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Claims processor Jobs in High Point, NC

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Claims processor • high point nc

Last updated: 20 hours ago

Claims Operations Associate

W.R. BerkleyHigh Point, NC, United States
Full-time

Key Risk is looking for an enthusiastic Claims Associate professional who will be responsible for the management of low exposure workers' compensation claims.The Claims Associate will be responsibl...Show more

Licensed Clinical Mental Health Counselor

Global Outreach TeleRehabilitationHigh Point, NC, US
Part-time

Overview: Hybrid Teletherapy/ In-office Position: LCSW / MFT / LMHC/ Job Opportunity.Newly fully Licensed Therapist Welcome!).About The Employer: Global Outreach Tele-Rehabilitation Services, Inc i...Show more

Remote Financial Services Fraud Investigation Expert - AI Trainer ($60-$80 per hour)

MercorHigh Point, North Carolina, US
Remote
Full-time

Role Overview** Mercor is partnering with leading AI labs on **Project Atlas** — an initiative to build realistic enterprise environments that frontier AI agents are trained and evaluated in.We're ...Show more

Critical Care Physician

Global Medical StaffingThomasville, North Carolina, US
Full-time

Critical Care physician job in North Carolina : Global Medical Staffing - Ready to start an exhilarating experience in healthcare? Pick up the phone and call Global Medical Staffing today.Scheduled...Show more

 • Promoted

Remote Claims Operations Expert - AI Trainer ($55-$80 per hour)

MercorHigh Point, North Carolina, US
Remote
Part-time

What you'll do** Mercor is partnering with leading AI labs to advance frontier agent evaluations in claims operations.As a Claims Operations Expert, you'll build long-horizon claims tasks that mirr...Show more

Medical Billing and Coding - Entry Level Training Program

DreamboundThomasville, North Carolina, United States
Full-time

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ...Show more

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Leave of Absence Coordinator

Old Dominion Freight LineThomasville, NC, United States
Full-time

Are you someone who never rests on their laurels, always strives to go above and beyond, and is committed to keeping your PROMISES? Do you appreciate a company culture that is open, fosters work-li...Show more

A NC Facility Is Looking for a Locum Tenens Critical Care Medicine Physician

HealthEcareers - ClientThomasville, NC, USA
Full-time

Ready to start an exhilarating experience in healthcare? Pick up the phone and call Global Medical Staffing today.Scheduled clinical hours plus call with beeper and low callback rate.Ventilation ma...Show more

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HR Generalist

Hospice of the Piedmont (North Carolina)High Point, NC, United States
Full-time

Schedule: Monday-Friday, 8am-5pm.Location: Asheboro, NC office with expectation to regularly travel to the High Point, NC office.The HR Generalist plays a critical role in supporting core human res...Show more

Accounts Receivable Specialist

Bethany MedicalHigh Point, NC, US
Full-time
Quick Apply

Job Description ACCOUNTS RECEIVABLE SPECIALIST (FULL-TIME) “The Largest Independent Established Multi-Specialty Group in Central North Carolina is Seeking a Full-Time Accounts Receivable Specialist...Show more

Customer Service Representative - State Farm Agent Team Member

Barry Collins - State Farm AgentArchdale, NC, US
Full-time

Hourly pay plus commission/bonus.As a Customer Service Representative - State Farm Agent Team Member with Barry Collins - State Farm Agent, you will generate the kind of exceptional customer experi...Show more

Permits Specialist I or II

City of High PointHigh Point, NC, United States
Full-time

This job opening may close earlier than the stated date, due to high candidate volume.If interested, we encourage you to apply as soon as possible.At the City of High Point, we celebrate the creato...Show more

Machine Operator (3rd Shift)

Tenn-Tex Plastics, Inc.USA_Colfax_NC_8011 National Service Rd
Full-time

Come join a team where People make the difference!As a part of Marmon Holdings, Inc.Under broad supervision, responsible for conducting internal quality controls concerning particular areas or comp...Show more

Customer Service Representative - State Farm Agent Team Member

Kyle Mills - State Farm AgentHigh Point, NC, US
Full-time

As a Customer Service Representative - State Farm Agent Team Member with Kyle Mills - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a...Show more

Human Resources Manager

BrassCraft Manufacturing CompanyThomasville,North Carolina,US
Full-time

Craft Your Career with BrassCraft Manufacturing Company!.The HR Manager, located in Thomasville, NC, is responsible for the day-to-day administration of policies and programs typically covering mos...Show more

Remote Personal Legal / Admin Expert - AI Trainer ($70-$90 per hour)

MercorHigh Point, North Carolina, US
Remote
Part-time

What you'll do** Mercor is partnering with leading AI labs to advance frontier agent evaluations in personal legal and admin.As a Personal Legal & Admin Expert, you'll build long-horizon tasks that...Show more

Sales Professional- Disaster Restoration, Construction

ServiceMaster Restore 4736 - ThomasvilleThomasville, NC, US
Full-time

Disaster Restoration Sales Professional.We are a growing disaster restoration company specializing in water, fire, smoke, mold, and biohazard/trauma cleanup services.Develop and grow a targeted net...Show more

Hybrid Pharmacist - 4 Days Retail/1 Day Remote (NC)

WALGREENSHIGH POINT, North Carolina, United States
Remote
Full-time

This role will be based out of our various retail locations throughout North Carolina along with one day per week.Responsible for ensuring the proper compounding, dispensation, review, and verifica...Show more

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Claims Operations Associate

Claims Operations Associate

W.R. BerkleyHigh Point, NC, United States
4 days ago
Job type
  • Full-time
Job description

Claims Associate

Key Risk is looking for an enthusiastic Claims Associate professional who will be responsible for the management of low exposure workers' compensation claims. The Claims Associate will be responsible for learning workers compensation laws and providing outstanding service to our clients. This is an entry-level position with no experience necessary.

Key functions include but are not limited to the following:

  • Maintain good lines of communication with employers, adjusters, and providers
  • Conduct investigation of workers' compensation claims assigned
  • Request medical notes, proper billing format, and other written/verbal information from employers and medical providers to determine appropriateness of payment of medical bills and whether a claim is truly medical only
  • Discuss with an employee, issues relative to whether a bill has been paid or whether travel or medical reimbursement has been issued
  • Timely and accurately reserve for claims assigned
  • Document medical notes and relevant written and oral communication received relative to claims in the log notes
  • Discuss with an employer, issues relative to an injured workers' return to work status
  • Index images as needed
  • Identify potential subrogation claims and notify appropriate supervisor
  • Actively work with mentor and supervisor to develop skills to handle all technical aspects of claims, including coverage, disability benefit management, medical management, litigation management, file management, subrogation, reserving and settlement
  • Maintain and demonstrate knowledge of the Workers' Compensation Act and Rules and Regulations in jurisdictions assigned
  • Immediately notify management of large exposures

This position requires the individual to commute to our High Point NC office location.

Qualifications

  • BA/BS Degree
  • Demonstrate exceptional oral and written communication skills
  • Demonstrate functional understanding of basic medical terminology
  • Superior organizational skills and attention to detail
  • Evidence of self-motivation and requires general supervision
  • Possess creative problem-solving skills
  • Ability to manage multiple priorities and coordinate tasks
  • Complies with state adjuster licensing requirements where applicable. (We allow 6 months to obtain license)
  • Commitment to increasing knowledge of workers compensation

Additional Company Details

We do not accept any unsolicited resumes from external recruiting agencies or firms. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Sponsorship Details

Sponsorship not Offered for this Role