Claims Legal Specialist - Conditional Demands Sentry InsuranceClaims Legal Specialist - Conditional DemandsGoldsboro, NC$31.25–$37.50Experience in handling conditional demands, preferably including bodily injury claims, on behalf of an insurer as an attorney, technical specialist, claims manager or similar role sufficient in one more of the following states to develop a high degree of technical expertise: CA, FL, TX, GA, or SC. Act as a subject matter expert, provide technical advice, direction, and guidance to other claims associates as need arises including instruction and authority on all complex conditional settlement demands received by enterprise.
Insurance Claims Specialist JobotInsurance Claims SpecialistCicero, IL$80,000–$100,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. We are a well-established, growing insurance company offering a great team, hybrid work environment, long-term stability and excellent career growth opportunities!
Claims Analyst Insight GlobalClaims AnalystRed Bank, NJ$25–$29 / hourFull timeThis person will be responsible for working outstanding insurance claims, troubleshooting denials, reviewing EOBs, following up with payers, and helping resolve aged receivables across both in-network and out-of-network claims. This individual will join a high-volume medical billing and revenue cycle team, focusing on insurance claim resolution, denials, AR follow-up, and collections across both in-network and out-of-network claims.
Disability Claims Specialist HaysDisability Claims SpecialistPart timeIn this role, the LTD Claims Consultant is required to exercise independent judgment, critical thinking skills, exemplary customer service skills as well as effective inventory management skills. At client, we seek to make a meaningful impact in the lives of our customers and our communities.
Claims Adjuster Synerfac Technical StaffingClaims AdjusterMiami, FL$50,000–$65,000 / yearSupervise all investigative activities and litigation for major claims, ensuring timely reserve postings. * Analyze claim activities and present comprehensive reports to management and stakeholders.
Quality Control Supervisor JobotQuality Control SupervisorLos Angeles, CA$75,000–$110,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Corrective Actions and Continuous Improvement: Identify non-compliant practices on the production floor, propose corrective actions, and collaborate with production leaders to implement improvements.
Disability Claims Specialist MetLifeDisability Claims SpecialistRemoteContractorPart timeIn this role, the LTD Claims Consultant is required to exercise independent judgment, critical thinking skills, exemplary customer service skills as well as effective inventory management skills. Must be available to work EST hours during training .
Coordinator - Insurance Compliance & Claims Penske Truck RentalCoordinator - Insurance Compliance & ClaimsREADING, PAWillingness to travel as necessary, work the required schedule, work at the specific location required, complete Penske employment application, submit to a background investigation (to include past employment, education, and criminal history) and drug screening are required. Penske Truck Leasing/Transportation Solutions is a premier global transportation provider that delivers essential and innovative transportation, logistics and technology services to help companies and people move forward.
NewManager, Claims Operations - Auto Claims USAAManager, Claims Operations - Auto ClaimsColorado Springs, CO$106,650–$191,970 / yearManages and is accountable for auto, property, and other claims operations member service employees who are responsible for serving our members, and providing appropriate solutions as they investigate, evaluate and negotiate the claim. 6 years of progressive customer service, operational, military or leadership experience to include a minimum of 2 years of claims handling experience required with demonstrated proficiency.
Hybrid Supplemental Health Claims Examiner Jepsen Investments, Inc.Hybrid Supplemental Health Claims ExaminerLombard, IL$25 / hourFull timeCalculate multiple benefits due based a combination of information on claim forms, medical information, plan certificates/contract and regulatory guidelines and administer provisions accurately, including, but not limited to, misrepresentation or pre-existing Investigation, Evidence of Insurability Review, Benefit Entitlement Review, Financial Accuracy, ERISA Guidelines, MAR Requirements, State Regulations, Company Financial Liability as applicable. Responsible for examining and processing all claim types including Accident Insurance, Critical Illness/Specified Disease, Hospital Indemnity Life product claims and weekly income claims in accordance with established policies and procedures.
NewClaims Auto Adjuster - Non Injury USAAClaims Auto Adjuster - Non InjuryPhoenix, AZ$51,370–$86,680 / yearSupports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through exceptional service. Within defined guidelines and framework, responsible to adjust moderately complex auto insurance claims presented by or against our members to include the end-to-end claims process and settling claims in compliance with state laws and regulations.
Pharmacy Benefits/Insurance Claims Specialist BlinkRxPharmacy Benefits/Insurance Claims SpecialistPittsburgh, PAWe are a highly collaborative team of builders and operators who invent new ways of working in an industry that historically has resisted innovation. Employees must hold all active licenses and registrations required for the role under applicable state law and as may be required by business necessity.
NewSr. Injury Claims Adjuster USAASr. Injury Claims AdjusterPhoenix, AZ$63,590–$121,530 / yearInjury Adjuster, you will work within defined guidelines and framework, responsible to adjust attorney involved moderately complex bodily injury claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Accountable for delivering a concierge level of best in class member service through setting appropriate expectations, proactive communications, advice, and compassion.
NewSenior Claims Auto Adjuster - Non Injury (Sign-On Bonus) USAASenior Claims Auto Adjuster - Non Injury (Sign-On Bonus)Phoenix, AZ$54,550–$92,060 / yearDispute resolution experience: Liability Investigation/Comparative Negligence, Unrelated Prior Vehicle Damages, Total Loss Valuation/Negotiation, Non-Owned Vehicles/Rideshare/Permissive Driver, Exceeding Coverage Limits. Supports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through exceptional service.
Claims Supervisor Health Source MSOClaims SupervisorAlhambra, CAFull timeProviding expertise or general claims support to teams in reviewing, researching, investigating, negotiating, process, and adjusting claims. Responsibilities include, but not limited to: • Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including: Contractual agreement rates.
Claims Auditor Health Source MSOClaims AuditorAlhambra, CAFull timeResponsibilities include, but not limited to: Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including: Contractual agreement rates. Job Description : Claims Auditor will be responsible for auditing claims processed by Claims Examiners.
Claims Adjuster Kinetic Personnel GroupClaims AdjusterMonrovia, CA$55,000–$75,000 / yearTemporaryThe ideal candidate has a strong understanding of coverage analysis, liability evaluation, and California insurance regulations, and is able to resolve claims efficiently and fairly. This role is responsible for providing high-quality customer service while managing a volume of property damage claims.
Remote Claims Representative - 11717 Metro Public AdjustmentRemote Claims Representative - 11717Remote$100,000–$250,000 / yearMetro Public Adjusting is a leading firm specializing in advocating for property owners navigating insurance claims after storms, water damage, fire, and other property losses. We are seeking an Outside Sales Representative who will generate new business, manage client relationships, and partner with our claims team to deliver exceptional results.
NewClaims Processer IconmaClaims ProcesserDes Moines, IA$19–$20 / hourOur Client, an IT Services and Consultant company, is looking for a Claims Processer for their Des Moines location (will be working remotely but must be located in Iowa). Documentation: Record claim activity, maintain audit trails, and prepare reports for management.
NewInjury Claims Adjuster USAAInjury Claims AdjusterPhoenix, AZ$57,970–$103,870 / yearAs a dedicated Injury Adjuster, you will work within defined guidelines and framework, responsible to adjust non-attorney involved soft tissue bodily injury to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. 1 year of injury adjusting or auto liability adjusting experience to include highly complex vehicle physical damage, such as multi-vehicle, non-owned vehicles, or total loss claims.