Complex Claims Director - TPA Oversight American International GroupComplex Claims Director - TPA OversightLenexa, KSAs Complex Claims Director- TPA Oversight, you will analyze and process bodily injury and third-party property damage claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans. Maintain diaries and complete tasks within required timeframes as set forth by department guidelines; ensure claim files are timely and properly documented with clear and concise analysis on coverage, damages, reserves, and liability including an action plan for resolution.
Director Of Field Claims - Federal Workers' Compensation American International GroupDirector Of Field Claims - Federal Workers' CompensationLenexa, KSEnsures appropriate claim file reserving, claim payments, legal/allocated expenses and recoveries are effectively applied and consistent with company guidelines via review and management of Open and Closed file reviews as well as other review processes. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience.
Indemnity Claims Specialist CorVel CorpIndemnity Claims SpecialistOverland Park, KSRemote$52,999–$85,473 / yearThe Indemnity Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
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).
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.
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).
NewSr Claims Analyst - LHB Dearborn GroupSr Claims Analyst - LHBOverland Park, KansasIn addition to these tasks, the Senior Claims Analyst is responsible for all of the same tasks as a Claim Analyst including the accurate adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups. Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff.
Complex Claims Consultant - Epl, Private & NFP D&O CNA Financial Corp.Complex Claims Consultant - Epl, Private & NFP D&OOverland Park, KS$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&OOverland Park, KS$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Freight Claims Specialist Dynamic Logistix LLCFreight Claims SpecialistOverland Park, KSIdentifies and gathers documents and materials related to customer claims such as product information, including manuals, product warning labels, packaging, certificates of insurance, test reports, changes in product design and other evidentiary documents. This includes gathering documentation, analyzing loss and damage exceptions to determine liability, negotiating settlements with claimants, and providing clients with regular updates on outstanding claims.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistKSRemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
National Litigation & Claims Management Attorney Wilson ElserNational Litigation & Claims Management AttorneyKansas City, KansasThe ideal candidate is not only experienced, but agile, someone who can quickly pivot between priorities, manage competing deadlines, and proactively identify risks and opportunities across a complex, multi-jurisdictional docket. We are seeking a highly skilled attorney with deep experience in litigation, claims management, and, critical discovery strategy and execution to support our representation of a large, national logistics services provider.
Claims Negotiation Manager CVS Health CorpClaims Negotiation ManagerKS$66,330–$145,860 / yearDemonstrated expertise in the No Surprises Act (NSA), out-of-network reimbursement methodologies, provider billing practices, and healthcare claims adjudication, with the ability to interpret complex regulations, evaluate claim and reimbursement disputes, guide negotiation strategies, ensure compliance, and drive favorable financial and operational outcomes. Lead daily negotiation operations while partnering closely with Product, Operations, Compliance, Analytics, and Client teams to enhance negotiation strategies, support product development, drive operational excellence, and ensure compliance with federal and state regulations.
Senior Claims Estimator Farha Roofing LLCSenior Claims EstimatorWichita, KSYou take ownership of your job numbers, follow up on pending items, and communicate clearly with Management, Project Managers, carriers, and team members Communication Skills: You are skilled at writing technical arguments for supplements and have the ability to effectively communicate with adjusters, staff, and clients to move projects forward. You must be comfortable advocating for accurate scope, identifying missing line items, and speaking with adjusters and TPA representatives Technical Proficiency: Review measurements, and elevations for varied systems, including TPO, PVC, EPDM, metal, and high-end specialty shingles, siding, and additional trades necessary as a part of our scope of work.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeKSEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Senior Provider Experience Program Manager - Healthcare Claims CVS Health CorpSenior Provider Experience Program Manager - Healthcare ClaimsKS$106,605–$284,280 / yearWhat you will do: Lead enterprise delivery of multiple, highly complex business process and technology initiatives aligned to the Provider Experience / Provider NPS program, supporting all lines of business. Drive Agile delivery of Provider Experience / Provider NPS initiatives, supporting business process and technology improvements across multiple lines of business.
Claims Coordinator (Store Support Center, Overland Park, KS) Ace Hardware CorpClaims Coordinator (Store Support Center, Overland Park, KS)Overland Park, KS$20–$22 / hourThis may include (but is not limited to) answering questions related to the defective goods and warehouse claims processes, working with store teams to obtain necessary information to submit claims to vendors, and ensuring all defective goods are accurately returned using the correct code at POS. Ace Retail Group (ARG) is a division of Ace Hardware Corporation that owns and operates several well-known Ace brands, including Westlake Ace, Great Lakes Ace, Buikema's Ace, Outer Banks Ace, Dennis Company, and Breed & Company.
Catastrophe Claims Representative Farm Bureau Financial ServicesCatastrophe Claims RepresentativeManhattan, KansasWhat You'll Do : As a Catastrophe Claims Representative, you will be responsible for immediate response to CAT storm events to investigate, evaluate, and negotiate property claim assignments involving homeowner, farm, and commercial risks. During non-storm periods, you will be assisting our business units manage claims by reviewing and paying replacement cost claims or following up on pending storm losses, as well as focusing on your personal development and training.
Casualty Claims Consultant Farm Bureau Financial ServicesCasualty Claims ConsultantManhattan, KansasAttend mediations and/or trials on behalf of Farm Bureau Financial Services with State and Commercial Business Unit claims staff members when requested or when necessary. You will also: ·Assign litigated files to panel counsel and work with panel counsel to oversee litigation strategy, including any discovery, motion, and trial strategies.
Operations Manager - Debit Fraud & Dispute Claims US BankOperations Manager - Debit Fraud & Dispute ClaimsOverland Park, KS$75,820–$89,200 / yearIn addition, certain positions may also be subject to the requirements of FINRA, NMLS registration, Reg Z, Reg G, OFAC, the NFA, the FCPA, the Bank Secrecy Act, the SAFE Act, and/or federal guidelines applicable to an agreement, such as those related to ethics, safety, or operational procedures. Leads high performance teams of both entry level and skilled professionals by setting goals, providing ongoing feedback, measuring progress while recognizing success and building accountability with employees.