USAANewProperty Adjuster Specialist - Field USAAProperty Adjuster Specialist - FieldOlympia, WA$69,920–$133,620 / yearProactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.
Redpoint Claims- L&I Claims ManagementWA State- L&I Claims Manager Redpoint Claims- L&I Claims ManagementWA State- L&I Claims ManagerOlympia, WA$72,000–$90,000 / yearFull timeIssue resolution: Contact and coordinate with appropriate parties to resolve claim issues, including the attending physician, consulting doctors, employer, injured worker, vocational counselor, WA L&I claims manager, and others. This is a claim-owner role where you’ll manage a portfolio of WA L&I workers’ compensation claims end-to-end on behalf of employer clients; it is not a people-management position.
Cambia Health SolutionsStop Loss Claims Analyst Cambia Health SolutionsStop Loss Claims AnalystOlympia, WARemoteFull timeAs 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.
Cambia Health SolutionsAssistant Director Claims Production Cambia Health SolutionsAssistant Director Claims ProductionTumwater, WAFull timeAs a member of the Payment Integrity team, our Assistant Director Claims Production provides leadership for Claims production processing activities in the commercial claims service organization and is responsible for strengthening the organization's effectiveness in claims processing by achieving satisfaction through fast and accurate claims processing - all in service of creating a person-focused health care experience. * 5 years management/supervisory experience with at least 3 years in claims processing, customer service or membership/enrollment or an equivalent combination of education and job-related work experience.
Ford Motor CompanyCatastrophe Claims Adjuster - Field Service Manager - Auto Physical Damage Ford Motor CompanyCatastrophe Claims Adjuster - Field Service Manager - Auto Physical DamageOlympia, WANo matter what you choose, we offer a work life that works for you, including: + Immediate medical, dental, vision and prescription drug coverage + Flexible family care days, paid parental leave, new parent ramp-up programs, subsidized back-up child care and more + Family building benefits including adoption and surrogacy expense reimbursement, fertility treatments, and more + Vehicle discount program for employees and family members and management leases + Tuition assistance + Established and active employee resource groups + Paid time off for individual and team community service + A generous schedule of paid holidays, including the week between Christmas and New Year's Day + Paid time off and the option to purchase additional vacation time. This Field Service Manager role is a field-based position representing Ford Motor Company and its many departments to dealerships, assembly plants, ports, railroad ramps, distribution centers, body shops, lessees, and their dependents.
Property Claim ProfessionalsMulti-Line Claims Adjuster - Washington Property Claim ProfessionalsMulti-Line Claims Adjuster - WashingtonOlympia, WAWe excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims, business interruption and daily property claims, as well as handle complete liability investigations, task assignments including scene investigations and property damage appraisals, construction defect claims as well as first party automobile claims for personal and commercial insurance policyholders. Experience in industry specific areas a plus, but not necessary: fire departments, agricultural, lumber mills, high value or historic buildings or Construction Defects, Automobile Liability, Subrogation Recovery investigations.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Shelton, Washington MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Shelton, WashingtonShelton, WAFull timeHow 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.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Lakewood, Washington MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Lakewood, WashingtonLakewood, WAFull timeHow 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.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Centralia, Washington MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Centralia, WashingtonCentralia, WAFull timeHow 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.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Lacey, Washington MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Lacey, WashingtonLacey, WAFull timeHow 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.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Graham, Washington MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Graham, WashingtonGraham, WAFull timeHow 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.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Spanaway, Washington MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Spanaway, WashingtonSpanaway, WAFull timeHow 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.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Olympia, Washington MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Olympia, WashingtonOlympia, WAFull timeHow 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.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Federal Way, Washington MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Federal Way, WashingtonFederal Way, WAFull timeHow 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.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Puyallup, Washington MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Puyallup, WashingtonPuyallup, WAFull timeHow 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.
Alera GroupWC Claims Consultant Alera GroupWC Claims ConsultantTacoma, WashingtonParticipate with or without Sales Executives in presentations to current clients, prospects, proposals, and RFP presentations. Provide assistance to clients seeking to enhance their return-to-work programs and light duty return to work opportunities.
The Progressive CorpClaims 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.
SedgwickClaims Adjuster - Workers Comp SedgwickClaims Adjuster - Workers CompOlympia, WA$68,000–$80,000 / yearNewsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Comp This role requires **direct experience handling Washington (WA) State Workers' Compensation claims** . **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
Ryder SystemClaims Analyst - REMOTE Ryder SystemClaims Analyst - REMOTEOlympia, WARemoteSecurity Notice for Applicants: Ryder will only communicate with an applicant directly from a [@ryder.com] email address and will never conduct an interview online through a chat type forum, messaging app (such as WhatsApp or Telegram), or via an online questionnaire. **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.
The HartfordPersonal and Advertising Injury Liability Claims Specialist The HartfordPersonal and Advertising Injury Liability Claims SpecialistOlympia, WARemote$107,600–$161,400 / yearProviding support to field offices to assist field personnel with coverage and liability analysis, time limit demands, extra contractual exposure evaluations and other issues of complexity + Work with business partners to evaluate and address claim trends and developments + Address inquiries from agents and policyholders, providing superior customer service **Qualifications:** + Bachelor's Degree is required, law degree a plus + Minimum of 7 years' experience handling complex claims, litigated coverage and liability matters required + Candidate should be disciplined, results-oriented and able to focus on bottom line results + Superior analytical ability and organizational skills + Excellent oral and written communication skills + Excellent strategic thinking ability and execution skills + Excellent negotiation and advanced technical claim handling skills, including knowledge of coverage and tort laws + An ability to communicate thoughts clearly and concisely and to influence and persuade others + Superior interpersonal skills + An ability to exceed expectations and influence others to do the same **Additional Information** : + This role can have a Hybrid or Remote work arrangement.? + Internet Connectivity Requirement/Remote Positions: For 100% remote positions, we require that (1) you have high speed broadband cable internet service with minimum upload/download speeds of 3Mbps/30Mbps and (2) your Internet provider supplied device is to be hardwired to the Hartford issued router and/or computer.
SedgwickLiability Claims Adjuster | General Liability, Bodily Injury & Property Damage Experience | CA, FL SedgwickLiability Claims Adjuster | General Liability, Bodily Injury & Property Damage Experience | CA, FLOlympia, WARemote$68,000–$70,000 / yearNewsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Liability Claims Adjuster | General Liability, Bodily Injury & Property Damage Experience | CA, FL & NY Jurisdictional Knowledge **Dedicated Client with Capped Caseloads** **Commercial Trucking, General Liability, Bodily Injury & Property Damage, & Excess Claims** **Will support nationwide jurisdictions with strong focus on CA, FL & NY** **License required** Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? + Mental: 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 + Physical: Computer keyboarding + Auditory/Visual: Hearing, vision and talking As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings.
The HartfordAuto and General Liability Claims Specialist The HartfordAuto and General Liability Claims SpecialistOlympia, WA$107,600–$161,400 / yearProviding support to field offices to assist field personnel with coverage and liability analysis, time limit demands, extra contractual exposure evaluations and other issues of complexity; + Work with business partners to evaluate and address claim trends and developments; and + Address inquiries from agents and policyholders, providing superior customer service. Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business need arise.** **Compensation** The listed annualized base pay range is primarily based on analysis of similar positions in the external market.
CarringtonNewDefault FHA Claims QA Analyst II CarringtonDefault FHA Claims QA Analyst IIOlympia, WARemote$24.50–$26 / hourOur Company:** Carrington Mortgage Services is part of The Carrington Companies, which provide integrated, full-lifecycle mortgage loan servicing assistance to borrowers and investors, delivering exceptional customer care and programs that support borrowers and their homeownership experience. The Default FHA Claims QA Analyst II will work under moderate supervision, responsible for reviewing FHA mortgage insurance claims for accuracy and submitting the claim form for filing.
Highmark HealthSenior Stop Loss Claims Analyst Highmark HealthSenior Stop Loss Claims AnalystOlympia, WALanguage (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. **EDUCATION** **Required** + High School Diploma/GED **Substitutions** + None **Preferred** + Bachelor's degree **EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role.
The HartfordClaims Specialist - General Liability The HartfordClaims Specialist - General LiabilityOlympia, WA$107,600–$161,400 / yearKey responsibilities of this position include: + Conduct complex investigations and extensive claim file reviews on assigned cases + Determine coverage, draft position letters and communicate the coverage position(s) to insureds, business partners and legal counsel + Operate within prescribed authority levels to set appropriate expense and indemnity reserves + Regularly monitor indemnity reserves for any required adjustment + Present cases above authority level to leadership for expense/indemnity reserve and settlement authority + Develop and implement resolution strategies to achieve high quality outcomes + Pro-actively manage consultants and/or litigation and counsel throughout the case lifecycle + Directly oversee the litigation planning, execution, budget and bill review + Attend trials and mediations as necessary + Positively contribute to our claim and enterprise goals by participating in ad hoc audits, projects and product development initiatives + Prepare comprehensive reports and deliver presentations to senior claim leadership on case developments, policy issues, industry trends, etc. + Prior experience handling both primary and excess policy coverages/claims + Strong coverage acumen with the ability to readily apply the terms and conditions found in manuscript policies to the facts of the claim + High level of discipline, results-orientation and ability to drive bottom line results + Superior analytical ability and organizational skills + Effective interpersonal communication skills in both verbal and written formats + Proven strategic reasoning and execution skills + Excellent negotiation and advanced technical claim handling skills + Full command of issues and medicals relative to high value bodily injury claims + Strong ability to analyze coverage and liability issues, manage time limit demands and assess extra contractual exposures and other issues of complexity + Ability to effectively communicate in a highly-matrixed environment + Readily able to influence and drive successful, collaborative claim outcomes This role can have a Hybrid or Remote work arrangement.?
DaVitaRevenue Specialist I (ROPS) DaVitaRevenue Specialist I (ROPS)Federal Way, WAFull timeWashington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour. Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.
The HartfordNewSenior Claims Analyst - Healthcare and Lawyers Professional Liability The HartfordSenior Claims Analyst - Healthcare and Lawyers Professional LiabilityOlympia, WA$108,800–$163,200 / yearpreferred + At least two to three years of successful relevant experience with third-party claims or litigation, experience with professional liability litigation a plus + Experience handling general liability bodily injury, allied health or medical malpractice matters preferred + Self-starter, resourceful and independent + Ability to work in a fast-paced environment and ability to prioritize work + Outside the box thinking to negotiate creative resolutions + Strong computer proficiency in utilizing software programs, knowledge of ECOS claim system a plus + Strong communication skills, oral, written, collaboration and negotiation + Excellent time management and organizational skills + Superior customer service skills + Adept at managing conflict as an opportunity to listen and share information while negotiating a win/win outcome that supports The Hartford's and the insured's best interests + State adjusting licenses will be required; a plus if already obtained + Proficiency in using Microsoft Word and Excel + Operate under the mindset of The Hartford's Behaviors: be courageous, break through, and better the experience This role can have a Hybrid or Remote work arrangement.? Plan and organize, establish priorities, anticipate issues, determine realistic completion dates, know and communicate the status of assignments, appropriately manage vendors + Demonstrate increasing ability and continued development with respect to appropriately interpreting and applying financial lines insurance coverage concepts, including how to trigger other insurance when indicated + Demonstrate development regarding technical and jurisdictional expertise + Maintain current knowledge of claim loss cost management initiatives, and utilize them appropriately and in a manner consistent with company practices and procedures + Identify and properly utilize mitigation, subrogation, and other recovery opportunities **Customer Service** + Maintain dedication to meeting or exceeding expectations and requirements of internal and external customers + Obtain first-hand customer information; use it for improvements in products and services + Establish and maintain effective relationships with customers, gaining their trust and respect.
Highmark HealthEpic Systems Analyst- Resolute Hospital Billing & Claims Highmark HealthEpic Systems Analyst- Resolute Hospital Billing & ClaimsOlympia, WAPreferred** + Epic Certification in ResoluteHospitalBillingand/orHospitalClaims **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Remote-based Teaches / trains others Occasionally Travel from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Occasionally Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. **Preferred** + 3+ years ofHealthcareRevenue Cycle experience (Claims, Patient Access, Billing) + 3+ yearsof experiencewith Epic EMR or other EMR applications **SKILLS** + Ability to handle analysis, design, system configuration and testing tasks at basic to moderate levels of complexity + Excellent customer service skills + Uses critical thinking skills for assigned tasks + Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal teamwork.?
Operation Red Dot, LLCSenior Property Manager - Leasing Operations Operation Red Dot, LLCSenior Property Manager - Leasing OperationsTacoma, WA$65,000–$70,000 / yearFull timeThis role is focused on team leadership, process improvement, staff training, owner and tenant communication, leasing workflows, and department accountability. Operation: Red Dot is a Veteran-owned real estate and property management company serving owners, residents, military families, Veterans, and investors throughout the JBLM and Puget Sound region.
Speedy GlassCustomer Sales Advisor Speedy GlassCustomer Sales AdvisorGIG HARBOR, WAFull timeSpeedy Glass USA is part of Mondofix Inc. (Fix Network) a global leader in the automotive aftermarket industry comprised of a family of brands including Fix Auto Collision, Fix Auto Service, ProColor Collision, Speedy Auto Service, NOVUS® Glass, Speedy Glass USA, SRP Products, NOVUS® Polish and Fix Nation Restoration. Reporting directly to the branch manager, the Customer Sales Advisor (CSA) is the concierge of the Speedy Glass experienced service professional who builds trust, reduces customer stress, and personally guides each customer through their repair or replacement journey.
Alera GroupSenior Claims Advocate Alera GroupSenior Claims AdvocateTacoma, WashingtonSuccess in this role looks like effectively resolving complex claims issues, delivering clear and confident client communication, and enhancing the overall client experience through proactive advocacy and expertise. This role is responsible for managing claims activity, identifying coverage opportunities, and ensuring clients receive clear guidance and strong representation throughout the lifecycle of a claim.
CVS HealthNewSenior Claims Benefit Specialist - Checkwork/Refund CVS HealthSenior Claims Benefit Specialist - Checkwork/RefundOlympia, WA$18.50–$42.35 / yearKey Responsibilities** + Process complex, non-routine provider refunds and returned checks + Review and interpret contract language to validate overpayments and allocate refund checks appropriately + Apply medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and apply cost-containment measures to support claim adjudication + Ensure compliance requirements are met and that payments/refunds follow company practices and procedures + Perform claim rework calculations and adjustments across all dollar amounts for unsolicited overpayment refunds + Follow through to completion on medical claim overpayments, underpayments, and other irregularities + Respond to telephone and/or written inquiries related to pre-approvals/pre-authorizations, reconsiderations, and appeals + Review assigned claims data mining work that may result in claim adjustments and complete resulting adjustments as appropriate + Process medical claim adjustments on customer service platforms using technical and claims-processing expertise + Provide overpayment refund training, mentoring, and job shadowing support for less experienced colleagues, as assigned + Use available resource materials and tools to manage job responsibilities. Handle customer service inquiries and issues assigned **Required Qualifications** + 3+ years of medical claims processing experience + 2+ years of hands-on claim adjustments/rework experience + 2+ years in a production environment (volume + accuracy expectations) + Demonstrated experience researching and resolving claim issues end-to-end + Ability to interpret and apply guidelines related to eligibility, coverage, and benefits + High attention to detail **Preferred Qualifications** + Experience reviewing and researching overpayment refunds + DG system claims processing experience + Ability to manage multiple assignments accurately and efficiently + Effective communication, organizational, and interpersonal skills + Familiarity with overpayment recovery **Education** + Associate degree or equivalent experience.
HumanaMedical Director - Claims HumanaMedical Director - ClaimsOlympia, WARemote$223,800–$313,100 / yearWork at Home Guidance** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and Commercial products, or other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.
Alera GroupSr. 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.
SedgwickClaims Examiner, Commercial Trucking | Bodily Injury | Remote SedgwickClaims Examiner, Commercial Trucking | Bodily Injury | RemoteOlympia, WARemote$80,000–$85,000 / yearSkills:** in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws, knowledge of medical terminology for claim evaluation and Medicare compliance, knowledge of appropriate application for deductibles, sub-limits, SIR's, carrier and large deductible programs, strong oral and written communication, including presentation skills, and PC literate, including Microsoft Office products **Work environment requirements include -** Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Commercial Trucking | Bodily Injury | Remote **PRIMARY PURPOSE OF THE ROLE** To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.
SedgwickClaims Examiner, Auto | Bodily Injury | Litigation Required SedgwickClaims Examiner, Auto | Bodily Injury | Litigation RequiredOlympia, WA$75,000–$85,000 / yearNewsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Auto | Bodily Injury | Litigation Required **PRIMARY PURPOSE OF THE ROLE:** To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.
SedgwickSr. Claims Specialist, Professional Liability | E&O, D&O, EPL | Remote SedgwickSr. Claims Specialist, Professional Liability | E&O, D&O, EPL | RemoteOlympia, WARemote$100,000–$125,000 / yearSkills & Knowledge** + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Excellent negotiation skills + Good interpersonal skills + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** 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 **Physical** **:** Computer keyboarding, travel as required **Auditory/Visual** **:** Hearing, vision and talking As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings.
MultiCare Health SystemPNW PACE Authorization Specialist MultiCare Health SystemPNW PACE Authorization SpecialistTacoma, WAFull timeResponsibilities include verification of insurance information (eligibility and benefits), referral management, submitting and monitoring of pre-authorizations, determines medical necessity and identifies any coverage concerns and works with providers and billing to resolve authorization denials. OR Graduate of a health vocational program such as Medical Assistant, or Medical Billing & Insurance, and 1-year experience in healthcare AND Minimum two (2) years of experience in dealing with the public in a customer service role.
Cambia Health SolutionsAppeals Specialist I Cambia Health SolutionsAppeals Specialist ITacoma, WAFull timeMake non-clinical appeal determinations as permitted by department business processes and guidelines; follow processes to receive clinical review and decisions from licensed health professionals; present complex cases to appeal panels; document decisions and communicate determinations to members, providers. * Ability to switch from one task or type of work to another as business needs require while effectively prioritizing work to meet strict timelines and maintaining quality and consumer-centric focus.
Cochlear AmericasPatient Account Collection Specialist Cochlear AmericasPatient Account Collection SpecialistOlympia, WARemoteFull timeOur employees tell us that the number one reason they enjoy working for Cochlear is the opportunity to make a difference to people's lives and working in an organization where they can be part of bringing the mission to life each day. Human needs have always been our inspiration, ever since Professor Graeme Clark set out to create the first multi-channel cochlear implant because he saw his father struggle with hearing loss.
CarringtonREMOTE Loss Mitigation FHA Claims Specialist CarringtonREMOTE Loss Mitigation FHA Claims SpecialistOlympia, WARemote$23–$26 / hourOur Company:** Carrington Mortgage Services is part of The Carrington Companies, which provide integrated, full-lifecycle mortgage loan servicing assistance to borrowers and investors, delivering exceptional customer care and programs that support borrowers and their homeownership experience. The Loss Mitigation FHA Claims Specialist will be responsible for preparing, filing, and following up on all FHA home retention claims timely and accurately according to investor/insurer guidelines.
SedgwickClaims Representative, Auto SedgwickClaims Representative, AutoOlympia, WA$50,000–$55,000 / yearKnowledge of total loss processing, State salvage forms and title requirements, preferred + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Good interpersonal skills + Ability to work in a team environment + Ability to meet or exceed Service Expectations **Work environment requirements include -** Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto **PRIMARY PURPOSE OF THE ROLE:** To analyze and process low to mid-level auto and transportation claims.
SedgwickClaims Representative, Auto | Remote SedgwickClaims Representative, Auto | RemoteOlympia, WARemote$50,000–$55,000 / 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 **Physical:** Computer keyboarding, travel as required **Auditory/Visual:** Hearing, vision and talking **NOTE** : Credit security clearance, confirmed via a background credit check, is required for this position. + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Good interpersonal skills + Ability to work in a team environment + Ability to meet or exceed Service Expectations **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations.
SedgwickNewClaims Representative, Auto | Property Damage SedgwickClaims Representative, Auto | Property DamageOlympia, WA$50,000–$55,000 / yearKnowledge of total loss processing, State salvage forms and title requirements, preferred + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Good interpersonal skills + Ability to work in a team environment + Ability to meet or exceed Service Expectations **Work environment requirements include -** Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto | Property Damage Job Description **PRIMARY PURPOSE OF THE ROLE:** To analyze and process low to mid-level auto and transportation claims.
Little Creek Casino ResortHRIS & Benefits Specialist Little Creek Casino ResortHRIS & Benefits SpecialistShelton, WAFull timeThe HRIS & Benefits Specialist supports the Human Resources department by administering benefit programs and maintaining the HR information system to ensure data integrity, regulatory compliance, and a positive team member experience. In addition, the specialist is responsible for optimizing HRIS functionality, generating workforce reports, and collaborating with HR leadership to support initiatives that improve service delivery and operational efficiency.
ADMINISTRATOR FOR THE COURTSNewSenior Human Resource Consultant ADMINISTRATOR FOR THE COURTSSenior Human Resource ConsultantOLYMPIA, WA$84,984–$114,264 / yearFull timeSpecific duties may also include more complex work in employee performance; reviewing and updating policies; working within our unique classification and compensation systems; providing guidance to lower level human resources staff; analyzing proposed legislation; managing industrial insurance claims; producing ad hoc reports and HR data analytics; developing and delivering training on a wide-range of human resource topics to a diverse audience; and conducting misconduct investigations. With over 420 employees, an FY 25-27 operating budget of approximately $338 million, and an expanding book of business, the Washington State Administrative Office of the Courts is looking for two seasoned HR professionals to provide expert level consultation to the organization and the Office of Human Resources as we strengthen our HR related policies, processes, and practices.
CognizantFacets Product Consultant - Benefits & Claims CognizantFacets Product Consultant - Benefits & ClaimsOlympia, WARemote$113,000–$130,000 / yearFacets Product Consultant - Benefits & Claims** **Location: Remote** **Employment Type: Full-Time** **Job ID: 00068886451** **About the role** As a Facets Product Consultant - Benefits & Claims, you will make an impact by leading the design, configuration, and implementation of Facets solutions that support critical healthcare payer operations. You will be a valued member of the Healthcare Product & Implementation team, collaborating closely with business, operations, and technology stakeholders to deliver scalable, high-quality solutions aligned with client goals.
SedgwickClaims Examiner - Construction SedgwickClaims Examiner - ConstructionOlympia, WA$75,000–$100,000 / yearNewsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Construction Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? To analyze general liability claims involving New York labor law or construction defect 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.
SedgwickClaims Examiner Workers Compensation I Remote SedgwickClaims Examiner Workers Compensation I RemoteOlympia, WARemote$63,404–$85,000 / yearNewsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Compensation I Remote Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? Work environment requirements for entry-level opportunities include - Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.
SedgwickClaims Examiner Workers Compensation I CA experienced required I Remote SedgwickClaims Examiner Workers Compensation I CA experienced required I RemoteOlympia, WARemote$63,404–$95,000 / yearNewsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Compensation I CA experienced required I Remote Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? Work environment requirements for entry-level opportunities include - Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.