Alexander Shunnarah Trial AttorneysNewInsurance Claims Adjuster Alexander Shunnarah Trial AttorneysInsurance Claims AdjusterBirmingham, AL$1,000–$3,000Experience:Minimum 3 years of Personal Injury Legal Case Manager/Legal Assistant, or Bodily Insurance Claims Negotiation experience required; 5+ years preferred. Engage Directly: Maintain effective communication with clients, providers, and insurance companies, handling inquiries and updates with precision.
Allstate Insurance CompanyAuto Telephone Claims Adjuster Allstate Insurance CompanyAuto Telephone Claims AdjusterAL$47,500–$61,600 / yearThrough our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Auto Insurance Claims, Automobile Accidents, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Service, Detail-Oriented, Insurance Claims Investigations, Insurance Policies, Investigative Skills, Multitasking.
Allstate Insurance CompanyAuto Claims Adjuster Allstate Insurance CompanyAuto Claims AdjusterAL$50,000–$74,350 / yearAnalytical Thinking, Auto Insurance Claims, Automobile Accidents, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Service, De-Escalation, General Liability Insurance, Insurance Administration, Insurance Coverage, Insurance Coverage Analysis, Insurance Policies, Liability Insurance, Negotiation, Problem Resolution. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Sedgwick Claims Management Services, Inc.Claims Adjuster - Workers Compensation Sedgwick Claims Management Services, Inc.Claims Adjuster - Workers CompensationTelecommuter, ALMental: 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.
Argo Group International Holdings IncTEMP-Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers' Compensation Claims AdjusterAL$41.44–$48.79 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
Argo Group International Holdings IncTEMP Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP Workers' Compensation Claims AdjusterAL$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
Auto-Owners Insurance GroupBodily Injury Claims Specialist Auto-Owners Insurance GroupBodily Injury Claims SpecialistBirmingham, ALThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Davies Group LtdClaims Counsel Davies Group LtdClaims CounselAL$115,000–$135,000 / yearThis role manages and provides coverage and legal analysis on high-severity, technically complex claims, including but not limited to: Complex Casualty & High-Exposure Liability - Catastrophic injury, multi-party liability disputes, and claims involving significant financial exposure. The position serves as a key subject matter expert for coverage issues, advising internal teams and carriers on high-liability matters, regulatory exposures, and technically complex losses, ensuring claims are handled in accordance with applicable laws, regulations, and company guidelines.
Allstate Insurance CompanyLarge Loss Claims Admin Allstate Insurance CompanyLarge Loss Claims AdminAL$18.61–$27.79 / hourBusiness Communications, Claims Processing, Clerical Skills, Data Entry, Detail-Oriented, Documentations, Insurance Claims, Investigative Thinking, Invoice Processing, Invoices, Large Loss Claims, Large Scale Data Processing, Microsoft Excel, Microsoft Office, Office Administration, Organizing, Outbound Calls, Police Reports, Timeliness. In this role, you will handle a variety of administrative tasks, including ordering police reports, submitting claims to other carriers, completing social media and trace report requests, and processing invoices.
Baptist HealthNewManager, Claims Operations Baptist HealthManager, Claims OperationsHOMEWOOD, AlabamaMaintains, evaluates, and oversees management of claim files to ensure detailed documentation of all significant claims’ activity, including substantive communications with legal counsel and insurance contacts, analysis and evaluation of all witnesses, witness testimony, key defensibility issues, and decision-making for each claim. Ensures that a trusting, liaison-type relationship is established between claims team members, outside legal counsel, and involved Baptist Health team members and physicians, from initiation of the claim through resolution.
Nationwide Mutual Insurance CoField Claims Adjuster III, PL Property (Flex Team) Nationwide Mutual Insurance CoField Claims Adjuster III, PL Property (Flex Team)Birmingham, AL$79,500–$148,500 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. Qualifications: · 5 years of insurance field/property claims handling or adjusting experience · Solid experience/proficiency with Xactimate · Solid experience writing own estimates and handling claims start to finish · Strong customer service competency · Strong written & verbal communication skills.
Edgewood Partners Insurance CenterSenior Insurance Claims Advocate Edgewood Partners Insurance CenterSenior Insurance Claims AdvocateBirmingham, ALWHAT YOU'LL DO: A detailed list of job duties includes (but is not limited to): Manage all phases and aspects of a claim: evaluate applicable coverage; prepare loss notice and report claim to carrier; document claim information and key services and activities; regularly follow-up with adjusters/TPAs to insure claim is progressing; and keep client and producer updated on claim status, with focus on efficient and economical claim closure. The Advocate takes a proactive approach to advocate on behalf of our clients, collaborate with internal and external stakeholders, maximize coverage, and provide practical advice on claim resolution and tactical decisions-all to achieve the best possible claims outcomes and to ensure that our clients' interests are protected by the policies of insurance placed by EPIC.
Davies Group LtdProperty Claims Supervisor - Northeast (Remote) Davies Group LtdProperty Claims Supervisor - Northeast (Remote)Home, ALRemote$79,000–$85,000 / yearIn addition, you will provide leadership, technical guidance, and performance oversight for property claims adjusters while supporting effective claim resolution, cost management, and strong client relationships. As the Property Claims Supervisor, you will be responsible for overseeing a team of claims professionals handling property-related claims, including commercial property losses and other first-party property exposures.
Alabama OncologyInsurance Claims Representative Alabama OncologyInsurance Claims RepresentativeBirmingham, ALReceives and resolves patient billing complaints and questions; initiates adjustments as necessary; follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments. Summary: Under general supervision, an AR Account Follow-Up Specialist is responsible for account follow-up for all assigned accounts, resolving billing problems and answering patient inquiries.
Protective Life CorporationResearch & Regulation Compliance Specialist- Claims Protective Life CorporationResearch & Regulation Compliance Specialist- ClaimsALRemote$60,000–$75,000 / yearProtective is looking for a Research & Regulation Compliance Specialist (Regulatory Claims Associate II) to support the compliant administration of Life, Annuity, and Disability claims. Review estate related documents (such as trusts, powers of attorney, divorce decrees, and court orders) to support accurate and compliant claim determinations.
PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerBirmingham, AL$99,000–$232,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.
PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, Sr. Associate PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, Sr. AssociateBirmingham, AL$77,000–$202,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members.
CSAA Insurance GroupCommercial Claims Quality & Performance Analyst III - Remote CSAA Insurance GroupCommercial Claims Quality & Performance Analyst III - RemoteHome Teleworkers, ALRemote$74,295–$82,550 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - 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 {+ 21 more}. Partners cross-functionally with Claims Operations Support, TPA relationship managers, business leadership, Legal/Compliance teams, and operational partners to identify risks, evaluate performance trends, and develop solutions that support operational excellence and regulatory compliance.
Auto-Owners Insurance GroupClaims Examiner - Subrogation Claims Auto-Owners Insurance GroupClaims Examiner - Subrogation ClaimsBirmingham, ALOur group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success.
Edgewood Partners Insurance CenterClaims Attorney Edgewood Partners Insurance CenterClaims AttorneyBirmingham, ALWHAT YOU'LL DO: A detailed list of job duties includes (but is not limited to): Manage all phases and aspects of a claim: evaluate applicable coverage; prepare loss notice and report claim to carrier; document claim information and key services and activities; regularly follow-up with adjusters/TPAs to insure claim is progressing; and keep client and producer updated on claim status, with focus on efficient and economical claim closure. Fueled and driven by capable, committed people who share common beliefs and values and "bring it" every day, EPIC is always looking for people who have "the right stuff" - people who know what they want and aren't afraid to make it happen.
Davies Group LtdProperty Claims Director Davies Group LtdProperty Claims DirectorAL$115,000–$130,000 / yearThis role provides strategic direction, operational oversight, and technical leadership to ensure consistent, high-quality claims handling across a nationwide footprint. The Director will be accountable for claim outcomes, regulatory compliance, operational efficiency, staff development, and alignment with organizational risk and customer-service objectives.
BerkleyNewSenior Claims Specialist BerkleySenior Claims SpecialistHomewood, AlabamaThe actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Manage all technical aspects of claims including coverage, disability benefit management, medical management, file management, litigation management, subrogation, reserving and settlement.
Sedgwick Claims Management Services, Inc.Claims Associate - Workers Compensation | Med Only | Jurisdiction: NY and PA | Licensing: NY Licensing preferred Sedgwick Claims Management Services, Inc.Claims Associate - Workers Compensation | Med Only | Jurisdiction: NY and PA | Licensing: NY Licensing preferredAL$18.06–$22 / hourMental: 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. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Guidehouse IncPatient Account Representative - Medical Billing and Claims Guidehouse IncPatient Account Representative - Medical Billing and ClaimsBirmingham, ALDuties may include but are not limited to; timely and accurately processing of overpayment requests, post contractual adjustments, write offs, or transfers accordingly to resolve credit balances, resubmits claims and supporting documentation as needed, and communicates with third party payers in response to overpayment requests and/or to obtain insurance hierarchy information. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event.
NAPHCARE, INC.Senior Claims Adjudicator NAPHCARE, INC.Senior Claims AdjudicatorBirmingham, ALResponsibilities for Senior Claim Adjudicator: Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for payment while adhering to internal deadlines. If you would like to speak with our Talent Acquisition team to learn more about this position and NaphCare, please first apply directly to this position to initiate the application process, and then please send your resume to jerry.hughes@NaphCare.com where we will be in touch.
Sedgwick Claims Management Services, Inc.NewClaims Examiner, Workers'''' Compensation | Southeast Jurisdictions | Remote Sedgwick Claims Management Services, Inc.Claims Examiner, Workers'''' Compensation | Southeast Jurisdictions | RemoteTelecommuter, ALRemotePRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
Sedgwick Claims Management Services, Inc.NewClaims Examiner - Workers Compensation | Southeast Jurisdictions | Remote Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation | Southeast Jurisdictions | RemoteTelecommuter, ALRemotePRIMARY PURPOSE: To analyze complex or technically difficult water damage claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. 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.
Lockton IncSenior Energy Liability Claims Consultant Lockton IncSenior Energy Liability Claims ConsultantBirmingham, ALLead the resolution of complex claims by serving as the primary liaison between clients, carriers, TPAs, and specialized vendors. Build and maintain trusted relationships with clients, carriers, TPAs, attorneys, forensic accountants, engineers, and other partners.
Viva Health, Inc.Claims Training Coordinator Viva Health, Inc.Claims Training CoordinatorBirmingham, ALVIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nations Best Places to Work by Modern Healthcare. The Claims Training Coordinator provides non-supervisory support to the claims trainer by assisting with the coordination, reinforcement, and documentation of training activities for claims examiners.
Encompass Health CorpWorkers Compensation Claims Coordinator Encompass Health CorpWorkers Compensation Claims CoordinatorBirmingham, ALWe collaborate and provide high-quality, compassionate, individualized care for our patients, allowing us time to get to know them and help them achieve their goals during their rehabilitation journey. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!
CSAA Insurance GroupCommercial Claims Programs Consultant - Remote CSAA Insurance GroupCommercial Claims Programs Consultant - RemoteHome Teleworkers, ALRemote$129,825–$144,250 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - 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 {+ 21 more}. Operating as a senior individual contributor, the position manages key TPA and client relationships, supports strategic program initiatives, and helps ensure operational alignment, transparency, and strong partner experiences across multiple stakeholders and programs.
Sedgwick Claims Management Services, Inc.Assistant Manager, Claims Sedgwick Claims Management Services, Inc.Assistant Manager, ClaimsTelecommuter AL, ALSkills: excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, leadership/management skills. Education & Licensing: Eight (8) years of claims management experience or equivalent combination of experience and education required to include one (1) year supervisory experience.
Viva HealthClaims Training Coordinator Viva HealthClaims Training CoordinatorBirmingham, AlabamaVIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare. The Claims Training Coordinator provides non-supervisory support to the claims trainer by assisting with the coordination, reinforcement, and documentation of training activities for claims examiners.
SolutionHealthEPIC Applications Analyst (1-4): Professional Billing Admin and Professional Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Professional Billing Admin and Professional Billing Claims - IT Services - Full TimeALEpic 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.
SolutionHealthEPIC 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 TimeALEpic 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.
Davies Group LtdCommercial Liability Claim Adjuster Davies Group LtdCommercial Liability Claim AdjusterHome, AL$65,000–$86,017 / yearResponsible for the investigation of coverage, liability and damages, negotiating with contractors, public adjusters and attorneys, through the life of the claim, maintain a pending and closing ratio of 100%, be responsible for the establishment and maintenance of reserves and payments, presenting large loss report and communicate with their manager as well as internal and external customers. Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws, including those tied to an employee's primary work location.
CVS Health CorpSenior Claims Benefit Specialist CVS Health CorpSenior Claims Benefit SpecialistWork At Home, AL$18.50–$42.35 / hourOur 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.
Davies Group LtdSenior WC Claim Adjuster Davies Group LtdSenior WC Claim AdjusterAL$80,000–$85,000 / yearAs a Senior Workers' Compensation Adjuster, you will investigate assigned Florida Workers' Compensation claims, evaluate claim detail, including Florida Statute and case law, to determine compensability and total value of the claim while setting appropriate reserves. Maintain adequate reserves for life of claim utilizing reserve worksheets, ODG Guidelines, Workers' Computation software and Davies Claims North America reserving philosophy.
CVS Health CorpClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWork At Home, AL$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
Davies Group LtdNewClaim Manager Clinician (Remote) Davies Group LtdClaim Manager Clinician (Remote)Home, ALRemote$38.45–$43.25 / hourThe Claim Manager Clinician (CMC) is a Registered Professional Nurse or Licensed Social Worker responsible for managing a daily caseload of Long Term Care (LTC) Claims in a fast-paced, remote office environment. Using established claim policies and guidelines, the CMC evaluates claims to determine whether the Insured is benefit qualified and receiving covered services from an eligible provider.
Allstate Insurance CompanyBodily Injury Adjuster - Litigation & Homeowner Liability Allstate Insurance CompanyBodily Injury Adjuster - Litigation & Homeowner LiabilityAL$56,000–$82,500 / yearAutomobile Accidents, Case Management, Casualty Insurance, Claims Administration, Claims Litigation, Claims Resolution, Claims Review, Commercial General Liability Insurance, Commercial Liability, Complex Claims, Fractures, General Liability Claims, General Liability Insurance, Homeowners Claims, Homeowners Insurance, Homeowners Insurance Claims, Insurance Claim Handling, Insurance Policies, Liability Insurance, Litigation, Negotiation, Personal Injury Claims, Property Damage, Relationship Management. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Allstate Insurance CompanyAuto Adjuster I, II or Sr. Allstate Insurance CompanyAuto Adjuster I, II or Sr.Birmingham, AL$50,000–$74,350 / yearAuto Collision (Inactive), Auto Collision Repair, Auto Insurance, Auto Insurance Claims, Automobile Accidents, Automobile Liability, Automotive Body Repair, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Service, Insurance Claims Investigations, Insurance Coverage. In this role, you'll be responsible for investigating and verifying the details of automobile accidents, including obtaining police reports, collecting witness statements, confirming coverage, and determining liability.
Kemper CorpCommercial Auto Liability Adjuster Kemper CorpCommercial Auto Liability AdjusterBirmingham, ALWe are currently looking for Commercial Auto Liability Adjusters to investigate claims, determine liability, confirm coverage, establishes damages, and negotiate settlement of claims. We believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly motivating and productive.
Noland Health Services IncBilling Coordinator Noland Health Services IncBilling CoordinatorBirmingham, ALHandles follow-up of unpaid balances with insurance companies and patient/residents by use of statements, collection letters, re-bills, correspondence, or phone contact. Processes/posts remittances from Medicare, Blue Cross/Blue Shield, Medicaid, and other major third party payors.
Allstate Insurance CompanyLarge Loss Bodily Injury Adjuster Allstate Insurance CompanyLarge Loss Bodily Injury AdjusterAL$98,100–$167,850 / yearThe individual grants settlement authority on the most complex claims valued in excess of Market Claim Office (MCO) and Regional Claim Office (RCO) limits, approving requests to go to trial on cases where the gross exposure is in excess of MCO authority, and general oversight of all large losses for a specific CSA or CSAs. Bodily Injury Claims, Client Counseling, Commercial Insurance Claims, Complex Claims, Conflict Management, General Liability Insurance, Homeowners Claims, Insurance Claims, Insurance Coverage Analysis, Large Loss Claims, Liability Insurance, Multitasking, Personal Injury Claims, Prioritization, Strategic Thinking, Task Management, Time Management.
Community Health Systems IncBilling Specialist Community Health Systems IncBilling SpecialistBirmingham, ALThe Billing Specialist II is responsible for managing complex billing functions, ensuring timely and accurate claims processing, and resolving issues related to insurance payments and account balances. Reviews and corrects claim filing edits in electronic health record (EHR) and practice management systems (e.g., Athena, Cerner, Ingenious Med).
Sedgwick Claims Management Services, Inc.Applied & Agentic AI Engineer Sedgwick Claims Management Services, Inc.Applied & Agentic AI EngineerALDesign end-to-end retrieval-augmented generation (RAG) systems leveraging enterprise knowledge bases, policy documents, SOPs, and historical claims data. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Ethos Risk ServicesInvestigator Ethos Risk ServicesInvestigatorBirmingham, ALPrevious Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients.
Davies Group LtdCasualty Field Adjuster - Northeast Davies Group LtdCasualty Field Adjuster - NortheastALDavies North America is seeking an experienced Casualty Field Adjuster to handle liability and casualty-related field investigations, including scene inspections, statements, liability development, field documentation, and support for bodily injury or general liability claim handling. This role is ideal for a field professional who can investigate losses, inspect sites, document findings, evaluate damages and exposures, and communicate effectively with insureds, claimants, carriers, clients, vendors, and internal stakeholders.
Five Star SolutionsPatient Billing Representative Five Star SolutionsPatient Billing RepresentativeBirmingham, AlabamaRemoteStarting pay - $14/hr plus shift differential(extra $1/hr nights & wkds)Working hours between - 8:00am-8:00pm (EST) ; Work Days - M-F Paid Training - typically 2 weeks in length from 9:00am-6:00pm Mon-Fri (EST)Status - Full Time 40 hours, Benefit eligible 1st of month after 60 days $14 - $14 an hourThe above statements are intended to describe the general nature and level of work and are not intended to be an exhaustive list of all responsibilities, duties, and skills required of the jobWe may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. Join us as a Patient Billing Specialist, where you’ll support patients with payment processing, billing education, insurance verification, and claims-related inquiries.