Top 62 Claims Adjusters, Examiners, and Investigators Jobs in Fort Wayne, IN

Claims Specialist - Waiver Experience
Aging & In-Home Services of Northeast Indiana, Inc. —Fort Wayne, IN
- Full-time
- Hybrid work
- Background check
- Computer literacy
- HIPAA
- Health savings account
- Health insurance
Quick Apply
3d
Property Adjuster - Field Estimating - Fort Wayne, IN
Allstate —Fort Wayne, IN
- $68,000 - $95,000 a year
- Remote
- Background check
- Mid-level
- Driver's License
- Tuition reimbursement
- Work from home
5d
Claims Intake Specialist
Silkroad Tranz —Fort Wayne, IN
- $18.00 - $28.72 an hour
- 8 hour shift
- Microsoft Excel
- Microsoft Outlook
- HIPAA
Quick Apply
11d
Claims Adjuster - Attorney Represented Injury
Progressive —Fort Wayne, IN
- $63,100 - $89,800 a year
- Hybrid work
- Mid-level
- Office
- 3 years
- Health savings account
- Disability insurance
11d
Field Property Claims Adjuster-Fort Wayne, IN
Farmers Insurance Group —Fort Wayne, IN
- $25.96 - $34.62 an hour
- Full-time
- Background check
- Sales
- Computer literacy
- Paid training
- Paid parental leave
Claims Adjuster II - Workers' Compensation
Brotherhood Mutual Insurance Company —Fort Wayne, IN
- Computer literacy
- Mid-level
- Office
Claims Attorney
Brotherhood Mutual Insurance Company —Fort Wayne, IN
- Writing skills
- Office
- Bachelor's degree
Optometrist (O.D)
Matrix Providers —Fort Wayne, IN
- $80.00 - $85.50 an hour
- Per diem
- Mid-level
- 2 years
- Flexible schedule
Quick Apply
CDL A Owner Operator - OTR
Kavkaz Express LLC —Indiana
- $200,000 - $300,000 a year
- Call employer
- Owner-operator
- Addiction Medicine
- Dry van
- Fuel card
- Flexible schedule
Quick Apply
11d
CDL A Truck OTR Driver earning 2200-3100
Kavkaz Express LLC —Indiana
- $70,000 - $100,000 a year
- Call employer
- Addiction Medicine
- No touch freight
- CDL A
Quick Apply
11d
CDL A Truck OTR Driver earning 2200-3100
Kavkaz Express LLC —Indiana
- $70,000 - $100,000 a year
- Call employer
- Addiction Medicine
- No touch freight
- CDL A
Quick Apply
11d
Digital Forensics Examiner - AI Trainer
DataAnnotation —Indiana
- $50 - $100 an hour
- Part-time
- Remote
- English
- Mid-level
- Bachelor's degree
- Flexible schedule
Quick Apply
2d
Quality Engineer, Supplier Quality — Pharmaceutical Manufacturing
Yoh, A Day & Zimmermann Company —Indiana
- $55,000 - $75,000 a year
- Weekends as needed
- Bachelor of Science
- Mid-level
- 3 years
- Health savings account
- Disability insurance
Quick Apply
Claim Specialist II
Aon Corporation —Fort Wayne, IN
- $37,000 - $43,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- Bachelor's degree
- Commuter assistance
- Health savings account
Escrow Assistant
Near North Title Group —Fort Wayne, IN
- No experience needed
- Office
- Administrative experience
- Health savings account
- Paid holidays
Quick Apply
Forensic Scientist - Crime Scene Technician-Police
City of Fort Wayne —Fort Wayne, IN
- From $68,314.13 a year
- Weekends as needed
- Laboratory
- Spanish
- Mid-level
- Health insurance
- Paid time off
Quick Apply
13d
Sr Property Field Claims Rep
Indiana Farm Bureau Insurance —Fort Wayne, IN
- Remote
- Residential
- 3 years
- High school diploma or GED
Quick Apply
Processor
Meridian Title Corporation —Kendallville, IN
- Full-time
- Computer literacy
- Mid-level
- Office
Quick Apply
4d
ICF/IID Nurse Surveyor - North
State of Indiana —Fort Wayne, IN
- From $67,314 a year
- Overtime
- Remote
- Nursing
- RN License
- Mid-level
- Free parking
- Paid parental leave
Multi-Line Adj - Fort Wayne/Muncie, IN
Crawford & Company —Fort Wayne, IN
- Full-time
- Remote
- Sales
- Computer literacy
- Mid-level
- Paid parental leave
- Health savings account
Quick Apply

I want to receive the latest job alert for Claims Adjusters, Examiners, and Investigators in Fort Wayne, IN

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

Claims Adjusters, Examiners, and Investigators jobs near Fort Wayne, IN

Claims Specialist - Waiver Experience

Aging & In-Home Services of Northeast Indiana, Inc. -
Fort Wayne, IN

Quick Apply

Job Details

Full-time
3 days ago

Benefits

Health savings account
Health insurance
Dental insurance
Flexible spending account
Paid time off
Work from home
Employee assistance program
Vision insurance
403(b)
Life insurance
Retirement plan

Qualifications

Accounting systems
Computer literacy
Spreadsheets
HIPAA
Employee relationship building
Medicaid health insurance
Bachelor's degree
QuickBooks
Organizational skills
Medical claims submission
Medicaid
Productivity software
Negotiation

Full Job Description

*** WAIVER EXPERIENCE NEEDED***

Open to work in office, hybrid, or remote.

Summary/Objective

Performs all activities in coordination with Director Finance related to Claim Management for entities that the agency bills for services including Medicare, Medicaid, Managed Care, CHOICE, Older Americans Act, private-pay, and others. Maintains current knowledge of insurance payors to maximize reimbursement. Investigates denial and appeal issues and past-due appealed claims to optimize revenue performance in a timely manner.

Essential Duties/Responsibilities

· Track claims in real-time for department and evaluate issues affecting reimbursement as it relates to denial including investigate, evaluate, negotiate, and settle.

· Prepare reports in a timely and accurate manner for the State including claims for reimbursement, quarterly non-federal report, two-year compare, and all other required reporting.

· Submits charges and claims for services through specialized software, working rejections, processing and posting payments, handling program/patient billing inquiries, and ensuring claims are processed in a timely and effective manner.

· Develop and maintain proficiency on tools required to perform job tasks in a timely and accurate manner including specialized computer software.

· Develop and maintain depth of knowledge of accounting principles and practices, especially as they apply to billing for services.

· Regularly review program for compliance with all applicable guidelines, policies, standards, laws and regulations, and provide results to Director Finance.

· Ensure timely knowledge and understanding of new rules and regulations that affecting claims processing.

· Develop and maintain an accurate and thorough knowledge of all agency standards procedures, policies including Fiscal Department accounting standards and processes, and specialized computer software related to accounting functions specific to the agency and department-level contracts.

· Design Excel spreadsheets and maintain current Excel spreadsheets.

· Process all agency billing including Medicaid Waiver and other State funding in an accurate and timely manner ensuring codes are correctly assigned per government and insurance regulations.

· Communicate with supervisor on daily basis, and as needed, to report all areas of concern/issues/incidents.

· Serve as an example of agency Standard of Excellence by exemplifying agency vision and goals.

· Demonstrate professionalism in relationships with customers/co-workers/supervisors to build rapport while refraining from inappropriately familiar personal relationships.

· Comply with HIPAA and agency confidentiality policies and report any potential issues immediately.

· Complete and attest to accuracy of payroll records and submit for review and processing according to agency schedule.

Required Education and Experience

Minimum two years’ experience working and processing claims in medical/ insurance/ community organization. Computer proficiency in HCP Provider Portal for Medicaid Waiver. Must be proficient in creating and manipulating Excel spreadsheets. Must be familiar with Microsoft Office products and accounting software, such as QuickBooks or MIP.

Preferred Education and Experience

Four years’ experience in claims management with organization processing 10.000+ claims per month. Experience in fund accounting. Bachelor’s degree in accounting, or related field of study.

Benefits:

403(b)
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Retirement plan
Vision insurance
Work from home

Experience:

Medicaid Waiver billing: 5 years (Required)

Work Location: Hybrid remote in Fort Wayne, IN 46804

Quick Apply

Refine Your Search

Claims Adjusters, Examiners, and Investigators jobs in Fort Wayne, IN

Claims Specialist - Waiver Experience

Property Adjuster - Field Estimating - Fort Wayne, IN

Claims Intake Specialist

Claims Adjuster - Attorney Represented Injury

Field Property Claims Adjuster-Fort Wayne, IN

Claims Adjuster II - Workers' Compensation

Claims Attorney

Optometrist (O.D)

CDL A Owner Operator - OTR

CDL A Truck OTR Driver earning 2200-3100

CDL A Truck OTR Driver earning 2200-3100

Digital Forensics Examiner - AI Trainer

Quality Engineer, Supplier Quality — Pharmaceutical Manufacturing

Claim Specialist II

Escrow Assistant

Forensic Scientist - Crime Scene Technician-Police

Sr Property Field Claims Rep

Processor

ICF/IID Nurse Surveyor - North

Multi-Line Adj - Fort Wayne/Muncie, IN

I want to receive the latest job alert for Claims Adjusters, Examiners, and Investigators in Fort Wayne, IN

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected