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Claims Jobs in Grove, NJ

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Claims Specialist, Workers Compensation - West Region Liberty Mutual Holding Company Inc

Glendale, CA

Remote

Responsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages. As a Workers Compensation Claims Specialist, you will work within a Claims Team, using the latest technology to review, analyze, and process claims that are routinely characterized as moderately complex to complex within assigned authority limits.

19 days ago

Sr. Claims Advocate Next Insurance Inc

Remote

$80,000–$110,000 / year

You can find additional information about this type of scam and report any fraudulent employment offers via the Federal Trade Commission''s website ( https://consumer.ftc.gov/articles/job-scams ), or you can contact your local law enforcement agency. At ERGO NEXT, we are dedicated to building a diverse, inclusive and respectful workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways.

30+ days ago

Workers Compensation Claims Manager Modern HR

Burbank, California

Carrier & Broker Coordination: Partner closely with our brokerage team, third-party administrators (TPAs), insurance carriers, and legal counsel to strategize on litigated files, settlement authority and key dates related to workers’ compensation renewals and unit statistical filing dates. You will oversee day-to-day claims operations, ensure timely and accurate claims processing, and function as a key liaison between client business owners, injured workers, internal HR/legal teams, and external carrier partners and TPA’s.

19 days ago

Chief Claims Officer, Argo Group Argo Group International Holdings Ltd.

Los Angeles, CA

Possesses an extensive knowledge and experience with adjudicating and management claims for a portfolio of commercial products/program lines including surety, auto, general liability, workers' compensation, property, asbestos/environmental, reinsurance and the relevant claims handling practices supporting such products/programs. The Chief Claims Officer, Argo Group provides claim leadership and direction to the Senior Management of all the Argo Group claims operations with a focus on supporting the consistent execution of claims functions and maintenance of operational excellence.

30+ days ago

Senior Casualty Claims Adjuster EMC Insurance Group Inc.

$74,059.31–$95,108 / year

Essential Functions: Reviews the claim notices, lawsuits, contracts and policies to verify coverage, deductibles, claim payee/mortgagees and compensability. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs.

9 days ago

Senior Claims Adjuster (Workers'''' Compensation) EMC Insurance Group Inc.

California, CA

$78,726–$108,771 / year

Maintains diaries and action plans, provides timely responses and claim updates, conducts client consultations, coordinates vendor resources, manages reporting (including excess carriers), stays current on regulations, maintains licenses/CEUs, and supports training of team members. In this role, you'll have the opportunity to take ownership of moderately to highly complex workers' compensation claims and make a direct impact on outcomes for clients and claimants.

25 days ago

Claims Processor Arsenault

Los Angeles, California

Through our dedicated associates, Arsenault delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments creating exceptional outcomes for our clients and the millions of people who count on them. It is essential to have a good understanding of EOBs, FSAs, how to read receipts, doctor bills, and basic medical paperwork.

30+ days ago

EPL & D&O Liability Claim Counsel The Travelers Companies Inc

Glendale, CA

$111,600–$184,200 / year

Travelers'' Private/Non-Profit Team provides executive and organizational management liability coverage to privately held companies and non-profit entities of all types and sizes as well as certain governmental public entities. Prepare and present reports for management that accurately reflect loss development, potential/actual financial exposure, reserve adjustments, coverage issues, and claim and recovery strategies.

30+ days ago

Claims Auditor Health Source MSO

Alhambra, CA

Full time
Quick Apply

Responsibilities include, but not limited to: Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including: Contractual agreement rates. Job Description : Claims Auditor will be responsible for auditing claims processed by Claims Examiners.

30+ days ago

Claims Supervisor Health Source MSO

Alhambra, CA

Full time
Quick Apply

Providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, process, and adjusting claims. Responsibilities include, but not limited to: • Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including:  Contractual agreement rates.

30+ days ago

Senior Claims Benefit Specialist CVS Health Corp

$18.50–$42.35 / hour

Our 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.

5 days ago

Medical Claims Intake Coordinator UCLA Health System

Los Angeles, CA

$26.42–$37.49 / hour

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30+ days ago

Claims Specialist I - Provider Claims Inland Empire Health Plan

California, CA

$25.90–$33.02 / hour

Under the direction of the Provider Claims Resolution & Recovery Supervisor, the Claims Specialist I - Provider Claims is responsible for evaluating professional, high dollar and outpatient/inpatient institutional claims while determining coverage and payment levels. IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

13 days ago

Claims Adjuster II (Workers'' Compensation)| California Employers Holdings Inc

California, CA

Remote

$60,000–$92,000 / year

We're seeking an experienced Workers' Compensation Claims Adjuster II to manage moderate‑complexity claims-including medical, indemnity, and litigation-while delivering exceptional service. Our core values-Integrity, Collaboration, Customer Focus, Innovation, Accountability, Initiative, and Personal Fulfillment-guide everything we do.

30+ days ago

Sr. Supervisor, Commercial Casualty Claims - Remote CSAA Insurance Group

Remote

$99,855–$133,250 / year

Alabama - 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 {+ 20 more}. Communicates and enforces administrative policies, operating procedures, and safety rules, communicates changes in policy and procedures, ensures compliance of company procedures and DOI regulations, Oversees the daily operations of the business unit as well as multiple shifts in an operation that is open up to 7 days per week.

20 days ago

Field Property Claims Adjuster: Alexandria, LA Farmers Insurance Group

La, CA

$24.70–$41.88 / hour

Exposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. Candidate must be willing and able to: Climb Ladders to inspect roofs, and be comfortable working on rooftops, multiple times per day, Work in small, confined spaces that have been damaged; such as attics and crawlspaces.

30+ days ago

Independent Insurance Claims Adjuster in Sunland, California MileHigh Adjusters Houston

Sunland, California

How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.

30+ days ago

Senior Claims Adjuster I | California Employers Holdings Inc

California, CA

Remote

$80,000–$105,000 / year

Join EMPLOYERS as a Senior Claims Adjuster I and manage complex California workers'' compensation claims while making a meaningful impact for injured workers and policyholders. We offer a collaborative, growth-focused culture built on Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment.

30+ days ago

Independent Insurance Claims Adjuster in Tarzana, California MileHigh Adjusters Houston

Tarzana, California

30+ days ago

Independent Insurance Claims Adjuster in Maywood, California MileHigh Adjusters Houston

Maywood, California

30+ days ago

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Claims Jobs in Grove, NJ

Claims Specialist, Workers Compensation - West Region Liberty Mutual Holding Company Inc

Sr. Claims Advocate Next Insurance Inc

Workers Compensation Claims Manager Modern HR

Chief Claims Officer, Argo Group Argo Group International Holdings Ltd.

Senior Casualty Claims Adjuster EMC Insurance Group Inc.

Senior Claims Adjuster (Workers'''' Compensation) EMC Insurance Group Inc.

Claims Processor Arsenault

EPL & D&O Liability Claim Counsel The Travelers Companies Inc

Claims Auditor Health Source MSO

Claims Supervisor Health Source MSO

Senior Claims Benefit Specialist CVS Health Corp

Medical Claims Intake Coordinator UCLA Health System

Claims Specialist I - Provider Claims Inland Empire Health Plan

Claims Adjuster II (Workers'' Compensation)| California Employers Holdings Inc

Sr. Supervisor, Commercial Casualty Claims - Remote CSAA Insurance Group

Field Property Claims Adjuster: Alexandria, LA Farmers Insurance Group

Independent Insurance Claims Adjuster in Sunland, California MileHigh Adjusters Houston

Senior Claims Adjuster I | California Employers Holdings Inc

Independent Insurance Claims Adjuster in Tarzana, California MileHigh Adjusters Houston

Independent Insurance Claims Adjuster in Maywood, California MileHigh Adjusters Houston

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