insurance claims representative

Surgery Ventures

<div>Do you have the career opportunities as a Medical Insurance Claims Representative you want with your current employer? We have an exciting opportunity for you to join Surgery Ventures at our Jacksonville Central Billing Office which is part of the nation's leading provider of healthcare services, HCA Healthcare.<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
As the Medical Insurance Collections Specialist, you will contribute to the company&rsquo;s mission, vision, and values by completing follow-up and collections for patient services. Under the supervision of the Business Office Manager/Business Office Supervisor, you will obtain payment from third party payers and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts.
What you will do in this role:<ul><li>
You will perform follow up activities on accounts to ensure prompt payment</li><li>
You will identify coding or billing errors from EOBs and work to correct them</li><li>
You will monitor insurance claims and contact insurance companies to resolve claims
</li><li>You will update the patient account record to identify actions taken</li><li>
You will assign bad debt accounts to the collection agency
</li><li>You will act as a liaison and administer contracts in collection of third party accounts (Medicare and Medicaid)</li><li>
You will complete account reconciliation of accounts turned over to outside agencies</li><li>
You will negotiate payment plans on self-pay accounts
</li><li>You are responsible for maintaining accounts receivable and creating a reduction in bad debt
</li></ul>Qualifications you will need:<ul><li>
Minimum (1) year of experience in a medical office setting highly preferred. (i.e. ambulatory surgery center, hospital, doctors office, CBO) preferred</li><li>
Knowledge of managed care payers and medical terminology is preferred</li></ul>
<h5 class="jobSectionHeader">Benefits</h5>
Surgery Ventures offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>
Wellbeing support, including free counseling and referral services</li><li>
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li>
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Consider a fulfilling and secure career with Surgery Ventures, in partnership with HCA Healthcare. Our team of over 3,400 physicians manages more than 150 surgery centers across 16 states in the United States. As a dedicated unit within HCA Healthcare, we prioritize providing safe, efficient, and premium surgical services. With over 30 years of pioneering experience in the industry, our physician partners offer exceptional outpatient care to over 800,000 patients in communities across our network. We do so with the backing of the clinical, operational, and financial expertise of a Fortune 100 healthcare leader. At Surgery Ventures, we are committed to supporting your career growth and advancement at every stage.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses
&quot;Bricks and mortar do not make a hospital. People do.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Medical Insurance Claims Representative opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Medical Insurance Claims Representative

Fenix Protect

Home Warranty Claims Representative (Inbound)Fenix Protect | Addison, TX (On-Site) Hiring ASAPCurrently working in home warranty, insurance claims, property management, or a call center handling service issues? If you&rsquo;re looking for a more structured environment, consistent schedule, and clear processes, Fenix Protect is hiring.We are seeking a Home Warranty Claims Representative to handle inbound, high-volume claims calls and coordinate repairs for homeowners.Schedule &amp; Location<ul><li>Monday&ndash;Friday: 8:00 AM &ndash; 5:00 PM</li><li>On-site: 15510 Wright Brothers Dr, Addison, TX 75078</li></ul>Pay<ul><li>$19/hour</li></ul>What You&rsquo;ll Do<ul><li>Take inbound claims calls from homeowners</li><li>Review coverage, reports, and estimates</li><li>Communicate claim decisions clearly</li><li>Coordinate with contractors for service and repairs</li><li>Manage multiple claims in a fast-paced call center environment</li></ul>What We&rsquo;re Looking For<ul><li>Experience in home warranty, insurance claims, property management, dispatch, or call center</li><li>Comfortable handling high call volume and case management</li><li>Strong communication and problem-solving skills</li><li>Organized and detail-oriented</li></ul>Preferred<ul><li>Bilingual (English/Spanish)</li><li>Knowledge of HVAC, plumbing, electrical, or appliances</li></ul>If you&rsquo;re used to handling claims and want a stable schedule, clear expectations, and a team-focused environment, apply now.Pay: $19.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>On-site gym</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Claims Representative (Home Warranty)

GAINSCO

<div>Are You Driven?&reg; We Are.

We are a company of driven, enthusiastic and determined people. We celebrate achievement and success. We foster innovation, determination and recognition. Because of that, our employees feel recognized and rewarded for the contributions they make on a daily basis. At GAINSCO, It is our people that set us apart.

If you are looking for a place where you can make a difference, perceive how your work impacts the company, and be recognized for your efforts and passion, then GAINSCO is the company for you.

Why Join GAINSCO?

GAINSCO&rsquo;s work environment rewards engaged individuals who have a desire to contribute and succeed. That&rsquo;s because our culture encourages individuals to grow their skills as they build their careers. Come join us and become a champion with GAINSCO.

GAINSCO is looking to hire a Bilingual Claims Representative. This individual should be looking to build a career within the industry, as our company will be growing, giving plenty of potential to make advancements. This role is intended to develop skills for investigating, evaluating, negotiating, resolving claims on losses of lesser complexity, and providing exceptional customer service with no prior insurance or claims handling experience required.

What does a Bilingual Claims Representative do at GAINSCO?
<ul>
<li>Learns insurance terminology, knowledge and skills required to document and begin processing claims.</li>
<li>Learns initial claims processing from the first notice of loss.</li>
<li>Learns the fundamentals of proper claims handling practices, including how to resolve coverage issues and determining liability through the investigation process.</li>
<li>Learn how to set vehicle inspections and assist in managing the repair process.</li>
<li>Uses GAINSCO claims systems and other technologies to document reports of loss and transfer claims as necessary for resolution.</li>
<li>Serves as the first point of contact for claims resulting from accidents involving GAINSCO policyholders.</li>
<li>Provides exceptional customer service while obtaining detailed information regarding the facts of loss.</li>
<li>Answers general claims related questions from customers and agents regarding losses.</li>
</ul>
What is required?

Education:
<ul>
<li>High School Diploma or Equivalent.</li>
</ul>
Licenses/ Certifications:
<ul>
<li>To perform the essential functions of this job an active Adjuster License will be required to comply with state and GAINSCO requirements.</li>
<li><ul><li>Upon hire, additional license(s) may be required. If that is the case, license(s) must be obtained.</li>
<li>All licenses must be maintained in accordance with state requirements.</li>
</ul></li>
</ul>Training:
<ul>
<li>12 weeks of training.
<ul><li>Week 1-8 Working in the office 7:30AM-4:30PM.</li>
<li>Weeks 9-12 M-Th in office; Friday work from home</li>
</ul>
</li><li>After training, the first 90-day schedule may vary based on business needs between 8AM- 6PM.
</li>
</ul>Schedule:
<ul>
<li> M-F (8am-5pm), (8:30am-5:30pm), (9:00am - 6:00pm)</li>
</ul>Experience:
<ul>
<li>Demonstrated success in customer service capacity.</li>
<li>Comfortable working in a fast-paced, high-volume call center.</li>
<li>Bilingual (English/Spanish) preferred</li>
</ul>
Other skills and abilities:
<ul>
<li>Ability to learn and apply claims practices.</li>
<li>Excellent verbal, written communication and listening skills.</li>
<li>Ability to manage time while prioritizing multiple tasks.</li>
<li>Have an aptitude for providing information in a clear, concise manner with an appropriate level of detail, empathy, and professionalism.</li>
</ul>
<div></div>What else do you need to know?
<ul>
<li>Hybrid</li>
<li>Excellent benefits package: medical &amp; dental, vision insurance, life insurance, short-term and long-term disability insurance.</li>
<li>Parental Leave Policy</li>
<li>401K + Company Match</li>
<li>PTO Plan + Paid Company determined Holidays.</li>
</ul>
**Applicants are required to be eligible to lawfully work in the U.S. immediately; employer will not sponsor applicants for U.S. work authorization (e.g. H-1B visa) for this opportunity**

All offers are contingent upon a successful background investigation (including employment, education, criminal and DMV verification- when applicable) and a pre-employment drug test with results satisfactory to GAINSCO.

GAINSCO is an Equal Employment Opportunity Employer</div>

Claims Representative

Donegal Insurance Group

<div>
 
 
 
 
 
 Donegal Insurance Group
 
 &nbsp;is an insurance holding company whose insurance subsidiaries offer personal and commercial property &amp; casualty lines of insurance.
 
 
 
 
 Headquartered in Lancaster County, Pennsylvania, along with four (4) regional offices located in:&nbsp;
 
 Athens, GA, Grand Rapids, MI, Albuquerque, NM, and Glen Allen, VA
 
 , our steady growth and successes have allowed us to establish a culture of which we're proud. Check out our&nbsp;
 
 Glassdoor
 
 &nbsp;profile where our rating speaks for itself.
 
 
 
 
 At Donegal, our values are founded on supporting the independent agency system, providing best-in-class service, and building relationships customers can trust. By joining the Donegal family, you would be joining a team of dedicated, hard-working employees, all with a common goal of providing peace of mind to our policyholders and being there when it matters most.
 
 
 
 
 
 
 
 
 
 
 
 Job Summary
 
 
 
 
 
 
 
 
 Donegal Insurance Group has an opening for a&nbsp;
 
 Claim Representative&nbsp;
 
 on our Casualty Claims team handling Bodily Injury Claims.
 
 
 
 
 
 
 
 
 As a member of our Claims team, this position&nbsp;is responsible for the handling casualty claims in compliance with established company standards and guidelines. Ideal candidate will possess strong interpersonal and analytical skills with a strong technical knowledge of claim handling procedures.
 
 
 
 
 
 
 
 
 
 
 
 Responsibilities and Duties
 
 
 
 
 
 
 
 
 <ul>
 <li>
 
 
 Investigate, evaluate, and settle claims as assigned by the Supervisor
 
 
 </li>
 <li>
 
 
 Monitor and direct file handling being performed by Independent Adjusters, Appraisers, and Defense Counsel
 
 
 </li>
 <li>
 
 
 Report all pertinent information to the Underwriting Department
 
 
 </li>
 <li>
 
 
 Experience handling claims in litigation required
 
 
 </li>
 <li>
 
 
 Experience handling claims in Ohio, Indiana, and Michigan preferred
 
 
 </li>
 </ul>
 
 
 
 
 
 
 
 Qualifications and Skills
 
 
 
 
 
 
 
 <ul>
 <li>
 
 
 Minimum of 3 - 5 years of claims handling experience
 
 
 </li>
 <li>
 
 
 
 
 
 
 
 Bachelor&rsquo;s Degree preferred
 
 
 
 
 
 
 
 </li>
 <li>
 
 
 
 
 
 
 
 Ability to learn industry specific software applications applicable to performance of position responsibilities
 
 
 
 
 
 
 
 </li>
 <li>
 
 
 
 
 
 
 
 Attention to detail
 
 
 
 
 
 
 
 </li>
 <li>
 
 
 
 
 
 
 
 Strong organizational skills
 
 
 
 
 
 
 
 </li>
 <li>
 
 
 
 
 
 
 
 Ability to communicate effectively in written correspondence&nbsp;
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 and strong verbal skills
 
 
 
 
 
 
 
 </li>
 <li>
 
 
 
 
 
 
 
 Strong problem solving and decision-making skills
 
 
 
 
 
 
 
 </li>
 <li>
 
 
 
 
 
 
 
 Ability to meet deadlines
 
 
 
 
 
 
 
 </li>
 <li>
 
 
 
 
 
 
 
 Ability to manage time effectively and work independently
 
 
 
 
 
 
 
 </li>
 <li>
 
 
 
 
 
 
 
 Ability to relay coverage denials and liability denials
 
 
 
 
 
 
 
 </li>
 </ul>
 
 
 
 
 
 Starting Pay:
 
 
 
 &nbsp;The pay range for this position is $75,000 to $95,000 annually. The specific offer will vary based on an applicant's education, qualifications, professional experience, skills, abilities, and any applicable designations/certifications. The posted pay range reflects our ability to hire at different position titles and levels depending on background and experience. The pay range may also be adjusted based on an applicant's geographic location.
 
 
 The base pay is just one component of Donegal's total compensation package for employees. This role may also be eligible to participate in a discretionary annual incentive program. The amount of any bonus varies and is subject to the terms and conditions of the applicable incentive plan.
 
 
 Ongoing applications are being accepted.
 
 
 
 
</div>

Claim Representative - Bodily Injury

Hupy and Abraham, S.C.

<div>Hupy and Abraham, a personal injury law firm headquartered in Milwaukee, WI, is looking for a professional and motivated Customer Service Representative- Insurance Claims for the Milwaukee office. 
A career at Hupy and Abraham, S.C. is very rewarding, helping injured clients navigate through the complicated insurance process to get what they deserve.
The Customer Service Representative- Insurance Claims is responsible for opening new claims and working them until settlement. 
 
RESPONSBILITIES:<ul><li>
Represent our clients when negotiating their property damage insurance claim</li><li>
Resolve property damage claims (primarily Auto) to arrive at a settlement which may include following: vehicle, loss of use, sales tax title fees and any personal property that was damaged.</li><li>
Document all conversations and communication between the client, tow yard, insurance company and lienholder</li><li>
Prepare and obtain recorded statements from relevant parties as needed</li><li>
Accurately and expeditiously gather all case-related data and enter in appropriate systems</li><li>
Ensure the property damage file is complete with damages, reports, and photographs</li></ul>
 REQUIREMENTS:<ul><li>
Qualified candidates should have 2-5 years of experience in a customer related field</li><li>
Experience handling insurance property damage claims is preferred</li><li>
Strong interpersonal personal communication skills (telephone &amp; written)</li><li>
Must be able to travel locally using own vehicle as needed (5% of time). Valid driver's license and car insurance.</li><li>
Computer experience should include basic knowledge of Outlook, Word, and Excel</li><li>
Bilingual in Spanish and English preferred, but not required.</li><li>
Innovative problem resolution</li><li>
Ability to work independently</li><li>
Ability to multi-task and thrive in a fast-paced/dynamic environment</li><li>
High level of professionalism and confidentiality</li></ul> 
BENEFITS AT A GLANCE:<ul><li>
Medical Insurance</li><li>
Dental Insurance</li><li>
Vision Insurance</li><li>
Life Insurance</li><li>
Short Term Disability</li><li>
Long Term Disability</li><li>
Flexible Spending Accounts</li><li>
401(k) Plan</li><li>
Paid Time Off (PTO) for Holidays, Vacation, &amp; Personal Time</li></ul> 
Founded in 1969 in Milwaukee, personal injury law firm Hupy and Abraham, S.C. has a record of success, collecting BILLIONS for over 80,000 satisfied clients. With 11 offices in Wisconsin, Illinois and Iowa, the firm has a reputation of providing sound legal representation to accident victims and giving back to the community. The firm has donated more than $1 Million to thousands of charitable organizations.
Hupy and Abraham has received top rankings from national professional organizations and is voted best by the public. The firm and its staff have received over 250 awards praising its service and dedication to the legal field.
Prospective candidates are encouraged to note that Hupy and Abraham, S.C. participate in E-Verify, demonstrating our commitment to maintaining a legal and compliant workforce. Hupy and Abraham, S.C. is proud to be an Equal Opportunity Employer. As part of our hiring process, we perform pre-employment background checks.</div>

Customer Service Representative (Insurance Claims)

The RTA Store Inc

Pay: $17.00 - $19.00 per hourJob description:Claims RepresentativeLocation: Remote (Available in FL, GA, IL, MI, MA, NY, PA, TX, WI)You belong here!We&rsquo;re looking for enthusiastic Claims Representatives to join our growing team. Ideal candidates will have a strong background in inspecting customer order errors, have excellent problem solving skills, and have prior experience with customer resolution centric responsibilities. Customer service, verbal communication, written communication, and analytical skills are also essential.If you&rsquo;re passionate about customer satisfaction and problem solving , we&rsquo;d love to hear from you!What&rsquo;s Expected in the role:Key Responsibilities<ul><li>Serve as the primary liaison between customers, manufacturers, and carriers to resolve issues related to defective, damaged, or missing products</li></ul><ul><li>Communicate with customers via phone and email to assess issues and determine replacement needs</li></ul><ul><li>Collect and verify all required documentation and information to support customer claims</li></ul><ul><li>Process replacement orders accurately and efficiently</li></ul><ul><li>Track and follow up on claims to ensure timely submission and resolution</li></ul><ul><li>Maintain detailed records of cases and communications in internal systems</li></ul><ul><li>Collaborate cross-functionally with Operations, Customer Service, and Logistics teams</li></ul>Required Skills &amp; Qualifications<ul><li>Strong customer service orientation with a commitment to fast, thorough, and informative support</li></ul><ul><li>Excellent organization and multitasking abilities</li></ul><ul><li>Calm, professional demeanor when handling high-stress situations</li></ul><ul><li>Strong verbal and written communication skills</li></ul><ul><li>Proficiency in basic email and computer applications</li></ul><ul><li>Highly reliable, dedicated, and team-oriented mindset</li></ul><ul><li>Ability to manage multiple cases while maintaining attention to detail</li></ul>The ability to quickly learn and effectively manage the claims process, along with strong de-escalation skills, is essential for this role. Claims are often received at a point when customers may already be frustrated, making excellent customer service, clear communication, and strong problem-solving abilities critical to success. Candidates who can meet these expectations are encouraged to submit their resume for consideration in the interview process.What we&rsquo;re offering:● Comprehensive Benefits: Health, dental, and vision insurance, plus a 401(k).● Health &amp; Wellness: Weekly meditation sessions to recharge and stay balanced.● Remote Flexibility: Work from home while staying connected with a supportive team.● Work-Life Balance: Paid time off and flexible scheduling options. We are a remote-first company with no plans&mdash;unlike many e-commerce and tech companies&mdash;to go back to the office.● Growth &amp; Training: Ongoing development and coaching to sharpen your skills and expand your knowledge.Job Type: Full-timeBenefits:<ul><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: RemotePay: $17.00 - $19.00 per hourBenefits:<ul><li>401(k)</li><li>Health insurance</li><li>Paid time off</li><li>Parental leave</li><li>Vision insurance</li></ul>Work Location: Remote

Great American Insurance Group

<div>Be Here. Be Great. 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.
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.
Corporate Claims is currently seeking a Claims Representative/Senior Claims Representative/Claim Specialist to join the Reinsurance Claims department located in Cincinnati, Ohio. Great American&rsquo;s culture is built on connection, shared learning, and strong relationships. To support this, employees in this role are expected to be on-site four days a week, with the flexibility to work one day remotely. Core in‑office days are Tuesday&ndash;Thursday, with the fourth day determined by business needs. Open to full-time work from home for candidates living outside of greater Cincinnati.
The job grade will be commensurate with the years of experience and skill level of the candidate hired for the position.
Responsibilities
This individual will be part of a team responsible for the daily handling of reinsurance claims, including:<ul><li>
Reviews assumed reinsurance claims comprised primarily of asbestos, environmental, and other long-tail claims.</li><li>
Ensures that reinsurance claim cessions are within applicable contract requirements.</li><li>
Verifies coverage and cession amounts, and requests information from ceding companies to evaluate claim cessions.</li><li>
Prepares claim summaries on billed claims, posts claim reserves and prepares support for claim payments.</li><li>
Identifies potential claims issues and makes recommendations to management regarding claim disposition.</li><li>
Communicates reinsurance coverage positions as directed by management.</li><li>
Alerts management of substantial losses.</li><li>
Assists management with the preparation of summaries on significant losses for monthly reports to senior management.</li><li>
Documents and maintains records of loss submissions, reserves, queries, and payments.</li><li>
Ensure reinsurance claim transactions are recorded in a timely and accurate manner.</li><li>
Participates in reinsurance projects as needed.</li><li>
Provides guidance and assistance to other functional areas.</li><li>
Performs other duties as assigned.</li></ul>
Qualifications<ul><li>
Bachelor&rsquo;s degree or equivalent experience.</li><li>
Experience: 0-10 years of reinsurance claims experience. Some knowledge of reinsurance is preferred.</li><li>
Proficiency in Microsoft365 suite of products, specifically Excel.</li><li>
Familiarity with reinsurance contracts is a plus.</li><li>
Professional writing and oral communication skills.</li><li>
Ability to manage and prioritize concurrent assignments and responsibilities</li></ul>
This job is non-exempt in California and Washington
Business Unit:
Corporate Claims
Benefits:
We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits. 
Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.<ul><li> 
Excludes seasonal employees and interns.</li></ul></div>

Claims Representative/Senior Claims Representative/Claims Specialist-Assumed Reinsurance

Search 10000+ Insurance claims representative jobs near you this March. New roles added regularly across leading industries. Apply today.

10000 insurance claims representative jobs Near Me

Medical Insurance Claims Representative

Claims Representative (Home Warranty)

Claims Representative

Claim Representative - Bodily Injury

Customer Service Representative (Insurance Claims)

Claims Representative

Claims Representative/Senior Claims Representative/Claims Specialist-Assumed Reinsurance