96 Results for

Claims Specialist Jobs in Lacey, WA

Jobs

New!

Olympia, WA4 days ago

$69,920–$133,620 Per Year

Proactively 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.

Olympia, WA30+ days ago

$107,600–$161,400 Per Year

Key responsibilities of this position include: + Conduct complex investigations and extensive claim file reviews on assigned cases + Determine coverage, draft position letters and communicate the coverage position(s) to insureds, business partners and legal counsel + Operate within prescribed authority levels to set appropriate expense and indemnity reserves + Regularly monitor indemnity reserves for any required adjustment + Present cases above authority level to leadership for expense/indemnity reserve and settlement authority + Develop and implement resolution strategies to achieve high quality outcomes + Pro-actively manage consultants and/or litigation and counsel throughout the case lifecycle + Directly oversee the litigation planning, execution, budget and bill review + Attend trials and mediations as necessary + Positively contribute to our claim and enterprise goals by participating in ad hoc audits, projects and product development initiatives + Prepare comprehensive reports and deliver presentations to senior claim leadership on case developments, policy issues, industry trends, etc. + Prior experience handling both primary and excess policy coverages/claims + Strong coverage acumen with the ability to readily apply the terms and conditions found in manuscript policies to the facts of the claim + High level of discipline, results-orientation and ability to drive bottom line results + Superior analytical ability and organizational skills + Effective interpersonal communication skills in both verbal and written formats + Proven strategic reasoning and execution skills + Excellent negotiation and advanced technical claim handling skills + Full command of issues and medicals relative to high value bodily injury claims + Strong ability to analyze coverage and liability issues, manage time limit demands and assess extra contractual exposures and other issues of complexity + Ability to effectively communicate in a highly-matrixed environment + Readily able to influence and drive successful, collaborative claim outcomes This role can have a Hybrid or Remote work arrangement.?

Olympia, WA14 days ago

Remote

$23–$26 Per Hour

Our Company:** Carrington Mortgage Services is part of The Carrington Companies, which provide integrated, full-lifecycle mortgage loan servicing assistance to borrowers and investors, delivering exceptional customer care and programs that support borrowers and their homeownership experience. The Loss Mitigation FHA Claims Specialist will be responsible for preparing, filing, and following up on all FHA home retention claims timely and accurately according to investor/insurer guidelines.

Olympia, WA7 days ago

$18.50–$42.35 Per Year

Key Responsibilities** + Process complex, non-routine provider refunds and returned checks + Review and interpret contract language to validate overpayments and allocate refund checks appropriately + Apply medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and apply cost-containment measures to support claim adjudication + Ensure compliance requirements are met and that payments/refunds follow company practices and procedures + Perform claim rework calculations and adjustments across all dollar amounts for unsolicited overpayment refunds + Follow through to completion on medical claim overpayments, underpayments, and other irregularities + Respond to telephone and/or written inquiries related to pre-approvals/pre-authorizations, reconsiderations, and appeals + Review assigned claims data mining work that may result in claim adjustments and complete resulting adjustments as appropriate + Process medical claim adjustments on customer service platforms using technical and claims-processing expertise + Provide overpayment refund training, mentoring, and job shadowing support for less experienced colleagues, as assigned + Use available resource materials and tools to manage job responsibilities. Handle customer service inquiries and issues assigned **Required Qualifications** + 3+ years of medical claims processing experience + 2+ years of hands-on claim adjustments/rework experience + 2+ years in a production environment (volume + accuracy expectations) + Demonstrated experience researching and resolving claim issues end-to-end + Ability to interpret and apply guidelines related to eligibility, coverage, and benefits + High attention to detail **Preferred Qualifications** + Experience reviewing and researching overpayment refunds + DG system claims processing experience + Ability to manage multiple assignments accurately and efficiently + Effective communication, organizational, and interpersonal skills + Familiarity with overpayment recovery **Education** + Associate degree or equivalent experience.

Olympia, WA30+ days ago

$110,000–$120,000 Per Year

Skills & Knowledge** + In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as applicable to line-of-business + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Excellent negotiation skills + Good interpersonal skills + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** **:** Computer keyboarding, travel as required **Auditory/Visual** **:** Hearing, vision and talking As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings.

Olympia, WA7 days ago

$100,000–$120,000 Per Year

ESSENTIAL RESPONSIBLITIES MAY INCLUDE:** + Analyzes and processes complex or technically difficult medical malpractice and long term care claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Ideal candidates demonstrate strong analytical and negotiation skills, exercise sound judgment, and are committed to delivering timely, cost-effective claim resolutions while maintaining a high level of customer service.

Olympia, WA30+ days ago

Remote

$100,000–$125,000 Per Year

Skills & Knowledge** + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Excellent negotiation skills + Good interpersonal skills + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** **:** Computer keyboarding, travel as required **Auditory/Visual** **:** Hearing, vision and talking As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings.

Olympia, WA27 days ago

Remote

AND + Must obtain and maintain required adjuster license(s) + Microsoft Office experience + Knowledge of insurance regulations, markets and products Preferred Qualifications: + JD, SCLA, AIC or CPCU + Experience working in a collaborative team environment and across work groups + Excellent verbal and written communication skills + Expertise resolving severe bodily injury and property damage claims and litigation in multiple jurisdictions + Strong skills in coverage, claim evaluation and negotiation + Proven organization and time management skills + Ability to work independently Your pay at Zurich is based on your role, location, skills, and experience. The ideal candidate will have experience managing and resolving high severity injury claims and litigation in multiple jurisdictions, proven skills in time management and caseload management, and must be able to document claim files by accurately capturing and updating claims data/information in compliance with best practices.

Tukwila, WA30+ days ago

Full-time
Employee

Market Insight & Community Involvement: Stay plugged into the remarketing industry, keeping yourself informed of changing trends and best practices impacting repossessed assets. Is it surprising to hear that a financial institution of 1.5 million members and over $30 billion in managed assets say that success comes from focusing on people, not profits?.

Tacoma, WA11 days ago

Full-time
Employee

Responsibilities include verification of insurance information (eligibility and benefits), referral management, submitting and monitoring of pre-authorizations, determines medical necessity and identifies any coverage concerns and works with providers and billing to resolve authorization denials. OR Graduate of a health vocational program such as Medical Assistant, or Medical Billing & Insurance, and 1-year experience in healthcare AND Minimum two (2) years of experience in dealing with the public in a customer service role.

Tacoma, WA30+ days ago

Full-time
Employee

Make non-clinical appeal determinations as permitted by department business processes and guidelines; follow processes to receive clinical review and decisions from licensed health professionals; present complex cases to appeal panels; document decisions and communicate determinations to members, providers. * Ability to switch from one task or type of work to another as business needs require while effectively prioritizing work to meet strict timelines and maintaining quality and consumer-centric focus.

Federal Way, WA30+ days ago

Full-time
Employee

Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour. This position performs revenue cycle duties including but not limited to: processing patient insurance information through the patient intake process ensuring the timely and accurate submission of insurance claims collecting payment on outstanding patient balances.

Olympia, WA30+ days ago

Remote

$26–$27.50 Per Hour
Full-time
Employee

While performing the duties of this job, the individual is regularly required to be in a stationary (seated/standing) position; utilize business technology for work product delivery, communicate orally and in writing with others internal or external to the organization, utilize problem solving/critical thinking skills to discern and convey information. The individual is regularly required to utilize comprehension, critical thinking, communication, problem solving, organization reasoning, relating to others and discernment of items such as product specifications, procedures and processes to customers (whether internal or external).

Woodmont Beach, WA30+ days ago

$87,050–$145,250 Per Year
Full-time
Employee

Parker offers competitive benefit programs, including: Comprehensive coverage for medical, prescription drugs, dental, vision, voluntary optional life, accident insurance, hospital indemnity insurance and critical illness insurance with competitive premium cost. Working with some of the most brilliant minds in the industry, your contributions will be pivotal in developing innovative technologies and products, significantly contributing to Parker's goal of addressing the world's most pressing engineering challenges.

Federal Way, WA15 days ago

Full-time
Employee

Identify trends and perform root cause analysis on unpaid and underpaid claims* Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate insurance payor* Develop and maintain positive working relationships with clinical personnel, teammates, and insurance representatives* High school diploma or GED, required* Associates or Bachelor's degree, highly preferred* Ability to research and problem solve, using analytical and critical thinking skills* Healthcare and medical billing/collections experience is preferred* Intermediate computer proficiency in Microsoft Office including: Word, Excel, and Outlook* Demonstrated history of resolving challenging issues* Deeply built values of TEAM!What's in it for you? Here's what we bring to the table:* A Fun, relationships-based culture-patient- and teammate-driven team* Working for a company stability-as the nation's largest independent provider of dialysis services* Receive award winning training, as note in Training Magazine Top 125 award-winning education* Opportunity for multiple career paths across a variety of cutting-edge modalities* Rewards for your STELLAR performance* Clinical outcomes consistently ranked above the national average-treating more than one-third of the dialysis population (that's approximately 100,000 patients!)* Exceptional benefits-including the healthcare industry's most generous profit sharing programMost importantly.

Federal Way, WA15 days ago

Full-time
Employee

This position will also be responsible for implementing, designing, and providing support for business and administrative analytics within revenue cycle functional areas; develops reports with key performance indicators, metrics, data points, and formulas to support management objectives; determines how processes can be aligned with best practices to achieve optimal results, measurable change, and a quantifiable, positive contribution. We are seeking a revenue operations specialist to work closely with practices and leaders to investigate and design strategic initiatives in order to improve revenue cycle statistics, reporting capabilities, and overall performance.

Shelton, WA30+ days ago

Full-time
Employee

The HRIS & Benefits Specialist supports the Human Resources department by administering benefit programs and maintaining the HR information system to ensure data integrity, regulatory compliance, and a positive team member experience. In addition, the specialist is responsible for optimizing HRIS functionality, generating workforce reports, and collaborating with HR leadership to support initiatives that improve service delivery and operational efficiency.

Tacoma, WA30+ days ago

Full-time
Employee

The Insurance Verification Auth Specialist is responsible for securing financial clearance and completing pre-authorization for patients undergoing complex, high-dollar inpatient and outpatient surgical procedures, hematology/oncology treatments, and infusion services. Secure pre-authorizations from insurance companies for a broad range of complex, high dollar healthcare services including inpatient and outpatient surgical procedures, hematology/oncology treatments, and infusion services.

Tukwila, WA20 days ago

Full-time
Employee

Asset Recovery & Vehicle Disposition:You'll coordinate repairs, transportation, inventory tracking, and the preparation and sale of repossessed vehicles-whether through internal channels or external auctions-following assets through final disposition. Vehicle Title Management:You'll track, process, correct, reissue, transfer, and release vehicle titles-ensuring proper lien perfection and compliance with state requirements, including preparation of online paperless titles through the Department of Licensing.

Tacoma, WA18 days ago

Full-time
Employee

Experience working withkey laws and regulations impacting the pharmaceutical industry (e.g., PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state transparency and disclosure laws) preferred. Collaborates appropriately with internal cross functional partners including but not limited to Associate Director Regional Marketing, Oncology Field Reimbursement Managers, and other specialty roles to facilitate aligned, coordinated efforts with Customers in a compliant manner.

Fife, WA30+ days ago

$62,000–$75,000 Per Year
Full-time
Employee

This role requires deep subject matter expertise across Medicare products, including Medicare Advantage, Medicare Supplement (Medigap), and Part D, as well as hands-on experience supporting individual and family health insurance markets. You’ll be supported by a collaborative, compliance-driven environment that prioritizes professionalism, integrity, and doing what’s right for the client—backed by the stability and resources of an established brokerage.

Tacoma, WA30+ days ago

Full-time
Employee

Bachelor's Degree in Health Information Management, Healthcare Administration, or Business Administration; 5+ years related experience and/or training; or equivalent combination of education and experience. Well-being and support - Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared for at work and in life.

Federal Way, WA30+ days ago

Full-time
Employee

Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour. Intermediate computer skills and proficiency in MS Excel, Outlook, Access required; ability to use Internet effectively required; basic familiarity with Oracle Financial System and an electronic billing system strongly preferred.

Olympia, WA30+ days ago

Remote

$223,800–$313,100 Per Year

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

Olympia, WA26 days ago

Remote

$223,800–$313,100 Per Year

Work at Home Guidance** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and Commercial products, or other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.

Tukwila, WA13 days ago

$98,853–$118,623 Per Year
Full-time
Employee

Oversees, coordinates, and leads projects and related staff; reviews, develops, and implements new procedures, policies, workflows, systems, and approaches; identifies problems and project scope; develops timelines; utilizes and implements project tracking tools and documentation; applies appropriate approaches and methods to ensure project success. The department supports a broad range of functions, including enterprise and day-to-day risk management, workplace safety, claims and insurance management, resource conservation, fleet management, emergency preparedness, records management, procurement, and other essential support services.

Olympia, WA7 days ago

Remote

$120,000–$155,000 Per Year

Technical Lead - Guidewire** **ClaimCenter** **(Java / Cloud)** **United States (Remote)** **About Cognizant** Cognizant is one of the world's leading professional services companies, transforming clients' business, operating and technology models for the digital era. **Role Overview** Cognizant is seeking an experienced Technical Lead / Senior Developer with strong expertise in Guidewire ClaimCenter, Java Spring/Spring Boot, and cloud platforms to support U.S.-based insurance clients.

Lacey, WA12 days ago

Full-time
Employee

The Revenue Integrity Analyst is a key resource within the Quality Improvement/Finance Department, responsible for analyzing professional revenue cycle performance and identifying opportunities to optimize collections, clean claims, denials, and fee-for-service revenue. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.

Tacoma, WA30+ days ago

$90,000–$125,000 Per Year
Full-time
Employee

As the Project Engineer, you will onsite in Washington and will provide technical, administrative, and field-level support to the Construction and Project Management team to ensure successful execution of construction projects at Joint Base Lewis-McChord (JBLM). You are responsible for maintaining accurate project documentation and reporting, supporting schedule and subcontract administration, coordinating with field personnel, and assisting with quality control and compliance activities.

Tacoma, WA30+ days ago

Full-time
Employee

You will collaborate in the review or conduct a review of events involving patient harm under the direction of the Quality Safety & Steering Committee (QSSC) or Clinical Risk & Safety Committee (CRSC) to identify quality improvement opportunities as part of the MHS quality assurance program. You will create and maintain individual event review documentation and aggregate data about events involving patient harm or risks to patient safety to support on-going clinical risk management/mitigation and quality improvement initiatives.

Olympia, WA30+ days ago

Remote

$85,000–$100,000 Per Year

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? Work environment requirements for entry-level opportunities include - Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

New!

Olympia, WA1 day ago

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Auto | Bodily Injury **PRIMARY PURPOSE OF THE ROLE:** To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.

Olympia, WA28 days ago

Remote

$63,404–$85,000 Per Year

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Compensation I Remote Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? Work environment requirements for entry-level opportunities include - Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

Olympia, WA28 days ago

Remote

$63,404–$95,000 Per Year

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Compensation I CA experienced required I Remote Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? Work environment requirements for entry-level opportunities include - Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

Olympia, WA30+ days ago

$75,000–$100,000 Per Year

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Construction Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? To analyze general liability claims involving New York labor law or construction defect on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

Olympia, WA13 days ago

$60,234–$85,000 Per Year

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers' Compensation to help solve problems for some of the world's best brands? To analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

Olympia, WA7 days ago

$80,000–$90,000 Per Year

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdiction & Subrogation Experience & NY Licensing Required Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? **OFFICE LOCATION** **Hybrid if within commutable distance to the Syracuse, NY office** **Remote if outside of commutable distance** **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.

New!

Olympia, WA4 days ago

$63,404–$89,000 Per Year

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation I Midwest Jurisdictions Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? To analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

New!

Olympia, WA2 days ago

Remote

$80,000–$85,000 Per Year

Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical:** Computer keyboarding, travel as required **Auditory/Visual:** Hearing, vision and talking As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Auto | Bodily Injury | Remote **PRIMARY PURPOSE** : To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.

Olympia, WA10 days ago

$75,000–$85,000 Per Year

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | No Fault- PIP | Lit Required | New York **PRIMARY PURPOSE OF THE ROLE** : Investigates, negotiates, and resolves personal injury protection (PIP) and medical payments (Med Pay) claims in accordance with policy provisions, best practices, and jurisdictional requirements. **Work environment requirements include -** Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

New!

Olympia, WA1 day ago

$66,574–$80,000 Per Year

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability | Bodily Injury & General Liability | Multi State Jurisdiction | Licensing: Reciprocal Required - Remote Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? **Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical:** Computer keyboarding, travel as required **Auditory/Visual** **:** Hearing, vision and talking _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings.

New!

Olympia, WA4 days ago

$75,000–$80,000 Per Year

Independent clinical license at the master's level- Licensed Clinical Social Worker (LCSW), Licensed Independent Clinical Social Worker (LICSW), Licensed Master Social Worker (LMSW), Certified Independent Practice Social Worker (CIPSW), Independent Social Worker (ISW), Licensed Clinical Professional Counselor (LCPC), or Licensed Professional Clinical Counselor (LPCC), or equivalent in colleague state required. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.

Olympia, WA12 days ago

Remote

$85,000–$110,000 Per Year

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - General Liability | Remote (Evergreen) **PRIMARY PURPOSE** : To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. **Skills & Knowledge** + Thorough knowledge of claims management processes and procedures for multiple product lines + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Leadership/management/motivational skills + Analytical and interpretive skills + Strong organizational skills + Excellent interpersonal skills + Excellent negotiation skills + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations.

Tacoma, WA18 days ago

The Medical Billing Specialist performs insurance A/R collection by following up with assigned insurance carriers, manages appeals, resolves patient and payer inquiries, and ensures accurate account activity. As part of our commitment to maintaining a professional, compliant, and high-integrity workplace, all employment offers at Olympic Sports & Spine are contingent upon the successful completion of a comprehensive background screening.

Tacoma, WA30+ days ago

Remote

$17.74–$31.63 Per Hour

Acts as a liaison between providers, teammates, outside vendors, health plans, community services and patients to support Referrals/Pre-authorization management process and requirements. Maintains strong understanding of and educate our physicians, clinical teammates, patients and families regarding contracted health plans requirements related to Referrals/Pre-authorization Management.

New!

Olympia, WA4 days ago

$45,000–$55,000 Per Year

Certified Rehabilitation Counselor (CRC) designation preferred **E** **xperience** Four (4) years of related experience or equivalent combination of education and experience required, including one (1) year of return-to-work or job accommodation experience **OR** four (4) years of claims management experience. + Maintains regular contact with clients following placement, as per program guidelines; contacts involved individuals regarding progress on each case and makes suggestions as needed for changing rehabilitation plans.

New!

Olympia, WA4 days ago

Remote

Design, develop, and maintain operational, analytical, and regulatory reports using SSRS, Bold BI, and other BI/reporting tools - Create parameterized, drill-down, and user-friendly reports for diverse audiences - Ensure reports are accurate, timely, and aligned with Medicaid business and reporting needs - Maintain report catalogs, documentation, and version control - Develop reports supporting Medicaid operations, such as claims, encounters, eligibility, provider, care management, and utilization - Support regulatory and compliance reporting requirements, including CMS and state Medicaid submissions - Partner with business and compliance teams to interpret reporting specifications and translate them into report logic - Validate data outputs and reconcile results against source systems and expectations - Write and optimize SQL queries and stored procedures to support reporting needs - Collaborate with data engineers, analysts, and business stakeholders to clarify requirements - Participate in testing, peer reviews, and quality assurance of reporting outputs - Provide end-user support, enhancements, and minor modifications to existing reports Minimum Requirements '- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required. The ideal candidate has hands-on experience developing reports using SQL Server Reporting Services (SSRS), Bold BI, or similar reporting platforms, along with a strong understanding of Medicaid data and healthcare reporting requirements.

New!

Olympia, WA6 days ago

Remote

$63,404–$80,000 Per Year

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claim Examiner - Liability | Water Damage | Multi State Jurisdiction | Licensing: Required - Remote Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? **Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical:** Computer keyboarding, travel as required **Auditory/Visual** **:** Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description.

Federal Way, WA30+ days ago

We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. Communicate with insurance payers to ensure proper insurance coverage for our patients or to ensure timely and accurate reimbursement for dialysis services rendered at our clinics.

Olympia, WA30+ days ago

Key Sales Capabilities** **Territory Analysis / Business Planning** + Uses competitive data and business reports to track progress and uncover opportunities, including sales data and promotional budget + Displays knowledge of territory and business conditions that impact sales results to establish near term priorities for his/her territory business plan + Responds compliantly to competitive threats and opportunities + Educates office staff on payer guidelines and reimbursement procedures to increase pull through + Effectively utilizes promotional materials **Selling Skills, Engagement & Account Pull Through** + Maintains ongoing awareness of internal support team resources available throughout the ecosystem and utilizes appropriately + Applies market and industry knowledge to overcome objections and influence prescribing habits during the total office call + Identifies territory professional groups to network and ensure access/exposure to potential key opinion leaders + Builds strong relationships with all key office/practice personnel and focuses on patient health in conversations with all staff members. Takes personal responsibility for follow-through and providing value to the accounts by providing accurate information in response to their needs + Delivers effective and balanced office calls and sales presentations utilizing the appropriate approved marketing materials and technical references (e.g.

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Claims Specialist Jobs in Lacey, WA

Jobs

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Complex Liability Claims SpecialistZurich NA

Sr Collateral Auction SpecialistBECU

PNW PACE Authorization SpecialistMultiCare Health System

Appeals Specialist ICambia Health Solutions

Revenue Specialist I (ROPS)DaVita

Patient Account Collection SpecialistCochlear Americas

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