Claims Intake Specialist Skyward Specialty Insurance Group IncClaims Intake SpecialistKennesaw, GA$55,000–$65,000 / yearThe Claims Intake Specialist supports the Claims team by managing incoming claim-related correspondence, organizing electronic claim files, and assisting claims professionals with administrative and document preparation needs. This role is highly detail-oriented and helps ensure claim documentation is processed accurately, timely, and in accordance with internal workflows-while contributing to continuous process improvement.
CTP Claims Examiner HCC Service CompanyCTP Claims ExaminerCarmel, IndianaAs an insurance company, we comply with certain federal, state and local laws such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e)), which restricts our ability to employ individuals with certain types of criminal convictions. As a global leader in specialty travel medical and trip protection insurance, we are passionate about preparing travelers for the unpredictable while fostering a work environment where bold ideas and transformative solutions are valued at every level.
CTP Claims Examiner HCC Life InsuranceCTP Claims ExaminerCarmel, INAs an insurance company, we comply with certain federal, state and local laws such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e)), which restricts our ability to employ individuals with certain types of criminal convictions. Skills and Experience Needed: High school diploma or GED required; Associate's or Bachelor's degree in Business, Insurance, Healthcare Administration, Risk Management, or a related field preferred.
Auditor, Insurance Claims Pacific Dental Services IncAuditor, Insurance ClaimsIrving, TX$22–$29.80 / hourThe primary purpose and function of the Auditor, Insurance Claims is to adjudicate, re-bill and rebut insurance claims in order to ensure accurate and maximum reimbursement for patient treatment from insurance carriers. Ability to respond to common inquiries from customers, staff, regulatory agencies, vendors, and other members of the business community.
Claims Technical Review Specialist Zenith American SolutionsClaims Technical Review SpecialistPerforms technical review and analysis of all types of claims, including large dollar and technically complex claims, to ensure accuracy and adherence to prescribed procedures and plan guidelines. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide.
Product SME - Commercial Property AssuredProduct SME - Commercial PropertyPalo Alto, CaliforniaYou’ll work alongside Product, Engineering, Analytics, and other teams to turn real-world claims knowledge into better workflows, stronger data, and automation that helps insurers handle complex losses without losing the judgment and context that good claims work requires. The challenges we face are deep and diverse, from creating digital experiences that provide comfort and clarity to claimants at their most stressed and vulnerable to orchestrating large-scale ML-driven decision-making on billions of dollars of claims payments, life at Assured is dynamic, collaborative, and rewarding.
Product SME - Workers Compensation AssuredProduct SME - Workers CompensationPalo Alto, CaliforniaAs a Product Subject Matter Expert for Workers’ Compensation, you’ll partner with Product, Engineering, Analytics, and Claims Operations to turn the realities of claims handling into better products: clearer workflows, more useful data, and thoughtfully designed automation that helps claims teams make stronger decisions at scale. The challenges we face are deep and diverse, from creating digital experiences that provide comfort and clarity to claimants at their most stressed and vulnerable to orchestrating large-scale ML-driven decision-making on billions of dollars of claims payments, life at Assured is dynamic, collaborative, and rewarding.
Inside Auto Specialist - Charlotte, NC (Hybrid) Allstate Insurance CompanyInside Auto Specialist - Charlotte, NC (Hybrid)Charlotte, NCYour day-to-day activities include reviewing claims and managing the claim to resolution including communication with various stakeholders, including policyholders, claimants, agents, witnesses, repair facilities, and contractors. Join our team as an Inside Auto Claims Specialist, where you'll play a key role in guiding customers through the auto claims process following single or multiple vehicle losses.
Revenue Cycle Claims Specialist NOCDRevenue Cycle Claims SpecialistWorking knowledge of the full claims lifecycle: eligibility verification, claims submission, denial management, appeals, and payment posting. • Identify and resolve underpayments, overpayments, and contractual adjustments in.
Individual Disability Claims Specialist II MetLife IncIndividual Disability Claims Specialist IITampa, FL$60,000–$70,000 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
NewClaims Representative RedionClaims RepresentativePembroke Pines, FLPrimary responsibilities include efficient adjudication of insurance claims, both phone and written communication with insureds, travel suppliers, medical facilities, and others, as well as maintaining all state Department of Insurance regulations for claims files. From assisting with emergency medical claims to guiding customers through trip disruptions or ID theft, your work helps turn travel challenges into stories of resilience.
Claims Examiner Baystate HealthClaims ExaminerSpringfield, MA$23.46–$26.97 / hourThe Claims Examiner is responsible for providing claims production to the Claims Production Team to enable the administration of non-auto adjudicated claims which contributes to the overall success of Claims Production ensuring specific individual goals, plans, initiatives are executed and delivered in support of the team’s business strategies and objectives. • Actively pursues effective and efficient operations of their respective areas in accordance with Health New England’s Values, its Code of Conduct and the Associate Handbook, while ensuring the adequacy, adherence to and effectiveness of day-to-day business controls to meet obligations with respect to operational, compliance, and conduct.
Warranty Claim Processing Team Member InjectorsDirect.comWarranty Claim Processing Team MemberSan Luis Obispo, CaliforniaAfter having to replace the injectors in an LB7 Duramax, we realized that there needed to be a better way for diesel pickup owners to get quality fuel injection parts for their trucks at reasonable prices. We are also proud supporters of the Central Coast community and sponsors of SLO Blues Baseball, Cal Poly Athletics, as well as local rodeos and other community functions.
Reassessment Sr. Long Term Disability Claims MetLife IncReassessment Sr. Long Term Disability ClaimsNY$58,000–$69,000 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. The Reassessment Senior LTD Claims Specialist is responsible for evaluating and managing ongoing long-term disability claims to ensure accurate, timely, and customer-focused claim decisions that support MetLife's commitment to making a meaningful impact in the lives of our customers and communities across the United States.
HUMAN RESOURCES SPECIALIST VI (EMPLOYEE CLAIMS) - OAHU State of HawaiiHUMAN RESOURCES SPECIALIST VI (EMPLOYEE CLAIMS) - OAHUHonolulu, HI$6,914–$8,414Staff Specialist or Supervisory Experience: One (1) year of Staff Specialist or Supervisory Experience of the type and quality described below: A. Staff Specialist Experience: Human resources specialist experience performing work regularly encompassing difficult and complex situations and problems in a given human resources specialty with responsibility for furnishing advisory services to management in the overall aspects of program development and evaluation; or human resources specialist experience performing extensive and intensive work in a given area of specialization, working on the most complex and difficult assignments in the areas of program development and evaluation, development of new and revised procedures, review of working situations to be sure that departments are following guidelines for sound human resources practices, recommending legislation or studying impact of proposed legislation, and engaging in human resources research aimed towards improving the human resources system. Selective Certification - Workers Compensation Claims Management Experience: Three and one-half years (3-1/2) years of experience in the area of workers compensation, which involved investigating and monitoring questionable claims, recommending/determining the employers position, preparing and recommending settlement offers and negotiating settlements, developing the employers case and representing the employer in hearing and on contested cases.
Healthcare Claims Adjuster Ultimate Staffing ServicesHealthcare Claims AdjusterEl Monte, California$23–$29 / hourInteract professionally with members and providers to resolve inquiries, follow up on pended claims, and complete corrections and adjustments. Review claims for fraud, waste, abuse, hospital‑acquired conditions, Workers' Compensation, and Third‑Party Liability, referring cases as appropriate.
Workers Compensation Claims Technician Liberty Mutual Holding Company IncWorkers Compensation Claims TechnicianLos Angeles, CAEffective analytical skills required to learn and apply basic policy/contract coverage and recognize questionable coverage/contract situations (which necessitate supervisory involvement) along with effective interpersonal skills to explain the facts and logic used to arrive at decisions in a way that the customer understands. Verifies information from claimants, physicians, and medical providers to assess compensability and/or causal relation of medical treatment, and make evaluations for cases with claim specific on-going medical management.
Claims Examiner II - SSL Standard Security Life Insurance Company of New YorkClaims Examiner II - SSLCanandaigua, New YorkRemote$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.
Claims Examiner II MagnaCareClaims Examiner IILas Vegas, NVPerform in-depth research on account receivables and spreadsheets that require claim adjustments, delivering thorough and clarifying responses to providers and clients. Execute client-requested claim research and adjustments and provide clear, concise written responses to client inquiries within established deadlines.
Claims Billing Specialist HARTFORD DISPENSARY, THEClaims Billing SpecialistManchester, CTWe offer a competitive compensation package designed to support your personal and professional well-being, including comprehensive medical, dental, and vision coverage, employer-paid life insurance and short-term disability, a generous retirement plan with up to a 10% employer contribution, four weeks of PTO, paid holidays (including your birthday), professional development funding and training days, annual bonus eligibility, excellent work-life balance with a 35-hour work week and no current on-call responsibilities, and eligibility for multiple NHSC Loan Repayment Programs. Under the direction of the Billing Manager, this individual is responsible for producing biweekly claims; processing and balancing remittance advices (Explanations of Benefits) received with payments to update the accounts receivable sub-ledgers; printing reports; and filing billing and remittance records as required.