Claims Service Associate (Remote) Physicians Insurance A Mutual CompanyClaims Service Associate (Remote)Seattle, WARemote$70,800–$105,800 / yearUtilize departmental systems, tracking software (including Breezy ATS workflows where applicable), and applications to support daily intake activities, minimize processing lag, and drive process improvements. Analyze incoming reports for severity, urgency, and coverage considerations; exercise independent judgment to escalate high-priority, complex matters to Claims Management while handling first-tier issues autonomously.
Claims Service Associate Physicians Insurance A Mutual CompanyClaims Service AssociateSeattle, WA$70,800–$105,800 / yearUtilize departmental systems, tracking software (including Breezy ATS workflows where applicable), and applications to support daily intake activities, minimize processing lag, and drive process improvements. Analyze incoming reports for severity, urgency, and coverage considerations; exercise independent judgment to escalate high-priority, complex matters to Claims Management while handling first-tier issues autonomously.
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.
Claims Specialist - Other Fiscal Services Providence Health & ServicesClaims Specialist - Other Fiscal ServicesSeattle, WA$21.55–$33.53 / hourRequsition ID: 439296 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 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.
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 Quality Review Sr Consltant CNA Financial CorpClaims Quality Review Sr ConsltantSeattle, WA$72,000–$141,000 / yearWorks with the Claim Quality Review Director and the Claim Quality Technical Lead for assigned line of business to aggregate and analyze results from quality and manager reviews to identify trending of best practice and opportunity areas for assigned line of business and across the Claim organization. Performs a combination of duties in accordance with departmental guidelines: Completes technical file reviews for assigned line of business; gathers and interprets data, evaluating both technical and operational behaviors associated with functional roles.
Director of Claims and Litigation Banner HealthDirector of Claims and LitigationWA$57.38–$95.64 / hourParticipates and presents at introductory meetings with potential insureds; prepares materials, participates and presents at Banner Medical Group (BMG) meetings, committees and other organizational structures and at other physician program meetings as established and as appropriate; provides education relative to the program across BH. Responsible for obtaining, entering data into claim file and monitoring such data in order to comply with deadlines for meeting Medicare, Medicaid, Ship Extension Act (MMSEA) reporting requirements in relation to claimants and others releasing medicals.
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.
Shipping/Receiving Clerk I Belcan CorpShipping/Receiving Clerk IEverett, WAFull timePost receipt in computer system, including scanning, retrieving and filing certification, reports, etc.- Label, tag or otherwise identify parts- Log any discrepancies; document problems, monitor shelf life, MSDS or other special conditions- Verify all items on shipping manifest are accounted for and packages are not damaged before signing for receipts- Create Repair Files in AX, folders, labels, etc.- Other tasks as necessaryInventory Maintenance- Support MRO and OEM production needs by handling floor stock, and scan/order twin-binhardware delivery system- Monitor and respond appropriately to replenishment triggers- Participates in physical inventories / cycle counting of warehouse- Maintains inventory records by adding or deleting supplies as they are issued, moved, shippedor received- Label, cycle count, control for First in First Out (FIFO)- May coordinate disposal of surplus property and manage records retention.- Able to read size 5 font (serial number and batch numbers)- Handling, storing, and shipping materials or supplies; operating material handling equipment; accessing information on a computer; reviewing documents for accuracy and completeness- Able to lift and carry a minimum of 25 lbs.
Stop Loss Underwriting Specialist Cambia Health SolutionsStop Loss Underwriting SpecialistBellevue, WAFull timeAdditionally, they complete travel and expenses for stop loss director and team when applicable, and provide other administrative support as directed - all in service of creating an economically sustainable health care system. Stop Loss UW Specialist would have a High School diploma or GED and 4 years office, data entry or equivalent combination of education and experience, preferably in a health care environment.
NewSenior Claims Benefit Specialist CVS Health CorpSenior Claims Benefit SpecialistWAOur 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. Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines.
Research Analyst - Medical Management, Remote Providence St. Joseph HealthResearch Analyst - Medical Management, RemoteRenton, WARemoteFull timeProvidence 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. This role focuses on preventing and reducing unnecessary spending by scoping PI initiatives, analyzing claims data, developing a thorough implementation assessment plan, and collaborating with internal and external stakeholders to optimize the payment processes.
NewSenior Claims Manager - RIS - Full time, Day, Remote Providence Health & ServicesSenior Claims Manager - RIS - Full time, Day, RemoteRenton, WARemoteRequsition ID: 449640 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: WA Renton 1801 Lind Ave SW Work Location: Providence Valley Office Park-Renton 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.
Process Manager, Commercial Casualty Claims - Remote CSAA Insurance GroupProcess Manager, Commercial Casualty Claims - RemoteWARemote$136,890–$152,100 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Project management experience and skills to accurately complete detailed data assignments and to understand and interpret broad operational concepts and their application to the business unit and CSAA.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeWAEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Head of Insurance and Risk Management OpenAI Inc.Head of Insurance and Risk ManagementSeattle, WA$266,000–$295,000 / yearFull timeFor unincorporated Los Angeles County workers: we reasonably believe that criminal history may have a direct, adverse and negative relationship with the following job duties, potentially resulting in the withdrawal of a conditional offer of employment: protect computer hardware entrusted to you from theft, loss or damage; return all computer hardware in your possession (including the data contained therein) upon termination of employment or end of assignment; and maintain the confidentiality of proprietary, confidential, and non-public information. Design, implement, and continuously improve a global insurance program covering key lines, including cyber, directors and officers (D&O), errors and omissions (E&O), property, general liability, international programs, and emerging AI-related exposures.
Manager, Digital Claims Optimization Blue Cross and Blue Shield AssociationManager, Digital Claims OptimizationMountlake Terrace, WA$118,900–$202,100 / yearThis role owns end-to-end operational delivery of automation initiatives-from process analysis and requirements definition through testing, implementation, and adoption into day-to-day workflows-and serves as the business owner for automation and enterprise changes impacting Claims Operations. Success in this role requires strong systems thinking, a data-driven mindset, and the ability to lead across teams, balancing hands-on solution development with coaching and developing a team to deliver impactful, sustainable outcomes.
NewClaims Specialist Expeditors International of Washington IncClaims SpecialistFederal Way, WACommunication skills including written, phone and presentation; Must be proficient in Excel, PowerPoint and Word; Strong problem solving, organizational and analytical skills; Ability to work productively both individually and in a team environment; Strong and consistent documenting skills; Attention to detail, pro-active, tenacious; Ability to execute consistent follow-up on action items; Ability to manage multiple tasks and projects; Ability to document business process flows; Interpersonal skills to foster collaboration among team members and customer; Pro-active and strong organization and time management skills. Documents should include proof of transit, proof of value, proof of loss, proof of resolution, and all customer, claimant, and insurance provider correspondence.
Claims and Litigation Manager University of WashingtonClaims and Litigation ManagerSeattle, WashingtonThe Claims and Litigation Manager under the general direction of the Director of Claim Services, manages the University’s claims to achieve optimal outcomes for the University and its clients, balancing indemnity paid and expense incurred. Prepare reports to appropriate regulatory agencies including but not limited to CMS for Medicare beneficiaries and the State Disciplinary Boards and the National Practitioner Data Bank as for medical malpractice claims.