Claims Examiner - Liability | PIP/NO FAULT | Jurisdiction: FL, NY, MI, MD | Licensing: FL and NY preferred - Remote Sedgwick Claims Management Services, Inc.Claims Examiner - Liability | PIP/NO FAULT | Jurisdiction: FL, NY, MI, MD | Licensing: FL and NY preferred - RemoteMIRemote$60,000–$75,000 / 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 PIP/ No Fault 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.
LTD Claims Examiner II Matrix Absence ManagementLTD Claims Examiner IISouth, NCRemote$52,450–$65,570 / yearReviews and investigates disability claims by using telephone and written contact with the applicable parties, (claimant, employer/supervisor, credit union, treating physician, etc.) to gather pertinent data to analyze the claim. The successful candidate's starting base pay will be based on several factors including work location, job-related skills, experience, qualifications, and market conditions.
Claims Examiner Workers Comp - Southeast (FL, GA, NC, SC, AL, AR, KY) Sedgwick Claims Management Services, Inc.Claims Examiner Workers Comp - Southeast (FL, GA, NC, SC, AL, AR, KY)ALRemoteMental: 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 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 | Jurisdiction: Southeast states | Licensing: FL or Home state required - Remote Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation | Jurisdiction: Southeast states | Licensing: FL or Home state required - RemoteGARemote$70,000–$90,000 / 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.
Claims Quality Assurance CorVel CorpClaims Quality AssuranceDallas, TXRemote$70,276–$116,942 / yearEDUCATION & EXPERIENCE: Bachelor's Degree with course concentration in Business Administration, or related field; or 5+ years of equivalent combination of education and experience in a complex healthcare, insurance, or third-party claim organization with significant claim management expertise. Conduct testing to ensure products perform according to user requirements and within established guidelines; if a product does not perform within specifications, report defects to EC Operations and the BOT teams identifying and recommending solutions, improvements, and updates.
Senior Annuity Product Consultant (Charlotte, NC (Hybrid) or Remote) (Charlotte, NC, US, 28277) BrightHouseFinancialSenior Annuity Product Consultant (Charlotte, NC (Hybrid) or Remote) (Charlotte, NC, US, 28277)Charlotte, NCRemote$90,000–$105,000 / yearFamily Support – Care for loved ones with up to 16 weeks of paid leave for new parents, back-up dependent care, dependent care flexible spending account, and up to a $25,000 lifetime maximum during your adoption, infertility, or surrogacy journey. The Product Consultant represents Annuity Product Development on cross-company project teams in the development of new individual annuity products, product enhancements, and management of the annuity in-force block.
Crop Claims Supervisor - Illinois COUNTRY FinancialCrop Claims Supervisor - IllinoisIllinoisRemoteThis role provides leadership and oversight for all crop insurance claim investigations and settlements within the assigned district, ensuring accurate coverage interpretation, adherence to regulatory and company procedures, timely claim resolution, and the delivery of exceptional customer service throughout the claims process. Our employees and representatives serve nearly one million households with our diverse range of personal and business insurance products as well as retirement and investment services.
Claims Supervisor - Crop Country FinancialClaims Supervisor - CropILRemote$93,200–$128,150 / yearThis role provides leadership and oversight for all crop insurance claim investigations and settlements within the assigned district, ensuring accurate coverage interpretation, adherence to regulatory and company procedures, timely claim resolution, and the delivery of exceptional customer service throughout the claims process. Our employees and representatives serve nearly one million households with our diverse range of personal and business insurance products as well as retirement and investment services.
Claims & Litigation Associate (Remote) Stanford Health CareClaims & Litigation Associate (Remote)RemoteInvestigates pre-suit claims, reviews medical records, interviews providers, retains consultants when necessary, communicates with patients and/or families, and directly negotiates settlements when warranted. Oversees legal defense strategy, retains outside counsel, coordinates support for investigation, reviews attorney invoices, and monitors counsel’s compliance with litigation management guidelines.
Commercial Property Claims Desk Adjuster - Remote after training Sedgwick Claims Management Services, Inc.Commercial Property Claims Desk Adjuster - Remote after trainingFarmers Branch, TXRemoteConducts thorough investigations, gathers official reports as needed, consults police and hospital records and inspects physical damage or written estimates for damages based on a conducted inspection to determine extent of company's liability and varying methods of investigation, according to type of insurance. Mental: 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.
Vice President, Government and Commercial Programs Allied UniversalVice President, Government and Commercial ProgramsNYRemote$130,000–$160,000 / yearThe Vice President, Government and Commercial Programs is responsible for all government and commercial healthcare operations in addition to managing interactions with government entities while concurrently developing and executing strategies to drive commercial growth and Profit & Loss (P&L) responsibility across both public and private sectors. Responsible for the day-to-day oversight of the operational efficiency and effectiveness of the clinical auditing, compliance and special investigations unit organization, to include special programs such as Physician, Managed Care, Pharmacy, PACE, and Special Needs.
Claims Business Systems Analyst Pie Insurance Holdings IncClaims Business Systems AnalystCARemote$90,000–$110,000 / yearWorking under the functional direction of the Staff Technical Program Manager, this role executes internal configuration and builds tickets from the Claims technology JIRA backlog, builds dashboards and templates, develops and runs test scripts, troubleshoots system issues, and maintains the technical integrity of the claims technology environment. The Claims Business Systems Analyst partners with Enterprise Technology, external vendors, and the Claims L&D Specialist to ensure that delivered solutions are technically sound, well-documented, and ready for end-user adoption.
Workers' Compensation Claims Specialist (REMOTE - ME, CT, NJ) Holmes MurphyWorkers' Compensation Claims Specialist (REMOTE - ME, CT, NJ)MaineRemoteWe do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Consistent merit increase and promotion opportunities — Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important — not only with your financial wellbeing, but also your career wellbeing.
Workers' Compensation Claims Specialist (REMOTE - ME, CT, PA, RI) Holmes MurphyWorkers' Compensation Claims Specialist (REMOTE - ME, CT, PA, RI)Rhode IslandRemoteWe do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Through inclusion and belonging initiatives, titled Uniquely United, not only do we offer employees a paid Diversity Day time-off option, but we also have a Uniquely United Committee, Employee Resource Groups, and development programs to advance our culture of belonging.
Claims Examiner Workers Compensation I CA experienced required I Remote Sedgwick Claims Management Services, Inc.Claims Examiner Workers Compensation I CA experienced required I RemoteCARemote$63,404–$95,000 / yearTo analyze California 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. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
Claims Adjuster - Bodily Injury | Remote | Jurisdiction: All States | Licensing: FL, TX, GA preferred Sedgwick Claims Management Services, Inc.Claims Adjuster - Bodily Injury | Remote | Jurisdiction: All States | Licensing: FL, TX, GA preferredIrving, TXRemotePRIMARY PURPOSE OF THE ROLE: To analyze moderately complex Auto Bodily Injury and Property Damage 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. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Claims Examiner - Workers Compensation | Jurisdiction: CA or NV | Licensing: required Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation | Jurisdiction: CA or NV | Licensing: requiredPhoenix, AZRemote$80,000–$100,000 / 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.
Claims Examiner - Workers Compensation Team Lead | Jurisdiction: CA or NV | Licensing: required Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation Team Lead | Jurisdiction: CA or NV | Licensing: requiredPhoenix, AZRemote$100,000–$115,000 / yearTo supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. Mental: 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.
Workers' Compensation Claims Specialist (REMOTE - MT, AZ, CO) Holmes MurphyWorkers' Compensation Claims Specialist (REMOTE - MT, AZ, CO)ColoradoRemoteWe do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Through inclusion and belonging initiatives, titled Uniquely United, not only do we offer employees a paid Diversity Day time-off option, but we also have a Uniquely United Committee, Employee Resource Groups, and development programs to advance our culture of belonging.
NewLiability Claims Adjuster - Remote Work Dallas, TX Averitt Express IncLiability Claims Adjuster - Remote Work Dallas, TXDallas, TXRemoteExcellent insurance coverage that includes medical, prescription, dental, vision and hearing starting as low as $105.90/week for family plans and $40.20/week for individual plans effective after 30 days. If so, our Liability Claims Adjuster investigates, evaluates, and resolves trucking claims involving bodily injury and property damage.