claims coordinator

Trillium Health Resources

<div><div><b>Pay Plan Title: </b>Coordinator</div><div><b>
Working Title: </b>Claims Relations Coordinator</div><div><b>
Cost Center: </b>4300/Claims</div><div><b>
Position Number: </b>91014</div><div><b>
FLSA Status: </b>Exempt</div><div><b>
Posting Salary Range: </b>$54,106 - $68,173</div><div><b>
Office Location: </b>Remote within North Carolina</div><div></div><div><b><br>
POSTING DETAILS:</b></div><div></div><div><b><br>
Make an Impact</b></div><div></div><div><br>
Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives.</div><div></div><div><b><br>
Why Work for Us</b>?</div><div></div><div><br>
Trillium believes that empowering others begins with supporting our team. We offer our employees:</div><div></div><div><br>
<ul><li>
A collaborative, mission-driven work environment</li><li>
Competitive benefits and work-from-home options for most positions</li><li>
Opportunities for professional growth in a diverse inclusive culture</li></ul></div><div></div><div><br>
Every day, our work changes lives &ndash; from children thriving through early intervention and school-based therapies, to adults with severe mental illness living independently and contributing to their communities.</div><div></div><div><br>
If you are looking for a unique opportunity to make a tangible impact on the lives of others, apply today!</div><div></div><div><b><br>
What We&rsquo;re Looking For</b></div><div></div><div><br>
Trillium Health Resources has a career opening for a Claims Relations Coordinator to join our Claims team. The primary responsibilities in this role include managing and coordinating claim issues received by providers, members, or other entities via telephone call, email, and ticket system. The coordination of claim issues includes providing support and information to the provider community. This position will research and gather necessary information regarding claim issues and relay the resolution and/or summary of these issues to the provider community. This position will also be responsible for tracking, reviewing, and coordinating timely and accurate responses that may include inquiries, claims issues, and escalations submitted by the State Department.</div><div></div><div><b><br>
On a typical day, you might:</b></div><div></div><div><br>
<ul><li>
Coordination and management of Claims Department Claims Relations Process.</li><li>
Ensure claims ticket queue and call logs are updated and responded to timely to allow for timely notifications to the provider community on the resolution and/or summary of their issues.</li><li>
Conduct claims research, including, but not limited to, review of claims processing system, review of previous and current tickets in the Claims Support Queue, review of paper claim logs, working with other claims staff to learn history, third party biller impacts, Remittance Advice notifications and provider technical assistance.</li><li>
Review trends of provider issues and make recommendations for updates needed in the Claims Processing System and Claims Staff training.</li><li>
Coordination and management of calls and tickets.</li></ul></div><div></div><div><b><br>
Employee Benefits:</b></div><div></div><div><br>
Trillium knows that work/life balance is essential. That&rsquo;s why we offer:</div><div></div><div><br>
<ul><li>
Typical working hours: 8:30 am &ndash; 5:00 pm</li><li>
Work-from-home options available for most positions</li><li>
Health Insurance with no premium for employee coverage</li><li>
Flexible Spending Accounts</li><li>
24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year</li><li>
NC Local Government Retirement Pension (defined-benefit plan) https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook</li><li>
401k with 5% employer match and immediate vesting</li><li>
Public Service Loan Forgiveness (PSLF) qualifying employer</li><li>
Quarterly stipend for remote work supplies</li></ul></div><div></div><div><b><br>
Qualifications</b></div><div></div><div><br>
Required:</div><div><ul><li>
High School diploma/GED with a minimum of six (6) years of experience in coordinating multiple deadlines, drafting and reviewing written correspondence, and maintaining files and/or research in a healthcare or public health setting which includes a minimum of six (6) years of extensive medical claims research including reviewing denials, member eligibility, communicating both written and verbally with the provider community, and analyzing claim reports; <b>OR</b></li><li>
Associate&rsquo;s degree with a minimum of four (4) years of experience in coordinating multiple deadlines, drafting and reviewing written correspondence, and maintaining files and/or research in a healthcare or public health setting which includes a minimum of four (4) years of extensive medical claims research including reviewing denials, member eligibility, communicating both written and verbally with the provider community, and analyzing claim reports; <b>OR</b></li><li>
Bachelor&rsquo;s degree with a minimum of two (2) years of experience in coordinating multiple deadlines, drafting and reviewing written correspondence, and maintaining files and/or research in a healthcare or public health setting which includes a minimum of two (2) years of extensive medical claims research including reviewing denials, member eligibility, communicating both written and verbally with the provider community, and analyzing claim reports; <b>OR</b></li><li>
Equivalent combination of education/experience.</li><li>
Must have a valid driver&rsquo;s license</li><li>
Must reside within North Carolina.</li><li>
Must be able to travel within catchment as required.</li></ul></div><div></div><div><br>
Preferred:</div><div><ul><li>
Degree in Business Administration, Healthcare Administration, Human services, Public Administration, Liberal Arts, or Humanities.</li><li>
Experience in the public mental health field is highly desired due to the complexity of the work of organization.</li></ul></div><div></div><div><b><br>
Deadline for Application:</b> <b>November 5,2025 @11:59pm</b></div><div></div><div><b><br>
How to Apply</b></div><div></div><div><br>
To be considered, submit your application and resume through our ADP Career Center. Your resume must include:</div><div></div><div><br>
<ul><li>
Employer name, dates of service (month/year), average hours worked per week, and essential job duties</li><li>
Education details (degree type, date awarded, institution, field of study)</li><li>
Licensure/certification information, if applicable</li></ul></div><div></div><div><br>
After submission, your resume will be reviewed to ensure it meets the essential criteria for the position. You&rsquo;ll be notified by HR regarding your application status as appropriate. All applicants will receive a final update once the recruitment cycle closes.</div><div></div><div><br>
Join our Talent Community through ADP to stay informed about future opportunities. Be sure to keep your resume updated in your profile.</div><div></div><div><b><br>
Trillium Health Resources is an Equal Employment Opportunity (EEO) employer and a drug-free workplace. All candidates must pass a drug test as a condition of employment.</b></div><div></div><div><i><br>
#Innovation #Technology #Careers #NorthCarolina #BehavioralHealth</i></div></div>

Claims Relations Coordinator

HBG MEDICAL CENTRE FZ LLC

<p><b>Insurance Coordinator (Part-Time) &ndash; HBG Medical Centre, Dubai</b></p><p>HBG Medical Centre is looking for a <b>part-time Insurance Coordinator</b> with solid experience in <b>UAE medical coding, insurance approvals, claim submission, and resubmission processes</b>.</p><p><b>Position Details:</b></p><ul><li><b>Job Title:</b> Insurance Coordinator</li><li><b>Location:</b> HBG Medical Centre, Dubai</li><li><b>Timings:</b> 2:00 PM &ndash; 6:00 PM</li><li><b>Work Days:</b> 6 days a week</li><li><b>Salary:</b> AED 3,000 per month</li><li><b>Employment Type:</b> Part-Time (Own Visa)</li></ul><p><b>Requirements:</b></p><ul><li>Must be on <b>own visa</b> <i>(No visa can be provided)</i></li><li>Minimum <b>2 years of UAE medical insurance coordination experience</b></li><li>Strong knowledge of <b>UAE medical coding (ICD, CPT)</b></li><li>Hands-on experience with <b>insurance approvals, claim submissions, and resubmissions</b></li><li>Familiar with major <b>TPAs and insurance portals</b></li><li>Excellent communication, accuracy, and follow-up skills</li></ul><p><b>Key Responsibilities:</b></p><ul><li>Verify insurance eligibility and obtain required approvals prior to services</li><li>Handle <b>claim submission and resubmission</b> in a timely and accurate manner</li><li>Coordinate with doctors, reception, and billing teams for smooth workflow</li><li>Ensure compliance with insurance and coding regulations</li><li>Maintain proper documentation and track pending claims</li></ul><p>If you meet the above criteria and are seeking a part-time role in a reputable medical centre, we invite you to apply.</p><p>Job Type: Part-time</p><p>Pay: AED3,000.00 per month</p><p>Expected hours: 24 per week</p><p>Application Question(s):</p><ul><li>Do you have your own visa?</li></ul><p>Experience:</p><ul><li>UAE Clinical: 2 years (Required)</li><li>Clinical : 2 years (Preferred)</li></ul><p>Expected Start Date: 01/11/2025</p>

Insurance Coordinator (Part-Time)

A leading global consultancy in Dubai is seeking a Project Coordinator to join their Construction Claims and Expert Services team. The role involves coordinating projects, monitoring budgets, and ensuring effective communication with clients and internal teams. Ideal candidates will have strong organizational skills and a background in administration. This position offers a chance to thrive in a collaborative culture with opportunities for professional growth and development.<img src="https://www.jobg8.com/Tracking.aspx?GNl9oJpztr8JWdyEhGBNYNsBZFQ0PGhHk" width="0" height="0" />

Strategic Project Coordinator - Growth & Impact (Remote)

Zurich Insurance

<div><div><div><div><div>Job Summary</div>
</div><div><div>
Zurich is one of the world&rsquo;s leading insurance groups, and one of the few to operate on a global basis. Our mission is to help our customers understand and protect themselves from risk. With around 55,000 employees serving customers in more than 210 countries and territories, we aspire to become the best global insurer as measured by our shareholders, customers and employees. We help individuals, small and medium sized companies and global corporations around the world understand and protect themselves from risk by offering a wide range of insurance products, solutions and advisory services.</div><div><br>
Commercial Insurance Middle East is looking for a <b>Junior Claims Adjuster</b> to join and play a key role in the expansion of our Claims Team. This individual will help and support the Claims Coordinator control in administrative, data entry and processing tasks. It is envisaged they will also build their own portfolio of lower complexity claims to help resolve these claims for our customers. They will build a technical knowledge whilst maintaining a strong customer-centric service and supporting our Zurich Middle East claims strategy.</div></div></div><div><div><div>
Job Accountabilities</div>
</div><div><div>
As Junior Claims Adjuster, your main responsibilities will involve:</div>
<ul>
<li>Supporting the team in administrative data entry and processing tasks</li>
<li>Working and contributing as part of a busy and established team.</li>
<li>Following Claims best practices, standards and procedures.</li>
<li>Learning and developing a strong claims handling knowledge.</li>
<li>Focusing on data input accuracy and task completion.</li>
<li>Managing proactively assigned cases to conclusion by determining coverage by gathering and analysing relevant facts.</li>
<li>Establishing timely reserves and performing ongoing reviews throughout the claims-cycle by estimating and validating the value of claims.</li>
<li>Negotiating claims settlements by utilising available tools and resources within authority limits.</li>
<li>Ensuring case files are maintained in a timely and comprehensive manner.</li>
</ul></div></div><div><div><div>Job Qualifications</div>
</div><div><div>
To be successful in this role, you will need:</div>
<ul>
<li>Must have a University or College Degree (or equivalent).</li>
<li>At least 2 years of experience working within an Insurance operation environment ideally in a Claims operation environment.</li>
<li>Insurance related Certificate from CII or CILA is desirable.</li>
<li>Strong attention to detail and data input accuracy.</li>
<li>A strong team member with a desire to learn and develop.</li>
<li>Strong negotiation skills combined with an investigative ability.</li>
<li>Fluency in English language skills, both written and spoken. Arabic desirable but not essential.</li>
<li>Excellent working knowledge of Microsoft Office products.</li>
</ul></div></div><div><div><div>Zurich Values</div>
</div><div><div>Collaborate Together</div><div>
Develop &amp; Grow</div><div>
Puts Customers First</div><div>
Motivational fit</div><div>
Make it Happen</div><div>
Problem Solving</div></div></div></div><div><b>
Why Zurich</b></div><br>
<div></div>
<div>
At Zurich, we like to think outside the box and challenge the status quo. We take an optimistic approach by focusing on the positives and constantly asking What can go right?</div>
<div>
We are an equal opportunity employer who knows that each employee is unique - that&rsquo;s what makes our team so great!<br>
Join us as we constantly explore new ways to protect our customers and the planet.</div><br>
<ul>
<li>Location(s): AE - Dubai</li>
<li>Remote working: Hybrid</li>
<li>Employment Type: Fixed Term Contract (12 Mos.)</li>
<li>Recruiter name: CI ME HR Team</li>
<li>Closing Date: 31 Oct 2025</li></ul></div>

Junior Claims Adjuster (12 mos. FTC)

Great American Insurance Group

<div><p><b>Be Here. Be Great. </b>Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a &quot;small company&quot; culture where your ideas will be heard with &quot;big company&quot; expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.</p><p></p><p>
At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.</p><p></p><p>
P&amp;C Legal serves as the in-house legal team for all companies in the Great American Property &amp; Casualty Group. We are seeking a Litigation Coordinator to perform a variety of complex and confidential litigation projects and administrative functions. This position will primarily support the litigation team in Great American&rsquo;s Legal Department. This position will work a hybrid schedule (3 days in-office, 2 days remote) from our Cincinnati headquarters.</p><p></p><p><b>
Essential Job Functions and Responsibilities</b></p><ul><li><p>
Administers various processes that support the Company&rsquo;s management of litigation.</p></li><li><p>
Supports in-house litigation counsel on subpoena responses and discovery matters.</p></li><li><p>
Prepares and responds to email and mail correspondence for in-house litigation counsel.</p></li><li><p>
Facilitates logistics for in-house litigation counsel, such as scheduling meetings, conference rooms, conference calls, travel arrangements, etc.</p></li><li><p>
Receives and screens telephone calls and visitors, directing to appropriate individuals when needed.</p></li><li><p>
Manages intake of legal mail and routes to appropriate business unit.</p></li><li><p>
Other duties as assigned.</p></li></ul><p></p><p><b>
Job Requirements</b></p><ul><li><p>
Bachelor&rsquo;s degree preferred.</p></li><li><p>
Generally, 3-5 years of experience in insurance, claims, or legal environment is preferred.</p></li><li><p>
Strong organizational skills and proficient with Microsoft Word and Outlook.</p></li><li><p>
Ability and desire to become proficient using the Company&rsquo;s claims, underwriting, and other IT systems.</p></li><li><p>
Must have strong writing skills.</p></li><li><p>
Demonstrates strong detail orientation and high level of accountability.</p></li><li><p>
Ability to prioritize tasks without supervision.</p></li></ul><p></p><p><b>
Business Unit:</b></p>
Property &amp; Casualty Legal<p></p><p><b>
Benefits:
</b></p><p>Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs.</p><p><br>
We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees.</p><p><br>
Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.</p></div>

Litigation Coordinator

Deccan Hardikar Hospital

<p><b>Contact No.- 02041095052 (HR Department)</b></p><p><b>Contact Time- 10.30 AM To 5.30 PM</b></p><p><b>Duty Timing-Morning, General, Evening rotational shift.</b></p><p><b>Job Description </b></p><ul><li>We are looking for TPA coordinator with any graduate with min 1 to 2 years exp. in Hospital/Insurance/TPA Field/CGHS.</li><li>Handling all TPA related processes, from billing to coordinating with TPA companies.</li><li>Counselling patients and their families regarding insurance policy and billing charges.</li><li>Coordinating daily with patients and hospital staff.</li><li>Counseling patients on finances related to surgeries or procedures.</li><li>Maintaining and uploading patient files on the portal.</li><li>Preparing claim settlement documents after a patient's discharge.</li><li>Handling the billing department, updating and reconciling implants bills.</li><li>Courier hard copies of patient admission to discharge.</li><li>Following up withTPA's for approval and informing patients and their relatives of the status.</li><li>Following and adhering to all regulationsand guidelines set by insurance company.</li><li>Ability to operate with a high level of confidentiality and prossionalism.</li><li>maintain and updating all departmental registers.</li><li>Reporting to the HOD and assisting with administrative tasks.</li></ul><p><b>Required Skills</b></p><ul><li>Claims Management</li><li>Patient service</li><li>Team leadership</li><li>Quality assurance</li><li>Written and oral communication</li><li>Problem solving</li><li>Multitask</li><li>Good communication</li><li>Time Management</li></ul><p>Job Type: Full-time</p><p>Pay: &#8377;16,000.00 - &#8377;25,000.00 per month</p><p>Benefits:</p><ul><li>Flexible schedule</li><li>Paid sick time</li><li>Paid time off</li></ul><p>Application Question(s):</p><ul><li>What is your Current Salary?</li></ul><p>Education:</p><ul><li>Bachelor's (Preferred)</li></ul><p>Experience:</p><ul><li>TPA Billing Executive: 2 years (Preferred)</li></ul><p>Work Location: In person</p>

TPA Billing Executive

FirstService Residential

<div><p><b>Description</b><br>
</p><br>
<b>Job Overview:</b><br>
Assist with the management of legal matters, including lawsuits, claims, and agency complaints to ensure proper handling and timely notice to the appropriate insurance carriers. Ensure all legal matters are properly entered into the Legal Files database and updated as needed. Work together with General Counsel and Claims Managers to coordinate work distribution to ensure that claim files are handled properly in a high-volume legal department.<br>
<br>
<b>Your Responsibilities:</b><ul><li>
Assist General Counsel and Claims Managers with the intake and handling of lawsuits, claims, and agency complaints; including investigation, calendaring, follow up, and data entry into legal databases in a high volume environment.</li><li>
Review management contracts and assist with tendering of defense and indemnification to responsible third parties.</li><li>
Serve as liaison and maintain communication relevant to claims with General Counsel, management teams, outside counsel, and insurance agents.</li><li>
Assist with the preparation of internal and external reports including monthly and quarterly claims reports, custom query reports.</li><li>
Update claim files with monthly loss runs from insurance carriers.</li><li>
Develop a strong familiarity of all company systems, servers, programs, and data storage locations to locate and retrieve documents responsive to requests.
</li><li>Assist with projects, presentations, reports, correspondence, or assignments as requested.</li><li>
Conduct business at all times with the highest standards of personal, professional, and ethical conduct.</li><li>
Participate in a variety of meetings and work groups to integrate activities, communicate issues, obtain approvals, resolve problems, and maintain specified level of knowledge pertaining to new developments, requirements, policies, and regulatory guidelines.</li><li>
Follow all policies and Standard Operating Procedures as instructed by General Counsel.</li><li>
Perform any range of special projects, tasks and other related duties as assigned.</li></ul><br>
<b>
Skills and Qualifications:</b><br>
Associate degree or an advanced certification with minimum of three years related experience working in a law firm, in-house legal department, insurance company, or risk management department.<br>
<ul><li>
</li></ul><br>
<ul><li>Detail-oriented with excellent organization, planning, motivation, and interpersonal skills.</li><li>
Strong analytical skills, critical thinking, problem solving, judgment, and decision-making abilities related to claims information and documents.</li><li>
Strong verbal and written communication skills.</li><li>
Must have strong proficiency in Windows, and Microsoft Office programs, including but not limited to: Word, Excel, PowerPoint, and Outlook. Proficiency researching the Internet. Will be trained on Proprietary Management Software.
</li><li>Ability to work with sensitive or confidential information.</li><li>
Ability to meet deadlines and work well under pressure.</li><li>
Ability to work well independently, as well as in a team environment. Must be self-driven.</li></ul><br>
<b>
What We Offer:</b><br>
As a full-time non-exempt associate, you will be eligible for full comprehensive benefits to include your choice of multiple medical plans, dental, and vision. In addition, you will be eligible for time off benefits, paid holidays, and a 401k with company match. Occasional travel may be required to attend training and other company functions.<br>
<br>
<b>Compensation:</b> Up to $25 - $30 / hour<br>
<br>
<b>Disclaimer: </b>The above information on this description has been designed to indicate the general nature and level of work performed by associates within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job. This is not an all-inclusive job description; therefore, management has the right to assign or reassign schedules, duties, and responsibilities to this job at any time.<br>
<br>
#LI-SC1<br>
#I-CO1</div>

Legal Coordinator

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