Disability Claims Specialist AxelonDisability Claims SpecialistHometown, ILRemote$40–$50 / hourCommunicate proactively with claimants and representatives, demonstrating empathy and active listening. Interact and communicate effectively with claimants, customers, attorneys, brokers, and family members.
Claims Representative - Liability | BI and Premises Liability | Dedicated Account Sedgwick Claims Management Services, Inc.Claims Representative - Liability | BI and Premises Liability | Dedicated AccountEden Prairie, MNRemote$50,000–$60,000 / 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. Processes low level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
Claims Examiner - Workers Compensation | Rancho Cordova, CA Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation | Rancho Cordova, CARancho Cordova, CARemote$80,000–$100,000 / yearPRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Claims Adjuster - Liability | Property Damage | Jurisdiction CO | Must reside in CO - Remote Sedgwick Claims Management Services, Inc.Claims Adjuster - Liability | Property Damage | Jurisdiction CO | Must reside in CO - RemoteCORemote$60,000–$80,000 / 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. Manages mid-level property damage liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
NewClaims Representative - Liability | GL | Jurisdiction: LA | Licensing: LA Sedgwick Claims Management Services, Inc.Claims Representative - Liability | GL | Jurisdiction: LA | Licensing: LABaton Rouge, LARemoteMental: 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. Processes low level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
NewProperty Field Claims Adjuster (Dallas, TX) American Family Insurance GroupProperty Field Claims Adjuster (Dallas, TX)Dallas, TXRemote$57,000–$94,000 / yearInvestigates origin and cause of claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel, etc. This experience is held in person at our Madison, WI Headquarters or one of our AmFam core locations to help you connect with our mission, meet key team members and build relationships that support your growth.
LTC Claims Pending Specialist - Remote USA. The Northwestern Mutual Life Insurance CoLTC Claims Pending Specialist - Remote USA.WIRemote$66,960–$100,440 / yearDetermines the applicability of benefits claimed by interpreting contract provisions, state regulations, and uses claim knowledge in interpreting and analyzing facts to reach claim decisions on new and continuing claims, consistent with Northwestern Long Term Care's claim philosophy. Communicate effectively verbally and in writing with Insureds and their representatives, Field Force, medical practitioners, and related service providers, attorneys, other insurance companies, and divisional resources, is involves negotiation and conflict resolution.
Crop Claims Representative (Northwest North Dakota) Great American Insurance Group (DBA)Crop Claims Representative (Northwest North Dakota)North Dakota, NDRemote$55,000–$70,000 / yearThe Division is also one of a select few private companies authorized by the United States Department of Agriculture Risk Management Agency (USDA RMA) to write MPCI policies. Conveys routine to moderately complex information regarding coverage and settlements to insureds, claimants, and external partners.
Crop Claims Representative (Eastern South Dakota) Great American Insurance Group (DBA)Crop Claims Representative (Eastern South Dakota)South Dakota, SDRemote$55,000–$70,000 / yearThe Division is also one of a select few private companies authorized by the United States Department of Agriculture Risk Management Agency (USDA RMA) to write MPCI policies. Conveys routine to moderately complex information regarding coverage and settlements to insureds, claimants, and external partners.
NewSr Mgr Revenue Cycle AR MedQuest Associates LLCSr Mgr Revenue Cycle ARAlpharetta, GeorgiaRemoteFull timeThrough direct ownership and joint ventures, the company operates a mixed network of independent and hospital-affiliated radiology centers that perform diagnostic tests used to help identify , diagnose, and monitor a range of health conditions. In addition to providing expert solutions that include mammography, MRI, CT, ultrasound, and X -ray , MedQuest uses proprietary systems and processes to optimize center operations, control costs, and deliver an unmatched patient experience.
Pharmacy Technician – Prescription Routing & Claims Support PHILPharmacy Technician – Prescription Routing & Claims SupportSan Francisco, CaliforniaRemoteUtilize reroute best practices for orders falling outside normal workflow, including orders with state changes, insurance exceptions, pharmacy rejections, or failed transfers. Company Overview: Founded in 2015, Phil is a San Francisco-based, Series D health-tech startup that is revolutionizing prescription access by streamlining how doctors, pharmacies, and patients interact.
NewClaims Examiner - Workers Compensation | Roseville, CA Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation | Roseville, CARoseville, CARemote$80,000–$100,000 / yearPRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult California workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. 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.
Claims Investigator GallagherClaims InvestigatorFairfield, New JerseyRemoteFull timeSocial Profiling Online Tracking) report provides a detailed snapshot including identification, address history, relatives, DMV (state dependent), litigation records, property ownership, felony criminal history, business affiliations, professional licenses and ever-changing social media. Conducts basic to moderately complex claim investigations to collect information and often compile a comprehensive profile of a claimant for use in defense strategy and further potential investigation.
Revenue Cycle Specialist | Ambulatory AR TIS International (USA) IncRevenue Cycle Specialist | Ambulatory ARLafayette, LARemoteMany of ACS Clients accounts require team effort while other accounts may require independent workers to complete all aspects of the billing process. If you are a dedicated and experienced Revenue Cycle Specialist ready to contribute to our mission and be part of our diverse and inclusive community, we invite you to apply and join our team at Infinx.
Large Loss Property Field Claims Adjuster (San Diego, CA) American Family Insurance GroupLarge Loss Property Field Claims Adjuster (San Diego, CA)San, CARemote$99,000–$163,000 / yearInvestigates origin and cause of high exposure claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel, etc. Conducts on-site inspections when needed, evaluates damages and handles claim negotiations with insureds, claimants, attorneys, public adjusters.
Claims Auditor- Remote American Health PlansClaims Auditor- RemoteFranklin, TNRemoteFull timeIn partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities.
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.
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.
Claims & Litigation Associate (Remote) Stanford Health CareClaims & Litigation Associate (Remote)CARemote$100.03–$132.51 / hourInvestigates 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.
NewLife Claims & Variable Annuity Sr Spec - Remote The Northwestern Mutual Life Insurance CoLife Claims & Variable Annuity Sr Spec - RemoteMilwaukee, WIRemote$72,000–$108,000 / yearAnalytical Thinking: Organizes and compares various aspects of a situation to comprehend and identify key or underlying complex issues through the use of quantitative data and analysis; leverages strong business acumen, problem solving, and interpersonal skills to think critically about situations from multiple perspectives and consistently seeks ways to improve processes. Claims Acumen: Applies the knowledge of claims philosophy, contracts, and policies and procedures for filing claims, assessing claims for accuracy and completeness, verifying eligibility, and adjudicating claims based on established criteria to handle complex, contestable, sensitive, and large benefit amount claims.
NewLife Claims & Variable Annuity Sr Spec - FINRA Series 6 - (remote) Northwestern MutualLife Claims & Variable Annuity Sr Spec - FINRA Series 6 - (remote)Milwaukee, WisconsinRemoteAnalytical Thinking: Organizes and compares various aspects of a situation to comprehend and identify key or underlying complex issues through the use of quantitative data and analysis; leverages strong business acumen, problem solving, and interpersonal skills to think critically about situations from multiple perspectives and consistently seeks ways to improve processes. Claims Acumen: Applies the knowledge of claims philosophy, contracts, and policies and procedures for filing claims, assessing claims for accuracy and completeness, verifying eligibility, and adjudicating claims based on established criteria to handle complex, contestable, sensitive, and large benefit amount claims.
Claims Examiner, Commercial Trucking | Bodily Injury | Remote Sedgwick Claims Management Services, Inc.Claims Examiner, Commercial Trucking | Bodily Injury | RemoteTXRemote$80,000–$85,000 / yearSkills: in-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws, knowledge of medical terminology for claim evaluation and Medicare compliance, knowledge of appropriate application for deductibles, sub-limits, SIRs, carrier and large deductible programs, strong oral and written communication, including presentation skills, and PC literate, including Microsoft Office products. Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws.
Claims Examiner Workers Compensation I SE jurisdictions I Remote Sedgwick Claims Management Services, Inc.Claims Examiner Workers Compensation I SE jurisdictions I RemoteRemote$60,234–$80,000 / yearTo 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. 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 Examiner Workers Compensation I NE jurisdictions I Remote Sedgwick Claims Management Services, Inc.Claims Examiner Workers Compensation I NE jurisdictions I RemoteRemote$60,234–$85,000 / yearTo 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. 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.
Workers' Compensation Claims Specialist (REMOTE - AZ, CO, WV, SD) Holmes MurphyWorkers' Compensation Claims Specialist (REMOTE - AZ, CO, WV, SD)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.
Claims Examiner - Workers Compensation | Dedicated Account | Jurisdiction/Licensing: FL - Required (Remote) Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation | Dedicated Account | Jurisdiction/Licensing: FL - Required (Remote)Memphis, TNRemoteMental: 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.
Claims Examiner Workers Compensation I NE Jurisdictions I Remote Sedgwick Claims Management Services, Inc.Claims Examiner Workers Compensation I NE Jurisdictions I RemoteNERemote$63,404–$90,000 / yearTo 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. 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 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 Examiner Workers Compensation I Remote Sedgwick Claims Management Services, Inc.Claims Examiner Workers Compensation I RemoteTelecommuterRemote$63,404–$85,000 / yearTo 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. 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.
NewClaims Examiner - Workers Compensation | Jurisdiction: MT | Licensing: MT preferred (Remote - Must Reside in MT) Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation | Jurisdiction: MT | Licensing: MT preferred (Remote - Must Reside in MT)MTRemoteMental: 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.
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 - TX, AR, LA, OK) Holmes MurphyWorkers' Compensation Claims Specialist (REMOTE - TX, AR, LA, OK)OklahomaRemoteWe 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.
NewWorkers’ Compensation Claims Specialist (FL, KY) REMOTE Holmes MurphyWorkers’ Compensation Claims Specialist (FL, KY) REMOTEKentuckyRemoteWe 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.
NewClaims Specialist Bodily Injury Great American Insurance Group (DBA)Claims Specialist Bodily InjuryRichfield, MNRemote$85,000–$90,000 / yearFounded in 1978 by movers and for movers, Vanliner Insurance Company has grown to become the country's top insurance provider for the moving and storage, last mile and home delivery industries. Scope of Job/Qualifications: Works within broad limits and authority on assignments of the highest technical complexity, requiring specialized knowledge.
Workers Comp Senior Claims Rep Remote-Nj PA MA Great American Insurance Group (DBA)Workers Comp Senior Claims Rep Remote-Nj PA MAPittsburgh, PARemote$72,000–$82,000 / yearOur steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes.
Customer Service Representative I - Workers'''' Compensation Call Center CorVel CorpCustomer Service Representative I - Workers'''' Compensation Call CenterNorristown, PARemote$13.94–$21.48 / hourPay 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. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
Dsnp Claims Resolution Coordinator Brigham and Women's HospitalDsnp Claims Resolution CoordinatorSomerville, MARemote$19.81–$28.30 / hourThis role determines whether claim adjustments are needed, applies Medicare and Medicaid benefit and payment guidelines, and ensures claims are processed accurately, timely, and in accordance with Mass General Brigham Health Plan policies, contractual requirements, and regulatory expectations. The DSNP Claims Resolution Coordinator is responsible for reviewing, researching, and resolving Dual Eligible Special Needs Plan (DSNP) claim inquiries, provider correspondence, and escalations received through Customer Service and internal business partners.
DSNP Claims Resolution Coordinator Brigham and Women's HospitalDSNP Claims Resolution CoordinatorSomerville, MARemote$19.81–$28.30 / hourThis role determines whether claim adjustments are needed, applies Medicare and Medicaid benefit and payment guidelines, and ensures claims are processed accurately, timely, and in accordance with Mass General Brigham Health Plan policies, contractual requirements, and regulatory expectations. The DSNP Claims Resolution Coordinator is responsible for reviewing, researching, and resolving Dual Eligible Special Needs Plan (DSNP) claim inquiries, provider correspondence, and escalations received through Customer Service and internal business partners.
Liability Claims Representative | GL, BI, Auto & Premise Liability Experience | Nationwide jurisdictions | Home State Licensing | Remote Sedgwick Claims Management Services, Inc.Liability Claims Representative | GL, BI, Auto & Premise Liability Experience | Nationwide jurisdictions | Home State Licensing | RemoteTXRemote$60,000–$65,000 / 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 GL, BI, Auto, and Premise 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.
Workers Compensation Claims Examiner | REMOTE | Must reside in CA Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | REMOTE | Must reside in CABrea, CARemote$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.
Senior Claims Examiner Markel CorporationSenior Claims ExaminerRichmond, VARemoteThis 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.
Property Field Claims Adjuster (Northwest Indiana) American Family Insurance GroupProperty Field Claims Adjuster (Northwest Indiana)Highland, INRemote$57,000–$94,000 / yearYou will handle moderately complex homeowner property field claims, typically within the Northwest Indiana: Hammond, Highland, Merrillville, Schererville or surrounding area (you must be located in this market). Investigates origin and cause of claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel, etc.
Workers Compensation Claims Examiner | Brea, CA | Sign-On Bonus Eligible Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | Brea, CA | Sign-On Bonus EligibleBrea, CARemote$85,000–$105,000 / yearPRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. 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.
Liability Claims Adjuster | General Liability & Auto Liability Property Damage | Dedicated Client Sedgwick Claims Management Services, Inc.Liability Claims Adjuster | General Liability & Auto Liability Property Damage | Dedicated ClientMarlton, NJRemote$70,000–$80,000 / yearPRIMARY PURPOSE OF THE ROLE To analyze General Liability & Auto Liability 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. 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 Examiner Sedgwick Claims Management Services, Inc.Workers Compensation Claims ExaminerRoseville, CARemote$80,000–$100,000 / yearPRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. 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.
Claims Auditor- Remote American Health Companies IncClaims Auditor- RemoteIndianapolis, INRemoteIn partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities.
Liability Claims Examiner | General Liability & Auto BI (Litigated & Non-Litigated), Premises | License Required | Dedicated Client Sedgwick Claims Management Services, Inc.Liability Claims Examiner | General Liability & Auto BI (Litigated & Non-Litigated), Premises | License Required | Dedicated ClientMarlton, NJRemote$70,000–$90,000 / yearPRIMARY PURPOSE OF THE ROLE To analyze General Liability & Auto BI (Litigated & Non-Litigated), Premises 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. 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 Examiner | NJ, PA, VA, DE Jurisdictions | DE license preferred Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | NJ, PA, VA, DE Jurisdictions | DE license preferredPARemote$80,000–$86,000 / 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 Lost-Time 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.
NewWorkers Compensation Claims Examiner | MI, KY, IN & OH Jurisdictions | MI, IN & KY Licensing Preferred Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | MI, KY, IN & OH Jurisdictions | MI, IN & KY Licensing PreferredDublin, OHRemote$60,000–$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. PRIMARY PURPOSE OF THE ROLE To analyze Lost-Time 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.