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44 Results for

Claims Specialist Jobs in Minnesota

1

What Is the Opportunity?.

Under moderate to direct supervision, this position is responsible for: Reviewing/evaluating, approving and processing Medical Only claims with: No lost time beyond statutory waiting period .

5 days ago

Bloomington, MN
  • $74,497–$104,295 / year

At SFM, you'll manage high-exposure and complex lost-time claims while partnering closely with injured workers, employers, and internal experts to drive the best outcomes. Job title and starting pay will be based on the selected candidate's relevant knowledge, skills, abilities and/or experience, and education, if applicable as well as internal equity with other employees in the same job classification.

30+ days ago
CVS Health Corp logo

Work At Home, MN
  • $17–$28.46 / hour

Analyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.

23 days ago

MN
  • $94,400–$155,800 / year

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.

23 days ago

Roseville, Minnesota
Remote
  • $48,000–$52,000

This role plays a critical part in ensuring timely reimbursement by driving follow‑up, resolving delays, documenting outcomes, and escalating issues appropriately. The ideal candidate is highly organized, detail‑oriented, persistent, and experienced with high‑volume claim workloads.

30+ days ago

Minneapolis, MN
Remote

p>'',''Third-Party Claims-HB&PB'',''Third-Party Claims-HB&PB'',''MN-Minneapolis-Downtown Campus'',''MN-Minneapolis-Downtown Campus'','''','''',''FTE = 1.00 (80 hours per pay period)'',''FTE = 1.00 (80 hours per pay period)'',''Day'',''Day'',''Staff'',''Staff'',''Regular'',''Regular'',''Yes'',''Yes'',''Union'',''Union'',''$22.18'',''$22.18'',''$28.37'',''$28.37'',''Jun-02-2026'',''Jun-02-2026'',''false'',''424744'',''424744'',''true'',''424744'',''false'',''Submission for the position: RCM Representative Senior, Third-Party Claims-HB&PB - (Job Number: 260356)'',''false'',''424744'',''false'',''true''. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St.

24 days ago

MN
  • $15–$20 / hour

p>By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. This position also provides support to CR1 staff during periods of high volume, which includes compiling claim packets and referring eligible claims with supporting documentation to collection vendors, excluding claims involving total losses.

12 days ago

St. Paul, MN
  • $85,600–$141,200 / year

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country.

30+ days ago
New

St. Paul, MN
  • $85,600–$141,200 / year

p>To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/benefits/. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

3 days ago
Sedgwick Claims Management Services, Inc. logo

Eden Prairie, MN
  • $24–$27 / hour

Provides excellent customer service displaying care and empathy to callers regarding claims and executes technical and jurisdictional requirements for accurate claims processing, benefit review and interpretation of regulations, financial payment processing, and error correction of complex or high exposure claims.

PRIMARY PURPOSE: Actively researches, resolves, and administers escalated inquires for all lines of business, including but not limited to Family Medical Leave (FMLA), complex paid and unpaid state, military, and company-specific leaves, accommodations, disability and statutory claims.

30+ days ago

Minneapolis, MN
Remote
  • Full time

Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.

30+ days ago
Allstate Insurance Company logo

MN
  • $56,000–$82,500 / year

Automobile Accidents, Case Management, Casualty Insurance, Claims Administration, Claims Litigation, Claims Resolution, Claims Review, Commercial General Liability Insurance, Commercial Liability, Complex Claims, Fractures, General Liability Claims, General Liability Insurance, Homeowners Claims, Homeowners Insurance, Homeowners Insurance Claims, Insurance Claim Handling, Insurance Policies, Liability Insurance, Litigation, Negotiation, Personal Injury Claims, Property Damage, Relationship Management. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.

30+ days ago
Allstate Insurance Company logo
New

Saint Paul, MN
  • $56,000–$82,500 / year

p>Automobile Accidents, Automobile Accidents, Case Management, Casualty Insurance, Claims Administration, Claims Litigation, Claims Resolution, Claims Review, Commercial General Liability Insurance, Commercial Liability, Complex Claims, Fractures, General Liability Claims, General Liability Insurance, Homeowners Claims, Homeowners Insurance, Homeowners Insurance Claims, Insurance Claim Handling, Insurance Litigation, Insurance Policies, Liability Insurance, Litigation, Litigation Management, Litigation Support, Negotiation {+ 2 more}. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.

4 days ago
Allied Universal logo

St. Paul, Minnesota
  • $27–$36 / hour

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  • Must possess a valid driver's license with at least one year of driving experience .
    • Auto Allowance and Company Credit Card for fuel and travel! .

    • 30 days ago
    Allied Universal logo

    Minneapolis, Minnesota
    • $27–$32 / hour

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  • Must possess a valid driver's license with at least one year of driving experience .
    • Pay Rate: $27 - $32 / hr .

    • 30 days ago
    Allstate Insurance Company logo

    Saint Paul, MN
    • $50,000–$65,300 / year

    Analytical Thinking, Auto Insurance, Auto Insurance Claims, Automobile Accidents, Automobile Liability, Case Management, CCC ONE, Claims Administration, Claims Resolution, Claims Review, Customer Service, Insurance Claims Investigations, Insurance Coverage, Insurance Policies, Motor Vehicle Repairs, Negotiation, Organizing. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.

    23 days ago
    Allstate Insurance Company logo

    MN
    • $98,100–$167,850 / year

    The individual grants settlement authority on the most complex claims valued in excess of Market Claim Office (MCO) and Regional Claim Office (RCO) limits, approving requests to go to trial on cases where the gross exposure is in excess of MCO authority, and general oversight of all large losses for a specific CSA or CSAs. Bodily Injury Claims, Client Counseling, Commercial Insurance Claims, Complex Claims, Conflict Management, General Liability Insurance, Homeowners Claims, Insurance Claims, Insurance Coverage Analysis, Large Loss Claims, Liability Insurance, Multitasking, Personal Injury Claims, Prioritization, Strategic Thinking, Task Management, Time Management.

    30+ days ago

    Bloomington, MN

    p>MINIMUM QUALIFICATIONS:

    Education, Experience or Equivalent Combination:

    • Completion of Medical Coding Program with certification (AAPC or AHIMA equivalent: CPC, CCA, CCS), or ability to obtain within one year. The analyst supports implementation of regulatory and policy changes, evaluates coding-related claim issues, and identifies billing trends and errors.

    11 days ago

    MN
    • $45,409–$72,644 / year

    p>GS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-07 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: applying and interpreting complex federal, state, Tribal, and private-sector regulations to make eligibility and funding determinations for programs such as Purchased/Referred Care, Medicare, Medicaid, Veterans Affairs healthcare, and Affordable Care Act plans; independently analyzing medical, financial, and eligibility documentation to resolve complex or controversial benefit issues; coordinating with agencies, providers, and patients to ensure fiscal accountability and continuity of care; issuing medical authorizations or denial determinations based on regulatory, clinical, and fiscal requirements; maintaining fund control records, monitoring expenditures, and applying appropriate accounting codes; identifying and resolving program or funding discrepancies; and compiling and analyzing reports related to program operations, funding, and utilization.

    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: identifying and verifying patient eligibility for Medicare, Medicaid, SSA benefits, private insurance, Tribal programs, and other assistance resources; interviewing patients to obtain required documentation; assisting individuals and families with benefit applications; reviewing records to determine the status of claims and applications; responding to inquiries regarding patient eligibility requirements, benefits, and program guidelines; and maintaining accurate patient records through data entry, discrepancy resolution, and follow-up on pending claims and missing documentation.

    21 days ago

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