233 Results for

Claims Jobs in Tualatin, OR

Jobs

Vancouver, WA

$28–$33 / hour

Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Proficiency with Excel and calculators to perform moderately complex calculations, including unit and weight conversions; skilled in 10-key data entry with a high degree of accuracy.

5 days ago

Vancouver, WA

Remote

Full time

As a member of the Stop Loss team, this position adjudicates all stop loss claims by developing policies and procedures to ensure consistent claim practices and adherence to policy and contract terms, appropriate laws and regulations - all in service of creating a person-focused health care experience. The expected hiring range for a Stop Loss Claims Analyst is $68,900.00 - $93,150.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location.

30+ days ago

Tigard, OR

$69,400–$89,800 / year

An ideal candidate will have experience managing an inventory independently, experience assessing and evaluating liability, coverage, and damages, as well as working independently and directly with attorneys to negotiate and settle claims. 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/.

30+ days ago

Tigard, OR

$70,000–$90,000 / year

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/. Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.

30+ days ago

Tigard, OR

$70,000–$90,000 / year

30+ days ago

Remote

$47,500–$61,600 / year

Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Centricity, Customer Service, Digital Literacy, Inclusive Leadership, Insurance Claims Investigations, Learning Agility, Personal Injury Claims, Problem Solving, Results-Oriented, Time Management, Written Communication. As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.

13 days ago

As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment. 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.

19 days ago

Lake Oswego, OR

Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. You will be required to go into the office twice a month if you reside within 50 miles of one of the following offices: Boston, MA; Westborough, MA; Hoffman Estates, IL; Weatogue, CT; Indianapolis, IN; Plano, TX; Suwanee, GA; or Lake Oswego, OR; Las Vegas, NV; Chandler, AZ.

11 days ago

Camas, WA

Full time

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. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.

30+ days ago

Battle Ground, WA

Full time

30+ days ago

Forest Grove, OR

Full time

30+ days ago

Lake Oswego, OR

Full time

30+ days ago

McMinnville, OR

Full time

30+ days ago

Gresham, OR

Full time

30+ days ago

Portland, OR

Full time

30+ days ago

Clackamas, OR

Full time

30+ days ago

Hillsboro, OR

Full time

30+ days ago

Newberg, OR

Full time

30+ days ago

Sandy, OR

Full time

30+ days ago

Sherwood, OR

Full time

30+ days ago

Beaverton, OR

Full time

30+ days ago

Canby, OR

Full time

30+ days ago

Oregon City, OR

Full time

30+ days ago

Molalla, OR

Full time

30+ days ago

Remote

$65,000–$120,000 / year

The Workers' Compensation Claims Adjuster Senior, Indemnity is responsible for analyzing time loss workers' compensation claims to determine compensability. We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee's annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan).

11 days ago

Lake Oswego, OR

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. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements, and managing an inventory of commercial property/casualty claims involving bodily injury or property loss.

30+ days ago

Portland, Oregon

Remote

18 days ago

Portland, Oregon

Remote

30+ days ago

Portland, Oregon

Remote

Service timeline focus is on larger Valued or 360 Clients for onboarding new accounts and establishing claims services with their carrier/TPA/applicable vendors, providing claims oversight, employer training, and scheduling Claim Reviews and various presentations. WC Claims Consultants work independently with clients and their carrier/TPA consulting on large reserves, coverage issues, return to work issues, settlements, and other items that have a significant impact on retention and premiums.

27 days ago

Portland, OR

$67,000–$83,000 / year

The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industrys broadest selections of risk management solutions covering both pre- and post-loss services.

30+ days ago

Portland, OR

Remote

$52,999–$85,473 / year
Part time

The Workers’ CompensationClaims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay 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.

30+ days ago

Tigard, OR

$81,500–$108,000 / year

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/. 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.

17 days ago

Portland, OR

$99,000–$232,000 / 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.

6 days ago

Home Teleworkers, OR

Remote

$74,295–$82,550 / 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 {+ 21 more}. Partners cross-functionally with Claims Operations Support, TPA relationship managers, business leadership, Legal/Compliance teams, and operational partners to identify risks, evaluate performance trends, and develop solutions that support operational excellence and regulatory compliance.

4 days ago

Salem, OR

Remote

Compensation 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.

17 days ago

Portland, Oregon

As the Claims Review Specialist, your responsibilities will include prior authorizations, answering questions regarding prior authorizations, apply for prior authorizations and communicate with facilities and physicians, work daily rejects, communication with internal departments. Consonus Pharmacy is a closed-door long-term care pharmacy specializing in the needs of nursing facilities, assisted living residents, and their caregivers.

29 days ago

Lake Oswego, OR

Liberty Mutual has an immediate opening for a Claims Team Manager who will lead a team of Claims Specialists who manage a portfolio of Workers Compensation claims, for a dedicated account, to achieve the best possible outcomes and deliver an exceptional customer experience. Provides management oversight of claims files (non-litigated or litigated) within the unit, to include Manager Reviews on open inventory and reviews files to measure quality assurance discusses individual training and development needs.

6 days ago

Portland, OR

$101,000–$151,500 / year

Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. You will be accountable for all aspects of the Stop Loss Quality Program, ensuring superior customer service for internal and external clients while overseeing functional training programs within Stop Loss Operations.

11 days ago

Portland, OR

Remote

$16.90–$23.42 / hour
Part time

Pay 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. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

30+ days ago

Portland, OR

$87,000–$130,000 / year

In addition to our robust benefits package, the final offer amounts will depend on a variety of factors, including the candidate's geographic location, prior relevant experience, and their knowledge, skills, and abilities. Our plans are cost-effective, convenient and provide progressive ways for staying healthy, protecting loved ones, pursuing financial security and living a full and balanced life.

1 day ago

Portland, OR

$87,000–$130,000 / year

4 days ago

Portland, OR

$72,000–$141,000 / year

Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. 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.

20 days ago

Vancouver, WA

$19–$21 / hour
Full time

The Revenue Cycle Support Specialist (aka Prior Authorization Coordinator) is responsible for striving to complete either approval for pharmacy claims requiring prior authorization or by coordinating with prescribers and or facility contact to have therapy changed to a preferred alternative due to insurance not covering the treatment in question. The Prior Authorization Coordinator is responsible for striving to complete either approval for pharmacy claims requiring prior authorization or by coordinating with prescribers and or facility contact to have therapy changed to a preferred alternative due to insurance not covering the treatment in question.

30+ days ago

Vancouver, WA

Full time

As a member of The US Oncology Network, one of the nation's largest community-based cancer treatment and research networks, Compass Oncology participates in leading-edge clinical trials through US Oncology research, which has helped develop 89 FDA approved cancer therapies. If you are a dedicated, team-oriented, patient-centered individual looking for an opportunity where you are proud of what you do, work hard, have fun, want to learn and go home at the end of the day knowing you made a difference in the lives of our patients; Compass Oncology is the place for you!

28 days ago

Portland, OR

Small Health and Welfare Claims Administrator seeks full-time Claims Examiner/Member Services Representative to process claims and provide outstanding customer service to external and internal clients. Successful candidate must be detail oriented, possess excellent interpersonal skills, be a master communicator, and demonstrate a strong desire to assist others and continuously learn.

7 days ago

Portland, OR

Remote

Full time

Under limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.

30+ days ago

Portland, OR

Remote

Full time

The Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.

30+ days ago

Portland, OR

Remote

$15.05–$23.42 / hour

12 days ago

Lake Oswego, OR

Responsibilities: Investigates claims to determine whether coverage is provided; includes analysis of potentially applicable policy provisions and drafting comprehensive coverage position letters, sometimes in conjunction with Home Office Legal coverage counsel. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role.

9 days ago

Lake Oswego, OR

We are the perfect fit if you: + are seeking a progressive work environment at a rapidly growing organization + have a desire to help others protect their future + have an entrepreneurial spirit and are challenged by the opportunity to grow the business + are focused on learning and development to enhance your industry knowledge and expertise + are a self-starter willing to invest time and energy to learn the technical aspects of our business + believe in integrity and building success by developing relationships with others **Here's Where You Come In** We are currently seeking a Senior Claims Advocate to join our growing Commercial Insurance Claims team. Our entrepreneurial culture fosters an environment that empowers our people to make the best decisions for our customers and organization, focusing on expanding the industry knowledge of our insurance professionals to better serve our valued clients.

22 days ago

Resume Resources

Free Resume Templates Free Resume Builder

Get noticed by top employers!

Upload your resume to let employers know you're open to Claims job opportunities. Plus, receive relevant job recommendations in your inbox.

Create A Free Account

Claims Jobs in Tualatin, OR

Senior Billing Specialist Jobot

Stop Loss Claims Analyst Cambia Health Solutions

Claims Adjuster - Attorney Represented Injury The Progressive Corp

Claims Adjuster Senior - Litigation The Progressive Corp

Claims Adjuster Senior - Injury The Progressive Corp

Non-Attorney Represented Bodily Injury Claims Adjuster - PST/MST (Remote) Allstate Insurance Company

Claims Adjuster Trainee Allstate Insurance Company

Claims Specialist - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims Adjuster Liberty Mutual Holding Company Inc

Independent Insurance Claims Adjuster in Camas, Washington MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Battle Ground, Washington MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Forest Grove, Oregon MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Lake Oswego, Oregon MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in McMinnville, Oregon MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Gresham, Oregon MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Portland, Oregon MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Clackamas, Oregon MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Hillsboro, Oregon MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Newberg, Oregon MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Sandy, Oregon MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Sherwood, Oregon MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Beaverton, Oregon MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Canby, Oregon MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Oregon City, Oregon MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Molalla, Oregon MileHigh Adjusters Houston Inc

Sr. Adjuster-Workers Comp Claims CopperPoint Insurance Co

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

Senior Workers Compensation Claims Adjuster Gallagher

Senior Workers Compensation Claims Adjuster - OR/WA Gallagher

WC Claims Consultant Alera Group

ESIS Claims Representative, WC Chubb Ltd

Claims Specialist CorVel Enterprise Claims, Inc.

Claims Specialist Lead The Progressive Corp

Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLP

Commercial Claims Quality & Performance Analyst III - Remote CSAA Insurance Group

Claims Analyst - REMOTE Ryder System Inc

Pharmacy Technician - Claims Review Consonus Pharmacy

Claims Team Manager, Workers Compensation Liberty Mutual Holding Company Inc

Associate Director, Stop Loss Claims Support and Development Sun Life Financial Inc

Liability Claims Assistant CorVel Enterprise Claims, Inc.

Claims Executive - Workers Comp IMA Financial Group

Claims Executive - Workers Comp The IMA Financial Group Inc

Complex Claims Consultant - Private & NFP D&O CNA Financial Corp

Revenue Cycle Support Specialist ResCare Premier Inc.

Insurance Specialist - Billing/ Follow Up Compass Oncology

Claims Examiner/Member Services Representative United Employers Association and its Affiliates

Claims Recoup & Collect Anlyst TriWest Healthcare Alliance

Supervisor, Claims Admin TriWest Healthcare Alliance

Claims Assistant CorVel Corp

Technical Claims Specialist Liberty Mutual Holding Company Inc

Senior Claims Advocate HUB International

Resume Resources