Claims Specialist

Position: Claims Specialist Location: Remote Duration: FTE/ Direct Hire Responsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments. Review and analyze the claim nuances, eligibility review, and type of claims (intermittent or continuous) Review and analyze medical information (i.e. attending physician

Job Title: Claims Specialist with FineOS Location: Remote Responsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments. Review and analyze the claim nuances, eligibility review, and type of claims (intermittent or continuous) Review and analyze medical information (i.e. attending physician repo

Position: Claims Representative - Liability Duration: 02+ Months contract length. Contract extension and/or Conversion to direct employee is possible Location: 100% Remote ship Required. Manager Notes: Any specific skill/ certification/ experience: 3-4 years bodily injury claims low exposure up to 25KYears of experience: 3-4years Job Description: Duties: To process low level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards a

Claims Resolution Representative: Remote Job Summary: The Claims Resolution Representative plays a vital role in ensuring accuracy and adherence to the applicable guidelines. This position serves as a crucial liaison between members, providers, agencies, and the internal claims department, demonstrating leadership, collaborative skills, and commitment to achieving results. *This position is remote within the United States, but applicants can expect to work Eastern Time regular business hours wit