Claims Adjuster I Snap OnClaims Adjuster IKenosha, WisconsinResponsible for handling all aspects of claims administration for all property and casualty claims, coordinating claims to closure for the company and franchise network worldwide with minimal supervision. For property and franchisee inventory claims, investigate, evaluate damages, and negotiate settlements directly with Snap-on franchisees and Insurance carriers.
Claims Processor - Flex Benefits Aon PlcClaims Processor - Flex BenefitsMA$43,000–$50,000 / yearPosition Summary: The Claims Processor is responsible for accurate and timely processing of claims which includes claims for Flexible Spending Accounts (FSA), Health Reimbursement Arrangements (HRA), Retiree plans, Lifestyle Accounts, Parking and more. American Benefits Group (ABG) is one of the nation's leading employee benefit solution providers for Consumer Directed Health accounts, COBRA and Direct Billing services.
Property Claims Adjuster MerchantsProperty Claims AdjusterBuffalo, New YorkMerchants Insurance Group is a leading Property and Casualty Insurer in the Northeast and is looking for a Property Claim Adjuster to join our Claims team located in our home office located in Buffalo, New York or one of our Regional Offices located in Melville, New York, Mt. Cultivating relationships with claims and other internal staff, policyholders, attorneys, agents and a variety of service providers and experts all while working towards achieving the most optimal outcomes for Merchants and our policyholders.
Temporary Construction Defect Technical Claims Specialist Frank Winston Crum InsuranceTemporary Construction Defect Technical Claims SpecialistClearwater, FL$40–$45 / hourThe pay offered to the selected candidate will be based on factors including, but not limited to qualifications, knowledge, licensure, skills, abilities, work experience, education, budget, training, employment trends, internal wage considerations, market dynamics, certifications, geographical location, assessments, and other business and organizational needs. Understands construction defect coverage issues and handles complex coverage issues related to sub-contractors, additional insured tenders by General Contractors and developers, Florida Chapter 558 process and issuing reservation of rights letters and denial of coverage letters.
Construction Defect Technical Claims Specialist Frank Winston Crum InsuranceConstruction Defect Technical Claims SpecialistClearwater, FL$105,000–$125,000 / yearThe pay offered to the selected candidate will be based on factors including, but not limited to qualifications, knowledge, licensure, skills, abilities, work experience, education, budget, training, employment trends, internal wage considerations, market dynamics, certifications, geographical location, assessments, and other business and organizational needs. Understands construction defect coverage issues and handles complex coverage issues related to sub-contractors, additional insured tenders by General Contractors and developers, Florida Chapter 558 process and issuing reservation of rights letters and denial of coverage letters.
Sr. Construction Defect Claims Representative Frank Winston Crum InsuranceSr. Construction Defect Claims RepresentativeClearwater, FL$80,000–$100,000 / yearThe pay offered to the selected candidate will be based on factors including, but not limited to qualifications, knowledge, licensure, skills, abilities, work experience, education, budget, training, employment trends, internal wage considerations, market dynamics, certifications, geographical location, assessments, and other business and organizational needs. Understands construction defect coverage issues and handles complex coverage issues related to sub-contractors, additional insured tenders by General Contractors and developers, Florida Chapter 558 process and issuing reservation of rights letters and denial of coverage letters.
Orthodontic Claims Resolution Representative Great Expressions Dental Centers IncOrthodontic Claims Resolution RepresentativeSouthfield, MIOur recently appointed leadership team brings over a century of collective dental expertise and is backed by dynamic investment support to pave the way for groundbreaking changes. The Orthodontic Claims Resolution Representatives' primary role is to resolve high volumes of aging orthodontic insurance claims with payers and providers by calling insurance companies or by utilizing their websites when available.
Claims Resolution Representative Great Expressions Dental CentersClaims Resolution RepresentativeSouthfield, MIOur recently appointed leadership team brings over a century of collective dental expertise and is backed by dynamic investment support to pave the way for groundbreaking changes. We're channeling our resources and energy into revolutionizing our technology platform, expanding service offerings, and creating a personalized patient experience that goes beyond the expected.
NewSr Claims Analyst - LHB CareAlliesSr Claims Analyst - LHBIn 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. Minimum Requirements: Minimum three-years life and/or disability claim administration experience: solid investigation, analytical and organizational skills along with attention to detail; or the equivalent combination of relevant experience.
Senior Specific Claims Auditor HCC Life Insurance CompanySenior Specific Claims AuditorMN$56,600–$125,000 / yearThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the "VCCLEA"), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. As 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.
NewSr Claims Analyst - LHB Luminare Health BenefitsSr Claims Analyst - LHBIn 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. Minimum Requirements: Minimum three-years life and/or disability claim administration experience: solid investigation, analytical and organizational skills along with attention to detail; or the equivalent combination of relevant experience.
Associate Claims Examiner Markel Group IncAssociate Claims ExaminerRichmond, VA$27.84–$38.27 / hourThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.
Claims Processor - Flex Benefits NFP CorpClaims Processor - Flex BenefitsVirtual, Massachusetts$43,000–$50,000 / yearFull timeWe help companies and individuals aroundtheglobe address their most significant risk, workforce, wealth management and retirement challenges through custom solutions and a people-first approach. Our core mission is to deliver our empowering technology solutions and exceptional service while building strong long-term relationshipswithour clients, brokers, consultants, and participants.
NewCoverage & Complex Claims Lead Selby Jennings LtdCoverage & Complex Claims LeadMorristown, NJContribute to TPA oversight through training, audits, and best practice sharing, and support key proceedings such as mediations and trials while maintaining required licensing. This role will be responsible for handling bad faith suits filed against the major case unit while working heavily with coverage counsel and legal.
Claims Processor Flex Benefits NFP CorpClaims Processor Flex BenefitsFL$43,000–$50,000 / yearPosition Summary:The Claims Processor is responsible for accurate and timely processing of claims which includes claims for Flexible Spending Accounts (FSA), Health Reimbursement Arrangements (HRA), Retiree plans, Lifestyle Accounts, Parking and more. American Benefits Group (ABG) is one of the nation's leading employee benefit solution providers for Consumer Directed Health accounts, COBRA and Direct Billing services.
Senior Claims Examiner Markel Group IncSenior Claims ExaminerSummit, NJRemoteThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.
Sr. Facets Claims Developer ApolisSr. Facets Claims DeveloperDurham, NCRemote$60–$65 / hourThe ideal candidate will work directly with the client to gather and analyze requirements related to healthcare claims processing, design and develop technical solutions, and coordinate with project managers, product owners, testers, and cross-functional teams to ensure successful delivery. We are seeking an experienced Senior Associate Facets Claims Developer with strong expertise in Facets Claims , PL/SQL , and .NET technologies.
Claims Examiner II - SSL Reliance Standard Life Insurance CompanyClaims Examiner II - SSLCanandaigua, New YorkRemoteSitting 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.
NewSr Claims Analyst - LHB Dearborn GroupSr Claims Analyst - LHBIn 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.
NewSCA Claims Processor I Elevance HealthSCA Claims Processor IHingham, MAPreferred Skills, Capabilities, and Experiences: Good oral and written communication skills; previous experience using PC, database system, and related software (i.e., MSWord, Excel, etc.) strongly preferred. This position is part of our Wellpoint Federal division which, per CMS TDL 190275, requires foreign national applicants to meet the residency requirement of living in the United States for at least three of the past five years.