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.
NewSenior 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.
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.
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.
Marine Claims Advocate Marsh & McLennan Companies IncMarine Claims AdvocateSeattle, WA$100,400–$213,800 / yearDevelops thought leadership materials and drafts communication documents for clients, such as correspondence letters, claims calculations and reviews documents prepared by the clients in order to support highly complex claims process for clients. We will count on you to: Provides coverage and claims strategy advice to clients on claims with highly complex coverage issues that require full range of expertise to solve in order to assist with claims preparation.
DSHS ESA Claims Officer 1 - 2 (Attorney) State of WashingtonDSHS ESA Claims Officer 1 - 2 (Attorney)WA$6,384–$8,583Appear as the department's pro-se representative or witness before an Administrative Law Judge; testify regarding agency records, make opening statements, examine witnesses, raise objections, present closing arguments, and seek correction or reconsideration of decisions as needed. Represent the department's interests in adjudicative proceedings under the Administrative Procedures Act and RCW 74.20A.057 regarding the establishment and collection of child support, financial and medical obligations, day care and special child-rearing expenses, and compliance with collection and enforcement orders.
Supervisor Claims Administration Puget Sound Energy IncSupervisor Claims AdministrationBellevue, WA$87,800–$212,300 / yearTo learn more about why PSE is a great place to work, see our Employee Value Proposition, which highlights our commitment to employee growth, work-life balance, and meaningful career opportunities in the energy sector. Under the direction of the Manager Claims, responsible for overseeing the accuracy and performance of the damage-claim receivable database, conducting audits, and driving process improvements to maximize recovery efforts.
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.
Newsenior claims specialist, Risk Management Starbucks Corpsenior claims specialist, Risk ManagementSeattle, WAAdminister a portfolio of workers' compensation claims and provide strategic direction to third party administrators to ensure Starbucks' workers" compensation program delivers: prompt and appropriate medical treatment, timely wage- loss payments and other required financial benefits, opportunities for early and sustainable return to work, comprehensive claim investigation and evaluation, effective litigation and legal strategy management, compliance with all applicable state jurisdictional regulations, appropriate utilization of risk mitigation tools (i.e. Sub Rosa, MSA, etc.). Lead interactive discussions with injured partners, store leadership, healthcare providers, and claim stakeholders to identify opportunities for return to work and facilitate temporary modified duty assignments that support recovery and business needs.
Amwins A&H- Claims Manager, Stop Loss Amwins Global Risks UK LtdAmwins A&H- Claims Manager, Stop LossSeattle, WA$140,000–$155,000 / yearThe Manager, Stop Loss Claims, will play a critical role in supporting the A&H claims organization by performing claims adjudication functions, managing complex, high-dollar and high-ambiguity stop loss claims, employing cost containment solutions, serving as a senior escalation point, and applying expert judgment to drive consistent, high-quality outcomes. Amwins has expertise across a diversified mix of property, casualty, and group benefits products, and offers value-added services to support some of these products, including product development, underwriting, premium and claims administration and actuarial services.
Claims 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.
Project Manager II - Pharmacy, Claims & Systems Kaiser PermanenteProject Manager II - Pharmacy, Claims & SystemsRenton, WACompletes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects or initiatives with limited guidance and/or sponsorship. Provides ongoing support to project personnel by regularly communicating with project team members to ensure schedule data and changes are accurately interpreted and accounted for.
SIU Claims Investigator Lemieux & Associates LLCSIU Claims InvestigatorSeattle, WAPart timeNotary license strongly (preferred).Surveillance experience a plus (preferred).Bilingual ability and/or degree in Criminal Justice or related field (preferred).Willingness to travel; flexible schedule (varied/irregular hours).Strong computer and internet skills. Accurately photograph evidence (accident scenes, vehicle damage, etc.).Skills & ExperienceExperience handling complex SIU/Claims cases.
Outside Property Associate Claim Representative The Travelers CompaniesOutside Property Associate Claim RepresentativeBellevue, WA$52,600–$86,800 / yearThis position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). As an Associate Claim Rep, Outside Property, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWA$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. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.
NewWorkers'''' Compensation Claim Manager Brown & Brown IncWorkers'''' Compensation Claim ManagerTacoma, WAThe WC Claims Manager will manage a book of claims for consulting customers with the goal of containing claim costs and supporting implementation of recommended strategies. The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.