Medical Review Claims Analyst Blue Cross and Blue Shield of Kansas CityMedical Review Claims AnalystTopeka, KS$23.58–$29.48 / hourThe Medical Review Claims Analyst is responsible and accountable for timely and accurate non-clinical reviews of Blue Cross and Blue Shield, National & Special, State, Federal, ITS claims and CSC inquiries to support corporate timeline goals. Thorough knowledge of multiple product lines, contracts, and related operating policies with preference to FEP, Blue Choice, State of Kansas, and Interplan Teleprocessing System (ITS).
Casualty Claims Specialist First Chicago Insurance CompanyCasualty Claims SpecialistTopeka, KSThey 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.
Claims Systems Specialist Blue Cross Blue Shield of KansasClaims Systems SpecialistLawrence, KansasDevelop and document needed business requirements to modify the existing ACES system, either to correct a problem or implement new functionality, and effectively communicate those requirements to IT&S staff to guide them in developing system changes to successfully achieve said needs. Develop, document, test, and approve system modifications, in tandem with Information Technology & Services (IT&S) staff, in ACES needed to resolve problems or develop new functionality.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTETopeka, KSRemoteCompensation 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.
Senior Claims Representative - REMOTE Ryder System IncSenior Claims Representative - REMOTETopeka, KSRemoteCompensation 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.
Casualty Claims Specialist First Chicago Insurance Company (FCIC)Casualty Claims SpecialistTopeka, KSFull timeThey 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.
NewMedical Review Claims - Nurse Coordinator Blue Cross and Blue Shield of Kansas CityMedical Review Claims - Nurse CoordinatorTopeka, KS$85,600–$107,000 / yearMust be able to effectively supervise a team with diverse personalities, educational backgrounds, and various management and non-management levels with a wide range of technical / medical understanding. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training.
Remote Claims Representative 490499 Metro Public AdjustmentRemote Claims Representative 490499Overbrook, 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.
Claims Specialist Blue Cross Blue Shield of KansasClaims SpecialistTopeka, KansasThe AICK Claims Specialist will administer, review, and approve or deny all types of claims, for the products marketed by AICK, to include Waiver of Premium, Term Life, Accidental Death & Dismemberment, Short Term Disability, Long Term Disability, Living Benefit Rider, Ordinary Life, Yearly Renewable Term, all Voluntary Life and Accidental Death & Dismemberment coverage. Compile and report required financial and operational data, including Schedule F for the Annual Statement, management reports (e.g., claim processing time, paid claims, closed claims), and other required reporting (FICA, W-2/W-3).
Medical Review Claims Analyst Blue Cross and Blue Shield of KansasMedical Review Claims AnalystTopeka, KansasThe Medical Review Claims Analyst is responsible and accountable for timely and accurate non-clinical reviews of Blue Cross and Blue Shield, National & Special, State, Federal, ITS claims and CSC inquiries to support corporate timeline goals. Thorough knowledge of multiple product lines, contracts, and related operating policies with preference to FEP, Blue Choice, State of Kansas, and Interplan Teleprocessing System (ITS).
Independent Insurance Claims Adjuster in Topeka, Kansas MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Topeka, KansasTopeka, KansasHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Multi-Line Claims Adjuster - Kansas Provencher & Company, LLCMulti-Line Claims Adjuster - KansasTopeka, KSWe 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.
NewMedical Review Claims - Nurse Coordinator Blue Cross Blue Shield of KansasMedical Review Claims - Nurse CoordinatorTopeka, KansasCo-responsible for researching, creating, implementing, and maintaining all department processes and education / training material with regular team training sessions. Responsible for receiving, researching, answering all direct questions from employees and other departments / divisions regarding employee reviews / decisions.
Claims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance CoClaims Adjuster II, Field Property - National CatastropheTopeka, KS$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.
Independent Insurance Claims Adjuster in Lawrence, Kansas MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Lawrence, KansasLawrence, KSWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Insurance Plan Manager Kansas Automobile Insurance PlanInsurance Plan ManagerTopeka, KansasTraining covers all personal lines (private passenger auto, named non-owner, motorcycles, motor homes, and miscellaneous private passenger autos) and commercial lines (trucks, tractors & trailers, public autos including buses, taxis, and limos, business private passenger type autos, garage auto dealers and garage service/repair operations, hired and non-owned liability, and miscellaneous commercial autos) written through the Plan. Teamwork- Balances team and individual responsibilities, exhibits objectivity and openness to others' views, gives and welcomes feedback, contributes to building a positive team spirit, builds morale and group commitments to goals and objectives and supports everyone's efforts to succeed.
NewBilling Premium Consultant CVS Health CorpBilling Premium ConsultantTopeka, KS$17–$28.46 / 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.
Manager Application Development & Support Blue Cross and Blue Shield of Kansas CityManager Application Development & SupportTopeka, KS$135,440–$169,300 / yearExperience leveraging Artificial Intelligence, automation, and modern software engineering practices to improve developer productivity, accelerate software delivery, and drive business outcomes is preferred. The manager partners with business units, product teams, and IT leadership to deliver secure, scalable, and innovative solutions that improve member and provider experiences.
Provider Data Resolution Spec TriWest Healthcare AllianceProvider Data Resolution SpecTopeka, KSRemoteFull timeProcesses Provider contracts, run reports, and responds to inquiries regarding contract compliance issues; images and indexes contracts and return images to network subcontractors; conducts quality assurance activities to ensure image quality and completion of image activities. Technical Skills: Proficient with key databases, including Claims System, Medical Management System, Authorization/Referral Systems, and Provider Information Management System(s); working knowledge of claims reimbursement methodology and medical coding; healthcare or managed care experience.
Manager Application Development & Support Blue Cross Blue Shield of KansasManager Application Development & SupportTopeka, KansasRegularly influence, update and report to senior IT leadership and business stakeholders; Influence cross-functional stakeholders, including product, compliance, and operations teams. Strong analytical skills to drive data-based decision-making, problem-solving and critical-thinking with a solution-oriented mindset and focus on business outcomes.