Which cities near Baton Rouge, LA have the most job openings?

The 10 cities near Baton Rouge, LA that have the most job openings are: College Station Lafayette Pearland Pasadena Jackson Shreveport Mobile Montgomery Little Rock New Orleans

What are the most popular job searches in Baton Rouge, LA?

The 10 most popular job searches in Baton Rouge, LA are: amazon work from home civil service government warehouse overnight nurse rn registered nurse night

What are the highest-paying jobs in Baton Rouge, LA?

The highest-paying jobs are: hospitalist ( from $ 37,500 to $ 300,000 year ) embedded software engineer ( from $ 164,200 to $ 241,000 year ) software engineering manager ( from $ 123,263 to $ 241,000 year ) chief operations officer ( from $ 52,474 to $ 237,120 year ) chief operating officer ( from $ 92,623 to $ 225,000 year ) engineering director ( from $ 173,550 to $ 222,494 year ) associate dentist ( from $ 78,000 to $ 220,000 year ) technical product manager ( from $ 157,790 to $ 219,400 year ) software development engineer ( from $ 117,085 to $ 219,185 year ) owner operator ( from $ 66,300 to $ 217,100 year )

Which cities in the United States of America offer the highest salaries for claims examiner jobs?

The top 10 cities are: Chicago, IL ( from $ 59,093 to $ 110,000 year ) New York, NY ( from $ 53,579 to $ 102,500 year ) Los Angeles, CA ( from $ 47,790 to $ 91,166 year ) Phoenix, AZ ( from $ 40,950 to $ 88,875 year ) Orlando, FL ( from $ 38,660 to $ 82,269 year ) Philadelphia, PA ( from $ 37,500 to $ 82,125 year ) Houston, TX ( from $ 37,000 to $ 75,000 year )

Claims examiner Jobs in Baton Rouge, LA

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Claims examiner • baton rouge la

Last updated: 5 hours ago

Claims Specialist

Leading Utilities OrganizationBaton Rouge, LA, United States

Full-time

Strategic Staffing Solutions Has An Opening!.This is a contract opportunity with our company that must be worked on a W2 only.No C2C eligibility for this position.Visa sponsorship is available! The... Show more

Provider Disputes Support Specialist

Tier4 GroupBaton Rouge, Louisiana, United States

Part-time

Quick Apply

Provider Disputes Support Specialist.Put Your Healthcare Claims Experience to Work.Are you a healthcare or insurance professional who is highly organized, detail-oriented, and great at keeping mult... Show more

Entry Level Medical Billing Assistant

Revel StaffingBaton Rouge, Louisiana, United States

Full-time

Quick Apply

The Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative wor... Show more

Case Manager/Insurance Liaison

Medical Mediation Services, LLCBaton Rouge, Louisiana, United States

$10.00 hourly

Part-time

Quick Apply

Part-time internships/positions.Looking for 1-2 personable individuals who are positive, persistent, and eager to learn.On-the-job training will be provided to help with the management of medical a... Show more

Divisional/Subsidiary Assistant Vice President - Claims

Great American Insurance GroupBaton Rouge, LA, United States

Full-time +1

Summit provides independent insurance agents and their clients with market-leading workers' comp insurance and elite customer service.We're growing and currently serve more than 7,000 independent a... Show more

Field Roof Inspector - (Baton Rouge, LA)

Hancock Claims Consultants TechniciansBaton Rouge, LA, US

Permanent

Quick Apply

Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management.At Hancock, we are a... Show more

Senior Claims Representative - REMOTE

RyderBaton Rouge, LA, United States

Full-time

Senior Claims Representative - REMOTE.The Senior Claims Representative handles complex and mid-to-high exposure bodily injury and property damage claims under Ryder's self-administered liability pr... Show more

Licensed Property & Casualty Insurance Agent

The Campbell GroupBrusly, LA, US

Full-time

Quick Apply

Tired of Finding Your Own Opportunities? We provide LIVE LEAD transfers!.In this role, you will provide comprehensive advice to clients regarding property and casualty insurance, assess their risk ... Show more

TPL & Coordination of Benefits Analyst

University of New OrleansBaton Rouge, LA, United States

$60.00 hourly

Full-time

Responds to provider, health plan, and member phone calls and correspondence related to the coordination of benefits between Medicaid and other primary insurance sources.Investigates billing and pa... Show more

Client Manager

Arthur J Gallagher & CoBaton Rouge, LA, United States

Full-time

Client Manager On Our Employee Benefits Team.At Gallagher, we believe in shaping a future defined by excellence.As a Client Manager on our Employee Benefits team, you'll be at the heart of our comm... Show more

Affirmative Civil Enforcement Investigator

SGI Global, LLCBaton Rouge, LA, USA

$70,000.00 yearly

Full-time

Quick Apply

SGI Global is seeking an Affirmative Civil Enforcement Investigator for the United States Attorney's Office (USAO) in Baton Rouge, Louisiana.The Investigator will provide investigative services rel... Show more

Remote Insurance Experts - AI Trainer ($50-$60 per hour)

MercorBaton Rouge, Louisiana, US

Remote

Full-time

Role Overview** - Mercor is seeking senior insurance professionals to build evaluation tasks for AI systems operating in Fortune 500 enterprise insurance and risk contexts.The workflows are calibra... Show more

Risk Management Manager 3

Franciscan Missionaries of Our Lady Health SystemBaton Rouge, LA, United States

Full-time

Responsible for the coordination of the clinical risk management program in hospital affiliate entities.Collects and analyzes variance data, assesses potentially dangerous and unsafe events, promot... Show more

Network Contractor Provider Network Management

Blue Cross Blue Shield of MichiganBaton Rouge, LA, United States

Full-time

The primary responsibility of the Network Contractor is contracting providers, the contracting and re-contracting of providers in an established market.Supports network development strategy.Respons... Show more

Claims Appraiser - Auto Estimatics

State FarmBaton Rouge, LA, United States

$63,089.65–$82,000.00 yearly

Full-time

Being good neighbors helping people, investing in our communities, and making the world a better place is who we are at State Farm.It is at the core of how we operate and the reason for our success... Show more

Workers Compensation Claims Trainee - Southeast

GallagherBaton Rouge, Louisiana

$60,000.00 yearly

Full-time

About the INVEST Program Are you a recent college graduate looking for a long-term, stable, innovative and exciting career that helps make a meaningful difference and supports people through challe... Show more

Commercial Claims Adjuster - Carrier or TPA - REMOTE

Work At Home Vintage ExpertsBaton Rouge, LA, US

Remote

Full-time +2

Quick Apply

Put your Insurance Experience to work – FROM HOME!.Our unique platform provides you with.WHAT YOU’LL LOVE ABOUT WAHVE.We created a welcoming place to work with friendly and professional... Show more

Recovery - Coordinator 1

Louisiana.govBaton Rouge, LA, United States

Full-time

Job Duties and Other Information.May serve as the subject matter expert in Third-Party Liability (TPL) Recovery issues related to Estate, Trauma, Special Needs Trusts, and/or restitution recoveries... Show more

Data Sciences Director

Virginia Farm BureauBaton Rouge, LA, United States

Full-time

Essential Functions & Qualifications.Identify actionable business insights hidden within existing reports and datasets.Communicate these insights to Executive Leadership Team to support strategic a... Show more

Account Associate - State Farm Agent Team Member

R.K. Mehrotra - State Farm AgentBaton Rouge, LA, US

$60,000.00–$80,000.00 yearly

Full-time

I opened my agency in 1997 and currently lead a team of 11.Before becoming a State Farm agent, I worked in Claims Management, where I developed a passion for helping customers through life's unexpe... Show more

Claims Specialist

Leading Utilities OrganizationBaton Rouge, LA, United States

19 days ago

Job type

Full-time

Job description

Strategic Staffing Solutions Has An Opening!

This is a contract opportunity with our company that must be worked on a W2 only. No C2C eligibility for this position. Visa sponsorship is available! The details are below.

Beware of scams. S3 never asks for money during its onboarding process.

Job Title: Claims Specialist

Remote Work Contract Length: 5 Months

Job Ref #: 247717

The claims specialist will support claims operations by accurately processing claims edits, determining primacy for coordination of benefits, adjusting previously paid claims, and initiating procedures to recover funds on overpaid claims. This position will analyze, investigate, and resolve problem cases, execute recovery processes, and complete special projects while complying with applicable laws and regulations.

Required Qualifications

High school diploma or equivalent
At least 2 years of medical claims-processing experience
Strong analytical ability, including logical, systemic, and investigative thinking
Strong oral and written communication skills
Strong human-relations skills
Working knowledge of relevant PC software
Ability to prioritize multiple streams of work effectively

Preferred Qualifications

Coordination of benefits processing experience
Hands-on experience determining which insurance plan pays first when a member has multiple sources of coverage
Experience identifying primary and secondary coverage
Experience reviewing and updating claims based on COB rules
Experience applying COB primacy rules, including subscriber status, effective dates, plan type, and Medicare coordination
Experience communicating with members, providers, and other insurers to verify coverage information
Experience correcting overpayments, initiating refunds or reprocessing claims, and maintaining accurate claim records
Experience working within claims systems and following regulatory and compliance requirements, including HIPAA

Responsibilities

Review, research, and update claims, including recalculating benefits on previously processed claims
Process claims edits according to contractual benefits and provider-reimbursement rules
Initiate refund requests when necessary
Identify denial codes, edits, and processing codes associated with coordinated and non-coordinated claims
Request medical records when required
Communicate orally and in writing with internal and external contacts to establish accurate claims records
Review quality audits for correction or routing within 48 hours of receipt
Research and determine the correct order of benefits for payment by applicable plans
Make necessary corrections to COB records
Notify the appropriate departments when Medicare has determined primacy incorrectly
Analyze, investigate, and resolve problem cases involving COB records, adjusted claims, and overpayments
Review previously processed claims to ensure payment consistency and maximize overpayment recovery
Execute procedures to recover funds from providers, subscribers, or beneficiaries when overpayments occur
Support training, implementations, documentation, and special projects
Assist with matters involving internal-audit findings, provider-status changes, and system errors
Perform other job-related duties within the scope of the position