Claims Specialist Project Resources GroupClaims SpecialistCharlotte, North Carolina$19–$23 / hourResolve and negotiate claims recovery of repair and replacement costs on third-party cable/fiber and utility damages across multiple state lines, via phone, email, and letters. Use photographs, narratives, job costs, site sketches, locate tickets, and other components on-site field investigators provide to visualize and understand the damage scene to defend liability accurately.
NewExperienced Catastrophe Claims Representative Auto-Owners Insurance CoExperienced Catastrophe Claims RepresentativeRaleigh, NCOur group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. The position requires the following, but is not limited to: Frequent travel up to 21 days at a time and is required upon short notice to location of catastrophe, which would most likely be out of state.
Annuity Claims Specialist -Remote Synergistic Systems IncAnnuity Claims Specialist -RemoteCharlotte, NCRemoteFull timeAnnuity Claims Specialist responsibilities include the following: - Contestable claims review will require an evaluation of the cause of death and validating that there was no material misrepresentation with the original health history that was used at the time of the policy issue, or that was provided during a reinstatement that required medical underwriting. - Policy reinstatement requests will include evaluating client responses to medical questions, medical examinations, lab work, or review of physician’s records to complete the underwriting risk evaluation to determine whether a lapsed policy should be placed back in force.
Claims Examiner - Workers Compensation | Jurisdiction: Southeast states | Licensing: FL or Home state required - Remote Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation | Jurisdiction: Southeast states | Licensing: FL or Home state required - RemoteNCRemote$70,000–$90,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Claims Adjuster - Workers Compensation | Jurisdiction - NC | Licensing: NC - (Remote, Must Reside in NC) Sedgwick Claims Management Services, Inc.Claims Adjuster - Workers Compensation | Jurisdiction - NC | Licensing: NC - (Remote, Must Reside in NC)NCRemoteMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Claims Adjuster - Workers Compensation | Jurisdiction: FL, AZ, TN | Licensing: FL Required - Remote Sedgwick Claims Management Services, Inc.Claims Adjuster - Workers Compensation | Jurisdiction: FL, AZ, TN | Licensing: FL Required - RemoteNCRemote$55,000–$71,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE To analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Claims Examiner Workers Comp - Southeast (FL, GA, NC, SC, AL, AR, KY) Sedgwick Claims Management Services, Inc.Claims Examiner Workers Comp - Southeast (FL, GA, NC, SC, AL, AR, KY)NCRemoteMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE To analyze claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Customer Service Representative - State Farm Agent Team Member Clay HamiltonCustomer Service Representative - State Farm Agent Team MemberFuquay-Varina, North Carolina$40,000–$75,000 / yearROLE DESCRIPTION: As a Customer Service Representative- State Farm Agent Team Member with Clay Hamilton- State Farm Agent, you will generate the kind of exceptional client experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Claims Specialist Project Resources Group IncClaims SpecialistCharlotte, NC$19–$23 / hourAs a leading provider of construction management, outside plant damage assessment & recovery, business outsourcing and consulting services, PRG offers services within the cable, telephony, construction and utility industries, including: Back Office Processing. Resolve and negotiate claims recovery of repair and replacement costs on third-party cable/fiber and utility damages across multiple state lines, via phone, email, and letters.
Claims Consulting Director (Liability Construction Defect) CNA Financial Corp.Claims Consulting Director (Liability Construction Defect)Charlotte, NC$97,000–$189,000 / yearIn District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $97,000 to $189,000 annually. In conjunction with senior level management, works within assigned limits of the broadest authority on assignments requiring the highest degree of technical complexity and coordination.
NewForward Deployed Engineer NutrientForward Deployed EngineerRaleigh, North CarolinaAs a Forward Deployed Engineer (FDE) on our Sales team, your work starts with a customer: You will find the document problem that is actually costing them money, and build the working solution yourself, on their documents, that works with or within their environment, against a scorecard we agree on before we start. Recent engagements have meant SharePoint and Salesforce integrations, AWS Bedrock models, NET services behind consistent-hash routing, bulk export pipelines, and database archiving.
Claims Adjuster - Workers Compensation | Jurisdiction: TX, MN, MI | Licensing: TX or Home State required - Remote Sedgwick Claims Management Services, Inc.Claims Adjuster - Workers Compensation | Jurisdiction: TX, MN, MI | Licensing: TX or Home State required - RemoteNCRemote$60,000–$85,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
Surveillance Investigator Allied UniversalSurveillance InvestigatorCharlotte, North CarolinaThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistNC$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
Claims Intern W. R. Berkley CorpClaims InternHigh Point, NCOffering guaranteed cost options to employers nationwide, Key Risk focuses on delivering products and services within specialized verticals to reduce workers'' compensation exposures and deliver industry-leading results. The program immerses you in workers' compensation insurance business, provides you with the opportunity to showcase and hone your skills, enhances your business knowledge and professional growth, encourages networking and offers assignments/projects in specific areas of study.
Revenue Cycle Account Reimbursement Specialist Phaxis LLCRevenue Cycle Account Reimbursement SpecialistCharlotte, NCThe ideal candidate has strong medical billing knowledge, understands payer requirements, and is comfortable collaborating with clinical and revenue cycle teams to address issues affecting billing and collections. This position is responsible for resolving complex insurance claims, analyzing denial trends, submitting appeals and reconsiderations, and ensuring timely, accurate reimbursement.
Residential Sales Specialist ($135-175k) Premier Roofing CompanyResidential Sales Specialist ($135-175k)Apex, North Carolina$135,000–$175,000 / yearWith most of your pipeline coming from door-to-door prospecting, referrals, networking, and territory development, supplemented by company-generated, warm leads through our in-house R3 marketing system, this opportunity offers some security and lucrative earnings for above-average, motivated sales professionals. If you've built your career in home improvement, roofing, construction, or insurance-claims sales — and know how to create opportunities, build relationships, and close deals — we want to talk to you.
HOA Manager RS FincherHOA ManagerApex, NCFull timeMaintain files and records (minutes, bylaws, covenants, policies, contracts, financials, insurance, correspondence, work orders, invoices, etc.). the Association between governmental officials, legal, independent contractors, homeowners and other entities with the.
Claims Representative III W. R. Berkley CorpClaims Representative IIIHigh Point, NC$70,000–$90,000 / yearAnalyzes and processes workers' compensation claims by investigating and gathering information to determine the exposure on the claim• Negotiates settlement of claims up to designated authority level and makes claims payments• Calculates and assigns timely and appropriate reserves to claims and continues to manage reserve adequacy throughout the life of the claim• Calculates and pays benefits due; approves all claim payments; and settles claims within designated authority level• Develops and manages claims through well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolution• Prepares necessary state filings within statutory limits• Actively manages the litigation process; ensures timely and cost-effective claims resolution• Coordinates vendor referrals for additional investigation and/or litigation management• Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims• Frequently communicates with all appropriate parties involved with the claim• Maintains professional client relationships• Actively executes appropriate claims activities to ensure consistent delivery of quality claims services. Qualifications: 3-5 years of workers' compensation claims management experience• Adjuster license strongly desired or ability to obtain license within six months• In depth knowledge of appropriate insurance principles and laws of workers' compensation, preferably jurisdiction specific• Strong written and verbal communication skills• Strong interpersonal, time management and organizational skills• Strong negotiation skills• Proven critical thinking skills that demonstrates analysis/judgment and sound decision making with focus on attention to detail• Ability to perform with a sense of urgency• Ability to work both independently and within a team environment• Ability to travel for business purposes, approximately less than 10%.
Claims Intern BerkleyClaims InternHigh Point, North CarolinaOffering guaranteed cost options to employers nationwide, Key Risk focuses on delivering products and services within specialized verticals to reduce workers' compensation exposures and deliver industry-leading results. The program immerses you in workers’ compensation insurance business, provides you with the opportunity to showcase and hone your skills, enhances your business knowledge and professional growth, encourages networking and offers assignments/projects in specific areas of study.