510 Claims Processing jobs in the United States

Job Description

Job Summary:

We are seeking a detail-oriented and reliable Accounting Clerk to join our finance team. The ideal candidate will be responsible for a range of accounting duties including accounts payable, accounts receivable, general ledger maintenance, invoice processing , and reviewing store-level books to identify and verify overages or shortages .

• Process and record accounts payable and accounts receivable transactions accurately and in a timely manner

• Maintain and reconcile general ledger accounts

• Review and process invoices , ensuring accuracy and proper documentation

• Monitor and verify store-level financial records , identifying any discrepancies, overages, or shortages

• Investigate and resolve accounting discrepancies or irregularities

• Assist with month-end and year-end closing procedures

• Maintain organized and up-to-date financial records and files

• Support the Accounting Manager with additional tasks as needed

• High school diploma or equivalent required; Associate’s degree or higher in Accounting, Finance, or related field preferred

• Minimum of 2 years of accounting experience, preferably in a retail or multi-location environment

• Proficiency in Microsoft Excel and accounting software (e.g., QuickBooks, Sage, NetSuite, etc.)

• Strong attention to detail and high level of accuracy

• Excellent organizational and time management skills

• Ability to handle confidential information with integrity

• Strong analytical and problem-solving skills

• Office environment with potential occasional visits to store locations

• Standard business hours with occasional overtime during closing periods

Job Description

The Claims Processing Coordinator handles the preparation of Hydradry's claims and is responsible for communication with insurance company and adjusters for status of claims and supplemental payments.

Responsibilities:

• Review insurance breakdowns, send supplements and communicate with insurance companies.
• Communicate with other departments when insurance clarifications are needed.
• Work with accounting to facilitate collections.
• Keep detailed daily notes.
• Prepare invoices using Xactimate estimating software.
• Analyze customer balance statements to determine amounts owed.
• Send information to insurance company and adjusters.
• Prepare final paperwork, and collections.
• Answer phones and assist with all departmental tasks.
• Communicate with homeowners regarding insurance and collections.

Requirements:

• High School Diploma or Equivalent
• At least 1-2yrs of Customer Service and Computer Experience
• Prior Experience with Insurance Policies
• Prior Insurance Collections Experience
• Ability to communicate effectively with homeowners and insurance adjusters both in person and over the phone.
• Roofing knowledge, Florida Building Code knowledge, and understanding of insurance is a plus.
• Xactimate, Mica, Housecall Pro, Contents Track

**This Company Participates in E-Verify**

Our Company Culture is one that strives "to provide an exceptional employee experience which leads the way to delighted customers. We encourage our employees to achieve their personal and professional goals. Our continuous success is the result of our inclusive, collaborative, and positive environment .

We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall,

Job Description

Data entry and customer service. Must speak Spanish

Job Description

Maven is the world's largest virtual clinic for women and families on a mission to make healthcare work for all of us. Maven's award-winning digital programs provide clinical, emotional, and financial support all in one platform, spanning fertility & family building, maternity & newborn care, parenting & pediatrics, and menopause & midlife. More than 2,000 employers and health plans trust Maven's end-to-end platform to improve clinical outcomes, reduce healthcare costs, and provide equity in benefits programs. Recognized for innovation and industry leadership, Maven has been named to the Time 100 Most Influential Companies, CNBC Disruptor 50, Fast Company Most Innovative Companies, and FORTUNE Best Places to Work. Founded in 2014 by CEO Kate Ryder, Maven has raised more than $425 million in funding from top healthcare and technology investors including General Catalyst, Sequoia, Dragoneer Investment Group, Oak HC/FT, StepStone Group, Icon Ventures, and Lux Capital. To learn more about Maven, visit us at mavenclinic.com.

An award-winning culture working towards an important mission – Maven Clinic is a recipient of over 30 workplace and innovation awards, including:

• Fortune Change the World (2024)
• CNBC Disruptor 50 List (2022, 2023, 2024)
• Fortune Best Workplaces for Millennials (2024)
• Fortune Best Workplaces in Health Care (2024)
• TIME 100 Most Influential Companies (2023)
• Fast Company Most Innovative Companies (2020, 2023)
• Built In Best Places to Work (2023)
• Fortune Best Workplaces NY (2020, 2021, 2022, 2023, 2024)
• Great Place to Work certified (2020, 2021, 2022, 2023, 2024)
• Fast Company Best Workplaces for Innovators (2022)
• Built In LGBTQIA+ Advocacy Award (2022)

Maven is seeking a Manager, Member Benefit Services with deep, hands-on experience in fertility benefits to lead a team of 10+ Member Services Representatives. This role is ideal for someone who has worked directly with fertility patients and has a thorough understanding of the complexities of insurance coverage, billing, and reimbursement in the fertility space.

This role goes beyond people management — we're seeking a true fertility benefits expert who can take ownership of complex financial and insurance escalations. You will serve as a key subject matter expert on fertility-related billing issues, out-of-network claims, insurance coordination, and member financial tracking, driving timely and equitable solutions for our members, employers, and payer partners.

You'll play a pivotal role in shaping team culture and building scalable processes that ensure we continue delivering high-quality, empathetic care to members on their family-building journeys. We're looking for someone who is ready to roll up their sleeves, solve problems alongside their team, and inspire high performance through compassionate leadership.

For this role, we are seeking someone with flexibility to work a variety of shifts during business hours, primarily Monday through Friday, within Eastern U.S. time.

As a Manager, Member Benefit Services at Maven, you will:

• Be the ultimate people manager. Conduct regular one-on-ones, performance reviews, and development planning to promote employee growth and high-impact performance across a team of Member Services Associates and Senior Associates.
• Act as the primary escalation point for member issues and complex fertility-related financial and billing issues, driving problems to resolution while managing communication with key stakeholders.
• Learn the ins and outs of Maven's business and the day-to-day Member Benefit Services team responsibilities, diving in to directly master our various communication channels and reimbursement processes.
• Lead by example to ensure a culture focused on empathetic care, ensuring that the needs of our members are met in an exceptional manner.
• Directly answer member inquiries on inbound/outbound calls and Zendesk messages in times of high volume or during staffing gaps.
• Use your continuous improvement mindset to define and iterate on processes, making positive enhancements to drive efficiency, value, and accountability toward KPIs.
• Ensure team performance metrics are met; including but not limited to: productivity, response time, NPS, and CSAT.
• Report on MBS team metrics, KPIs, OKRs, to the director of MBS as well as cross functionally.
• Facilitate the team's alignment with broader organizational objectives and effectively lead through change.
• Review, maintain, and create MBS team SOPs, workflows, and communications to the team to ensure understanding and alignment on MBS team processes.
• Collaborate cross-functionally with our Care Delivery/Advocacy, Support, Operations, Product, Data, Provider Operations,

Job Description

Job Overview:

A Healthcare Claims Processing Specialist plays a crucial role in the insurance industry, ensuring that claims are handled efficiently and accurately. Here’s a detailed description of the role:

Claims Processing Specialist Responsibilities:

• Review and Evaluate Claims : Assess all types of healthcare insurance claims for accuracy and completeness.
• Investigate Claims : Analyze details to determine the level of liability, often involving communication with policyholders, claimants, and healthcare providers.
• Adjudicate Based on Plan Documentation : Work with plan documentation to adjudicate based on plan summary of coverages.
• Documentation : Maintain detailed records of all claim activities for review and auditing purposes.
• Compliance : Ensure all actions comply with company policies and legal requirements.
• Customer Service : Provide high levels of customer service by answering questions and providing information to all parties involved in the claims process.
• Fraud Detection : Identify and investigate potential fraudulent claims.
• Continuous Learning : Stay updated with changes in regulations, best practices, and industry trends.

Qualifications:

• Experience : Proven experience in a similar role within the healthcare insurance industry.
• Skills : Strong analytical, problem-solving, and negotiation skills. Detail-orientation a must. Excellent communication and customer service abilities.
• Technical Proficiency : Familiarity with insurance software and digital claim processing tools.

Job Description

Project Manager (“PM”) reports to the Directors of Claims Administration and serves as the liaison between the client and the professional staff. PM is responsible for managing multiple cases and related projects and client engagements simultaneously as well as scheduling, staffing, coordinating case workflow, and performing administrative tasks such as data entry and claim review in order to ensure timely completion of all case deliverables. PM possesses a strong work ethic, as well as strong computer skills, project management, analytical, interpersonal and organizational skills. PM is also expected to participate in and supervise a wide variety of ongoing projects. PM is required to make decisions in all but the most unusual matters with minimal assistance and learn independently to meet deadlines.

ESSENTIAL FUNCTIONS:

1. Performs diversified project management at all levels under the direction of the Directors.
2. Maintains contact with clients throughout the year regarding open matters and possess a thorough knowledge of the client and client activity.
3. Demonstrates competency in technical skills, work quality, and application of professional and departmental/firm standards.
4. Keeps Directors informed of important developments on each engagements, analyzes problems and recommends solutions.
5. Meets time constraints and client deadlines and works to develop responsible and trained staff.
6. Anticipates potential problems, risk areas and any questions that could arise for each engagement.
7. Directs and instructs administration staff in work to be performed and documentation management, where applicable.
8. Assists in the evaluation process of the professional staff assigned to their engagement team.
9. Plans, schedules and staffs engagements using departmental policies and procedures.
10. Possesses a complete knowledge of department’s philosophy and opinions.
11. Responsible for court filings, reports to counsel, and related materials.
12. Suggests client engagement planning ideas to the Directors.
13. Assists in the evaluation process of the professional staff assigned to their engagement team.
14. Works to develop responsible, trained staff by assisting in recruiting, developing training aids, etc.
15. Participates in practice development efforts.
16. Represents firm/department in community/professional associations.

When applying include a cover letter when uploading your resume.

RG/2 is an Equal Opportunity Employer.

Requirements

• Bachelor's degree
• 5+ years of direct experience in a claims administration firm.

Benefits

RG/2 is passionate about creating an inclusive workplace that promotes and values diversity. More importantly, creating an environment where everyone, from any background, can do their best work.

Our competitive salary commensurate with experience. Performance based bonus and a wide range of employee benefits and support programs that include:

• Business Casual Dress Code
• 401(k)/Employee’s Pension Plan
• Domestic Partner Benefits
• Employee Assistance Program
• Employee Resource Groups
• Global Fit / Walk My Mind
• Family/Dependent Care Leave
• Flexible Spending & Commuter Benefits
• Life/AD&D Insurance
• Long-term Disability Insurance
• Short-term Disability Insurance
• Sick Leave
• Vacation (20 days per year)
• Medical / Dental / Vision Insurance
• Back-Up Advantage Program
• Telemed (MeMd)
• Pet Insurance

We encourage you to apply if you are interested in contributing to the success of RG/2 while developing your career in a challenging and professional environment.

Job Description

RG/2 is seeking a Claims Analyst who will be responsible for handling data entry of claimant information, claim review, report processing and reconciliation, updating and maintaining the firm’s database and document management systems, electronic and telephonic communication with claimants, claim

Job Description

BCforward is currently seeking highly motivated Data Entry for an opportunity in Minneapolis, MN 55402

Position Title: Data Entry

Location: Minneapolis, MN 55402

Anticipated Start Date: 10/27/2025

Pay Rate: $15.96 hr on W2

Job Type: Hybrid 3 days in office 2 days remote

Job Description

• This role is high data entry with a large number of requests per month. Inputting data, validating data, inputting a file.
• They will be independently working to process the work by the end of the day.
• This team is not client facing at all, this is a back- end office support.
• The work is primarily data entry either via manual keying or uploading Excel files into a processing tool. The positions are not customer facing but more back-office support roles

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward’ s 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward’s 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class places to work.

BCforward is an equal opportunity employer.

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward’s 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class places to work.

BCforward is an equal opportunity employer.

Job Description

We are looking for a dedicated and meticulous individual to join our team as an Accounts Receivable Clerk in Bakersfield, California. This position involves working closely with a team of A/R clerks and sales representatives, requiring excellent communication and organizational skills. The ideal candidate will demonstrate the ability to manage multiple tasks while maintaining accuracy and attention to detail.

Responsibilities:

• Handle customer collections and ensure timely follow-ups to resolve outstanding balances.

• Process invoices and sales adjustments while maintaining accurate records.

• Accurately enter cash receipts and reconcile accounts to ensure financial integrity.

• Prepare and post balances, ensuring all transactions are accounted for correctly.

• Identify and report discrepancies, providing detailed and accurate reporting.

• Offer administrative support to the Accounts Receivable department as needed.

• Collaborate with the sales team and other departments to address inquiries and resolve issues.

• Maintain clear and effective communication with team members and clients, ensuring clarity and resolution of disputes.