NewIndependent Insurance Claims Adjuster in Beckley, West Virginia MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Beckley, West VirginiaBeckley, West VirginiaHow 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. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
Adjuster, Property Insurance Claims Elevate Claims SolutionsAdjuster, Property Insurance ClaimsCharleston, West VirginiaElevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Valuing our partnerships with our carrier clients; recognizing and maximizing the ways in which our Elevated Claims Handling can support them and their policyholders.
Property Adjuster Insurance Claims Elevate Claims SolutionsProperty Adjuster Insurance ClaimsCharleston, West VirginiaElevate Claims Solutions is seeking an Independent Adjuster adjusters with commercial and residential property claims in Wisconsin: Greenbay Appleton and Fox Cities area. Elevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves.
Claims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance CoClaims Adjuster II, Field Property - National CatastropheCharleston, WV$62,500–$115,500 / 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. In this role, you'll conduct on-site inspections, evaluate property damages, determine policy coverage, and make timely, accurate decisions using a variety of tools and resources, including vendor estimates, independent adjusters, and self-written assessments.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTECharleston, WVRemoteCompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees : If you are a current employee at Ryder, please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process.
Lost Time Claims Specialist - Workers'''' Compensation Encova Mutual Insurance GroupLost Time Claims Specialist - Workers'''' CompensationCharleston, WVOur current footprint includes: Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin. Consults with assigned claim director, return to work specialists, nurse case managers, internal/external medical, and legal on current and/or recommended treatment, litigation or rehabilitation plans to ensure claims outcomes are achievable and appropriate.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTECharleston, WVRemoteCompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees : If you are a current employee at Ryder, please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process.
Sr. Technical Specialist - Workers' Compensation Claims Major Case Unit, VA & MN American International Group Inc (AIG)Sr. Technical Specialist - Workers' Compensation Claims Major Case Unit, VA & MNCharleston, WVManage indemnity, medical and legal aspects of highest valued, complex WC claims, for Virginia (VA), Minnesota (MN) and other jurisdictions, through use of various resources available (i.e., utilizing medical management services in controlling medical treatment as necessary, coordinating independent medical evaluations where appropriate). Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience.
Senior Claims Specialist - West Virginia CorVel Enterprise Claims, Inc.Senior Claims Specialist - West VirginiaCharleston, WVRemote$59,681–$96,123 / yearPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
Claims Analyst The Health PlanClaims AnalystCharleston, WVUnder the direction of the Manager of Claims, the reviewer performs initial review of claims, including HCFA 1500 and UB 04 claims. Reviews each claim flag in sequence, totally completing one at a time in accordance with established criteria/payment guidelines.
Workers Compensation Claims Examiner | Dedicated Client | NY Jurisdiction Knowledge & NY Licensing Required Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | Dedicated Client | NY Jurisdiction Knowledge & NY Licensing RequiredWV$90,000–$95,000 / 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. To analyze Lost-Time Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Liability Litigation Claims Examiner | Litigation, Premise, Auto, BI & Product Claims Experience Sedgwick Claims Management Services, Inc.Liability Litigation Claims Examiner | Litigation, Premise, Auto, BI & Product Claims ExperienceWV$63,404–$88,765 / yearTo analyze GL Litigated, Premise, Auto, Bodily Injury & Product claims on behalf of our valued dedicated client to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
Senior Claims Specialist - West Virginia CorVel CorpSenior Claims Specialist - West VirginiaCharleston, WVRemote$59,681–$96,123 / yearESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Receives claim, confirms policy coverage and acknowledgement of the claim • Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies • Establishes reserves and authorizes payments within reserving authority limits • Develops and manages well-documented action plans with the case manager and outcomes manager to reduce overall cost of the claim • Coordinates early return-to-work efforts with the appropriate parties • Manages subrogation and litigation of claim as it applies • Manages potential claim recoveries of all types • Reports claims to the excess carrier when applicable • Communicates claim status with the customer and claimant • Adheres to client and carrier guidelines and participates in claims review as needed • Develops and maintains professional customer relationships • Complies with rules and regulations of applicable state. KNOWLEDGE & SKILLS: • Excellent written and verbal communication skills • Ability to assist team members to develop knowledge and understanding of claims practice • Ability to identify, analyze and solve problems • Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets • Strong interpersonal, time management and organizational skills • Ability to work both independently and within a team environment • Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation.
Claims/Customer Service Rep The Health PlanClaims/Customer Service RepCharleston, WVThe CDS Rep is responsible for all aspects of processing payment requests for all Consumer Driven Product lines as well as answering customer telephone calls and inquiries in a prompt and professional manner. Establish adequate proficiency in claims and customer service processing systems.
NewMedical Claim Analyst CVS Health CorpMedical Claim AnalystWV$18.50–$35.29 / hourThis function includes, but is not limited to the following: Review provider re-submissions of ClaimsXten, Clinical Validation, Prospective Claim Accuracy, Novologix and DRG claims and resolve or prepare them for review by an Aetna clinician. The Medical Claim Analyst will be part of the Provider Coding and Reimbursement (PCR) team who reviews provider coding and reimbursement denial disputes from providers.
Senior Analyst Claim Reporting and Special Services CVS Health CorpSenior Analyst Claim Reporting and Special ServicesWV$46,988–$112,200 / yearPosition Summary: We are looking for a highly motivated candidate who can effectively and accurately oversee and coordinate rework projects, work closely with other members of the Commercial Services Operations team providing project management, root cause analysis and precise resolution of affected claims. The candidate will serve as a Project Lead for rework projects/issues for a specific network or large-scale rework projects generated as a result of Plan Sponsor issues, release fallout and/or legal/regulatory/compliance concerns.
General Liability Claim Representative The Travelers Companies IncGeneral Liability Claim RepresentativeCharleston, WV$67,000–$110,600 / yearInvestigates 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.
Bodily Injury Litigation Adjuster (Homeowner Liability) Allstate Insurance CompanyBodily Injury Litigation Adjuster (Homeowner Liability)Charleston, WV$56,000–$82,500 / yearAutomobile Accidents, Automobile 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 Litigation, Insurance Policies, Liability Insurance, Litigation, Litigation Management, Litigation Support, Negotiation {+ 2 more}. 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.
Bodily Injury Adjuster (Extended Handler) Allstate Insurance CompanyBodily Injury Adjuster (Extended Handler)Charleston, WV$50,000–$86,400 / yearAuto Insurance Claims, Automobile Accidents, Bodily Injury Claims, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Service, Fractures, General Liability Insurance, Insurance Coverage, Insurance Coverage Analysis, Insurance Policies, Investigative Skills, Liability Insurance, Negotiation, Personal Injury Claims, Relationship Management, Soft Tissue, Soft Tissue Injuries, Umbrella Liability Insurance. 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.
Investigator Ethos Risk ServicesInvestigatorCharleston, WVPart timePrevious 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.
NewPersonal Injury Case Manager Morgan & Morgan, P.A.Personal Injury Case ManagerCharleston, WVThis employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. From attorneys in all 50 states, to client support staff, creative marketing to operations teams, every member of our firm has a key role to play in the winning fight for consumer rights.
Director Data Science Sedgwick Claims Management Services, Inc.Director Data ScienceWVDefine and lead Sedgwicks enterprise data science strategy aligned to claims optimization, risk management, fraud detection, and client performance analytics. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Field Adjuster (Residential or Commercial) - Charleston, WV CCMS & AssociatesField Adjuster (Residential or Commercial) - Charleston, WVCharleston, WVInvestigate claims by obtaining recorded statements from insureds, claimants, or witnesses and by interviewing fire, police, or other governmental officials as well as inspecting claimed damages. CCMS & Associates offers multi-line claim adjusting and third-party administration services dedicated to solving the challenges of the complex claim in the property and casualty insurance industry.
Commercial Casualty Litigation Adjuster - Remote CSAA Insurance GroupCommercial Casualty Litigation Adjuster - RemoteWVRemote$80,865–$89,850 / yearAlabama - Home Teleworkers, Alabama - 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, Montana - Home Teleworkers {+ 21 more}. Interacts directly with defense counsel providing direction, authority for resolution (i.e., settle or go to trial) and ensures appropriate outcome in balancing defense costs and indemnity on litigation claims.
Pharmacist Walgreen CoPharmacistWV$60.90–$82.30 / hourWalgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions.
Pharmacist - Relocation Assistance Available Walgreen CoPharmacist - Relocation Assistance AvailableWV$64.60–$71.05 / hourWalgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions.
Part-Time Surveillance Investigator The Robison GroupPart-Time Surveillance InvestigatorCharleston, West VirginiaThrough our operating brands, HVACi, StrikeCheck, National Fire Experts, Donan Engineering, BSC Forensics, Component Testing Laboratories, The Robison Group, VRC Investigations, TechLoss, Mecanica Scientific Services, and HMI we are respected as the industry leader for our scale and our track record of conducting expert, specialized, and accurate investigations. Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations, multi-line insurance claims, criminal and civil background checks, and other investigative tasks.
Customer Service Representative ibexCustomer Service RepresentativeBeckley, West VirginiaHard wired ethernet internet connection with minimum speeds of 50 Mbps Download / 10 Mbps Upload. You will use problem solving skills, and advocate for members in a friendly and efficient manner.
Customer Service Representative IBEX Holdings LtdCustomer Service RepresentativeBeckley, WVHard wired ethernet internet connection with minimum speeds of 50 Mbps Download / 10 Mbps Upload. Your day-to-day will involve: Answering a high volume of incoming phone calls.
Administrative Services Manager 4 State of West VirginiaAdministrative Services Manager 4Charleston, WV$58,329–$103,488 / yearWE DO NOT ACCEPT THE FOLLOWING DOCUMENTATION: Unofficial transcripts High school diplomas or transcripts Birth certificates Social Security Cards Drivers Licenses Passports These documents will be removed from your profile if submitted. Responsible for directing the administrative services in the areas of property management and control, electronic licensing, land and streams, and fleet management, that support daily operations across all WVDNR divisions.
Risk Manager - Insurance Insurance Office of AmericaRisk Manager - InsuranceCharleston, WVRemote$110,000–$145,000 / yearFull timePlease note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. This role acts as a strategic advisor to clients or internal stakeholders, aligning insurance solutions with business objectives while ensuring regulatory compliance, cost efficiency, and effective claims management.
SVP AI Engineering Sedgwick Claims Management Services, Inc.SVP AI EngineeringWVNewsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance. • Drive enterprise architecture decisions for AI platforms, including model hosting, orchestration layers, vector databases, evaluation frameworks, and observability tooling.
Account Associate - State Farm Agent Team Member David Smyer - State Farm AgentAccount Associate - State Farm Agent Team MemberCharleston, WVROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for David Smyer - State Farm Agent, you are vital to our daily business operations and customers’ success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments.
Customer Service Representative - State Farm Agent Team Member David Smyer - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberCharleston, WVAs a Customer Service Representative - State Farm Agent Team Member with David Smyer - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Field Reimbursement Manager - US Central Inspire Medical Systems Inc.Field Reimbursement Manager - US CentralCharleston, WVRemote$160,000–$190,000 / yearYou will be working independently in a fast paced, highly visible environment as well as collaboratively with the internal program prior authorization support services and field sales to ensure all customer needs are met supporting patient therapy access and communicating coverage challenges across specific payer channels with guidance on how to navigate and minimize those potential hurdles. Both proactively and reactively navigate and address individual account and patient access issues that occur by partnering with external and internal stakeholders including internal reimbursement team and field sales colleagues.
Pharmacy Intern Grad Walgreen CoPharmacy Intern GradCharleston, WV$35.55–$39.10 / hourMaintains awareness of developments in retail and management and pursues best practices that would enhance performance Obtains necessary certifications, education credits and training such as People Plus Learning modules as required by the Company Seeks professional development by monitoring one's performance, solicits for constructive feedback, and leverages pharmacy manager and store manager as mentor and coach. Counsels patients and answers their questions regarding usage of medicine, side effects, interactions, contraindications, patient information privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health needs addressed, and satisfaction with service.
Data Steward Encova Mutual Insurance GroupData StewardCharleston, WVOur current footprint includes: Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin. Encova Insurance makes every effort to reasonably accommodate disabilities to permit performance of the essential functions and candidates who need such accommodation are encouraged to seek it.
Freezer, Cooler and Deli Stocker Associate Walmart IncFreezer, Cooler and Deli Stocker AssociateBeckley, WV$16–$23 / hourMaintains the Sales Floor and merchandise presentation in the Freezer/Cooler/Deli area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up, cleaning, and organizing product displays; removing damaged goods; signing and pricing merchandise appropriately; completing required audits, paperwork, logs, and other required documentation; and securing fragile and high-shrink merchandise. Follows Company policies and procedures related to Freezer/Cooler area by complying with food handling policies; operating, repairing, and sanitizing equipment; following Cold Chain procedures when stocking merchandise; cleaning freezer /cooler/deli area (for example, windows, mirrors, display cases and coolers); monitoring freezer/cooler fans, drains and doors for proper operation; and reporting issues to Management.
Accounting Tech IV Saunders StaffingAccounting Tech IVCharleston, WVResponsible for performing routine posting and adjusting to the general ledger, processing claims and invoices, and reviewing transactions for completeness, accuracy, and compliance with state and federal laws and regulations. Must have high school diploma and two years experience in accounting and entry level accounting support duties.
Casualty Specialist III American International GroupCasualty Specialist IIICharleston, WVBuilding on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to customers in more than 80 countries and jurisdictions. AIG also has a tuition reimbursement program for eligible employees to enhance their education, skills, and knowledge in areas that relate to their current position or future positions to which they may transfer or progress.
NewMgr, Business Consultant CVS Health CorpMgr, Business ConsultantWV$60,300–$132,600 / yearThe Manager will be responsible for ensuring the accuracy, completeness, and timeliness of encounter data submissions while partnering closely with internal business and technical teams, as well as external vendors, to meet regulatory and operational requirements across multiple states. As the Dual Special Needs Plan (DSNP) business continues to expand, we are seeking an experienced Manager, Encounter Data & State Submission Operations to lead the end-to-end management of encounter and claims data submissions to state agencies.
NewCivil Litigation Attorney Lewis Gianola PLLCCivil Litigation AttorneyCharleston, WVRepresentative Case Types The Civil Litigation Attorney may handle matters involving: Commercial and business disputes Breach of contract claims Shareholder and partnership disputes Fraud, misrepresentation, and business torts Real estate and property litigation Construction defect and contractor disputes Mechanics' liens and construction claims Employment litigation and workplace disputes Insurance coverage and bad faith claims Consumer protection and regulatory matters Premises liability and negligence claims Product liability litigation Complex multi-party litigation Appeals and alternative dispute resolution proceedings Qualifications Required Juris Doctor (J.D.) from an ABA-accredited law school. Lewis Gianola has a long-standing reputation for providing strategic, client-focused legal counsel throughout West Virginia, Ohio, and Pennsylvania, with a strong emphasis on commercial, real estate, construction, employment, and business litigation matters.
NewContract Administration Technician WVHDFContract Administration TechnicianCharleston, West VirginiaEssential Functions: Imports Section 8 (S8) Tenant Certifications and reviews for software system responses relating to accuracy, completeness, and compliance with TRACS and HUD regulations; Notifies individual properties of TRACS error messages received and of HDS (Housing and Development Software) import errors reported; Assists in the subsequent resolution and resubmission of corrections to TRACS error messages and HDS import errors; Processes S8 Housing Assistance Payment (HAP) vouchers for HUD submission; Monitors properties for TRACS voucher tenant compliance and corrects as needed; Maintains a list of contract and funding expirations for S8 properties; Prepares notifications in connection with annual rent and utility adjustments required by HUD regulations; Prepares and processes annual rent and utility adjustments accurately and timely; Reviews and processes special claims requests for completeness, accuracy, and timely submissions; Responds to tenant inquiries and complaints received; Inputs information into appropriate HUD software systems, as required; Assists in the preparation of the monthly S8 project-based contract administration invoice; Prepares documents for imaging monthly and reviews for accuracy; Remains current on, and ensures all functions are in accordance with HUD rules, regulations, and guidebooks; Establishes and maintains excellent working relationships with, as well as provides technical assistance to, owners, project managers, and management agents; and. Job Summary: This employee is responsible for reviewing and analyzing Housing Assistant Payment (HAP) vouchers; processing annual rent and utility allowance adjustments; reviewing vacancy, unpaid rent, and damage claims; and responding to tenant calls.