NewProperty Adjuster Specialist - Field USAAProperty Adjuster Specialist - FieldSpokane, WARemote$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.
Revenue Cycle Specialist Volt Management Corp.Revenue Cycle SpecialistSpokane, WAFull timeThis role supports our customers with claims processing, including gathering required documentation and coding information, updating patient accounts with payments, vouchers and claims/payment status, and communicating with patients and 3rd party insurers about claims and payments. * Processing rejections by either making accounts private and generating a letter of rejection to patient or correcting any billing error and resubmitting claims to third-party insurance carriers.
Meditech Systems Analyst Volt Management Corp.Meditech Systems AnalystSpokane, WAFull timeCreating training documentation and providing software and process training to internal employees and customer staff members on the MEDITECH Accounts Receivable module and any third-party vendor clearinghouse. * Working collaboratively with the customer's Revenue Cycle departments to communicate analytical findings and assist in formulating and implementing of recommended revenue cycle improvements.
Cerner Systems Analyst Volt Management Corp.Cerner Systems AnalystSpokane, WAFull timeCreating training documentation and providing software and process training to internal employees and customer staff members on the Cerner Accounts Receivable module and any third-party vendor clearinghouse. * Working collaboratively with the customer's Revenue Cycle departments to communicate analytical findings and assist in formulating and implementing of recommended revenue cycle improvements.
Account Manager - Employee Benefits ALLIANT INSURANCE SERVICES INCAccount Manager - Employee BenefitsSpokane, WA$80,000–$100,000 / yearFull timeAs top tier professionals dedicated to solving our clients' health and welfare insurance challenges, Alliant team members deliver an unrivaled depth of service, and our unique approach enables us to help clients stay resilient and turn change into opportunity. Responsible for providing customer service and overall service of assigned customers and/or policies, soliciting of new business on existing accounts and support of Producer-led new business efforts.
Vice President Payment Integrity Cambia Health SolutionsVice President Payment IntegritySpokane, WAFull timeMinimum of 8-10 years of experience in business process design, improvement, and transformation within healthcare payment environments and a minimum of 12-15 years of progressive leadership experience in Healthcare Payment Integrity, Health Plan Claims, Health Plan Operations or related Healthcare management or an equivalent combination of education and experience. This position drives enterprise-wide strategic vision and execution across post-pay and pre-pay audit functions, provider-facing operations and advance analytics capabilities - all in service of creating an economically sustainable health care system.
Business Systems Analyst Support Services Lead Cambia Health SolutionsBusiness Systems Analyst Support Services LeadSpokane, WAFull timeAs a member of the Customer Experience and Operations team, our Business Systems Analyst Support Services Lead participates in the daily support, maintenance, and enhancement of existing systems, as well as the development, configuration, and delivery of new systems to directly support Cambia Core Strategies and Key Initiatives - all in service of economically sustainable health care system. * Demonstrated ability to develop project plans and schedules to ensure all tasks are identified and completed, and assigns tasks and workflow as necessary for completion, including the ability to support and answer questions from Level I team members.
Spv Business Support Services Cambia Health SolutionsSpv Business Support ServicesSpokane, WAFull timeThis includes support of global configuration, incident resolution, conversion activities, enhancement design, developing general and detailed functional and business requirements, testing, project work, and support in the production environments. This includes scoping and resources planning for any projects related to configuration and support of any Facets system, any associated extension or interface that interacts with Facets, along with all legacy membership systems.
Pharmacy Program Manager Cambia Health SolutionsPharmacy Program ManagerSpokane, WAFull timeDeep knowledge of pharmacy benefit management, benefit design, pharmacy products and services, competitive offerings, and client needs, including advanced understanding of healthcare operations, cost containment strategies, provider contracting methodologies, and benefit design alternatives. As a member of the Pharmacy Services team, our Pharmacy Program Managers are responsible for partnering with clinical stakeholders to develop, execute, evaluate and maintain clinical programs and strategies to support cost containment and clinical quality improvements related to pharmacy.
Policy & Implementation Analyst or Sr. DOE Cambia Health SolutionsPolicy & Implementation Analyst or Sr. DOESpokane, WAFull timeServes as primary support for CPT/HCPCS procedure and ICD-9/ICD-10 diagnosis coding questions across Cambia, ensuring decision-making related to coding is consistent, clinically appropriate and thoroughly documented. * Facilitates development, understanding and documentation of business requirements related to policy implementation, clinical editing, and reimbursement policy development including issue identification, research, approval, implementation, documentation and education.
Supervisor Workers Comp Claims - PNW CopperPoint Insurance CoSupervisor Workers Comp Claims - PNWCoeur d'Alene, IDRemote$105,000–$135,000 / yearThe majority of the supervision for this team is currently Alaska and Idaho workers' compensation claims- experience is a must for AK, and candidate must be willing and able to quickly learn ID jurisdiction and obtain licensure if no prior experience with ID claims. Develops and maintains partnerships and service level agreements with leaders within other divisions to ensure processes and workflows are effective, and customer service goals are being met.
NewClaims Appraiser - Auto Estimatics State FarmClaims Appraiser - Auto EstimaticsCoeur D Alene, ID$59,059.65–$82,000 / yearWith the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you! Additional Details: Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).
Claims Adjuster - Attorney Represented Injury The Progressive CorpClaims Adjuster - Attorney Represented InjurySpokane Valley, WA$30.29–$39.23 / hourAn ideal candidate will have experience managing an inventory independently, experience assessing and evaluating liability, coverage, and damages, as well as working independently and directly with attorneys to negotiate and settle claims. For 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/.
Auto Claims Desk Adjuster Hybrid Liberty Mutual Holding Company IncAuto Claims Desk Adjuster HybridIDYou'd be a great fit if you are: An Empathetic Service Professional: When a claim is received, you skillfully pick up the phone and use your customer centricity and problem-solving skills to confidently assure our customers that you are there to guide them through the process. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
Independent Insurance Claims Adjuster in Post Falls, Idaho MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Post Falls, IdahoPost Falls, IdahoIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Rathdrum, Idaho MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Rathdrum, IdahoRathdrum, IdahoIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Greenacres, Washington MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Greenacres, WashingtonGreenacres, WashingtonIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Cheney, Washington MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Cheney, WashingtonCheney, WashingtonIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
NewIndependent Insurance Claims Adjuster in Spokane, Washington MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Spokane, WashingtonSpokane, WashingtonIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Hayden, Idaho MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Hayden, IdahoHayden, IdahoIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Coeur D Alene, Idaho MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Coeur D Alene, IdahoCoeur D Alene, IdahoIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Senior Claims Representative Liberty Mutual Holding Company IncSenior Claims RepresentativeWAResponsibilities: Investigates claim using internal and external resources including speaking with the insured or other involved parties, analysis of reports, researching past claim activity, utilizing evaluation tools to make damage and loss assessments. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role.
NewClaims Specialist II Liberty Mutual Holding Company IncClaims Specialist IIWAAssesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role.
Claims Specialist Lead The Progressive CorpClaims Specialist LeadSpokane Valley, WA$81,000–$107,000 / 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/ . As a claims specialist on our team, you'll play a critical role in our ability to successfully and efficiently resolve large-loss injury claims valued over $60k.
NewSenior Claims Specialist I, Workers Compensation - West Region Liberty Mutual Holding Company IncSenior Claims Specialist I, Workers Compensation - West RegionWARemoteResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages. Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the state s tort laws as normally acquired through a bachelor s degree (or equivalent training) plus 3 to 5 years directly related work experience.
NewClaims Specialist, Workers Compensation - West Region Liberty Mutual Holding Company IncClaims Specialist, Workers Compensation - West RegionWARemoteResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages. As a Workers Compensation Claims Specialist, you will work within a Claims Team, using the latest technology to review, analyze, and process claims that are routinely characterized as moderately complex to complex within assigned authority limits.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Spokane, WARequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
Clinical Review and Education Representative Delta Dental of WashingtonClinical Review and Education RepresentativeSpokane, WA$45,083–$60,946 / yearAs a Clinical Review and Education Representative, you will review and adjudicate dental claims by evaluating clinical documentation and records such as radiographs, narratives, and chart notes in accordance with group contracts and Delta Dental guidelines, ensuring accuracy, identifying potential fraud or abuse, and collaborating with Dental Consultants, Customer Service, and other internal teams to achieve one call resolution for providers and members. Research and review dental claims and supporting clinical documentation and records including radiographs, periodontal charts, intra and extra oral images, narratives, and chart notes to determine benefits based on group contracts and Delta Dental guidelines.
Insurance Sales Representative Summit Business GroupInsurance Sales RepresentativeCoeur d'Alene, IdahoWe will train you to call on small and medium-sized businesses that operate in a variety of industries, meeting face-to-face with business owners and decision-makers to offer some of the industry's best supplemental insurance products and services to them and their employees. You will work with business owners, benefits managers, and their employees individually at times; other times, you will give product presentations with employee groups as large as 50-100+ people.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)WA$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
Supervisory Veterans Service Representative (VSR) U.S. Department of Veterans AffairsSupervisory Veterans Service Representative (VSR)Spokane, WA$100,602–$130,786 / yearVolunteer Experience: Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.
Supervisor, Payment Integrity-Spokane-In Office Molina Healthcare IncSupervisor, Payment Integrity-Spokane-In OfficeSpokane, WASupports implementation and execution of initiatives that include one or all of the following payment integrity activities: overpayment recovery, pre and post-pay coordination of benefits (COB), subrogation, premium enhancement managed service provider (MSP), datamining, pre-pay editing for correct coding and medical payment policies, and supplemental oversight and vendor inventory management processing activities. Executes tasks and projects to ensure Centers for Medicare and Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits, overpayment recovery, COB and subrogation - ensuring improved encounter submissions, general and administrative (G&A) reduction, and positive operational and financial outcomes for the payment integrity function.
Psychologist - (Part-time) - Spokane, WA Commonwealth Medical ServicesPsychologist - (Part-time) - Spokane, WASpokane, WAWhether you are an experienced psychologist seeking a more flexible role or looking to transition into a lower-stress practice setting, this opportunity offers the ability to continue making a meaningful impact while maintaining work-life balance. Step away from the demands of traditional clinical practice and enjoy a structured, low-stress environment with 1099 compensation , work-life balance, and built-in support.
Licensed Clinical Psychologist - Full Time - Spokane, WA Commonwealth Medical ServicesLicensed Clinical Psychologist - Full Time - Spokane, WASpokane, WA$140,000–$170,000Whether you’re a new graduate looking to kickstart your career or an experienced provider seeking a slower, more flexible pace, this role is for you! Benefits : Health insurance options, malpractice coverage, flexible schedules and bi-weekly electronic pay.
Account Manager - Employee Benefits Alliant Insurance Services, Inc.Account Manager - Employee BenefitsSpokane, WAAs top tier professionals dedicated to solving our clients health and welfare insurance challenges, Alliant team members deliver an unrivaled depth of service, and our unique approach enables us to help clients stay resilient and turn change into opportunity. Responsible for providing customer service and overall service of assigned customers and/or policies, soliciting of new business on existing accounts and support of Producer-led new business efforts.
Customer Service Representative - State Farm Agent Team Member Brandon Cook - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberSpokane, WAAs a Customer Service Representative - State Farm Agent Team Member with Brandon Cook - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Anna Wagner - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberSpokane, WAAs a Customer Service Representative - State Farm Agent Team Member with Anna Wagner - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. I offer my team a positive work-life balance with benefits like PTO, health coverage, quarterly paid training, free snacks and food in the office, and licensing reimbursement.
Customer Service Representative - State Farm Agent Team Member Krina Mallgren - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberSpokane Valley, WAAs a Customer Service Representative - State Farm Agent Team Member with Krina Mallgren - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Tyler Volk - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberMead, WAAs a Customer Service Representative - State Farm Agent Team Member with Tyler Volk - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Ashlie Hultman - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberLiberty Lake, WAAs a Customer Service Representative with Ashlie Hultman State Farm Insurance Agency, you will generate the kind of exceptional client experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.