NewCritical Illness Claims Rep ECLAROCritical Illness Claims RepMinneapolis, MN$22.85–$28.57 / hourAdvanced technical proficiency with claims processing systems and the ability to navigate multiple systems concurrently to research, validate, and adjudicate claims efficiently. Analyze and determine Critical Illness claim processing in an accurate and timely manner, to include payment, denial, and requests for additional information.
NewOperations Processor - ACH US BankOperations Processor - ACHSaint Paul, MN$21.25–$28.32 / hourIn addition, certain positions may also be subject to the requirements of FINRA, NMLS registration, Reg Z, Reg G, OFAC, the NFA, the FCPA, the Bank Secrecy Act, the SAFE Act, and/or federal guidelines applicable to an agreement, such as those related to ethics, safety, or operational procedures. This individual will independently manage a daily queue of ACH cases, which may include unauthorized transactions, duplicate charges, billing disputes, and other ACH-related claims.
NewCorporate And Government - Operation Processor US BankCorporate And Government - Operation ProcessorSaint Paul, MN$20–$24.38 / hourDaily responsibilities include reviewing claim activity, handling merchant responses, contacting customers to obtain additional information when needed, preparing claim-related correspondence, and managing multiple priorities to ensure processing timeframes are met. In addition, certain positions may also be subject to the requirements of FINRA, NMLS registration, Reg Z, Reg G, OFAC, the NFA, the FCPA, the Bank Secrecy Act, the SAFE Act, and/or federal guidelines applicable to an agreement, such as those related to ethics, safety, or operational procedures.
NewOperations Processor - ACH U.S. BancorpOperations Processor - ACHSaint Paul, MN$21.25–$28.32 / hourIn addition, certain positions may also be subject to the requirements of FINRA, NMLS registration, Reg Z, Reg G, OFAC, the NFA, the FCPA, the Bank Secrecy Act, the SAFE Act, and/or federal guidelines applicable to an agreement, such as those related to ethics, safety, or operational procedures. This individual will independently manage a daily queue of ACH cases, which may include unauthorized transactions, duplicate charges, billing disputes, and other ACH-related claims.
NewLife Claims Analyst UnitedHealth Group Inc.Life Claims AnalystMinneapolis, MN$49,700–$88,800 / yearAs a Life Claims Analyst you will be responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjudicating Life claims. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
PBM Claims SME Business Analyst Consultant - Remote UnitedHealth Group IncPBM Claims SME Business Analyst Consultant - RemoteEden Prairie, MNRemote$91,700–$163,700 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. We have received recent reports of fraudulent LinkedIn messages and emails alleging or claiming to be sent from UnitedHealth Group, UnitedHealthcare, or Optum Executives.
Director, Claims Operations Medica Health Plans IncDirector, Claims OperationsMinnetonka, MN$113,400–$170,100 / yearA skilled people and operations leader, the Director, Claims Operations ensures high-quality, timely, and accurate service delivery for customers, members, and providers across all lines of business in a dynamic, growth-oriented environment. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the positions scope and responsibility, internal pay equity and external market salary data.
Medical Claims Examiner II Gravie, Inc.Medical Claims Examiner IIMinneapolis, MNIn addition to owning a high-volume, high-complexity caseload, this role may serve as a go-to resource for other Examiners, contribute to training and special projects, and support leadership with inventory management, process development, and auditing. Areas of expertise include, but are not limited to: Coordination of Benefits (COB), Prior Authorization, Claim Adjustments, Health Reimbursement Arrangements (HRA), Transplant Claims, and High Dollar Claims Processing.
NewClaims Research & Resolution Representative Humana IncClaims Research & Resolution RepresentativeMNRemote$40,000–$52,300 / 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. 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.
Senior Provider Experience Program Manager - Healthcare Claims CVS Health CorpSenior Provider Experience Program Manager - Healthcare ClaimsMN$106,605–$284,280 / yearWhat you will do: Lead enterprise delivery of multiple, highly complex business process and technology initiatives aligned to the Provider Experience / Provider NPS program, supporting all lines of business. Drive Agile delivery of Provider Experience / Provider NPS initiatives, supporting business process and technology improvements across multiple lines of business.
Claims Administrator Starkey Hearing Technologies IncClaims AdministratorEden Prairie, MN$40,000–$45,000 / yearResearch and resolve payer rejects, coverages, disputes, denials, and past due balances by interacting with network contracts, third party administrators, hearing providers and patients. Many recent advances are already being recognized as disruptive technologies that have positioned Starkey hearing aids as the industry's first devices that go beyond providing just audiological amplification.
Claims Coordinator ServiceMaster RestoreClaims CoordinatorSaint Louis Park, MNAs the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow-up, handling service complaints, logistics of dispatching field personnel to jobs while ensuring that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call.
Claims Coordinator St Louis ParkClaims CoordinatorSt Louis Park, MinnesotaPosition Overview As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow-up, handling service complaints, logistics of dispatching field personnel to jobs while ensuring that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call.
Casualty Claims Representative Auto-Owners Insurance GroupCasualty Claims Representativelake elmo, MNThis job requires mastery of claims-handling skills and requires the person to: Investigate assigned casualty claims by collecting statements, physical evidence, and legal documentation. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Branch Claims Representative Auto-Owners Insurance GroupBranch Claims RepresentativeLake Elmo, MN$50,000–$81,500 / yearAdditional benefits include: generous paid time off including holidays, vacation days, personal time, sick leave and parental leave; adoption assistance; discounts on personal insurance; education matching gift program; student loan assistance program, a gym membership and fitness class reimbursement program and a company car. 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).
GL/Excess Claims Adjuster III | Remote Allianz SEGL/Excess Claims Adjuster III | RemoteMinneapolis, MNRemote$100,000–$150,600 / yearAZRA is a specialty niche reinsurer, domiciled in California and licensed as an admitted insurer in 36 states (including District of Columbia), and is a qualified, accredited, or approved reinsurer in fifteen states. It services Allianz Group affiliates and third parties including third party claims administration of asbestos, environmental, workers compensation, general liability, and construction defect liabilities.
Workers Compensation Claims Representative Auto-Owners Insurance GroupWorkers Compensation Claims RepresentativeLake Elmo, MN$50,000–$81,500 / yearThe position requires the following but is not limited to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses. Auto-Owners Insurance, a top-rated Insurance Carrier, is seeking a motivated candidate to join our team as an Associate Claim Representative in our Workers Compensation Claims Branch.
Restoration Claims Adjuster Paul DavisRestoration Claims AdjusterSaint Paul, MNParticipate in Paul Davis social events, Goal Setting and Review, All Team Meetings and as many other opportunities as possible to engage with the rest of the team. Attend and actively participate in leadership development trainings such as but not limited to selling, situational leadership, priority management, facilitation, conflict resolution and interviewing.
Claims Architect Diverse Lynx, LLCClaims ArchitectMinneapolis, MNThe consultant will work closely with business, operations, technology, product, and client stakeholders to assess current claims processes, identify improvement opportunities, and define AI-enabled solutions that enhance claims accuracy, reduce manual effort, improve first-pass adjudication, and accelerate operational efficiency. The ideal candidate should have strong understanding of medical claims, prior authorization, claim edits, denials, rework, provider/member data, payment integrity, and regulatory compliance, along with the ability to leverage GenAI tools like Claude for requirements analysis, process documentation, knowledge summarization, workflow optimization, and solution ideation.
Claims Examiner W. R. Berkley CorpClaims ExaminerMinneapolis, MN$85,000–$115,000 / 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 auto liability claims department is looking for an experienced Auto Liability Claims Examiner individual contributor to handle moderate complexity auto claims in a fast paced energetic environment within our organization.