the inclusion of new members, performing data error-correction, and maintaining high-quality card printing.ResponsibilitiesManage the inclusion of new members into the client scheme and database system.Perform data error-correction,...

Claims Specialist | FTI Consulting, Inc.We are looking for a skilled Claims Specialist to join our team at FTI Consulting, Inc. As a Claims Specialist, you will have the opportunity to apply your intellect and skills to a diverse range of economic, valuation, and business issues.You will play a key role in our projects, working in small teams to carry out...

The Policy Management Officer plays a critical role in ensuring the smooth administration of our Corporate Clients. As a key member of our team, you will be responsible for processing high volumes of emails, responding to client inquiries, and working collaboratively with internal stakeholders to deliver exceptional results.Main Responsibilities:Be courteous...

Harrison Holgate is a respected Lloyd's Broker with a global presence. We are currently seeking a seasoned Energy Claims Specialist to join our team in Dubai.The Energy Claims Specialist will be responsible for managing a large portfolio of complex Energy claims, including Renewables, Power, Upstream, and Downstream Energy claims.You will work closely with...

Harrison Holgate is a leading Lloyd's Broker with a presence in Dubai. We are currently seeking a highly skilled Sr Claims Advocate to join our team.The Sr Claims Advocate will be responsible for managing a diverse portfolio of claims across various classes of business, including Energy, Property, Engineering, and Liability.Key responsibilities include...

We are looking for a talented and motivated individual to join our team as a Claims and Benefits Specialist. In this role, you will have the opportunity to work in a dynamic environment, developing your skills and knowledge to excel in claims and benefits management.Main Responsibilities:Analyze and resolve complex claims issues.Develop and implement...

A widely respected Lloyd's Broker has an exciting new opportunity based in Dubai. The Senior Claims Advocate will play a dynamic role in providing technical expertise and claims advocacy services to clients. In this role, the Senior Claims Advocate will be working alongside their partners, Producers, Account Executive, and Brokers to manage claims...

Processing claim forms, adjudicate for provision of deductibles, co-pays, co-insurance maximums, and provider settlements. Entering claims data into the system. Attending to queries from Members / PICs / Providers and resolving problems that result from claim settlement. Performing an audit of randomly selected claims to ensure quality processing and...

Harrison Holgate is seeking an experienced Senior Claims Advocate to join their team in Dubai. As a Senior Claims Advocate, you will play a crucial role in providing technical expertise and claims advocacy services to clients.The successful candidate will be responsible for managing a wide-ranging portfolio of complex claims for clients through the full...

Monitor the performance of vessels through the entire voyage to raise, manage, process and administer demurrage and claims and arrange continuous follow up. Monitor and issue periodic demurrage and claims report to facilitate management review.Key Accountabilities:Assess Vessel Performance: Evaluate the vessel performance in terms of hours spent at load and...