Make high-volume outbound calls to investigate, bill, and maximize payments on medical claims to insurance companies. - Research auto accident details to determine responsible payers and submit bills and documentation. - Follow up on denied or incorrect payments and support team with reports, audits, and overall assistance.
Revecore helps hospitals recover earned revenue so they can continue serving patients and communities. Trusted by over 1,300 hospitals across 48 states, the company offers a supportive, innovative culture where employees are trusted to do their best work.
Manage the full lifecycle of PIP and Medical Payments claims, from coverage verification and investigation to settlement or denial.
Apply medical cost-containment strategies, coordinate experts, and identify subrogation opportunities while meeting compliance standards.
Work remotely within the US, maintaining accurate claim files and communicating professionally with claimants and stakeholders.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. The partner company is seeking a remote Associate PIP Claims Rep to handle Personal Injury Protection claims across multiple states in a structured, compliance-focused environment.
Manage accident-related accounts from intake to resolution, coordinating no-fault and liability benefits.
Submit claims to carriers, maintain accurate records in AcciClaim, and monitor insurance portals.
Work independently, set priorities, and communicate professionally with patients and adjusters.
Revecore helps hospitals recover revenue they've earned so they can continue serving patients and communities. Trusted by more than 1,300 hospitals across 48 states, the company combines specialized expertise with proprietary technology and fosters a supportive, innovative workplace.
Manage accounts receivable, including analysis of aged AR and identification of root cause issues.
Investigate, resolve, and appeal insurance claim denials, contacting payer representatives as needed.
Collaborate with internal teams and care center staff to drive optimal revenue cycle performance.
Privia Health is a technology-driven physician enablement company that partners with medical groups and health systems to optimize practices and improve patient experiences. It is led by top industry talent and physician leadership with a focus on scalable operations and cloud-based technology.
Monitor and manage post payment queues, conducting outreach and negotiation calls to providers.
Communicate with providers to verify understanding of NSA claims payments and regulations.
Maintain HIPAA compliance and document all conversations, payment rates, and counter offers.
Reliant Health Partners is an innovative medical claims repricing service provider that helps employers achieve maximum health plan savings. The company tailors services to each client’s needs and values a diverse, inclusive workplace.
Analyze complex liability claims to determine benefits and ensure timely resolution.
Negotiate settlements within authority and identify subrogation opportunities.
Communicate claim activity with claimants, clients, and excess carriers.
Sedgwick is a global risk and claims administration partner helping clients navigate the unexpected. With over 33,000 colleagues worldwide, we foster a caring, inclusive culture.
Investigate new claims, make liability/coverage decisions, and negotiate settlements for auto, property, and liability losses.
Manage outside adjusters and experts, ensure state compliance, and maintain required licenses.
Handle small claims suits and respond to time-sensitive arbitrations and DOI complaints.
ClaimsPro LP, part of Davies, provides insurance claims management services, handling liability, auto, property, and marine claims across the US. Davies is Canada's largest privately owned insurance services provider, fostering a culture of continuous learning and technical excellence.
Investigate, evaluate, estimate, and process property claims primarily by phone or internal communication channels.
Handle personal and commercial losses including structure, contents, ALE, scheduled property, and business income coverage.
Review independent adjuster and contractor work, assist with contents valuation, and maintain adjuster licensing.
Encova Insurance is a property and casualty insurance provider offering personal and commercial coverage to customers. The company fosters a collaborative culture focused on trust, inclusion, and delivering excellent results through its associates.
Guide customers through the claims process, investigating and processing claims for vehicle/property damage and moderate bodily injury.
Review coverage, set reserves, arrange inspections and rentals, and address customer inquiries to ensure satisfaction and retention.
Analyze medical records, negotiate settlements, and collaborate across departments and team members for a smooth claims experience.
Mercury Insurance helps people reduce risk and overcome unexpected events with auto and property insurance. As one of America's Best Midsize Employers for 2026, the company fosters a culture of growth, fun, and teamwork.
Manage an inventory of workers' compensation claims to evaluate compensability and liability.
Plan and conduct investigations to confirm coverage, determine damages, and negotiate settlements within authority limits.
Maintain detailed claim files, authorize timely payments, and represent the company at arbitrations, mediations, or trials.
National Interstate, a member of Great American Insurance Group, provides commercial transportation insurance and alternative risk transfer programs across all 50 states. Its dedicated team has earned multiple Top Workplace honors, with a culture built on integrity, transparency, collaboration, and employee development.
Receive medical claims from healthcare providers or patients and verify supporting documentation to ensure completeness.
Interpret Explanation of Benefits (EOB) and CMS-1500 forms, then evaluate claims against program-specific business rules for approval or rejection.
Provide support to customer inquiries via phone, email, or fax while maintaining HIPAA compliance and meeting daily productivity goals.
IQVIA is a leading global provider of clinical research services, commercial insights, and healthcare intelligence to the life sciences and healthcare industries. With operations in over 100 countries, they cultivate a diverse, collaborative culture focused on improving patient outcomes.
Collaborate with claimants, attorneys, medical providers, and insured businesses to ensure accurate, fair, and efficient claim outcomes.
This company provides workers' compensation claims management services, handling lost-time claims across multiple jurisdictions. The role is fully remote, emphasizing independent work, sound judgment, and high-quality service.
Investigates and processes commercial claims, evaluating coverage and damages within assigned authority.
Communicates directly with insureds, claimants, agents, and internal customers to resolve claims.
Documents claim files, negotiates settlements, and identifies fraud or subrogation potential.
Liberty Mutual is a global insurance company offering commercial and personal insurance products and services. With a fast-growing and inclusive culture, the company values employee development, well-being, and diversity across its large national workforce.
Adjudicate high-end General Liability claims involving serious injuries, complex coverage scenarios, and legal disputes.
Develop case strategies for satisfactory resolution, coordinating with local counsel, clients, and medical or legal experts.
Work in a remote, flexible environment with opportunities for career growth and comprehensive benefits.
Sedgwick is the world's leading risk and claims administration partner, helping clients navigate the unexpected with expertise and AI-enabled technology. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides a caring culture, professional development, and work-life balance.
Adjust the most complex and high exposure Allied Health claims requiring advanced technical expertise and negotiation.
Investigate coverage, draft reservation of rights, and manage litigation with defense counsel and experts.
Collaborate with internal and external stakeholders to drive optimal resolution strategies.
Integrated Specialty Coverages is a technology and data-driven commercial MGA and insurance wholesaler. Backed by Onex Partners, it combines insurance and technology to drive innovation and growth.
Manage the investigation, evaluation, and resolution of complex auto and homeowner's casualty claims, including severe and catastrophic injuries.
Collaborate closely with trial counsel and attend mediations, arbitrations, trials, hearings, and conferences.
Maintain accurate reserves, oversee counsel billing, and identify suspicious claims for SIU or subrogation.
Liberty Mutual is a global insurance company that provides property and casualty insurance, showing up for people in their toughest moments. With a large and diverse workforce, the company fosters an inclusive culture that values professionalism, integrity, and empathy, and invests in employees' growth and well-being.
Investigate, evaluate, negotiate, and resolve complex property claims, including litigated and environmental losses.
Conduct coverage analysis and collaborate with legal, engineering, and restoration experts on complex files.
Provide technical guidance, mentoring, and strong customer service in a fully remote environment.
The hiring company is an insurance organization specializing in complex property claims management and customer support. It operates as a fully remote Canadian team and emphasizes flexibility, professional development, and community involvement.
Investigate, evaluate, negotiate, and resolve personal auto and commercial transportation claims.
Manage claims of moderate complexity, including attorney-represented bodily injury cases.
Apply strong analytical and negotiation skills to evaluate settlement opportunities and manage exposure.
The company operates in the insurance claims industry, specializing in transportation claims management. It fosters a collaborative, technology-driven culture with a commitment to diversity and inclusion.
Analyze high-value and complex claims, ensuring alignment with carrier guidelines and regulatory requirements.
Oversee delegated claims operations and third-party administrators, monitoring compliance and quality.
Provide subject matter expertise and process improvements to strengthen claims governance and outcomes.
They are an insurance organization focused on claims governance, compliance, and operational performance. They are a growing company that prioritizes accountability, service quality, and effective risk management.