NewClaims Service Specialist GEICOClaims Service SpecialistStafford, VA$25.81–$30.53Claim your career growth as a Claims Service Specialist at GEICO’s Fredericksburg, VA office and be a part of one of the fastest-growing auto insurers in the United States! Hybrid role: Training 100% in-office (6-9 months); post training 4 days a week in office and work from home 1 day a week .
Manager, Claims & Risk Management HITT ContractingManager, Claims & Risk ManagementFalls Church, VA$95,000–$140,000 / yearIndependent claims handling and shared coordination with direct reports for the major lines of coverage including but not limited to auto, general liability, workers’ compensation, builder’s risk, pollution liability, and professional liability. • Bachelor’s degree in Risk Management, Business, Finance, Economics, Safety, or related fields preferred, but not required; in lieu of a degree, additional work experience is acceptable.
41838 Automotive Body Shop Estimator Ourisman Chrysler Jeep Dodge Of Alexandria41838 Automotive Body Shop EstimatorAlexandria, VAFull timeMeet and greet customers, help making insurance claims and prepare estimates/photos for upload and approval; Ensure that customers receive prompt, courteous, and effective service. This is a Body Shop Estimator | Advisor | Customer Service | Greeter position; please DO NOT APPLY if you are seeking a Service Advisor role.
NewContracts/Subcontracts Administrator Sparks GroupContracts/Subcontracts AdministratorHerndon, VAThe ideal candidate is a proactive and detail-oriented professional with strong knowledge of government contracting, excellent negotiation and communication skills, and the ability to manage multiple priorities while providing sound business judgment in a fast-paced environment. The candidate will support the full lifecycle administration of federal and commercial contracts and subcontracts, including proposal support, contract negotiation, compliance, post-award administration, and risk management.
Attorney Diedre Moire Corp.AttorneyBowie, MD$200,000–$300,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Attorney Lawyer Insurance Company Litigation Policy Development Transaction #DiedreMoire #InsuranceJobs #AttorneyJobs #LitigationJobs #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
Attorney - FCA/Healthcare Fraud Enforcement JobotAttorney - FCA/Healthcare Fraud EnforcementWashington, DC$150,000–$400,000 / yearExperience representing hospitals, health systems, physician groups, Medicare Advantage organizations, managed care organizations, pharmacy benefit managers (PBMs), healthcare technology companies, or private equity-backed healthcare platforms. Demonstrated experience representing clients before the U.S. Department of Justice (DOJ), U.S. Attorney's Offices, Department of Health and Human Services Office of Inspector General (HHS-OIG), Centers for Medicare & Medicaid Services (CMS), state Medicaid agencies, and other federal or state enforcement authorities.
Superintendent Keller North America, Inc.SuperintendentOdenton, MD$100,000–$135,000 / yearResponsible for delivering proper Kickoff Meeting to crew• Completes daily field log reports (InSite)• Alerts management of potential project impacts relating to resource management, crew make-up/size and schedule restraints. Background Requirements (Knowledge, Skills, Experience, Qualifications) • Minimum 5 years experience in supervising construction crews on civil and/or geotechnical construction projects• Experience with various drilling techniques and ground improvement methods.•
TEMP-Workers'''' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers'''' Compensation Claims AdjusterDCRemote$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Clearing the error involves researching to obtain the missing or misaligned information (sometimes requiring communication with the claimant or insured) and entering or correcting data in various fields in either our claims system or the state's reporting site.
Workers Compensation Claims Adjuster (Northeast Jurisdictions) Cottingham & ButlerWorkers Compensation Claims Adjuster (Northeast Jurisdictions)Annapolis, MDYou will be working from home so previous workers compensation adjusting experience is required (i.e. taking statements, paying lost wage benefits, filing state forms, denying claims, subrogation, litigation, etc.). Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve.
Field Property Claims Adjuster Liberty Mutual Holding Company IncField Property Claims AdjusterSpringfield, VAThe 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. This is a role where people who love every day to be new, different and exciting, can thrive - you'll be traveling on the road to meet customers in person, providing hands-on assessment of damage and empathetic support.
Claims Adjuster I (Remote) Blue Cross and Blue Shield AssociationClaims Adjuster I (Remote)DCRemote$36,576–$67,056 / yearVerifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes; completing reports, logs, and audit records. Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
NewAuto Adjuster (MMR Claims) Allstate Insurance CompanyAuto Adjuster (MMR Claims)Annapolis, MD$53,500–$86,400 / yearAnalytical Thinking, Auto Insurance Claims, Automobile Accidents, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Centricity, Customer Service, Data Representation, Desktop Management, Digital Literacy, Inclusive Leadership, Insurance Claims Investigations, Insurance Coverage, Insurance Coverage Analysis, Insurance Policies, Insurance Policy Review, Investigative Skills, Learning Agility, Negotiation, Organizing, Results-Oriented. 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.
Workers Compensation Claims Adjuster | NY Jurisdictional Knowledge & NY Licensing Required | Dedicated Public Entity Client & Capped Caseloads Sedgwick Claims Management Services, Inc.Workers Compensation Claims Adjuster | NY Jurisdictional Knowledge & NY Licensing Required | Dedicated Public Entity Client & Capped CaseloadsVARemote$80,000–$90,000 / yearPRIMARY PURPOSE OF THE ROLE To analyze New York Workers Compensation Lost-Time 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. 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.
Senior Claims Specialist California Workers Compensation (Remote) W. R. Berkley CorpSenior Claims Specialist California Workers Compensation (Remote)Manassas, VARemote$85,000–$115,000 / yearYou'll serve as a Subject Matter Expert (SME) for all technical claims handling activities, including regulatory compliance, serve as the primary liaison for key internal and external business partnerships and programs, lead special projects and programs, and lead claims related account management activities for large clients. Assume full-responsibility of claims related account management activities for our large clients and serve as the Claims liaison and primary point of contact and collaborate closely with Business Development and Underwriting teams to deliver and maintain a high-level service.
TEMP-Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers' Compensation Claims AdjusterDC$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Rockwood has become a leading underwriter of workers' compensation for the mining industry by offering workers' compensation insurance with a commitment to providing the best service on loss control and claims, collaborating across all departments with this common goal.
TEMP- Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP- Workers' Compensation Claims AdjusterDC$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
TEMP- Senior Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP- Senior Workers' Compensation Claims AdjusterDC$48.65–$57.59 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under limited technical direction and within broad limits and authority, adjudicate highly complex indemnity workers' compensation claims on assignments reflecting potentially with significant impact on departmental results.
TEMP-Senior Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Senior Workers' Compensation Claims AdjusterDC$48.65–$57.59 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under limited technical direction and within broad limits and authority, adjudicate highly complex indemnity workers' compensation claims on assignments reflecting potentially with significant impact on departmental results.
TEMP- Claims Adjuster Argo Group International Holdings IncTEMP- Claims AdjusterDC$37.66–$44.33 / hourCalifornia outside of Los Angeles, San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, Washington State, and New York State (including Westchester County) Pay Ranges: $41.44 - $48.79 per hour. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
Corporate Insurance and Claims Manager JK Moving and Storage IncCorporate Insurance and Claims ManagerSterling, VAAs the largest independent mover in North America, JK delivers superior relocation and logistics services to military service members, government agencies, large corporations, businesses and homeowners around the world….and the list goes on! During 2018, the company established the JK Community Farm, a charitable effort designed to alleviate hunger by growing and harvesting crops and livestock and donating them to Loudoun Hunger Relief.
Senior Claims & Insurance Operations Specialist - US Free2moveSenior Claims & Insurance Operations Specialist - USWashington, District of ColumbiaYou will evolve in an ultra-dynamic, innovative, agile, internationally-focused structure and integrate our talented teams, full of ideas and motivation and with multidisciplinary skills, at the crossroads of the digital eco-system and the fast-changing automotive sector. Born from the merger of the Stellantis Group and the start-up TravelCar, Free2move, thanks to its agility and its spirit of conquest has managed to establish itself in just few years as a reference player to revolutionize the mobility of all travellers.
Senior Claims Adjuster, TPA Oversight The Fortegra Group IncSenior Claims Adjuster, TPA OversightDC$100,000–$130,000 / yearThe Senior Claims Adjuster, TPA Oversight will provide technical expertise and handle a wide variety of severity/complex claims as well as coverage litigation within Commercial Auto, Cargo, and Crane & Rigging lines of business. Additionally, they will complement the existing Specialty Claims team that supports the Underwriting unit and will provide oversight of third parties and delegated authority referrals.
Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerDC$99,000–$232,000 / yearPwC 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.
NewBilingual Claims Administrator - R2710 Fort Myer Construction CorpBilingual Claims Administrator - R2710Washington, DCIf you do not mind hard work, desire job security associated with essential infrastructure projects, and want to make a difference in our communities, then please consider joining the Fort Myer Family. Summary:The Bilingual Claims Administrator manages the intake, processing, and resolution of workers compensation claims from the initial report of injury through claim closure.
Claims Representative W. R. Berkley CorpClaims RepresentativeManassas, VAThe 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. Record and code injured worker demographics, job information and accident information in company's claims management system and files necessary forms with state regulatory agencies.
Senior Property Adjuster (Commercial Property Claims) - Washington, DC Engle Martin & Associates, Inc.Senior Property Adjuster (Commercial Property Claims) - Washington, DCDCPHYSICAL ACTIVITIES AND REQUIREMENTS: In addition to the working conditions and associated physical activities and requirements above, the incumbent may be required to climb, balance, stoop, kneel, crouch, crawl, reach, stand, walk, push, pull, lift, finger, grasp, or feel, especially in the course of investigating and assessing property damage; these requirements may include the need to lift weights of up to 50 pounds, including a ladder. The work requires close visual acuity, with or without correction, to prepare reports containing words, symbols, and numerical figures; the incumbent is required to view a computer terminal, use a keyboard, read printed documents, make detailed visual inspections, perceive color, perceive depth, and have a sufficient field of vision to carry out all inspection and related duties.
Claims Unit Manager Marriott International IncClaims Unit ManagerBethesda, MDThe manager monitors caseloads to maintain appropriate balance based on jurisdictional requirements and the complexity of workers' compensation and general liability claims, ensuring high-quality, timely, and cost-effective claim outcomes. Partner with the Regional Director and Operations Managers to ensure effective communication, coordination, and issue resolution across key operational areas, including: Notifying leadership of staff absences, schedules, and appointments.
Sr. Claims Specialist BerkleySr. Claims SpecialistManassas, Virginia$110,000–$160,000 / yearWe provide a comprehensive portfolio of commercial property casualty insurance, automobile liability and workers’ compensation, along with claim services, providing expertise to meet the unique business needs of our customers. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: • Base Salary Range: $110,000-$160,000 • Eligible to participate in annual discretionary bonus.
Corporate Insurance and Claims Manager JK Moving ServicesCorporate Insurance and Claims ManagerSterling, VirginiaFull timeAbout: As the largest independent mover in North America, JK delivers superior relocation and logistics services to military service members, government agencies, large corporations, businesses and homeowners around the world….and the list goes on! During 2018, the company established the JK Community Farm, a charitable effort designed to alleviate hunger by growing and harvesting crops and livestock and donating them to Loudoun Hunger Relief.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTEAnnapolis, MDRemoteCompensation 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.
Claims Representative BerkleyClaims RepresentativeManassas, Virginia$65,000–$75,000 / yearBase Salary Range: $65k-$75k 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. Record and code injured worker demographics, job information and accident information in company’s claims management system and files necessary forms with state regulatory agencies.
Claims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance CoClaims Adjuster II, Field Property - National CatastropheAnnapolis, MD$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.
Senior Construction Defect Technical Claims Specialist Team Lead Argo Group International Holdings IncSenior Construction Defect Technical Claims Specialist Team LeadDCRemote$156,000–$187,500 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Qualifications / Experience Required: A deep knowledge of construction defect claims adjudication, along with an exceptional focus on customer service, typically achieved through: A minimum of seven years' experience adjudicating construction defect claims with exposure of $100,000 or more.
NewRemote Revenue Cycle Analyst - Claims & Billing Cardinal HealthRemote Revenue Cycle Analyst - Claims & BillingWashington, DCRemote$20.02–$25.78 / hourQualified candidates should have 2+ years of experience and strong Excel skills, with a preference for candidates familiar with ICD-10 coding and medical terminology. The role involves submitting medical billing data, researching claims, and preparing claims for insurance providers.
Claims Supervisor Erie InsuranceClaims SupervisorSilver Spring, MDFull timeThis range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired. Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTEDCRemoteCompensation 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.
Senior Counsel - Commercial Claims GEICO GENERAL INSURANCE COMPANYSenior Counsel - Commercial ClaimsBethesda, MD$148,625–$260,350 / yearProvide legal advice to claims organization and business leaders on complex commercial insurance claims, including providing coverage advice, evaluating risk transfer demands and opportunities, and evaluating risk associated with potential extra-contractual exposure and alleged bad faith. A successful candidate should have ten or more years' experience advising claims organizations in insurance coverage and claims-related litigation arising from commercial insurance policies and ideally would have some familiarity with claims-related litigation risks across all fifty states.
Healthcare Claims Operations Team Lead - Washington, DC (On-site) Gainwell Technologies LLCHealthcare Claims Operations Team Lead - Washington, DC (On-site)DC$50,000–$55,000 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The pay range for this position is $50,000 - $55,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
Claims Counsel (Insurance Defense) Williams & Connolly LLPClaims Counsel (Insurance Defense)Washington, DC$165,000–$180,000 / yearResponsibilities include, but are not limited to:* Developing a case strategy* Answering complaints* Drafting and responding to discovery* Client communications* Handling all communications with opposing counsel* Hiring and managing expert witnesses as needed* Drafting motions and responses to motions* Conducting and defending depositions* Drafting mediation statements* Conducting mediations* Appearing in court as needed* Pre-trial preparations* Conduct trials* Drafting settlement agreements* Administrative duties related to case tracking and reporting . This position requires the ability and flexibility to manage a high-volume caseload in cooperation with firm management, partners, associates, other Claims Counsel, and firm employees in a professional manner as well as the ability to manage and prioritize a large volume of work assignments, meeting all deadlines.
NewClaims Bluecard Analyst IV, Lead Healthcare Management AdministratorsClaims Bluecard Analyst IV, LeadWashingtonAs a BlueCard/ITS claims Specialist, this role ensures accurate, compliant adjudication across complex BlueCard claims, translates BlueWeb and Association changes into operational action, partners closely with Regence and InterPlan stakeholders, and monitors and improves IPP (InterPlan Program) performance. The Claims Specialist/BlueCard Hybrid serves as an enterprise escalation point, leads cross-functional initiatives, and drives training, quality, and process improvements that safeguard claim outcomes and member experience.
Stop Loss Claims Analyst CVS Health CorpStop Loss Claims AnalystDC$18.50–$35.29 / hourThis role involves preparing, tracking, reconciling, and helping generate and marshal stop loss filings to completion while serving as a key liaison across internal business partners, external stakeholders, and stop loss carriers. The position offers exposure to many areas of healthcare claims administration, including stop loss and reinsurance policy, data analytics, underwriting, eligibility, finance, client management, and provider and broker relations.
Senior Disability Claims Examiner (LTD) (Virtual) Prudential Financial IncSenior Disability Claims Examiner (LTD) (Virtual)DCRemote$61,700–$101,900 / yearThe Long-Term Disability (LTD) Senior Disability Claims Examiner is responsible for providing excellent customer service while managing an assigned block of around 95 to 100 Long-Term Disability claims. Document objective, clear and technical rationale for all claim determinations and demonstrate the ability to effectively communicate claim decisions to our customers via oral and written communication.
Claims Representative , Auto Sedgwick Claims Management Services, Inc.Claims Representative , AutoDC$50,000–$55,000 / yearProcesses auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Claims Representative, Auto | Property Damage Sedgwick Claims Management Services, Inc.Claims Representative, Auto | Property DamageDC$50,000–$55,000 / yearProcesses auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Claims Representative, Auto Sedgwick Claims Management Services, Inc.Claims Representative, AutoDC$50,000–$55,000 / yearProcesses auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Process Manager, Commercial Casualty Claims - Remote CSAA Insurance GroupProcess Manager, Commercial Casualty Claims - RemoteDCRemote$136,890–$152,100 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - 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}. Project management experience and skills to accurately complete detailed data assignments and to understand and interpret broad operational concepts and their application to the business unit and CSAA.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeDCEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
NewStop Loss Claims Specialist Marsh McLennanStop Loss Claims SpecialistWashingtonThe primary role of the Stop Loss Claims Analyst role is to manage the stop loss claims process for the MMA Stop Loss Center of Excellence including establishing the claims submission process in accordance with vendor processes, overall tracking and auditing to assure timely payment of eligible stop loss claims managed by the Center of Excellence. REQUIRED EDUCATION AND EXPERIENCE : Minimal of High School Graduate with Associate’s Degree in Risk Management & Insurance, Actuarial Science, Mathematics and/or other related field is preferred or equivalent experience preferred; Minimum of two years prior work experience the Benefits Brokerage, Consulting, or Insurance industry; Strong background in self-funding, stop loss or claims administration required.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&ODC$72,000–$141,000 / yearPerforms 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.
Associate Claims Clinical Specialist Genworth Financial IncAssociate Claims Clinical SpecialistVA$55,800–$81,000 / yearYou will be part of a remote team of clinicians that spend their days reviewing clinical assessments completed by field assessors and writing Plans of Care for Long Term Care Insurance and other government sponsored insurance plans. CareScout is a wholly owned subsidiary of Genworth Financial, Inc, a Fortune 500 provider of products, services and solutions that help families address the financial challenges of aging.