Claims Representative - 533968 Metro Public AdjustmentClaims Representative - 533968Pittsburgh, PAFull timePart timeIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled to from their insurance claim.
NewPharmacy Benefits/Insurance Claims Specialist BlinkRxPharmacy Benefits/Insurance Claims SpecialistPittsburgh, PAWe are a highly collaborative team of builders and operators who invent new ways of working in an industry that historically has resisted innovation. Employees must hold all active licenses and registrations required for the role under applicable state law and as may be required by business necessity.
NewBenefit Investigation Specialist- # 26-17899 US Tech Solutions, Inc.Benefit Investigation Specialist- # 26-17899Pittsburgh, PAWe are seeking a Healthcare Benefit Verification Specialist to support patients by researching insurance coverage, verifying benefits, and identifying available coverage options for prescription medications. This role works closely with insurance providers, pharmacy benefit managers (PBMs), and internal teams to ensure a smooth patient experience.
QA Associate | Claims Associate Integrated Resources, IncQA Associate | Claims AssociatePittsburgh, PAPerforms and documents results of all quality assurance evaluations on all operational products and services, including (but not limited to) benefit verification cases, patient assistance cases, software support calls/emails, inbound calls from patients or health care providers, data entry, etc. The Operations Quality Assurance Associate I will be a subject matter expert for their respective assigned business unit(s) and will utilize analytical skills to analyze data, processes, and workflows to provide insightful, actionable coaching for the Operations Agents.
NewCasualty Claims Specialist First Chicago Insurance CompanyCasualty Claims SpecialistPittsburgh, PAThey will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. The Casualty Claims Specialist will have the following duties and responsibilities: Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss.
NewEFT Processor II Northwest Savings BankEFT Processor IIBellevue, PAIN0534 Fishers, OH0523 Independence Bus Office, OH0701 Columbus Business Center, PA0186 Mount Joy, PA0220 Erie - 8th & State, PA0258 Bellevue, PA0445 Williamsport, PA0736 Administration Center. The EFT Processor II will be responsible for processing EFT Cardholder Disputes, assisting Contact Center and branches through e-mail and phone, respond to FISERV requests, process EFT disputes, assisting with travel queues when needed.
Bodily Injury Claims Specialist Auto-Owners Insurance CoBodily Injury Claims SpecialistPittsburgh, PAThe 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.
Workers Compensation Large Loss Claims Director CNAWorkers Compensation Large Loss Claims DirectorMeridian, PennsylvaniaWorking closely with claims leadership, disposition consultants, legal services, customers, brokers, and business partners, the Large Loss Director drives superior claim outcomes, technical excellence, operational effectiveness, and profitable growth while serving as a mentor and resource to claims professionals across the organization. This individual contributor role provides company-wide influence and leadership in the interpretation of complex policy coverages, litigation management, reserving, claim resolution strategies, regulatory compliance, and large loss methodologies.
Property Adjuster Insurance Claims Elevate Claims SolutionsProperty Adjuster Insurance ClaimsPittsburgh, PennsylvaniaElevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Valuing our partnerships with our carrier clients; recognizing and maximizing the ways in which our Elevated Claims Handling can support them and their policyholders.
NewLead Claims Adjuster-Inspections CARS Protection Plus IncLead Claims Adjuster-InspectionsPittsburgh, PARemotePart timeAs a Lead Adjuster-Inspections, you will play a crucial role in our operations by efficiently handling inspection requests and ensuring the accuracy and completeness of inspection processes. Communicating with Adjusters: Notify adjusters via PCRS when inspections confirm failure causes and damage extents, enabling the claim to move forward.
Field Claims Representative Auto-Owners Insurance CoField Claims RepresentativePittsburgh, PAAbility 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.
Auto Claims Representative Auto-Owners Insurance CoAuto Claims RepresentativePittsburgh, PAAbility 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.
Experienced Catastrophe Claims Representative Auto-Owners Insurance CoExperienced Catastrophe Claims RepresentativePittsburgh, PAThe 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.
NewSenior Claims Adjuster Workers Compensation PA/NJ GallagherSenior Claims Adjuster Workers Compensation PA/NJPittsburgh, PennsylvaniaRemoteFull timeAbout you : As a key member of our experienced Claims Adjuster team, you will: Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution. How you'll make an impact : Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims.
Claims Examiner II - SSL Matrix Absence ManagementClaims Examiner II - SSLUnited, PARemote$25.10–$31.37 / hourSitting for prolonged periods of time, frequently standing, walking distances up to one mile, bending, crouching, kneeling, reaching, occasionally lifting 25lbs, extensive typing, picking up and holding small objecting and otherwise using primarily the fingers rather than the entire hand. Employee is required to have visual acuity sufficient to perform activities such as preparing and analyzing data and figures; transcribing notes; viewing a computer terminal and extensive reading.
NewCasualty Claims Specialist First Chicago Insurance Company (FCIC)Casualty Claims SpecialistPittsburgh, PAThey will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim.
NewClaims Operations Technician CNAClaims Operations TechnicianMeridian, PennsylvaniaCollaborates with underwriting, insureds, claimants, providers, vendors or claim adjusters utilizing various methods to obtain and provide information related to claim support activities. Completes data or makes data corrections based on set requirements or procedures within claim file information utilizing multiple claim systems that support P&C Claim.
Manager - Risk Management (Claims) WESCOManager - Risk Management (Claims)Pittsburgh, PAYou will partner with carriers, third-party administrators (TPAs), brokers, legal counsel, and internal stakeholders to manage complex claims, support litigation and settlement strategies, represent the company in mediations and other claim proceedings, and drive continuous improvement in claims handling practices. You will manage the Workers' Compensation Analyst, Risk Management (Claims) and serve as Wesco's primary point of contact for claim-related matters, ensuring timely, accurate, and cost-effective claim resolution while maintaining compliance with company policies and regulatory requirements.
Field Claims Representative - Pittsburgh Acuity, A Mutual Insurance CompanyField Claims Representative - PittsburghPittsburgh, PA$75,000–$150,000 / yearThe representative evaluates liability, exposure, subrogation potential and arrange for the disposition of claims through settlement or denial, including litigation. If you have a disability and require reasonable accommodations to apply or during the interview process, including for in-person interviews, please contact our Talent Acquisition team at careers@acuity.com.
Workers Comp Senior Claims Rep Remote-NJ PA MA Vanliner Insurance CompanyWorkers Comp Senior Claims Rep Remote-NJ PA MAPittsburgh, PennsylvaniaRemote$72,000–$82,000 / yearOur steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes.
NewWorkers Comp Senior Claims Rep Remote-NJ PA MA National Interstate CorporationWorkers Comp Senior Claims Rep Remote-NJ PA MAPittsburgh, PennsylvaniaRemoteOur steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes.
Claims Consultant Tata Consultancy Services LtdClaims ConsultantPA$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.
NewProperty Claims Inspector - 533968 Metro Public AdjustmentProperty Claims Inspector - 533968Pittsburgh, PAIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled to from their insurance claim.
Remote Claims Representative - 11717 Metro Public AdjustmentRemote Claims Representative - 11717Pittsburgh, PARemoteIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim.
Pharmacy Benefits /Insurance Claims Specialist | Onsite- Pittsburgh Blink Health Administration LLCPharmacy Benefits /Insurance Claims Specialist | Onsite- PittsburghPittsburgh, PAOur two primary products- BlinkRx and Quick Save - remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved health outcomes for patients. Company Overview: Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody.
Senior Stop Loss Claims Analyst Highmark IncSenior Stop Loss Claims AnalystPAThis includes following a departmental claim checklist to ensure eligibility is met, the payment reimbursement request is accurate by auditing the claim for duplicate line-item charges and determining if all information is available to finalize the payment request. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Claims Adjuster Trainee The Progressive CorpClaims Adjuster TraineeMonroeville, PA$54,000–$57,500 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://www.progressive.com/careers/how-we-hire/faq/job-scams/ . This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months.
Field Claims Representative Solera Holdings LLCField Claims RepresentativePAOur 6,500 team members foster an uncommon, innovative culture and are dedicated to successfully bringing the future to bear today through cognitive answers, insights, algorithms and automation. Strong problem solving, project management skills while maintaining excellent customer service with client policyholder and insurance company claim staff.
Workers Comp Senior Claims Rep Remote-NJ PA MA Great American Insurance CompanyWorkers Comp Senior Claims Rep Remote-NJ PA MAPARemote$72,000–$82,000 / yearOur steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes.
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Safety Document Control, Claims Management & Paralegal Specialist Brayman ConstructionSafety Document Control, Claims Management & Paralegal SpecialistSaxonburg, PAFull timeBrayman Construction Corporation in Saxonburg, PA is looking for a detail oriented and organized Safety Document Control, Claims Management & Paralegal Specialist to support the organization's safety, legal, and risk management functions by maintaining controlled safety documentation, administering workers' compensation and liability claims, and providing paralegal-level support for legal, regulatory, and compliance matters. We are a leading heavy civil and geotechnical contractor with office headquarters in suburban Pittsburgh, Pennsylvania, a satellite office in Wytheville, Virginia and various project field offices in the Mid-Atlantic and Northeast Regions.
Workers Comp Senior Claims Rep Remote-Nj PA MA Great American Insurance Group (DBA)Workers Comp Senior Claims Rep Remote-Nj PA MAPittsburgh, PARemote$72,000–$82,000 / yearOur steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes.
Claims Adjuster - Auto Damage The Progressive CorpClaims Adjuster - Auto DamageMonroeville, PA$66,800–$81,600 / 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/ . Individual will work in the field, office, body shop, network shop, or service center environment and at time be expected to lift, bend stretch, walk, crouch, twist and/or lay on floor.
Pharmacy Benefits /Insurance Claims Specialist | Onsite- Pittsburgh Blink Health Management LLCPharmacy Benefits /Insurance Claims Specialist | Onsite- PittsburghPittsburgh, PAOur two primary products - BlinkRx and Quick Save - remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved health outcomes for patients. Company Overview: Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody.
NewPharmacy Benefits /Insurance Claims Specialist | Onsite- Pittsburgh Blink HealthPharmacy Benefits /Insurance Claims Specialist | Onsite- PittsburghPittsburgh, PAOur two primary products – BlinkRx and Quick Save – remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved health outcomes for patients. Company Overview: Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody.