Director of Revenue Cycle Vaco LLCDirector of Revenue CycleLouisville, KY$120,000–$135,000 / yearDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. The Revenue Cycle Manager is responsible for overseeing all aspects of the revenue cycle process for multiple healthcare clients, ensuring efficient billing operations, timely reimbursement, compliance with payer regulations, and exceptional client service.
Independent Medical Evaluators - Occupational Medicine, PM&R and Orthopedists MRG ExamsIndependent Medical Evaluators - Occupational Medicine, PM&R and OrthopedistsLatonia, KYCompany Overview: MRG Exams is a leading provider of Independent Medical Evaluations (IME) and Permanent Partial Impairment Ratings (PPIR) services for the Ohio Bureau of Workers' Compensation (BWC), third-party administrators, Managed Care Organizations (MCOs), and employers. Joining our team as an independent medical provider presents an excellent opportunity for both experienced providers seeking a new challenge and newly starting physicians looking to establish themselves in a unique field outside of patient care.
Claims Processor II Conduent IncClaims Processor IILexington, KY$29,640–$37,050 / yearThrough 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. (removing staples, rubber bands, repairing torn documents, copying document types, and inserting patch sheets to separate claims).
Remote Claims Processing Clerk Conduent IncRemote Claims Processing ClerkLexington, KYRemoteThrough 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. Due to varying state and local minimum wage laws, we are currently only able to hire candidates residing in states where our compensation structure complies with applicable wage regulations.
NewMedical Claims Analyst CVS Health CorpMedical Claims AnalystKY$18.50–$35.29 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
Claims Processing Representative Humana IncClaims Processing RepresentativeLouisville, KY$40,000–$52,300 / yearNOTE: Depending on the number of openings, the number of candidates who apply, and the schedules of interviewers and recruiters, this process may take several weeks or less; however, know that we are working hard to proceed as quickly as possible and to keep you informed. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistKY$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
Administrative ^ Transaction Processor ^ Sr Veterans Sourcing GroupAdministrative ^ Transaction Processor ^ SrLexington, KYThis role is responsible for handling incoming documents, reviewing instructions, and accurately sorting materials in a fast-paced production environment. We are seeking detail-oriented Transaction Processors to support high-volume claims and correspondence processing operations.
Claims Processing Supervisor BrightSpring Health ServicesClaims Processing SupervisorLouisville, KYRemoteEducation/Learning Experience• Required: Associates degree, 4 year college, technical degree or 4+ years equivalent experienceWork Experience• Required: 3+ years direct supervisory experience• Desired: 3rd Party Billing or collections/billing experience in the healthcare industry, AS400 computer systems experience or Pharmacy Technician. Mentor and provide oversight of Team Leads and Associate II staff to insure they are adequately communicating staff training needs, shadowing staff when assigned, performing monthly quality assessment reviews, and taking a lead role in any special projects that may be assigned by Supervisor or Manager.•
NewLong Term Care Claims Representative - Payment Servicing Genworth Financial IncLong Term Care Claims Representative - Payment ServicingKY$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.
Workers’ Compensation Claims Specialist (FL, KY) REMOTE HMA Group HoldingsWorkers’ Compensation Claims Specialist (FL, KY) REMOTEKentuckyRemoteWe do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Consistent merit increase and promotion opportunities — Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important — not only with your financial wellbeing, but also your career wellbeing.
Claims Representative I Elevance Health IncClaims Representative ILouisville, KY$16.23–$24.36 / hourPreferred Skills, Capabilities and Experiences: Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Senior Claims Representative - Work Compensation MSIG HoldingsSenior Claims Representative - Work CompensationKentuckyThis 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. 5+ 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.
Senior Claims Adjuster - Workers' Compensation MSIG HoldingsSenior Claims Adjuster - Workers' CompensationKentucky$95,000–$105,000 / yearThis 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. 5+ 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.
NewClaims Intern Shelter Mutual Insurance CompanyClaims InternLexington, KYShelter maintains broad salary ranges for its roles in order to account for variations in geographic location, education, training, skills, relevant work experience, business needs and market demands. Please remember that this is the minimum starting base pay only and does not consider other components that make up the total rewards package for the position.
Adjudicator, Provider Claims (Inbound Calls) Molina Healthcare IncAdjudicator, Provider Claims (Inbound Calls)Louisville, KYRequired Qualifications: 2 years of experience in a clerical role in a claim, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims.
Bodily Injury Claims Specialist Auto-Owners Insurance GroupBodily Injury Claims SpecialistLexington, KYThe 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.
Claim Representative I - PIP Unit Kentucky Farm Bureau Mutual Insurance CompanyClaim Representative I - PIP UnitLouisville, KentuckyOverview: The Claim Representative-PIP Unit handles no-fault claims from all claim offices within the state of Kentucky to ensure efficient and effective processing of Personal Injury Protection (PIP) benefits. Qualifications: Associate degree or a combination of formal education, training, and experience to acquire knowledge and skills generally equivalent to those possessed by a two-year college graduate.
Mailroom Processor Conduent IncMailroom ProcessorLexington, KY$26,600–$33,250 / yearThrough 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. As a member of the team, you will be responsible for performing tasks such as mailroom sorting and machine operation, high and low speed mail opening and scanning, processing, and similar activities.
Claims Coordinator Nucor CorporationClaims CoordinatorBrandenburg, KentuckyLocated on the banks of the Ohio River, Nucor Steel Brandenburg is a state-of-the-art plate mill, part of North America's largest steel and steel products manufacturer, and the continent's largest recycler. Nucor Steel Brandenburg teammates enjoy industry-leading pay, a performance-driven bonus structure, and a comprehensive benefits package, including: Medical, Dental, Vision, and Disability Insurance.
Liability Claims Litigation Adjuster Remote KY Charles Taylor LtdLiability Claims Litigation Adjuster Remote KYKYRemoteThis person must perform coverage, liability and damage analysis, maintain timely correspondence and determine the best course of action with a high level of autonomy, while working closely with clients, their employees and attorneys as a seasoned claims expert. Charles Taylor is an independent, global provider of claims solutions, insurance management services and technology platforms for all property and casualty markets, including commercial property, workers' compensation, and auto/liability.
Workers’ Compensation Claims Specialist (FL, KY) REMOTE Holmes MurphyWorkers’ Compensation Claims Specialist (FL, KY) REMOTEKentuckyRemoteWe do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Consistent merit increase and promotion opportunities — Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important — not only with your financial wellbeing, but also your career wellbeing.
Data Entry Processor Conduent IncData Entry ProcessorLexington, KY$26,600–$33,250 / yearThrough 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. For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTEFrankfort, KYRemoteCompensation 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.
NewClaims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTEFrankfort, KYRemoteCompensation 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.
Field Property Claims Adjuster Liberty Mutual Holding Company IncField Property Claims AdjusterLouisville, KYThis 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. Position Details Territory-based work: Most workdays will be spent in the field within your assigned local territory, giving you the opportunity to work directly with customers and gain hands-on experience.
Commercial Lines Claims Specialist AAA Club AllianceCommercial Lines Claims SpecialistLexington, KentuckyAt ACA, we are committed to cultivating a welcoming and inclusive workplace of team members with diverse backgrounds and experiences to enable us to meet our goals and support our values while serving our Members and customers. Report claims to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures.
Remote Claims Representative - 630669 Metro Public AdjustmentRemote Claims Representative - 630669Louisville, KYRemoteMetro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim. We provide ongoing training and development opportunities to ensure that you will have the skills and knowledge needed to succeed.
Senior Workers Compensation Claims Adjuster - KY & LA GallagherSenior Workers Compensation Claims Adjuster - KY & LALexington, KentuckyRemoteFull timeHow 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. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence.
Workers’ Compensation Claims Adjuster (KY Dedicated Account) CCMSIWorkers’ Compensation Claims Adjuster (KY Dedicated Account)Louisville, KentuckyRemote$70,000–$75,000 / yearResponsibilities: When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust. This position is designed for experienced adjusters with 5+ years of workers’ compensation claim handling experience who are confident managing complex files, applying sound professional judgment, and delivering consistent, high-quality outcomes.
Pharmacy Claims Analyst 2 SS&C Technologies Holdings IncPharmacy Claims Analyst 2KYRemoteWhat You Will Get To Do: As a Pharmacy Claims Analyst 2, you will support critical processes to ensure accuracy and compliance for pharmacy point-of-sale processing as it relates to Prescriber requirements and error override logic when a disaster has been declared by a state or federal government agency. Unless explicitly requested or approached by SS&C Technologies, Inc. or any of its affiliated companies, the company will not accept unsolicited resumes from headhunters, recruitment agencies, or fee-based recruitment services.
Commercial Lines Claims Specialist AAA-Mid-Atlantic, Inc.Commercial Lines Claims SpecialistKY$26–$28.50 / hourAt ACA, we are committed to cultivating a welcoming and inclusive workplace of team members with diverse backgrounds and experiences to enable us to meet our goals and support our values while serving our Members and customers. Report claims to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures.
Claims Director(WC & TPA Oversight) CNA Financial CorpClaims Director(WC & TPA Oversight)Louisville, KY$97,000–$189,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Leads the work activities of claims professionals and/or claims managers and has full management responsibility for setting and communicating expectations, providing direction and coaching, facilitating ongoing training and development, managing employee performance and contributing to employee engagement. This director-level role operates under general direction with broad authority to lead the oversight of complex, high-exposure commercial Workers' Compensation claims managed by Third-Party Administrators (TPAs), while also managing and developing a team of claim professionals.
NewClaims Adjuster Ingram Marine Group LLCClaims AdjusterPaducah, KYIngram Marine Group encompasses our operating units involved in transporting bulk commodities on America''s inland waterways, delivering fuel and supplies to the towing industry, and providing a ship anchorage in Louisiana. Interfacing with vessel associates, operations managers, customer service representatives, contractors, insurance carriers, medical providers, in-house and outside counsel, and others, as required, in order to investigate and effectively process claims, as well as manage liability exposure.
Claims Specialist Team Lead BrightSpring Health ServicesClaims Specialist Team LeadLOUISVILLE, KYRemote$22–$25 / hourEDUCATION/EXPERIENCE• High School graduate, GED or equivalent experience.• Desired: Associates degree, 4 year college or technical degree.• 3+ years insurance billing experience.• Specialized understanding of billing requirements in one of the following areas: Medicare Part D, Medicaid, and Commercial billing.• PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals.
NewCommunication Effectiveness Trainer - Allstate Claims University Allstate Insurance CompanyCommunication Effectiveness Trainer - Allstate Claims UniversityKY$62,100–$105,300 / yearCoaching, Coaching, Coaching Techniques, Collaboration, Collaborative Development, Communication, Communication Strategy Development, Cultural Awareness, Design, Development Communication, Empathic Communication, Facilitating Learning, Facilitation, Indian Culture, Instructional Design, Leadership, Learning and Development (L&D), Learning Effectiveness, Learning Materials Development, Negotiation, Objection Handling, Performance Management (PM), Project Coordination, Project Planning, Results-Oriented {+ 7 more}. Develops, designs and delivers learning offerings that are aligned to business and enterprise strategy; Ensures talent management practices are understood and supported consistently within learning offerings; Drive adoption of skills-based culture to empower and develop meaningful business-relevant skills through design and delivery of learning.
NewClaims Consultant, Life Sciences CNA Financial CorpClaims Consultant, Life SciencesLouisville, KY$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims with large exposures that require a high degree of 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 complex manage litigation and authorizing payments within scope of authority.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&OKY$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.
Sr. Claims Adjuster GallagherSr. Claims AdjusterLouisville, KentuckyFull timeHow you'll make an impact : Investigates claims for merit and legitimacy by gathering documentation from all affected parties, identifies and verifies damage to person or property either through statements or on-site investigations or meetings with clients. The Senior Claims Adjuster manages insurance claims to determine the extent and legitimacy of claims and issue benefits as jurisdictionally required.
TEMP-Workers'''' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers'''' Compensation Claims AdjusterKYRemote$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.
Claims Representative , Auto Sedgwick Claims Management Services, Inc.Claims Representative , AutoKY$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, AutoKY$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 DamageKY$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.
Workers Compensation Claims Supervisor - TN, KY, AL GallagherWorkers Compensation Claims Supervisor - TN, KY, ALLouisville, KentuckyRemote$1–$3 / hourFull timeHow you'll make an impact : Supervise: Lead and encourage a Workers Compensation claims team handling a variety of caseload sizes and complexities to deliver high-quality and efficient service. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence.
TEMP-Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers' Compensation Claims AdjusterKY$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.
LTC Pharmacy Claims Specialist / Remote BrightSpring Health ServicesLTC Pharmacy Claims Specialist / RemoteLouisville, KYRemoteResearches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines. PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals.
Multi-Line Claims Adjuster - Kentucky Provencher & Company, LLCMulti-Line Claims Adjuster - KentuckyFrankfort, KYWe 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.
TEMP- Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP- Workers' Compensation Claims AdjusterKY$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 AdjusterKY$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 AdjusterKY$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.