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Claims Supervisor Jobs in the United States

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Jobs

Claims Examiner III (Hybrid) TRISTAR Insurance Group, Inc

Physical activity necessary to perform the job and frequency (e.g., continually, frequently, or occasionally): Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs and/or hands and arms. This position requires considerable interaction with clients, claimants, Medical providers, Attorneys, vendors, Nurse and Vocational Case Managers, and other TRISTAR staff.

2 days ago

Workers Compensation Claims Examiner II TRISTAR Insurance Group, Inc

Kapolei, HI

Visual requirements necessary to perform the job:Far vision: clarity of vision at 20 feet or moreX Near vision: clarity of vision at 20 inches or lessX Mid-range vision: clarity of vision at distances of more than 20 inches and less than 20 feetDepth perception: the ability to judge distance and space relationships, so as to see objects where and as they actually areColor vision: ability to identify and distinguish colorsField of vision: ability to observe an area up or down or to the right or left while eyes are fixed on a given point. Physical activity necessary to perform the job and frequency (e.g., continually,frequently, or occasionally):Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, andthe like, using feet and legs and/or hands and arms.

2 days ago

Professional Liability Claims Examiner III TRISTAR Insurance Group, Inc

Irving, TX

Remote

Physical activity necessary to perform the job and frequency (e.g., continually, frequently, or occasionally): Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs and/or hands and arms. POSITION SUMMARY: Under the oversight of the Area Manager, the Claims Examiner III reports to the Claim Supervisor and/or Area Manager and is responsible for managing all aspects of Professional Liability claims from inception through resolution, within established authority and company guidelines.

2 days ago

Auto/Bodily Injury Claims Adjuster - Hybrid Lawrenceville, GA Charles Taylor

Lawrenceville, Georgia

This person must perform coverage, liability and damage analysis, maintain timely correspondence and determine the best course of action with low to medium levels of autonomy, while working closely with clients, their employees and attorneys as a moderate to experienced claims professional. Charles Taylor is an independent, global provider of claims solutions, insurance management services and technology platforms for all property and casualty markets, including commercial property, workers’ compensation, and auto/liability.

30+ days ago

Senior Medical Malpractice Claims Specialist The Doctors Company

New York, NY

$97,304–$137,880 / year

Benefits: Healthcare Risk Advisors offers competitive compensation, an incentive bonus plan, outstanding career opportunities, an exceptional work environment, and an impressive benefits package, which starts with medical, family and bereavement leave; same-sex domestic partner benefits; short- and long-term disability programs; and an employee assistance program. Salary may include additional geographic differential for employees working in higher-cost labor markets, including states such as New York and California.

30+ days ago

Claims Specialist Apro, LLC

Long Beach, CA

Builds, maintains, and manages relationships with store operations, Third Party Administrators, insurers, legal counsel, and other claims related parties or vendors. Specialist works closely with Operations, Customer Service, Loss Prevention, Safety, and other departments to.

10 days ago

Claims Assistant - Workers compensation TRISTAR Insurance Group, Inc

Physical activity necessary to perform the job and frequency (e.g., continually, frequently, or occasionally): Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs and/or hands and arms. X Ability to report, write, or edit articles for publication; prepare deeds, contracts or leases, prepare and deliver lectures; interview, counsel, or advise people; evaluate technical data.

2 days ago

Workers compensation Claims Examiner I / Medical Only TRISTAR Insurance Group, Inc

Irving, TX

Physical activity necessary to perform the job and frequency (e.g., continually, frequently, or occasionally): Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs and/or hands and arms. POSITION SUMMARY: Under close to moderate supervision, manages workers' compensation medical-only claims from inception through resolution, with total claim exposure not exceeding $10,000 and within assigned authority limits and established company and client guidelines.

2 days ago

Senior Claims Adjuster - Workers'''' Compensation Mitsui Sumitomo Insurance Company Of America

Georgetown, KY

Remote

Summary/Job Purpose: This position is responsible to adjust assigned claims within delegated limits of authority, conduct timely and thorough investigations, handle subrogation claims, and complete fair and equitable claim settlements in accordance with MSMM Claim Handling Guidelines and/or requirements of principals regarding TPA business to ensure services are provided in a fair, equitable and timely manner. 5+ years of claims experience, including ability to successfully negotiate settlements, verify coverage, appropriately set reserves, successfully complete investigations and understand rules associated with state regulations.

23 days ago

Senior Claims Representative - Work Compensation Mitsui Sumitomo Insurance Company Of America

Georgetown, KY

23 days ago

Senior Claims Representative Mitsui Sumitomo Insurance Company Of America

Princeton, IN

23 days ago

Managed Care Claims Validator CommuniCare

The position requires working with the CBO cash collections team, CBO cash posting team, Business Office Manager, Regional Director of Finance, MDS, Case Management, and others. A national leader operating more than 105 skilled nursing and long‑term care facilities, CommuniCare serves nearly 13,000 residents with integrated services spanning the full continuum of care.

30+ days ago

Claims Adjuster - Workers'''' Compensation Mitsui Sumitomo Insurance Company Of America

Georgetown, KY

23 days ago

Claims Adjuster - Workers' Compensation MSIG Holdings

Kentucky

This position is responsible to adjust assigned claims within delegated limits of authority, conduct timely and thorough investigations, handle subrogation claims, and complete fair and equitable claim settlements in accordance with MSMM Claim Handling Guidelines and/or requirements of principals regarding TPA business to ensure services are provided in a fair, equitable and timely manner. 5+ years of claims experience, including ability to successfully negotiate settlements, verify coverage, appropriately set reserves, successfully complete investigations and understand rules associated with state regulations.

30+ days ago

Senior Claims Adjuster, TPA Oversight LotSolutions, Inc.

Jacksonville, FL

$100,000–$130,000 / year
Part time

The Senior Claims Adjuster, TPA Oversight will provide technical expertise and handle a wide variety of severity/complex claims as well as coverage litigation within Commercial Auto, Cargo, and Crane & Rigging lines of business. Additionally, they will complement the existing Specialty Claims team that supports the Underwriting unit and will provide oversight of third parties and delegated authority referrals.

30+ days ago

Supervisor, Quality Improvement Avalon Health Services LLC

Tampa, FL

About the Supervisor, Quality Improvement position: The Supervisor, Quality Improvement is responsible for overseeing Avalon's quality improvement auditing and monitoring activities while leading a team of Quality Improvement Specialists. This position serves as a working leader, directly participating in quality audits, data analysis, reporting, and process improvement initiatives while ensuring the team consistently delivers accurate, timely, and actionable quality insights.

30+ days ago

Supervisor, Patient Accounts TEEMA Group

White Plains, NY

$69,257–$103,897
Quick Apply

Technical Guidance: Act as the primary escalation point, providing technical guidance and hands-on assistance to revenue cycle staff tackling complex billing errors, unpaid claims, and intensive follow-up activities. In this essential leadership role, you will bridge the gap between technical data and daily operations by compiling statistical metrics, tracking accounts receivable, and identifying trends to drive continuous process improvements.

4 days ago

Servpro Office Manager/Supervisor Servpro

Sarasota, Florida

$1,100–$1,400 / week

We’re seeking self-motivated, proactive, responsible, and service-oriented teammates to join us in our mission of helping customers in their greatest moments of need by repairing and restoring homes and businesses with an industry-leading level of service. This key leadership position works directly with the General Manager and management team and works in tandem with our Mitigation and Reconstruction Project Managers to keep operations running efficiently.

4 days ago

Supervisor, Appeals Pharmacist Capital Rx, Inc.

Denver, CO

$128,000–$160,000 / year

By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. Perform day to day clinical pharmacy functions including prior authorization and appeal reviews, override requests, and inbound and outbound member and provider education calls.

30+ days ago

Supervisor Professional Billing & Coding Denials Akron Children's Hospital

Akron, OH

Ensures staff are actively and appropriately communicating with payers regarding delayed, denied and underpaid claims to promote timely reimbursement. Works closely with the Billing Collection representatives and Revenue Cycle Management to determine revenue enhancement and educational opportunities.

1 day ago

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Claims Supervisor Jobs in the United States

Claims Examiner III (Hybrid) TRISTAR Insurance Group, Inc

Workers Compensation Claims Examiner II TRISTAR Insurance Group, Inc

Professional Liability Claims Examiner III TRISTAR Insurance Group, Inc

Auto/Bodily Injury Claims Adjuster - Hybrid Lawrenceville, GA Charles Taylor

Senior Medical Malpractice Claims Specialist The Doctors Company

Claims Specialist Apro, LLC

Claims Assistant - Workers compensation TRISTAR Insurance Group, Inc

Workers compensation Claims Examiner I / Medical Only TRISTAR Insurance Group, Inc

Senior Claims Adjuster - Workers'''' Compensation Mitsui Sumitomo Insurance Company Of America

Senior Claims Representative - Work Compensation Mitsui Sumitomo Insurance Company Of America

Senior Claims Representative Mitsui Sumitomo Insurance Company Of America

Managed Care Claims Validator CommuniCare

Claims Adjuster - Workers'''' Compensation Mitsui Sumitomo Insurance Company Of America

Claims Adjuster - Workers' Compensation MSIG Holdings

Senior Claims Adjuster, TPA Oversight LotSolutions, Inc.

Supervisor, Quality Improvement Avalon Health Services LLC

Supervisor, Patient Accounts TEEMA Group

Servpro Office Manager/Supervisor Servpro

Supervisor, Appeals Pharmacist Capital Rx, Inc.

Supervisor Professional Billing & Coding Denials Akron Children's Hospital

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