NewOperations Claims Processing Manager Conduent State Healthcare, LLCOperations Claims Processing ManagerMontgomery, AL$77,770–$101,000Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. The Operations Claims Processing Manager is responsible for leading all Medicaid Claims Processing operations and serves as the primary point of contact for claim-related operational functions.
Property Claims Adjuster Specialist - Field USAAProperty Claims Adjuster Specialist - FieldMontgomery, AL$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.
NewSenior Property Claims Adjuster (Complex, Large Loss Claims) HCC Life Insurance CompanySenior Property Claims Adjuster (Complex, Large Loss Claims)ALRemoteThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the "VCCLEA"), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. In this role, you will handle claims from initial investigation through resolution, applying advanced coverage knowledge and strong analytical judgment to deliver fair, timely outcomes while providing exceptional service to our insureds and partners.
Operations Claims Processing Manager Conduent IncOperations Claims Processing ManagerMontgomery, AL$77,770–$101,000 / yearIn this role, you can expect the following working conditions: Onsite work: Work in our local office, receiving personal coaching and leadership so that you can provide the best support to our clients and help you grow in your career. The Operations Claims Processing Manager is responsible for leading all Medicaid Claims Processing operations and serves as the primary point of contact for claim-related operational functions.
Medicaid Claims Operations Consultant NTT DATA Services, LLCMedicaid Claims Operations ConsultantMontgomery, AL$110,625–$175,000 / yearOverview of job: The Medicaid Claims Operations Consultant provides coordination and support for MES existing MMIS initiatives affecting operations related to the modernization of the MMIS and planning and support for the transition to the new Claims Processing and Management Services (CPMS) and Enterprise Data Services (EDS) environment and structure. These include transition to a new location, if needed, transition and cutover of operational units including call center, provider enrollment, mail room, prior authorization units, pharmacy operations, and EDI operations.
Claims Training Coordinator Viva Health, Inc.Claims Training CoordinatorBirmingham, ALVIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nations Best Places to Work by Modern Healthcare. The Claims Training Coordinator provides non-supervisory support to the claims trainer by assisting with the coordination, reinforcement, and documentation of training activities for claims examiners.
NewLegal Analyst - Claims & Process Management StellantisLegal Analyst - Claims & Process ManagementAuburn, ALKey Responsibilities Manage and track warranty litigation claims and related arbitration matters, including intake, file setup, status updates, and maintenance of accurate case recordsCoordinate arbitration filings, scheduling, and submissions; assist with preparation and organization of supporting materialsSupport service of process activities, including coordinating with vendors/outside counsel, monitoring deadlines, and maintaining proof of service documentationAssist with discovery as needed, including document collection support, organization, tracking responses and deadlines, and maintaining production logsPartner with paralegals and warranty litigation attorneys to support case strategy execution and ensure timely, consistent case handlingPrepare summaries, correspondence, and internal reporting (e.g., matter status, volumes, cycle times) to support portfolio oversight and continuous improvementBasic Qualifications Associate's degree (2-year) or higher; or paralegal certification with High School Diploma/GEDExperience in a professional settingExperience using Microsoft Office tools (e.g., Outlook, Word, Excel, PowerPoint)Preferred Qualifications Strong written and verbal communication skillsCustomer relations experience and a professional, service-oriented approachClaims adjustment/management experience and/or legal assistant backgroundStrong critical thinking and analytical skills, including the ability to identify issues, evaluate options, and escalated appropriatelyAbility to work effectively in a collaborative, team-focused environment with attorneys, paralegals, and business partners#J-18808-Ljbffr. This role works in close partnership with paralegals and warranty litigation attorneys to help drive consistent, efficient case handling and high-quality work product across a national portfolio of matters.
Claims Training Coordinator viva healthClaims Training CoordinatorBirmingham, ALVIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare. The Claims Training Coordinator provides non-supervisory support to the claims trainer by assisting with the coordination, reinforcement, and documentation of training activities for claims examiners.
Claims Training Coordinator Viva HealthClaims Training CoordinatorBirmingham, AlabamaVIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare. The Claims Training Coordinator provides non-supervisory support to the claims trainer by assisting with the coordination, reinforcement, and documentation of training activities for claims examiners.
Long Term Care Claims Representative - Payment Servicing Genworth Financial IncLong Term Care Claims Representative - Payment ServicingAL$45,500–$66,000 / yearYou will work in a fast -paced environment across multiple products, ensuring claims handling follows policy provisions, internal guidelines, and Compliance requirements and will be responsible for the processing and payment of long-term care claims. Your experience or education has provided you with knowledge of medical terminology, diseases/diagnoses, and the ability to understand and interpret contract language, disability processes, nursing home licensing, and rehabilitative requirements.
NewSenior Product Owner - Claims Adjudication Humana IncSenior Product Owner - Claims AdjudicationALRemote$94,900–$130,500 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. This role partners closely with Product Management, business stakeholders, and delivery teams to ensure the right work is prioritized and delivered to achieve meaningful business outcomes.
NewSenior Claims Adjuster (Workers Compensation) MSIG HoldingsSenior Claims Adjuster (Workers Compensation)Huntsville, AlabamaThis position is responsible to adjust assigned claims within delegated limits of authority, conduct timely and thorough investigations, handle subrogation claims, and complete fair and equitable claim settlements in accordance with MSMM Claim Handling Guidelines and/or requirements of principals regarding TPA business to ensure services are provided in a fair, equitable and timely manner. 7+ years of claims experience, including ability to successfully negotiate settlements, verify coverage, appropriately set reserves, successfully complete investigations and understand rules associated with state regulations.
Catastrophe Field Claims Specialist AAA Southern New EnglandCatastrophe Field Claims SpecialistBirmingham, ALBy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Work Environment: This position is currently able to work remotely from a home office location for day-to-day operations, with traveling to field locations as necessary to complete job responsibilities, unless occasional team building activities are specified by leadership.
Bodily Injury Claims Specialist Auto-Owners Insurance CoBodily Injury Claims SpecialistMontgomery, ALThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Bodily Injury Claims Specialist Auto-Owners Insurance GroupBodily Injury Claims SpecialistBirmingham, ALThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Commercial Claims Trainer KemperCommercial Claims TrainerAlabamaWorks with business leaders and subject matter experts to conduct needs analysis, develops learning objectives, content outline, presentation & training method, appropriate job aides and technology integration. Identifies issues or concerns with current training and takes appropriate action to reduce learning constraints and improve desired behaviors, outcomes and training results.
Auto Claims Representative Auto-Owners Insurance CoAuto Claims RepresentativeMontgomery, ALAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: Investigate, evaluate, and settle entry-level insurance claims.
Field Claims Representative Auto-Owners Insurance CoField Claims RepresentativeMontgomery, ALAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job requires mastery of claims-handling skills and requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability.
Experienced Catastrophe Claims Representative Auto-Owners Insurance CoExperienced Catastrophe Claims RepresentativeBirmingham, ALThe position requires the following, but is not limited to: Frequent travel up to 21 days at a time and is required upon short notice to location of catastrophe, which would most likely be out of state. Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses.
Field Claims Representative - Madison County, AL Auto-Owners Insurance CoField Claims Representative - Madison County, ALMontgomery, ALAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job requires mastery of claims-handling skills and requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability.
Claims Consultant Tata Consultancy Services LtdClaims ConsultantPinson, AL$48,000–$55,000 / yearResponsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments. Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Field Claims Representative - Madison County, AL Auto-Owners Insurance GroupField Claims Representative - Madison County, ALMontgomery, ALThis job handles insurance claims in the field under general supervision through the life-cycle of a claim including but not limited to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability Handle multi-line property and casualty claims in an assigned territory with an emphasis on property claims Become familiar with insurance coverage by studying insurance policies, endorsements and forms Work toward the resolution of claims, and attend arbitrations, mediations, depositions, or trials as necessary Ensure that claims payments are issued in a timely and accurate manner Handle investigations by phone, mail and on-site investigations. Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents).
NewManager, Mechanical Claims Adjuster Protective Life CorporationManager, Mechanical Claims AdjusterAL$85,000–$100,000 / yearWe are seeking a Manager, Mechanical Claims Adjuster to manage a team of Mechanical Claims Adjusters, communicate job expectations, plan, monitor and appraise job results; coaching, and counseling staff; initiating, coordinating, and enforcing systems, policies, and procedures. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information.
Field Investigator - SIU Claims Auto-Owners Insurance CoField Investigator - SIU ClaimsMontgomery, ALOur group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Able to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage.
Field Investigator - SIU Claims Auto-Owners Insurance GroupField Investigator - SIU ClaimsBirmingham, ALOur group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Able to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage.
Insurance Claims Adjuster Alexander Shunnarah Trial AttorneysInsurance Claims AdjusterBirmingham, AL$1,000–$3,000Experience: Minimum 3 years of Personal Injury Legal Case Manager/Legal Assistant, or Bodily Insurance Claims Negotiation experience required ; 5+ years preferred. Engage Directly: Maintain effective communication with clients, providers, and insurance companies, handling inquiries and updates with precision.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTEMontgomery, ALRemoteCompensation 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 Analyst - REMOTE Ryder System IncClaims Analyst - REMOTEMontgomery, ALRemoteCompensation 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 ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Liability Senior Claims Adjuster Davies Group LtdLiability Senior Claims AdjusterAL$82,000–$86,000 / yearInteract extensively with various parties involved in the claim process, Develop settlement/litigation/defense strategies by evaluating factual information to settle claims in a cost-effective manner; work with defense attorneys and the client per account handling guidelines. Analyze claim exposures, determine the proper courses of action, and appropriately settle claims, evaluating evidence by interpreting facts within applicable legal frameworks to determine liability and claim values.
Lost Time Workers Compensation Claims Adjuster Davies Group LtdLost Time Workers Compensation Claims AdjusterAL$70,000–$80,000 / yearManage and direct the claim file including determination of indemnity, calculate loss of income; whether medical is related and appropriate; evaluate treatment plan, testing, surgery, surveillance, attorney involvement, return-to-work, light duty; appropriate calculation and timely payment of all benefits. Davies North America, is looking for an experienced Workers' Compensation Claims Specialist, responsible for the investigation, evaluation, disposition, and settlement of Workers' Compensation claims for self-insured and public entity accounts, including complex and high exposure claims, with minimal supervision.
SVP, Chief Claims Officer Kemper CorpSVP, Chief Claims OfficerBirmingham, ALOversees all aspects of claims handling, including liability, physical damage, litigation, SIU (Special Investigations Unit), and vendor management, with a strong emphasis on managing severity, controlling loss costs, and delivering fair, timely outcomes for policyholders. Partner with underwriting, actuarial, and product teams to provide insights on loss trends, claims severity, and emerging risks (e.g., litigation trends, fraud patterns, social inflation).
Svp, Chief Claims Officer Kemper Corp.Svp, Chief Claims OfficerBirmingham, AL$250,000–$350,000 / yearOversees all aspects of claims handling for the specialty auto business, including liability, physical damage, litigation, SIU (Special Investigations Unit), and vendor management, with a strong emphasis on managing severity, controlling loss costs, and delivering fair, timely outcomes for policyholders. Partner with underwriting, actuarial, and product teams to provide insights on loss trends, claims severity, and emerging risks (e.g., litigation trends, fraud patterns, social inflation).
Claims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance CoClaims Adjuster II, Field Property - National CatastropheMontgomery, AL$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 Claims Adjudicator NAPHCARE, INC.Senior Claims AdjudicatorBirmingham, ALResponsibilities for Senior Claim Adjudicator: Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for payment while adhering to internal deadlines. We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need.
NewCommercial Senior Auto Claims Adjuster- Remote CSAA Insurance GroupCommercial Senior Auto Claims Adjuster- RemoteALRemote$27.55–$30.61 / hourAlabama - 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 {+ 19 more}. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including Mobilitas offices.
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