Claims Operations Assistant Core Specialty Insurance ServicesClaims Operations AssistantWashingtonThe disclosed pay range estimate may also be adjusted for the applicable geographic differential for the location in which the position is filled. Multi-state commercial insurance carrier is seeking a Claims Operations Assistant for a position based in their Vancouver, WA office.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTEWashington, DCRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
Senior Product Liability Claims Examiner - Medmarc ProAssurance CorpSenior Product Liability Claims Examiner - MedmarcChantilly, VARemote$100,739–$166,236 / yearThe primary responsibility of the Senior Claims Examiner position is the direct management of assigned complex claims including claims investigation, coverage analysis, monitoring of defense counsel activities, control of legal expenses, reserving, and providing technical expertise throughout the life of the claim file. For that reason, we partner with The Predictive Index (PI) - an organization equally committed to improving the working lives of people, to help us hire the best talent by providing additional insight about one's work style.
Claims Bluecard Analyst IV, Lead Healthcare Management AdministratorsClaims Bluecard Analyst IV, LeadWashingtonAs a Claims Bluecard Analyst Lead, this role ensures accurate, compliant adjudication across complex BlueCard claims, translates BlueWeb and Association changes into operational action, partners closely with Regence and InterPlan stakeholders, and monitors and improves IPP (InterPlan Program) performance. The Claims Bluecard Analyst Lead serves as an enterprise escalation point, leads cross-functional initiatives, and drives training, quality, and process improvements that safeguard claim outcomes and member experience.
Claims Examiner, Auto | Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner, Auto | Bodily InjuryMD$70,000–$80,000 / yearTo analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
Claims Examiner - Liability | PIP/NO FAULT | Jurisdiction: FL, NY, MI, MD | Licensing: FL and NY preferred - Remote Sedgwick Claims Management Services, Inc.Claims Examiner - Liability | PIP/NO FAULT | Jurisdiction: FL, NY, MI, MD | Licensing: FL and NY preferred - RemoteMDRemote$60,000–$75,000 / 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 PIP/ No Fault 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 Representative (IAP) - SkillBridge Conversion Sedgwick Claims Management Services, Inc.Claims Representative (IAP) - SkillBridge ConversionVAMental: 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. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
NewContracts and Claims Specialist Luster NationalContracts and Claims SpecialistWashington, DC$90,000–$155,000 / hourWe're seeking Contracts and Claims Specialists of various skill levels to support large, complex heavy civil infrastructure programs, including highways, roads, bridges, transit (bus and rail), aviation (international airports), and water/wastewater projects delivered through both traditional and alternative delivery methods. Luster provides the salary range that the company in good faith believes it might offer for this position based on the successful candidate's level and years of experience, knowledge, skills, abilities, education, certifications, licenses, geographic location, etc.
Senior Claims Counsel - Title Insurance (Remote) First American Financial CorpSenior Claims Counsel - Title Insurance (Remote)MDRemote$129,300–$172,300 / yearThe Senior Claims Counsel position with First American Title Insurance Company provides an excellent opportunity for counsel to engage in complex legal analysis, craft creative solutions to difficult problems, manage their own caseload, oversee outside litigation counsel, and engage in high-level problem solving, negotiation and legal analysis in a stimulating and collegial environment with an opportunity for long-term growth and advancement. What You'll Do: Investigate the facts and issues of the claim, determine whether coverage exists, evaluate loss under the title policy, assess defenses for the insured and/or the company, determine need to retain outside counsel, develop and carry out a plan to address the claim and manage the claim and/or litigation through to final resolution.
NewClaims Analyst - Virtual (US) Alight IncClaims Analyst - Virtual (US)DCThis work involves leveraging developed methodologies, navigating internal tools, and applications, as well as making external phone calls, and partnering with carriers and providers (via email and phone outreach) to resolve member needs. Pay Transparency Statement: Alight considers a variety of factors in determining whether to extend an offer of employment and in setting the appropriate compensation level, including, but not limited to, a candidate's experience, education, certification/credentials, market data, internal equity, and geography.
Vice President, Complex Claims Fortegra FinancialVice President, Complex ClaimsWashington, DCThis role serves as the senior technical and legal claims resource, providing strategic leadership through close collaboration with cross-functional business leaders and external partners, including outside counsel, TPAs, and expert vendors, to optimize claim outcomes, protect the Company's financial interests, identify emerging risks and loss trends, support underwriting profitability, and ensure timely, fair, and compliant claim resolution. The Vice President, Complex Claims provides executive leadership for Fortegra's Complex Claims function, overseeing the handling, strategic direction, coverage analysis, litigation oversight, and resolution of the Company's highest-severity, major loss, and high-value litigated claims.
NewSenior Claims Specialist Summit ConsultingSenior Claims SpecialistMarylandRemoteStrategically orchestrates and leads comprehensive claims investigations to confirm coverage and to determine liability, compensability and damages. Summit provides independent insurance agents and their clients with market-leading workers’ comp insurance and elite customer service.
Claims Examiner Workers' Comp I Maxim Healthcare Services IncClaims Examiner Workers' Comp IColumbia, MDParticipates in calls with local offices, third-party administrators (TPAs), medical providers, attorneys, and other Maxim team members, in order to agree upon, communicate, and execute claim handling plans. Working independently and in coordination with other WC team members, the WC Examiner I will consult with the WC Manager regarding reserve adjustments, a plan of action, and the appropriate settlement value of assigned claim files.
Head Of Claims HITTHead Of ClaimsFalls Church, VA$115,000–$165,000 / yearThis role is responsible for enterprise claims strategy, portfolio performance, reserve adequacy, litigation oversight, and total cost of risk while leading the claims organization and partnering with executive leadership on risk financing and insurance program strategy. Job Description: The Senior Manager, Claims & Risk Management leads HITT's enterprise claims function across all property and casualty lines for HITT Contracting and its affiliated operating companies.
ServiceNow Claims Lead Engineer The Fortegra Group IncServiceNow Claims Lead EngineerWashington, DC$120,000–$180,000 / yearThe platform leverages ServiceNow Customer Service Management (CSM), App Engine, and Integration Hub with extensive scripted customizations and complex integrations across policy administration, financial systems, and enterprise data platforms. This role is focused on architecture, design, and hands-on development, working closely with engineering leadership, product stakeholders, and a Software Integrator (SI) to deliver scalable, high-quality solutions.
Risk Claims Coordinator Keller Group PlcRisk Claims CoordinatorGlen Burnie, MD$70,000–$100,000 / yearThe North American Division is part of Keller Group plc, which is publicly traded on the London Stock Exchange and is the largest international ground engineering firm. Actual salary will be based on a variety of factors including relevant internal and external experience, knowledge, skills, scope of job, geographical location or other factors permitted by law.
NewClinical Claims Reviewer/ RN Sentara Healthcare IncClinical Claims Reviewer/ RNVARemote$93,350.40–$132,433.60 / yearRN Clinician is responsible for reviewing provider post-payment inquiries and claim reconsiderations to ensure accurate coding in accordance with established coding guidelines, CMS guidelines, Health Plan Coding Payment Policy, and Claim Payment Policy. Ensures compliance with health plan policy and other regulatory agencies such as Bureau of Insurance (BOI), National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), and Virginia Department of Medical Assistance Services (DMAS).
Workers Compensation Claims Representative | Medical Only Workers Compensation | VA Jurisdiction Sedgwick Claims Management Services, Inc.Workers Compensation Claims Representative | Medical Only Workers Compensation | VA JurisdictionVARemote$45,000–$60,000 / yearPRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Workers Compensation Claims Examiner | VA Jurisdiction Experience Required | Remote Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | VA Jurisdiction Experience Required | RemoteVARemote$80,000–$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. To analyze Virginia 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.
NewSupervisory Veterans Claims Examiner U.S. Department of Veterans AffairsSupervisory Veterans Claims ExaminerWashington, DC$126,384–$164,301 / yearCommunications - Effectively expresses information to multiple audiences through clear, convincing oral and written communications; demonstrates logical thinking when describing facts and concepts, and shapes communications to meet the needs of a specific audience; actively listens to others and demonstrates understanding of their comments and/or questions. Analyzes complex claims-processing and quality-review data to identify trends, systemic errors, root causes, resource gaps, and opportunities for quality enhancement; applies quality-assurance frameworks, statistical methods, and analytical techniques to evaluate program effectiveness.