Enterprise Architect - Hybrid Blue Cross Blue Shield of ArizonaEnterprise Architect - HybridPhoenix, ArizonaProvide technical expertise to propose level of effort projections, work breakdown structures and technical resource planning for proposed and current work to support the Project Management Office (PMO) and Project Review Board (PRB) Processes. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
EDI Technical Analyst (EDI 27X) - Hybrid Blue Cross Blue Shield of ArizonaEDI Technical Analyst (EDI 27X) - HybridPhoenix, ArizonaDevelops technical documentation, designs, analyzes, tests, provides end user support and training for new applications and data structures; and provides post-implementation review for systems and reporting to support customers and management. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
Mgr - Trading Partner Strategy - Hybrid Blue Cross Blue Shield of ArizonaMgr - Trading Partner Strategy - HybridPhoenix, ArizonaOwns the Edifecs EDI platform health, governance, and vendor relationship — including monitoring and alerting, SLA/KPI management, license tracking and management, capacity management, technical debt management, and any discipline that drives operational maturity and prevents outages. Serves as the cross-pillar operational excellence leader within TPDM, absorbing complexity that spans the EDI, ETL, and Delivery pillars; owning the TPDM Intake & Triage process; and driving strategic initiatives to completion.
NewSubro Claims Representative Associate GallagherSubro Claims Representative AssociateRolling Meadows, IllinoisRemoteFull timeHow you'll make an impact : As a Property Claims & Subrogation Representative, you will play an important role in delivering exceptional claims service while supporting efficient claim resolution and recovery efforts. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence.
Director, Agile Product Owner - Claim Analytics The Travelers CompaniesDirector, Agile Product Owner - Claim AnalyticsHartford, CT$120,400–$198,700 / yearThis can include capabilities such as interactive dashboards tracking auto claim metrics, self-service analytics for adjusters and managers, embedded analytics within claim workflows, AI-powered predictive models for auto loss trends, machine learning algorithms for automated triage and routing, natural language processing for claims documentation, computer vision for vehicle damage assessment, and telematics-driven insights-all developed in alignment with best practices and supported by robust data warehouse/mart development. The Product Owner is adept at problem solving, effective at communicating with business stakeholders and Senior Leaders, strong at analytic thinking, and committed to continuous learning-staying current with automotive industry trends, AI and machine learning advancements, emerging technologies, and analytics techniques while sharing knowledge across teams.
Supplemental Health Claims Manager American FidelitySupplemental Health Claims ManagerOklahoma City, OklahomaWork with Supervisors, highly skilled Colleagues and other departmental or divisional leadership to set and manage goals and performance expectations which support accurate, fair service and the timely claim processing which comply with state and federal regulations. *Actively manage staff and plans for the appropriate allocation and use of resources; analyze past workloads to determine future needs and identify service trends which may detract from providing quality service to the Customer.
Claims Negotiation Analyst (Out of Network Mandates) Horizon Healthcare ServicesClaims Negotiation Analyst (Out of Network Mandates)Newark, New JerseyPrepares written responses including negotiation outcomes by completing a written justification on how Horizon BCBSNJ adjudicated the initial and adjusted claim, but not limited to, benefits, contracts, payment and pricing methodology, proof of plan and providing explanation of benefits within regulated timeframes. $58,029 - $77,074 This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.
NewVeterans Claims Examiner U.S. Department of Veterans AffairsVeterans Claims ExaminerWashington, DC$90,925–$118,204 / yearMINIMUM QUALIFICATION REQUIREMENT: You may qualify based on your experience as described below: GS-13 Grade Level: SPECIALIZED EXPERIENCE: The applicant must document knowledge of a complex field of laws, regulations and Federal legislation pertaining to the full range of veterans benefits and a comprehensive and thorough knowledge of state, federal and local benefit programs to be able to explain them, both orally and in writing, to individuals of all educational backgrounds. Volunteer Experience: Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social).
Claims & Recovery Quality Assurance Analyst Allied SolutionsClaims & Recovery Quality Assurance AnalystCarmel, IndianaValidate, write, and format current and new procedure and process manuals to ensure they are consistent, well written, support system functionality and drive productive and compliant results. Perform Quality Assurance audits related to claim setup, adjudication, and settlement processes to ensure compliance with established procedures, state regulations, and carrier commitments.
Claims Coordinator, PSA Collectors Universe, Inc.Claims Coordinator, PSASanta Ana, CA$20.50–$23 / hourOur services span collectible trading cards, autographs, comic books, coins, video games, event tickets, and memorabilia. We grade, authenticate, vault, and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions.
Claims Adjuster Nursing Pro StaffingClaims AdjusterRochester, New YorkWe're seeking a dynamic and knowledgeable individual to join our team and make a significant impact in incident claim liability mitigation through collaborative efforts with internal and external stakeholders and managing high case loads 1. 2-4 years of adjudicating worker's compensation and general liability claims at a high volume.
Auto Claims Desk Adjuster Hybrid Liberty Mutual Holding Company IncAuto Claims Desk Adjuster HybridLiberty Lake, WAYou'd be a great fit if you are: An Empathetic Service Professional: When a claim is received, you skillfully pick up the phone and use your customer centricity and problem-solving skills to confidently assure our customers that you are there to guide them through the process. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
Express Claims Adjuster Amwins Global Risks UK LtdExpress Claims AdjusterPlano, TXResponsibilities: Establish timely contact and build rapport with all applicable parties to a claim (insureds, drivers, witnesses, etc.), gathers facts of the loss and clearly explains the claims process. In the fast-paced environment of auto claims, this role requires strong oral, written, analytical, decision making and organizational skills and lends itself to considerable career growth potential.
NewCommercial General Liability Claims Examiner | Remote King'S Insurance StaffingCommercial General Liability Claims Examiner | RemoteNewark, New JerseyRemoteOur client, a well-established organization within the Property & Casualty insurance industry, is looking to add an experienced Commercial General Liability Claims Examiner to its New Jersey claims team. In this role, the Claims Adjuster will manage a caseload of moderate to complex Commercial General Liability claims from initial assignment through final resolution.
NewAuto Claims Desk Adjuster Hybrid - Chandler, AZ Liberty Mutual Holding Company IncAuto Claims Desk Adjuster Hybrid - Chandler, AZChandler, AZYou'd be a great fit if you are: An Empathetic Service Professional: When a claim is received, you skillfully pick up the phone and use your customer centricity and problem-solving skills to confidently assure our customers that you are there to guide them through the process. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
NewAuto Claims Desk Adjuster Hybrid - Liberty Lake, WA Liberty Mutual Holding Company IncAuto Claims Desk Adjuster Hybrid - Liberty Lake, WAliberty lake, WAYou'd be a great fit if you are: An Empathetic Service Professional: When a claim is received, you skillfully pick up the phone and use your customer centricity and problem-solving skills to confidently assure our customers that you are there to guide them through the process. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
Senior Claims Specialist Liberty Mutual Holding Company IncSenior Claims SpecialistMinneapolis, MNThe full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
NewAuto Claims Desk Adjuster Hybrid - Suwanee, GA Liberty Mutual Holding Company IncAuto Claims Desk Adjuster Hybrid - Suwanee, GASuwanee, GAYou'd be a great fit if you are: An Empathetic Service Professional: When a claim is received, you skillfully pick up the phone and use your customer centricity and problem-solving skills to confidently assure our customers that you are there to guide them through the process. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
NewAuto Claims Desk Adjuster Hybrid - Lake Mary, FL Liberty Mutual Holding Company IncAuto Claims Desk Adjuster Hybrid - Lake Mary, FLLake Mary, FLYou'd be a great fit if you are: An Empathetic Service Professional: When a claim is received, you skillfully pick up the phone and use your customer centricity and problem-solving skills to confidently assure our customers that you are there to guide them through the process. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
Senior Commercial General Liability Claims Adjuster - Retail GallagherSenior Commercial General Liability Claims Adjuster - RetailRolling Meadows, IllinoisRemoteFull timeThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. How you'll make an impact : Apply claims management experience to execute decision-making to analyze claims exposure and litigation, plan the proper course of action, and appropriately resolve claims.