NewClaims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA (Hybrid - Seatac) Sedgwick Claims Management Services, Inc.Claims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA (Hybrid - Seatac)Seatac, WA$51,000–$70,000 / yearMental: 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. 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.
NewClaims Examiner - Workers' Compensation | Dedicated Client | Jurisdiction: Midwest States | Licensing: MI Preferred - Hybrid Sedgwick Claims Management Services, Inc.Claims Examiner - Workers' Compensation | Dedicated Client | Jurisdiction: Midwest States | Licensing: MI Preferred - HybridLacey, WA$70,000–$85,000 / yearMental: 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. PRIMARY PURPOSE OF THE ROLE 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.
Principal Claims Adjuster, SIU PEMCO Mutual Insurance CompanyPrincipal Claims Adjuster, SIUWashington, WA$105,762–$129,264 / yearBenefits: Regular part-time PEMCO employees working at least 24 hours per week and regular full-time PEMCO employees are eligible to elect coverage under medical, dental, and vision plans for themselves and their eligible family members with generous employer premium cost shares. Associate in Claims (AIC) designation from AICPCU/IIA, Chartered Property Casualty Underwriter (CPCU), Certified Fraud Examiner (CFE), or other insurance, investigative, fraud, or law enforcement-related certifications preferred.
Senior Claims Specialist - USFHP Providence St. Joseph HealthSenior Claims Specialist - USFHPRenton, WATogether, 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. 4 years of Managed Care operations, including a minimum of 3 years claims processing experience, in a TPA, MSO, HMO, PHO or large group practice setting.
Claims Specialist - USFHP Providence Health & ServicesClaims Specialist - USFHPRenton, WARequsition ID: 447122 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: Hybrid Pay Range: $21.55 - $33.53 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Senior Claims Specialist - USFHP Providence Health & ServicesSenior Claims Specialist - USFHPRenton, WA$25.61–$39.88 / hourRequsition ID: 442924 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: On-site Pay Range: $25.61 - $39.88 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Claims Specialist - USFHP Providence St. Joseph HealthClaims Specialist - USFHPRenton, WATogether, 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. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
NewCommercial Claims Insurance Analyst - Remote CSAA Insurance GroupCommercial Claims Insurance Analyst - RemoteWARemote$99,855–$110,950 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 15 more}. Your Work: Performs complex data analysis for assigned client groups, evaluating findings in relation to broader business objectives Collaborates with cross-functional partners outside of IPM/IPO to gather insights, validate findings, and gain alignment on recommended actions.
NewWFRP Claims Specialist Sompo International Holdings LimitedWFRP Claims SpecialistWA$70,000–$90,000 / yearThe employee is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects, small parts, and/or operation of machines (including inspection); using measurement devices; and/or assembly or fabrication parts at distances close to the eyes. As one of the leading writers of Federal Crop Insurance, AgriSompo North America combines industry experience, resources, capital and talent to deliver both traditional and innovative crop insurance and productivity tools to farmers, ranchers, insurers and agribusinesses in the United States.
Supervisor Claims Administration Puget Sound EnergySupervisor Claims AdministrationBellevue, WA$87,800–$212,300 / yearTo learn more about why PSE is a great place to work, see our Employee Value Proposition, which highlights our commitment to employee growth, work-life balance, and meaningful career opportunities in the energy sector. Under the direction of the Manager Claims, responsible for overseeing the accuracy and performance of the damage-claim receivable database, conducting audits, and driving process improvements to maximize recovery efforts.
Lead Claims Specialist - USFHP Pacific Medical Center IncLead Claims Specialist - USFHPRenton, WAAs a Lead Claims Specialist supporting the US Family Health Plan (USFHP) at Pacific Medical Centers, you'll be the go-to authority for adjudicating purchased services claims for our enrolled capitated population - resolving complex claim situations, managing advanced processing needs, responding to customer service requests with accuracy and efficiency, and applying your expertise in TRICARE reimbursement to ensure compliant, timely claims resolution for our military beneficiary population. Requsition ID: 452032 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: Hybrid Pay Range: $26.90 - $41.89
Claims Specialist Providence St. Joseph HealthClaims SpecialistSeattle, WATogether, 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. Monitors daily electronic claims transmission to research and resolve system and electronic clearinghouse claim rejection to maximize the number and percentage of patient bills processed without denials or errors.
Claims Specialist Providence Health & ServicesClaims SpecialistSeattle, WA$21.55–$33.53 / hourRequsition ID: 453362 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 OTHER FISCAL SERVICES WA Address: WA Seattle 1200 12th Ave S Work Location: PACMED Admin Bh-Seattle Workplace Type: Hybrid Pay Range: $21.55 - $33.53 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Senior Claims Specialist - USFHP Pacific Medical Center IncSenior Claims Specialist - USFHPRenton, WA$25.61–$39.88 / hourRequsition ID: 442924 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: On-site Pay Range: $25.61 - $39.88 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Claims Specialist - USFHP Pacific Medical Center IncClaims Specialist - USFHPRenton, WARequsition ID: 447122 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: Hybrid Pay Range: $21.55 - $33.53 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Senior Claims Advocate Alera GroupSenior Claims AdvocateTacoma, WashingtonSuccess in this role looks like effectively resolving complex claims issues, delivering clear and confident client communication, and enhancing the overall client experience through proactive advocacy and expertise. This role is responsible for managing claims activity, identifying coverage opportunities, and ensuring clients receive clear guidance and strong representation throughout the lifecycle of a claim.
WC Claims Consultant Alera GroupWC Claims ConsultantTacoma, WashingtonParticipate with or without Sales Executives in presentations to current clients, prospects, proposals, and RFP presentations. Provide assistance to clients seeking to enhance their return-to-work programs and light duty return to work opportunities.
Senior Claims Manager EPL - Remote Providence Health & ServicesSenior Claims Manager EPL - RemoteWashington, WARemoteRequsition ID: 455795 Company: Providence Jobs Job Category: Financial Transactions Job Function: Health Plans Services Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4008 SS RIS Address: CA Orange 1100 W Stewart Dr Work Location: St Joseph Hospital-Orange Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Senior Claims Manager EPL - Remote Providence St. Joseph HealthSenior Claims Manager EPL - RemoteSeattle, WARemoteTogether, 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. Candidate must possess strong communication and litigation management skills to collaborate with business partners and defense counsel to direct litigation activities and claim outcomes while considering the overall impact to the company and individual stakeholders.
Data Entry Claims Intake Processor Remote Jobs SolutionsData Entry Claims Intake ProcessorColumbia, WashingtonRemoteWork collaboratively with other team members to ensure that work is completed in accordance to designated turnaround times. Additional Responsibilities: Perform quality review of other team members claims/authorizations according to established data entry guidelines.