Medical Billing Claims Specialist - Lead Summit SpineMedical Billing Claims Specialist - LeadAtlanta, GeorgiaRemoteThis position provides day-to-day guidance to Claims Specialists, assists with training and development, performs quality audits, supports departmental workflow, and serves as the first point of escalation for routine staff questions and concerns. The Team Lead works closely with the Billing Supervisor and upper management to communicate departmental updates, monitor performance, address operational concerns, and ensure claims and month-end responsibilities are completed accurately and within established deadlines.
Mortgage Claims Specialist II - Remote LoanCareMortgage Claims Specialist II - RemoteRemote$17.88–$26.73 / hourFull timeWe provide the necessary equipment; all you need is a quiet, private place in your home and a high-speed internet connection with a minimum network download speed of 25 megabits per second (MBPS) and a minimum network upload speed of 10 MBPS. Lifestyle & Learning Perks: Enjoy discounts on gym memberships, pet insurance, and employee purchasing programs, plus access to a tuition reimbursement program that supports your continued education and professional growth.
Mortgage Claims Specialist I - Remote LoanCareMortgage Claims Specialist I - RemoteRemote$16.54–$24.71 / hourFull timeWe provide the necessary equipment; all you need is a quiet, private place in your home and a high-speed internet connection with a minimum network download speed of 25 megabits per second (MBPS) and a minimum network upload speed of 10 MBPS. Lifestyle & Learning Perks: Enjoy discounts on gym memberships, pet insurance, and employee purchasing programs, plus access to a tuition reimbursement program that supports your continued education and professional growth.
AVP, Sr. Claims Examiner BerkleyAVP, Sr. Claims ExaminerNew York, New York$132,000–$189,000 / yearResponsibilities: The AVP, Senior Claims Examiner handles all aspects of claims notices and files related to professional liability and accompanying coverages, including but not limited to claims and coverage analysis, liability and damages analysis, reserve setting, reporting, reinsurance analysis and reporting, and travel. Additionally, the AVP, Senior Claims Examiner supports and assists with marketing and loss prevention education, including development of educational materials, for assigned product lines, as requested or needed.
NewSenior Claim Director, Specialty Complex Claims AXIS Capital Holdings LtdSenior Claim Director, Specialty Complex ClaimsRed Bank, NJThe successful candidate will: Direct handle claims involving complex coverage issues as defined by the Head of North America Claims, including the investigation, analysis and evaluation of coverage liability and damages, within best practices Direct handle coverage disputes, including litigation and arbitration matters initiated by AXIS issuing companies and when AXIS issuing companies are parties to such litigation Formulate claims and litigation strategies, assigning, directing, and managing outside counsel in coverage litigation or arbitrationundefinedManage coverage counsel and litigation costs as well as collaborate and work with the Litigation Management and Vendor Management teams ensuring cost management and the development and enhancement of the coverage counsel panel Manage discovery issues and responses, including opportunities to ensure consistency as well as identifying relevant and responsive information and ensure proper and adequate preparation of company witnesses for deposition and trial testimony Provide guidance to the North America Claims teams regarding coverage issues, coverage disputes and claim handling issues, time limited demands, emerging issues, including strategic direction as well as recommend and approve outside coverage counsel assignmentsundefinedReview Coverage positions for matters pending in states required as per the Specialty Complex Claims Referral Guidelines Collaborate across disciplines and business units, including: the general counsel team overseeing errors and omissions issues arising from claims handlingundefinedManage selection of and requests to hire coverage counsel related to any claims pending in North America Identify liability and coverage trends and issues with both individual and portfolio impact and formulate the processes and strategies for handling such claims as well as the related coverage issues ensuring accurate and consistent claims management across impacted underwriting segments and lines of business. undefined Contact Talent Acquisition Partner Please note this is a hybrid role - 3 days a week in the office - open for the Alpharetta, GA, Red Bank, NJ, Short Hills, NJ, Princeton, NJ and New York City locations .
NewMedicaid Claims Examiner II Healthedge Technologies India Pvt LtdMedicaid Claims Examiner IIRemote$17–$19 / hourCollaborate with other team members on special projects as assigned by the team leads; special projects can include process documentation development, training, quality audits, assisting with surge activity for the client(s), or any other project as determined by the team leader. At UST HealthProof, you will join a fast paced, growing company in our mission to reshape the future of health insurance through significantly reducing administrative costs and building better healthcare experiences for our health plans customers and their members.
Claims Adjuster II Snap-on IncClaims Adjuster IIKenosha, WisconsinFull timeFor property and franchisee inventory claims, investigate, evaluate damages, and negotiate settlements directly with Snap-on franchisees and Insurance carriers. Responsible for handling all aspects of claims administration for all property and casualty claims, coordinating claims to closure for the company and franchise network worldwide with minimal supervision.
Claims Examiner Markel Group IncClaims ExaminerOmaha, NE$62,000–$85,800 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.
Sr. Construction Defect Claims Representative Frank Winston Crum InsuranceSr. Construction Defect Claims RepresentativeClearwater, FL$80,000–$100,000 / yearThe pay offered to the selected candidate will be based on factors including, but not limited to qualifications, knowledge, licensure, skills, abilities, work experience, education, budget, training, employment trends, internal wage considerations, market dynamics, certifications, geographical location, assessments, and other business and organizational needs. Understands construction defect coverage issues and handles complex coverage issues related to sub-contractors, additional insured tenders by General Contractors and developers, Florida Chapter 558 process and issuing reservation of rights letters and denial of coverage letters.
Claims Assistant II Tokio Marine HCCClaims Assistant IINew YorkPerform initial and ongoing claims processing including setting up claims files for multiple lines of business, performing data entry, scanning documents, and preparing loss runs. Tokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry, today offering over 100 products to commercial customers in 180 countries around the world.
Construction Defect Technical Claims Specialist Frank Winston Crum InsuranceConstruction Defect Technical Claims SpecialistClearwater, FL$105,000–$125,000 / yearThe pay offered to the selected candidate will be based on factors including, but not limited to qualifications, knowledge, licensure, skills, abilities, work experience, education, budget, training, employment trends, internal wage considerations, market dynamics, certifications, geographical location, assessments, and other business and organizational needs. Understands construction defect coverage issues and handles complex coverage issues related to sub-contractors, additional insured tenders by General Contractors and developers, Florida Chapter 558 process and issuing reservation of rights letters and denial of coverage letters.
Sr. Claims Examiner Markel Group IncSr. Claims ExaminerScottsdale, AZ$78,000–$134,090 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.
Temporary Construction Defect Technical Claims Specialist Frank Winston Crum InsuranceTemporary Construction Defect Technical Claims SpecialistClearwater, FLThe pay offered to the selected candidate will be based on factors including, but not limited to qualifications, knowledge, licensure, skills, abilities, work experience, education, budget, training, employment trends, internal wage considerations, market dynamics, certifications, geographical location, assessments, and other business and organizational needs. Understands construction defect coverage issues and handles complex coverage issues related to sub-contractors, additional insured tenders by General Contractors and developers, Florida Chapter 558 process and issuing reservation of rights letters and denial of coverage letters.
Claims Adjuster I Snap-on IncClaims Adjuster IKenosha, WisconsinResponsible for handling all aspects of claims administration for all property and casualty claims, coordinating claims to closure for the company and franchise network worldwide with minimal supervision. For property and franchisee inventory claims, investigate, evaluate damages, and negotiate settlements directly with Snap-on franchisees and Insurance carriers.
Property Claims Adjuster MerchantsProperty Claims AdjusterBuffalo, New York$30–$35 / hourMerchants Insurance Group is a leading Property and Casualty Insurer in the Northeast and is looking for a Property Claim Adjuster to join our Claims team located in our home office located in Buffalo, New York or one of our Regional Offices located in Melville, New York, Mt. Cultivating relationships with claims and other internal staff, policyholders, attorneys, agents and a variety of service providers and experts all while working towards achieving the most optimal outcomes for Merchants and our policyholders.
Coverage & Complex Claims Lead Selby Jennings LtdCoverage & Complex Claims LeadMorristown, NJContribute to TPA oversight through training, audits, and best practice sharing, and support key proceedings such as mediations and trials while maintaining required licensing. This role will be responsible for handling bad faith suits filed against the major case unit while working heavily with coverage counsel and legal.
Claims Processor Flex Benefits NFP CorpClaims Processor Flex BenefitsFL$43,000–$50,000 / yearPosition Summary:The Claims Processor is responsible for accurate and timely processing of claims which includes claims for Flexible Spending Accounts (FSA), Health Reimbursement Arrangements (HRA), Retiree plans, Lifestyle Accounts, Parking and more. American Benefits Group (ABG) is one of the nation's leading employee benefit solution providers for Consumer Directed Health accounts, COBRA and Direct Billing services.
Claims Processor - Flex Benefits Aon PlcClaims Processor - Flex BenefitsMA$43,000–$50,000 / yearPosition Summary: The Claims Processor is responsible for accurate and timely processing of claims which includes claims for Flexible Spending Accounts (FSA), Health Reimbursement Arrangements (HRA), Retiree plans, Lifestyle Accounts, Parking and more. American Benefits Group (ABG) is one of the nation's leading employee benefit solution providers for Consumer Directed Health accounts, COBRA and Direct Billing services.
Sr Claims Analyst - LHB Luminare Health BenefitsSr Claims Analyst - LHBOverland Park, KansasIn addition to these tasks, the Senior Claims Analyst is responsible for all of the same tasks as a Claim Analyst including the accurate adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups. Minimum Requirements: Minimum three-years life and/or disability claim administration experience: solid investigation, analytical and organizational skills along with attention to detail; or the equivalent combination of relevant experience.
Claims Service Representative Virginia Farm BureauClaims Service RepresentativeHenrico, VA$42,000–$48,000 / yearThe “CSR” handles windshield claims, rental cars, dispatching of claims, maintaining drive in appointment schedules and processing salvage vehicles. Hybrid schedule is offered, in office 3 days a week, work from home 2 days a week, after training and probationary period is completed.