Claims Examiner | General Liability BI | Captive | Remote SedgwickClaims Examiner | General Liability BI | Captive | RemoteOlympia, WARemote$85,000–$100,000 / yearNewsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? Work environment requirements for entry-level opportunities include - Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.
Claims Examiner - Construction SedgwickClaims Examiner - ConstructionOlympia, WA$75,000–$100,000 / yearNewsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Construction Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? To analyze general liability claims involving New York labor law or construction defect 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, Auto | Bodily Injury | Litigation Required SedgwickClaims Examiner, Auto | Bodily Injury | Litigation RequiredOlympia, WA$75,000–$85,000 / yearNewsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Auto | Bodily Injury | Litigation Required **PRIMARY PURPOSE OF THE ROLE:** To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.
Claims Examiner, Commercial Trucking | Bodily Injury | Remote SedgwickClaims Examiner, Commercial Trucking | Bodily Injury | RemoteOlympia, WARemote$80,000–$85,000 / yearSkills:** in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws, knowledge of medical terminology for claim evaluation and Medicare compliance, knowledge of appropriate application for deductibles, sub-limits, SIR's, carrier and large deductible programs, strong oral and written communication, including presentation skills, and PC literate, including Microsoft Office products **Work environment requirements include -** Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Commercial Trucking | Bodily Injury | Remote **PRIMARY PURPOSE OF THE ROLE** To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.
Commercial Liability Claims Examiner | Auto, General Liability & Product Liability | Nationwide Jur SedgwickCommercial Liability Claims Examiner | Auto, General Liability & Product Liability | Nationwide JurOlympia, WARemote$70,000–$80,000 / yearWORK LOCATIONS** Marlton, NJ - if within commutable distance to office Open to Remote if outside of commutable distance to office **PRIMARY PURPOSE OF THE ROLE** To analyze **Auto, General Liability & Product Liability** 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 **.** **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.? Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Commercial Liability Claims Examiner | Auto, General Liability & Product Liability | Nationwide Jurisdictions | Licensing Required Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?
Claims Examiner - Liability | GL, BI and Litigation Experience Required | Licensing: Required - Rem SedgwickClaims Examiner - Liability | GL, BI and Litigation Experience Required | Licensing: Required - RemOlympia, WA$63,404–$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 Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability | GL, BI and Litigation Experience Required | Licensing: Required - Remote Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?
Opl Examiner I Cambia Health SolutionsOpl Examiner IOlympia, WAFull timeAs a member of Claims Operations Team, our OPL Examiner I is responsible to review claims routed to Other Party Liability (OPL) department for possible third party investigation, under the direction of the supervisor and manager, to determine the Company's course of action on intentional and unintentional injury and occupational injury claims by initiating the investigation of potential first and third party liability. * Handles all claims pended as potential third-party liability, investigates initial need for further information relating to potential contract exclusions, and generates needed incident reports and correspondence for clarification surrounding third party information.
Claims Team Lead - Workers Compensation SedgwickClaims Team Lead - Workers CompensationOlympia, WA$72,914–$95,000 / yearNewsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Workers Compensation **PRIMARY PURPOSE:** To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. **Skills & Knowledge** + Thorough knowledge of claims management processes and procedures for multiple product lines + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Leadership/management/motivational skills + Analytical and interpretive skills + Strong organizational skills + Excellent interpersonal skills + Excellent negotiation skills + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations.
Senior Claims Compliance Analyst (FPA4) State of WashingtonSenior Claims Compliance Analyst (FPA4)Tumwater, WA$5,666–$7,622ADVANCED: Insert content using quick parts; control text flow; perform mail merge function; uses macros for tasks; insert cover pages and table of contents; track changes and comments; insert bookmarks, footnotes and endnotes; add hyperlinks; cross-references and citations; link documents to excel worksheets; send document to PowerPoint; merge documents; redaction function; hide text; add digital signature, restrict access and use passwords; create, protect and automate forms. ADVANCED: Create and edit macros; conditional formatting; apply data validation criteria; able to protect, share and merge files; trace cells and troubleshoot formula errors; uses data list outline; consolidate data and link workbooks; export and import text files and XML data; import data from the Web and create Web queries; analyze data using trend lines, Sparklines and scenarios.
Vice President Payment Integrity Cambia Health SolutionsVice President Payment IntegrityTacoma, WAFull timeMinimum of 8-10 years of experience in business process design, improvement, and transformation within healthcare payment environments and a minimum of 12-15 years of progressive leadership experience in Healthcare Payment Integrity, Health Plan Claims, Health Plan Operations or related Healthcare management or an equivalent combination of education and experience. This position drives enterprise-wide strategic vision and execution across post-pay and pre-pay audit functions, provider-facing operations and advance analytics capabilities - all in service of creating an economically sustainable health care system.
Collateral Management Specialist BECUCollateral Management SpecialistTukwila, WAFull timeAsset Recovery & Vehicle Disposition:You'll coordinate repairs, transportation, inventory tracking, and the preparation and sale of repossessed vehicles-whether through internal channels or external auctions-following assets through final disposition. Vehicle Title Management:You'll track, process, correct, reissue, transfer, and release vehicle titles-ensuring proper lien perfection and compliance with state requirements, including preparation of online paperless titles through the Department of Licensing.
Medical Claims Processor Northwest Administrators IncMedical Claims ProcessorFederal Way, WAA successful claim processor at NWA understands the nuances involved with life claims and the importance of claims being processed timely and accurately. We 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.
Medical Claims Auditor Hybrid Northwest Administrators IncMedical Claims Auditor HybridFederal Way, WA$30.70–$41.54 / hourAs a Health and Welfare Claims Auditor, the main focus will be to review the work completed by the Health and Welfare Medical, Dental, Vision, Time Loss and Life Claims Processors. We 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.
NewSenior Appeals Examiner CVS Health CorpSenior Appeals ExaminerWA$18.50–$42.35 / hourThe Senior Appeal Examiner (Meritain Health) is responsible for managing to resolution complaint/appeal scenarios for all products, which may contain multiple issues and, may require coordination of responses from multiple business units. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Examiner Physician Assistant Loyal Source Government Services LLCExaminer Physician AssistantOlympia, WA$152,321.60–$242,321.60 / yearThe role involves reviewing the claim, performing focused assessments of claimed injuries, reviewing medical records, and potentially rendering a medical opinion based on the record review and completed Compensation & Pension (C&P) exam. Job Responsibilities: • Conduct Comprehensive Medical Disability Examinations: Perform thorough and focused medical evaluations of Veterans, including reviewing their medical history, conducting physical examinations, and assessing the impact of disabilities on their daily life and functional abilities.
Examiner Nurse Practitioner Loyal Source Government Services LLCExaminer Nurse PractitionerOlympia, WA$176,321.60–$206,321.60 / yearThe role involves reviewing the claim, performing focused assessments of claimed injuries, reviewing medical records, and potentially rendering a medical opinion based on the record review and completed Compensation & Pension (C&P) exam. Job Responsibilities: Conduct Comprehensive Medical Disability Examinations: Perform thorough and focused medical evaluations of Veterans, including reviewing their medical history, conducting physical examinations, and assessing the impact of disabilities on their daily life and functional abilities.
NewInvestigator, Special Investigations Unit (Meritain Health) CVS Health CorpInvestigator, Special Investigations Unit (Meritain Health)WA$46,988–$122,400 / yearDemonstrated proficiency in Microsoft Office Suite (including Excel, specifically with pivot tables), database search tools, and use of the Intranet/Internet to research information. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Auditor/Investigator II Qlarant Quality Solutions IncAuditor/Investigator IIWACollects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Essential Functions: Conducts routine and impartial audits/investigations from start to closure into customer claims, ensuring accurate and fair assessments of claims validity.
Auditor/Investigator I Qlarant Quality Solutions IncAuditor/Investigator IWACollects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs.
Optometrist US Department of Health and Human ServicesOptometristWA$119,297–$185,885 / yearRefer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference. Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Provided primary eye care services by performing comprehensive ocular examinations.
Engineering Consultant & Contracts Officer (Environmental Engineer 3 or 5) State of WashingtonEngineering Consultant & Contracts Officer (Environmental Engineer 3 or 5)WA$7,585–$11,538 / yearEcology employees may be eligible for the following: Medical/Dental/Vision for employee & dependent(s), Public Employees Retirement System (PERS), Vacation, Sick, and other Leave, 11 Paid Holidays per year, Public Service Loan Forgiveness, Tuition Waiver, Long Term Disability & Life Insurance, Deferred Compensation Programs, Dependent Care Assistance Program (DCAP), Flexible Spending Arrangement (FSA), Employee Assistance Program, Commute Trip Reduction Incentives, Combined Fund Drive, SmartHealth *Click here for more information. FSU provides budget and financial management services, cost recovery coordination, contracts and interagency agreement management, Voluntary Cleanup Program operations (VCP), Remedial Action Grant (RAG) Program administration, and engineering services to TCP staff statewide enabling the program to successfully execute its mission to clean up contaminated sites and protect human health and the environment.