Claims Representative - Liability | Auto | Hybrid Sedgwick Claims Management Services, Inc.Claims Representative - Liability | Auto | HybridLacey, WA$49,000–$58,000 / 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. Processes low level auto liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
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 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. 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.
Senior Director, AI & Data Science - Claims & Fraud Liberty Mutual Holding Company IncSenior Director, AI & Data Science - Claims & FraudSeattle, WAWe''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.
Appeals Specialist Medical Claims Northwest Administrators IncAppeals Specialist Medical ClaimsSeattle, 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.
NewAppeals 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.
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.
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.
NewLiability 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.
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.
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.
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.
Director Complex Claims and Counsel Banner HealthDirector Complex Claims and CounselWA$65.70–$109.50 / hourResponsible 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 medical expense claims. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.
Outside Property Associate Claim Representative The Travelers Companies IncOutside 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.
Enterprise Risk Manager- Lacey, WA (WMS 03) State of WashingtonEnterprise Risk Manager- Lacey, WA (WMS 03)Lacey, WA$106,524–$133,152 / yearAnd the agency is staffed with nearly 1000 employees (during peak season - summers), who are some of the most passionate employees youll find anywhere - from law enforcement park rangers, park managers, and field staff who take care of our parks (construction, maintenance, customer service, to planners, engineers, managers, administrative professionals and central support staff. Review and analyze tort claims filed against the agency and monitor claim activity, including the defense and settlement of lawsuits, the adequacy of settlement reserves, the findings of investigations, exposures of liability, and to determine any information in agency records that may be applicable to the defense or settlement of a claim or lawsuit.
DSHS ESA Claims Officer 4 State of WashingtonDSHS ESA Claims Officer 4WA$84,528–$113,736 / yearor, Four years of experience as a Hearings Examiner in a governmental agency, an Assistant Attorney General or Deputy Prosecutor in support enforcement or other debt recovery matter or other relevant experience in support enforcement, domestic relations, debt recovery or other related programs. We strive to create greater access and affirming representation of the communities we serve, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA+ individuals, immigrants and refugees, and families building financial security.
Outside Property Associate Claim Representative TravelersOutside Property Associate Claim RepresentativeSeattle, WashingtonThis 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.