156 Results for

Claims Jobs in North Versailles, PA

Jobs

McKnight, PA24 days ago

$100,000–$140,000 Per Year
Full-time

CONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.

Pittsburgh, PA30+ days ago

$65,000–$250,000 Per Year
Full-time
Employee

We are seeking a motivated Outside Sales Representative to generate new business, build client relationships, and partner with our claims team. Experience in outside/territory sales, business development, or consultative selling; insurance/public adjusting experience a plus.

Pittsburgh, PA30+ days ago

Full-time
Employee

Conduct a virtual walk-through inspection of the property, take some pictures, and fill out about 5 minutes worth of paper work. We are seeking motivated, self-starters in your area, who want to succeed.

Pittsburgh, PA17 days ago

$18.50–$19 Per Hour
Contractor

This individual is part of a highly concierge ‘white glove’ service team that will manage the patient experience from start to finish by providing program information, eligibility, reimbursement support, and general assurances and ease of use in supporting our client’s copay assistance programs. Under the supervisor's direction, The Patient Support Specialist is responsible for providing patient health care services, enabling access to care for prescription medications.

Pittsburg, PA30+ days ago

Remote

$79,191–$126,500 Per Year

Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIEs geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired.

Pittsburgh, PA25 days ago

The Casualty Claims Specialist will have the following duties and responsibilities:

Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss.

PA30+ days ago

Our 6,500 team members foster an uncommon, innovative culture and are dedicated to successfully bringing the future to bear today through cognitive answers, insights, algorithms and automation.

Strong problem solving, project management skills while maintaining excellent customer service with client policyholder and insurance company claim staff.

Pittsburgh, Pennsylvania18 days ago

Remote

The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours.

Investigate, evaluate, and resolve complex indemnity/lost time workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.

Pittsburgh, PA21 days ago

They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim.

PA30+ days ago

$72,000–$141,000 Per Year

li>Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.

Performs a combination of duties in accordance with departmental guidelines:

Manages an inventory of high complexity and exposure Financial Lines claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.

PA30+ days ago

$128,000–$252,500 Per Year

Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

Pittsburgh, PA25 days ago

$99,000–$232,000 Per Year

PwC 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.

PA19 days ago

$77,000–$202,000 Per Year

p>PwC 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.

Pittsburgh, PA30+ days ago

Our two primary products BlinkRx and Quick Save remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved health outcomes for patients.

Company Overview:

Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody.

Pittsburgh, PA23 days ago

$75,000–$150,000 Per Year

Maintains working relationship with field sales force and underwriting department in securing and giving information on claims and regarding the risk desirability of insureds. The representative evaluates liability, exposure, subrogation potential and arrange for the disposition of claims through settlement or denial, including litigation.

PA25 days ago

p>Position Description:

Lead, manage, and provide insurance coverage advice on high exposure complexconstruction claims, includingbut not limited to professional liability, construction defect, general liability, builders' risk, pollution liability, subcontractor default, payment and performance bonds, employment, wage and hour, and pollution claims from initial notice through claim closure, including subrogation and litigation domestically and globally.

Essential Duties & Key Responsibilities:

Manage specialty, complex, and high exposure insurable claims including but not limited to professional liability, construction defect, general liability, builders' risk, pollution liability, subcontractor default, payment and performance bonds, employment, wage and hour, and pollution claims.

PA30+ days ago

Our 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.

PA20 days ago

Frequent movement and sedentary work required - may be required daily to lift up to 25 pounds or exert up to 10 pounds of force to lift, carry, push, pull or otherwise move objects including the human body in a sustained motion; walking is frequently required for sustained periods of time. These include, but are not limited to, calls regarding shortages and damages, problem calls from drivers, pick up calls, tracing, proof of delivery (POD''s), rates, and claims issues.

PA30+ days ago

Remote

$72,000–$82,000 Per Year

Our steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes.

Pittsburgh, PA30+ days ago

$97,000–$189,000 Per Year

Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Leads the work activities of medium to high severity specialized Claims Professionals and has full management responsibility for executing the Specialty Claim Handling Guidelines by setting and communicating expectations, providing direction and situational coaching, facilitating ongoing training and development, and managing employee performance. Advanced technical expertise in Private D&O, EPL and Fiduciary matters or a specialized or highly complex line of business, business management acumen, investigation and claims resolution experience, expert knowledge claims principles, practices and procedures.

Saxonburg, PA30+ days ago

Brayman Construction Corporation in Saxonburg, PA is looking for a detail oriented and organized Safety Document Control, Claims Management & Paralegal Specialist to support the organization's safety, legal, and risk management functions by maintaining controlled safety documentation, administering workers' compensation and liability claims, and providing paralegal-level support for legal, regulatory, and compliance matters. About Brayman Construction: We are a leading heavy civil and geotechnical contractor with office headquarters in suburban Pittsburgh, Pennsylvania, a satellite office in Wytheville, Virginia and various project field offices in the Mid-Atlantic and Northeast Regions.

Pittsburgh, Pennsylvania30+ days ago

Remote

Saxonburg, PA30+ days ago

Brayman Construction Corporation in Saxonburg, PA is looking for a detail oriented and organized Safety Document Control, Claims Management & Paralegal Specialist to support the organization's safety, legal, and risk management functions by maintaining controlled safety documentation, administering workers' compensation and liability claims, and providing paralegal-level support for legal, regulatory, and compliance matters. We are a leading heavy civil and geotechnical contractor with office headquarters in suburban Pittsburgh, Pennsylvania, a satellite office in Wytheville, Virginia and various project field offices in the Mid-Atlantic and Northeast Regions.

Pittsburgh, Pennsylvania30+ days ago

Remote

Pittsburgh, PA30+ days ago

Why this role matters: As a Claims Examiner, you'll play a key role in helping our members live healthier, more independent lives. While you'll primarily work remotely, you'll come into the office occasionally depending on departmental needs.

PA30+ days ago

In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Corrects issues, conducts routine maintenance, updates systems with new functionality to meet the end user"s needs, and implements new technologies.

Cheswick, Pennsylvania23 days ago

li>Frequent movement and sedentary work required – may be required daily to lift up to 25 pounds or exert up to 10 pounds of force to lift, carry, push, pull or otherwise move objects including the human body in a sustained motion; walking is frequently required for sustained periods of time. These include, but are not limited to, calls regarding shortages and damages, problem calls from drivers, pick up calls, tracing, proof of delivery (POD's), rates, and claims issues.

New!

Pittsburgh, PA3 days ago

p>This role manages complex claims involving primary and excess insurance coverages, significant litigation, and extensive liability; monitors claims work on complicated claims; assumes responsibility for reviewing claims for settlement potential; managing the litigation services provided by all subcontracted defense attorneys; and conducts comprehensive audits of litigated files.

Analyze complex, technically challenging, and/or sensitive employee related and third party claims that are submitted for coverage under one of, but not limited to, UPMC Captive policies; Directors & Officers Liability, including Employment Practice Liability, Managed Care Errors & Omissions, General Liability and Professional (malpractice liability.

Monroeville, PA30+ days ago

p>For 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/. In addition to ensuring essential administrative functions run smoothly, you may also interact with customers and medical providers by phone or in person when applicable.

New!

Pittsburgh, PA4 days ago

You will serve as a subject matter expert regarding claims matters, handling various types of claim disputes and litigation for automobile personal injury, commercial general liability, property damage, workers compensation, and other corporate litigation. Learn more here: https://westshorehome.com/community/.

Working at Home, PA17 days ago

Reviews processed claims and inquiries to determine corrective action including adjusting claims as necessary and takes the corrective action steps using enrollment, benefit and historical claim processing information; may coordinate benefits and interact with customers. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Pittsburgh, PA30+ days ago

In addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Professional Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.

Pittsburgh, PA30+ days ago

Job Description:

Epic Certified Hospital Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.

PA30+ days ago

This includes following a departmental claim checklist to ensure eligibility is met, the payment reimbursement request is accurate by auditing the claim for duplicate line-item charges and determining if all information is available to finalize the payment request. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Pittsburgh, PA30+ days ago

Remote

Seven years of total related experience, including one year experience as a senior or lead, OR equivalent combination of education/experience. Coordinate Claims-owned regulatory updates and edits (CCI, LCD, MUE as well as periodic Epic upgrades (Nova Notes.

Pittsburgh, PA15 days ago

The Medical Only Claims Specialist 1 is responsible for coverage analysis, investigation, evaluation, communication, and disposition of assigned medical claims within the WorkPartners Workers' Compensation business unit. The UPMC WorkPartners Workers' Compensation Medical Only Claims Specialist 1 reports to the Workers' Compensation Supervisor.

Pittsburgh, PA30+ days ago

Workflow Application Navigation - Experience in effectively navigating workflow tool applications to streamline processes and enhance productivity. At Citizens, we are committed to fostering an inclusive culture that enables all colleagues to bring their best selves to work every day and everyone is expected to be treated with respect and professionalism.

West Mifflin, PA30+ days ago

$25–$32 Per Hour

Our leadership team brings over 25 years of field experience and is committed to fostering a professional, results-driven environment. Join Lemieux & Associates, a trusted leader in investigative services, and make an impact with your surveillance expertise.

Pittsburgh, PA30+ days ago

$97,000–$189,000 Per Year

Leads a team of Claims Consultants and Consulting Directors responsible for the handling of complex, high exposure life sciences claims and claims arising under Coverage B of commercial general liability policies (personal and advertising injury), including matters involving product advertising, labeling and marketing content, intellectual property and unfair competition allegations, reputational harm, and related emerging exposures. JOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Leads the work activities of medium to high severity specialized Claims Professionals, has full management responsibility for setting and communicating expectations, providing direction and situational coaching, and facilitating ongoing training.

PA30+ days ago

$97,000–$189,000 Per Year

p>JOB DESCRIPTION:

Essential Duties & Responsibilities:

Performs a combination of duties in accordance with departmental guidelines:

Leads the work activities of medium to high severity specialized Claims Professionals, has full management responsibility for setting and communicating expectations, providing direction and situational coaching, and facilitating ongoing training.
Leads a team of Claims Consultants and Consulting Directors that are responsible for the handling of complex, high exposure mass tort and environmental claims, including social media addiction, PFAS, talc, sexual molestation, and other long tail general liability and pollution related matters.

Pittsburgh, PA23 days ago

$52,600–$86,800 Per Year

Learn how to interpret and apply policy language to determine coverage for compensability, investigate claim scenarios to appropriately assess liability and damage exposure, and where applicable, review contractual relationships to assess potential risk transfer. As an Associate Claim Rep, General Liability, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals.

Pittsburgh, PA23 days ago

$67,000–$110,600 Per Year

Investigates each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. The 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.

Pittsburgh, Pennsylvania24 days ago

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Claims Jobs in North Versailles, PA

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Claims Jobs in North Versailles, PA

Ins Claims Specialist Medical Malpractice - Pittsburgh, PA Diedre Moire Corp.

11717 Public Adjuster | Outside Sales Representative Metro Public Adjustment

459763 Public Adjuster Metro Public Adjustment

Patient Support Specialist- #26-11811 US Tech Solution

Property Claims Specialist Erie Indemnity Co

Casualty Claims Specialist First Chicago Insurance Company

Field Claims Representative Solera Holdings LLC

Senior Workers Compensation Claims Adjuster - DE, PA, NJ Gallagher

Casualty Claims Specialist First Chicago Insurance Company (FCIC)

Complex Claims Consultant - Life Insurance Agent / Broker Dealer CNA Financial Corp

Insurance Claims Business Analyst Deloitte Touche Tohmatsu Ltd

Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLP

Property & Casualty Insurance Claims Operations Consultant, Sr. Associate PricewaterhouseCoopers LLP

Pharmacy Benefits /Insurance Claims Specialist | Onsite- Pittsburgh Blink Health Management LLC

Field Claims Representative - Pittsburgh Acuity, A Mutual Insurance Company

Senior Corporate Counsel - Director Complex Claims Turner Construction Co

Claims Examiner - Subrogation Claims Auto-Owners Insurance Group

Claims Prevention Coordinator Operations Pitt-Ohio Express, LLC

Workers Comp Senior Claims Rep Remote-NJ PA MA Great American Insurance Company

Complex Claims Director - EPL, Private and Not-For-Profit D&O, Fiduciary CNA Financial Corp

Safety Document Control, Claims Management & Paralegal Specialist Brayman Construction Corp

Workers Comp Senior Claims Rep Remote-NJ PA MA National Interstate Corporation

Safety Document Control, Claims Management & Paralegal Specialist Brayman Construction

Workers Comp Senior Claims Rep Remote-NJ PA MA Vanliner Insurance Company

Claims Examiner (CHC/Medicaid University of Pittsburgh Medical Center

Epic Systems Analyst- Resolute Hospital Billing & Claims Highmark Inc

Claims Prevention Coordinator- Operations Pitt Ohio

Senior Claims & Insurance Analyst University of Pittsburgh Medical Center

Claims Administrative Support Specialist The Progressive Corp

Claims Counsel West Shore Home, Inc.

Claims Processor Highmark Inc

Epic Certified Professional Billing Claims Analyst 5944596 Accenture Plc

Epic Certified Hospital Billing Claims Analyst 5944595 Accenture Plc

Senior Stop Loss Claims Analyst Highmark Inc

Systems Analyst - Team Lead (Epic HB Claims and Remittance University of Pittsburgh Medical Center

Medical Only Claims Specialist I - Workers Comp University of Pittsburgh Medical Center

Fraud Claims Sr Specialist Citizens Financial Group Inc

SIU Claims Investigator Lemieux & Associates LLC

Complex Claim Director - Life Sciences & Advertising Injury/Personal Injury CNA Financial Corp

Complex Claim Director - Mass Tort Unit CNA Financial Corp

General Liability Associate Claim Representative The Travelers Companies Inc

General Liability Claim Representative The Travelers Companies Inc

General Liability Claim Representative Travelers

What Is the Opportunity?.

Warranty Claim Assistant Blue Bird Bus Sales Of Pittsburgh

Warranty Claim Assistant Blue Bird Bus Sales Of Pittsburgh, Inc.-

Manager, Claim Management Westinghouse Electric Co LLC

Risk and Insurance Manager Pittsburgh Cultural Trust

Medical Billing Assistant - Entry Level Vitalsearchgroup

Insurance Customer Service John Ryce - State Farm Agency

Senior Consultant, Health Insurance - Risk Regulatory & Compliance Deloitte Touche Tohmatsu Ltd

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