Lead Claims Specialist - USFHP Pacific Medical Center IncLead Claims Specialist - USFHPRenton, WAAs a Lead Claims Specialist supporting the US Family Health Plan (USFHP) at Pacific Medical Centers, you'll be the go-to authority for adjudicating purchased services claims for our enrolled capitated population - resolving complex claim situations, managing advanced processing needs, responding to customer service requests with accuracy and efficiency, and applying your expertise in TRICARE reimbursement to ensure compliant, timely claims resolution for our military beneficiary population. Requsition ID: 452032 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: Hybrid Pay Range: $26.90 - $41.89
Claims Specialist Providence St. Joseph HealthClaims SpecialistSeattle, WATogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Monitors daily electronic claims transmission to research and resolve system and electronic clearinghouse claim rejection to maximize the number and percentage of patient bills processed without denials or errors.
Claims Specialist Providence Health & ServicesClaims SpecialistSeattle, WA$21.55–$33.53 / hourRequsition ID: 453362 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 OTHER FISCAL SERVICES WA Address: WA Seattle 1200 12th Ave S Work Location: PACMED Admin Bh-Seattle Workplace Type: Hybrid Pay Range: $21.55 - $33.53 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Senior Claims Specialist - USFHP Pacific Medical Center IncSenior Claims Specialist - USFHPRenton, WA$25.61–$39.88 / hourRequsition ID: 442924 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: On-site Pay Range: $25.61 - $39.88 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Claims Specialist - USFHP Pacific Medical Center IncClaims Specialist - USFHPRenton, WARequsition ID: 447122 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: Hybrid Pay Range: $21.55 - $33.53 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Senior Claims Advocate Alera GroupSenior Claims AdvocateTacoma, WashingtonSuccess in this role looks like effectively resolving complex claims issues, delivering clear and confident client communication, and enhancing the overall client experience through proactive advocacy and expertise. This role is responsible for managing claims activity, identifying coverage opportunities, and ensuring clients receive clear guidance and strong representation throughout the lifecycle of a claim.
WC Claims Consultant Alera GroupWC Claims ConsultantTacoma, WashingtonParticipate with or without Sales Executives in presentations to current clients, prospects, proposals, and RFP presentations. Provide assistance to clients seeking to enhance their return-to-work programs and light duty return to work opportunities.
NewSenior Claims Manager EPL - Remote Providence Health & ServicesSenior Claims Manager EPL - RemoteWashington, WARemoteRequsition ID: 455795 Company: Providence Jobs Job Category: Financial Transactions Job Function: Health Plans Services Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4008 SS RIS Address: CA Orange 1100 W Stewart Dr Work Location: St Joseph Hospital-Orange Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
NewSenior Claims Manager EPL - Remote Providence St. Joseph HealthSenior Claims Manager EPL - RemoteSeattle, WARemoteTogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Candidate must possess strong communication and litigation management skills to collaborate with business partners and defense counsel to direct litigation activities and claim outcomes while considering the overall impact to the company and individual stakeholders.
Data Entry Claims Intake Processor Remote Jobs SolutionsData Entry Claims Intake ProcessorColumbia, WashingtonRemoteWork collaboratively with other team members to ensure that work is completed in accordance to designated turnaround times. Additional Responsibilities: Perform quality review of other team members claims/authorizations according to established data entry guidelines.
Claims Specialist Lead The Progressive CorpClaims Specialist LeadFederal Way, WA$81,000–$107,000 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . As a claims specialist on our team, you'll play a critical role in our ability to successfully and efficiently resolve large-loss injury claims valued over $60k.
Claims Specialist Pacific Medical Center IncClaims SpecialistSeattle, WA$21.55–$33.53 / hourRequsition ID: 453362 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 OTHER FISCAL SERVICES WA Address: WA Seattle 1200 12th Ave S Work Location: PACMED Admin Bh-Seattle Workplace Type: Hybrid Pay Range: $21.55 - $33.53 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Sr. Claims Advocate Alera GroupSr. Claims AdvocateTacoma, WashingtonRemoteThe Senior Claims Advocate works with all Sales Executives, internal Propel staff in Commercial Lines Departments and externally with our Clients, Carriers and Vendors. Duties also include providing claims service for all Propel clients via our round robin assignment process providing technical expertise and servicing as an advocate on client claim issues.
Sr Manager, Life & Annuities Claims DXC Technology CoSr Manager, Life & Annuities ClaimsBellevue, WADXC Technology is a leading enterprise technology and innovation partner delivering software, services, and solutions to global enterprises and public sector organizations - helping them harness AI to drive outcomes at a time of exponential change with speed. With deep expertise in Managed Infrastructure Services, Application Modernization, and Industry-Specific Software Solutions, DXC modernizes, secures, and operates some of the world's most complex technology estates.
Appeals Specialist (Medical Claims) Northwest Administrators, Inc.Appeals Specialist (Medical Claims)Mountlake Terrace, WA$30.70–$41.54 / hourWe will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. The Appeals Specialist will assist in the operations of the Health and Welfare Claims Department and will primarily focus on member disputes and appeals.
Appeals Specialist Medical Claims Northwest Administrators IncAppeals Specialist Medical ClaimsFederal Way, WA$30.70–$41.54 / hourWe will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. The Appeals Specialist will assist in the operations of the Health and Welfare Claims Department and will primarily focus on member disputes and appeals.
Senior Director, AI & Data Science - Claims & Fraud Liberty Mutual Holding Company IncSenior Director, AI & Data Science - Claims & FraudWAWe''re hiring a Senior Director to lead the data science and AI team supporting our Medical, SIU (Special Investigations Unit), and Programs (MSP) Claims organization and Central Fraud Hub, building the models, decisions, and tools that shape how we detect fraud, resolve claims, and serve customers at scale. You''ll set the AI strategy for the space, lead a team of 15 data scientists, and partner directly with senior claims and fraud leaders to turn AI capabilities into operational changes that move the numbers that matter.
Senior Workers’ Compensation Claims Advocate GallagherSenior Workers’ Compensation Claims AdvocateSeattle, WashingtonFull timeKey responsibilities include: Consulting with clients and brokers on claims and coverage issues; Facilitating and attending client meetings and claims reviews; and Negotiating changes in reserves for a positive client outcome as appropriate by line of coverage. Gallagher's Claims and Risk Consulting team includes more than 100 safety and risk control professionals across the country with in-depth knowledge of current and emerging regulations, safety and health management, and operational exposures.
NewProfessional Liability Claims Advisor (Remote) Sedgwick Claims Management Services, Inc.Professional Liability Claims Advisor (Remote)WARemote$100,000–$145,000 / yearYou bring experience handling complex Medical Malpractice and/or Professional Liability claims, excel at investigating claims, evaluating coverage, and driving strategic resolutions, and thrive in a client-focused environment where you can manage high-exposure files, collaborate with defense counsel, and mentor others while delivering exceptional results. Mental: 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.
Liability Claims Examiner Sedgwick Claims Management Services, Inc.Liability Claims ExaminerWA$85,000–$105,000 / 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: To address and handle high end General Liability cases with serious injuries, complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution.