Injury Claims- Attorney Represented The Progressive CorpInjury Claims- Attorney RepresentedFarmington, CT$69,300–$89,700 / yearAn ideal candidate will have experience managing an inventory independently, experience assessing and evaluating liability, coverage, and damages, as well as working independently and directly with attorneys to negotiate and settle claims. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ .
Auto Damage Claims Adjuster- Trainee The Progressive CorpAuto Damage Claims Adjuster- TraineeBedford, NH$58,100–$62,400 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . Individual will work in the field, office, body shop, network shop, or service center environment and at time be expected to lift, bend stretch, walk, crouch, twist and/or lay on floor.
Injury Claims - Attorney Represented The Progressive CorpInjury Claims - Attorney RepresentedWarwick, RI$69,400–$89,800 / yearAn ideal candidate will have experience managing an inventory independently, experience assessing and evaluating liability, coverage, and damages, as well as working independently and directly with attorneys to negotiate and settle claims. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ .
Claims Investigator - REPO Plus Allied SolutionsClaims Investigator - REPO PlusCarmel, IndianaWill make outbound calls to OICs as directed by REPO Plus Claims Adjusters and Analysts to gather information relative to coverage relative to a specific vehicle or borrower Assignments are made daily. The REPO Plus Claim Investigator is responsible for investigating and gathering information from outside insurance carriers (OICs) related to collateral being investigated for coverage by the REPO Plus department.
Claims Investigator - Repo Plus Allied Solutions, LLCClaims Investigator - Repo PlusCarmel, INWill make outbound calls to OICs as directed by REPO Plus Claims Adjusters and Analysts to gather information relative to coverage relative to a specific vehicle or borrower. The REPO Plus Claim Investigator is responsible for investigating and gathering information from outside insurance carriers (OICs) related to collateral being investigated for coverage by the REPO Plus department.
Workers Compensation Claims Specialist Healthcare Services Group IncWorkers Compensation Claims SpecialistBensalem, PAThe Workers' Compensation Claims Specialist will support the Department by operating as a liaison between HCSG and claims organizations (WC Carriers and/or TPAs), ensuring timely and appropriate action and managing related processes. POSITION SUMMARY: The Risk Management Department protects the financial and reputational integrity of the Company by aggressively mitigating and managing known risks and proactively identifying and planning for future risks.
Claims Generalist Trainee The Progressive CorpClaims Generalist TraineeFrisco, TX$54,000–$57,500 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months.
Claims Specialist Medical Malpractice Diedre Moire Corp.Claims Specialist Medical MalpracticeUnion, NJ$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Manage total claim costs for highly complex or severe injury medical malpractice claims while negotiating to resolution and providing high levels of customer service.
Claims Processor Holy Redeemer Health System IncClaims ProcessorPhiladelphia, PAResponsible to reconcile daily import, acceptance and rejection reports and collaborates with Billing Manager on all issues causing claim delays and achieving the HRHS CBO clean claims targets established by Senior Leadership. The Corporate Finance Department strives to contribute to this mission by working with the entire organization to provide the most positive financial climate possible, for continued caring, comforting and healing for all in need.
Fleet Claims Processor Hyster-Yale, IncFleet Claims ProcessorGreenville, NCHyster-Yale Materials Handling, Inc. (HYMH), a world-class manufacturer of industrial lift trucks, has an outstanding opportunity for an exceptional and talented Fleet Claims Processor at our facility located in Greenville, NC. Who we are: HYMH designs, engineers, manufactures, sells and services a comprehensive line of lift trucks and aftermarket parts marketed globally under the Hyster and Yale brand names.
QUALITY ASSURANCE CLAIMS SPECIALIST – REMOTE LoanCareQUALITY ASSURANCE CLAIMS SPECIALIST – REMOTERemote$22.45–$37.69 / hourFull timeWe provide the necessary equipment; all you need is a quiet, private place in your home and a high-speed internet connection with a minimum network download speed of 25 megabits per second (MBPS) and a minimum network upload speed of 10 MBPS. Lifestyle & Learning Perks : Enjoy discounts on gym memberships, pet insurance, and employee purchasing programs, plus access to a tuition reimbursement program that supports your continued education and professional growth.
On-site Medical Claims Examiner AliviOn-site Medical Claims ExaminerMiami, FLMaintains the department's claim edit rules and processing claims according to client specific verification of eligibility, interpretation of program benefits and provider contracts to include manual pricing. SUMMARYThis position is intended to provide billing and claims management support to Alivi Specialty Networks and Business Process Outsourcing (BPO) Services.
Medical Claims Resolution Specialist Staffmark Group LlcMedical Claims Resolution SpecialistLafayette, LAStep into a Medical Claims Resolution Specialist role in Lafayette, supporting a busy healthcare team with precise coding, clean claims, and expert billing follow-through. By applying, you consent to receive AI-generated and non-AI-generated calls, texts, or emails from Staffmark Group, its affiliates, and partners.
Medical Only Claims Trainee Emergent Holdings IncMedical Only Claims TraineeLansing, MIADDITIONAL EDUCATION, EXPERIENCE, SKILLS, KNOWLEDGE AND/OR ABILITIES PREFERRED: (Briefly detail the preferred education, experience, skills, knowledge and/or abilities desired to perform this job, including certifications). Reads, routes and keys incoming mail, runs reports and answers/responds to incoming phone calls on both direct and ACD line, faxes and emails.
Auto Casualty Claims Specialist Warrior Insurance NetworkAuto Casualty Claims SpecialistOak Brook, IL$54,750–$97,500 / yearFull timeThey will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. Are you an experienced Auto Bodily Injury Claims Specialist looking to join a growing company where you will be rewarded for your hard work, and have future upward career growth opportunities? .
Manager, Claims Customer Service Call Center Brickhouse ResourcesManager, Claims Customer Service Call CenterAtlanta, GAMonitor staffing levels, schedules, call volume, service levels, abandonment rates, productivity, quality results, and customer experience measures. Oversee escalated customer, agent, and provider inquiries and coordinate with internal departments to resolve complex issues.
NewClaims & Billing Analyst Independent Living Systems LLCClaims & Billing AnalystMiami, FLILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. The analyst collaborates closely with healthcare providers, insurance companies, and internal departments to verify claims, identify discrepancies, and facilitate timely reimbursements.
NewClaims Coordinator LotSolutions, Inc.Claims CoordinatorJacksonville, FLPart timeAdditional responsibilities include preparing and managing correspondence, troubleshooting operational issues, and performing administrative tasks, ensuring collaboration across teams to advance Fortegra's claims processes. This role is responsible for generating and distributing reports, communicating with internal teams and external partners, and verifying claims information.
Claims Examiner – Auto IconmaClaims Examiner – AutoIrving, TX$35–$40 / hourExperience Five (5) years of commercial auto claims management experience or equivalent combination of education and experience required to include in-depth knowledge of commercial line auto policies, coverage’s, principles, and laws. Processes commercial auto bodily injury claims and ensures claim files are properly documented and coded correctly.
NewEpic Certified Applications Analyst III Claims Expert In Recruitment SolutionsEpic Certified Applications Analyst III ClaimsHealth First, FLThe Epic Applications Analyst III drives performance improvement through data reporting, advanced configuration, and proactive system enhancements, ensuring reliable, secure, and user-friendly application functionality. Partners with cross-functional teams manage major EHR upgrades, requests for enhancements, testing cycles, and change management initiatives to drive performance improvement.
Claims Customer Service Advocate II LancesoftClaims Customer Service Advocate IIMyrtle Beach, SC$23.1145% Ensures effective customer relations by responding accurately, timely, and courteously to telephone, written, web, or walk-in inquiries. •10% Identifies complaints and inquiries of a complex level that cannot be resolved following desk procedures and guidelines and refers these to a lead or manager for resolution.
NewDisability Claims Specialist (Part Time) SGA Inc.Disability Claims Specialist (Part Time)Tampa, FLRemote$50 / hourProvides frequent, proactive verbal communication with our claimants and/or their representatives demonstrating empathy and active listening while providing clear updates, direction and explanations regarding the claim process, benefits and other pertinent plan provisions. Collaborates with both external and internal resources, such as physicians, attorneys, clinical/vocational consultants as needed to gather data such as medical/occupational information in order to ensure reasonable, thorough decisions.
Claims Assistant IconmaClaims AssistantLos Angeles, CA$16.90–$23.71 / hourProficient computer skills and extensive knowledge of the Microsoft suite of Office products, including Outlook (use templates that are provided), Word (utilizing templates), Excel (data entry), and PowerPoint (basic creation of slide deck); knowledge of state EDI systems and/or familiarity with CA Workers Compensation terminology are a plus. Responsibilities: This worker will be assisting Lost Time Examiners with benefit notices, settlement documents, requesting records, and indemnity payments.
Workers Compensation Claims Adjuster Epitec StaffingWorkers Compensation Claims AdjusterLos Angeles, CA$24–$26 / hourProficient computer skills and extensive knowledge of the Microsoft suite of Office products, including Outlook (use templates that are provided), Word (utilizing templates), Excel (data entry), and PowerPoint (basic creation of slide deck); knowledge of state EDI systems and/or familiarity with CA Workers Compensation terminology are a plus. Effective time management skills demonstrate the ability to multi-task and prioritize by accomplishing tasks and assignments.
Commercial Claims Strategy Manager WCF InsuranceCommercial Claims Strategy ManagerRemote$101,000–$125,000 / yearFull timeThis role leads training, strategy, and compliance efforts for WCF's commercial claims operation, helping ensure consistent claim handling, strong service, and continuous process improvement. WCF Insurance, an "A" rated carrier growing throughout the western states, has an immediate opening for a Commercial Claims Strategy Manager to join our Claims Strategy team.
Claims Specialist I - Journal Center, (1536) TriCore Reference LaboratoriesClaims Specialist I - Journal Center, (1536)Albuquerque, NMESSENTIAL FUNCTIONS: Collects outstanding accounts receivables on patient accounts from patient, commercial, nongovernment, contracted insurances or government payors via phone call to the patient or insurance company or by means of written appeal or reconsideration. Responsibilities include routine follow-up on accounts, working the No activity and Unresolved accessions Report for contracted and non-contracted insurances, analyzing aged AR in assigned EP searches working in XIFIN.
Claims Resolution Specialist Southern California EdisonClaims Resolution SpecialistRosemead, CAVisit our Candidate Resource (https://www.edisoncareers.com/page/show/candidate-resources) page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more! + Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advises as to proper course of action.
Auditor, Insurance Claims PDS HealthAuditor, Insurance ClaimsIrving, Texas$22–$29.80 / hourFull timeOverview: The primary purpose and function of the Auditor, Insurance Claims is to adjudicate, re-bill and rebut insurance claims in order to ensure accurate and maximum reimbursement for patient treatment from insurance carriers. Ability to respond to common inquiries from customers, staff, regulatory agencies, vendors, and other members of the business community.
Claims Support Specialist - Remote LoanCareClaims Support Specialist - RemoteRemote$20.43–$34.28 / hourFull timeLifestyle & Learning Perks: Enjoy discounts on gym memberships, pet insurance, and employee purchasing programs, plus access to a tuition reimbursement program that supports your continued education and professional growth. LoanCare is a leading national provider of full service subservicing and interim subservicing to the mortgage industry and has offered its expertise and best practices in providing servicing solutions for others since 1991.
Claims Assistant Iconma LLCClaims AssistantLos Angeles, CAProficient computer skills and extensive knowledge of the Microsoft suite of Office products, including Outlook (use templates that are provided), Word (utilizing templates), Excel (data entry), and PowerPoint (basic creation of slide deck); knowledge of state EDI systems and/or familiarity with CA Workers Compensation terminology are a plus. Responsibilities: This worker will be assisting Lost Time Examiners with benefit notices, settlement documents, requesting records, and indemnity payments.
Sales Order Processor Navien Inc.Sales Order ProcessorIrvine, CaliforniaSales Order Processor Account Management & Operations Irvine, CA Full Time What We Are Looking For: We are looking for a dynamic, customer-focused professional to join our team and help develop long-term relationships with our customer accounts, wholesalers, sales representatives, and sales managers. A leader in condensing technology, Navien has revolutionized the industry with its line of high-efficiency condensing tankless water heaters, combi-boilers, and wall-hung boilers.
Workers Compensation Claims Adjuster - Southeast The Hanover Insurance Group IncWorkers Compensation Claims Adjuster - SoutheastWorcester, MAThis includes conducting thorough investigations, assessing liability, negotiating settlements within defined authority limits, and maintaining clear communication with claimants, third parties, and legal representatives. Compensation: The target hiring range for this role may vary based on geographic location and other factors, including merit or performance, demonstrated proficiency, skills for the role, education, travel requirements, and experience.
Auto PD - Adjuster Service Claims The Hanover Insurance Group IncAuto PD - Adjuster Service ClaimsRichmond, VADigital Fluency: Effectively uses digital tools and technology appropriately to find, evaluate, create, and communicate information understands how to navigate digital platforms, use software applications, and leverage technology for productivity and communication purposes. Customer Centricity: Makes customers/clients and their needs a primary focus of one's actions; shows interest in and understanding of the needs and expectations of internal and external customers; gains customer trust and respect; meets or exceeds customer expectations.
Consultant Casualty Claims The Hanover Insurance Group IncConsultant Casualty ClaimsGrand Rapids, MIDigital Fluency: Effectively uses digital tools and technology appropriately to find, evaluate, create, and communicate information understands how to navigate digital platforms, use software applications, and leverage technology for productivity and communication purposes. Customer Centricity: Makes customers/clients and their needs a primary focus of one's actions; shows interest in and understanding of the needs and expectations of internal and external customers; gains customer trust and respect; meets or exceeds customer expectations.
Claims Service Representative Virginia Farm Bureau FederationClaims Service RepresentativeRichmond, VA$42,000–$48,000 / yearPOSITION SUMMARY: The CSR handles windshield claims, rental cars, dispatching of claims, maintaining drive in appointment schedules and processing salvage vehicles. Hybrid schedule is offered, in office 3 days a week, work from home 2 days a week, after training and probationary period is completed.
Property & Energy Claims Advocate Brown & Brown IncProperty & Energy Claims AdvocateSandy Springs, GAThe Claims Advocate will be responsible for providing property and energy claims advocacy, program analysis and risk services to clients working in conjunction with the Senior Managing Director of Property & Energy Claims and the Placement Team. Support and strengthen the Practice through individual contributions and suggestions, mentoring and coaching of junior team members inside and outside the Practice, communicating of success stories to our internal team and to clients as appropriate.
Claims Representative AtheneClaims RepresentativeWest Des Moines, IowaInitiates processing of new claims, investigates and reviews pending claims, and handles outreach via calls and emails to beneficiaries regarding pending claims and outstanding requirements. Works with agents, agency personnel, claimants, beneficiaries, physicians, medical institutions, and attorneys to provide claim information.
Hospital Claims Adjuster ADPHospital Claims AdjusterRemoteAbout Us: MedPOINT Management is a leading Independent Physician Association (IPA) management company based in Sherman Oaks, CA, dedicated to delivering high-quality administrative and managed care services to healthcare providers across Southern California. About the Role: MedPOINT Management in Sherman Oaks, CA is looking for a detail-oriented Hospital Claims Adjuster to join our dynamic healthcare team.
NewInsurance Claims Specialist I Columbia BankInsurance Claims Specialist IFederal Way, WashingtonStaffing and recruiting agencies are not authorized to submit profiles, applications, or resumes to this site or to any Columbia Bank employee and any such submissions will be considered unsolicited unless requested directly by a member of the Talent Acquisition team. The Insurance Claims Specialist I is responsible for communicating effectively and professionally while handling incoming calls and written communication from/to customers.
Claims Representative Entry Level-Fast Track Sentry Insurance GroupClaims Representative Entry Level-Fast TrackNashville, TNAs a Claims Representative Entry Level, you will: Gain knowledge to verify coverage, compensability, and reasonable payments by thoroughly reviewing the policy, reviewing accident details, and other pertinent information related to the claim. Develop investigative claims skills by taking and reviewing recorded statements from involved parties and witnesses, reviewing police reports, and other pertinent evidence.
Senior Data Scientist (Insurance Claims) Clara AnalyticsSenior Data Scientist (Insurance Claims)RemoteWe’re seeking a Senior Data Scientist to architect and lead the development of our core Claim Clustering Platform—the intelligence layer that powers how we compare and analyze Bodily Injury (BI) claims across Workers’ Compensation, General Liability, and Auto Liability. Develop advanced representations of claims using both structured data (e.g., ICD codes, geographic data, indemnity and legal costs) and unstructured data (e.g., adjuster notes, medical records, legal documents).
NewProduction Manager Saputo IncProduction ManagerFranklin, WIThe Production Manager in Franklin WI is a key operations stakeholder for a new 340,000 square foot conversion facility and will play an integral part of Saputo's strategy to optimize its cheese network in North America. In the USA, Saputo ranks among the top three cheese producers and is one of the top producers of extended shelf-life and cultured dairy products, with a portfolio of well-loved brands such as Stella, Frigo Cheese, Montchevre, Stella, and Treasure Cave.
NewSenior Product Manager, Clinical Content NextGen Healthcare IncSenior Product Manager, Clinical ContentGAFor this role, the portfolio is the company''s ambulatory EHR and practice management platform, spanning the clinical documentation, ordering, e-prescribing, scheduling, patient access, and revenue cycle workflows that physician practices and ambulatory organizations depend on daily; the Senior Product Manager therefore pairs strong product craft with domain fluency in ambulatory care delivery and healthcare interoperability. Direct experience owning or contributing to ambulatory EHR and practice management products, with deep familiarity across the clinical and front/back-office workflows they support, including provider documentation, computerized order entry, e-prescribing (eRx/EPCS), clinical decision support, patient scheduling and registration, eligibility, and end-to-end revenue cycle management.
Actuarial Analyst, Remote GuideWell Mutual Holding CorpActuarial Analyst, RemoteNYRemote$71,200–$115,700 / yearAs an employee, you will have access to: Medical, dental, vision, life and global travel health insurance; Income protection benefits: life insurance, short- and long-term disability programs; Leave programs to support personal circumstances; Retirement Savings Plan including employer match; Paid time off, volunteer time off, 10 holidays and 2 well-being days; Additional voluntary benefits available; and. What We Offer: As a Florida Blue employee, you will be at the heart of GuideWell's vision - to lead the nation in transforming health through compassionate, connected, and technology-enabled care that delivers personalized value and empowered living.
New["Engineer II","Engineer II"] State of Wyoming A&I Human Resources Division["Engineer II","Engineer II"]Sheridan$35.12–$39.02 / hourAA) VETERANS' PREFERENCE: If you are a war veteran as defined in section 101, Title 38, United States Code or are the surviving spouse of a war veteran who receives survivor benefits from the federal government based on the veteran's military service, and wish to claim veterans' preference, please attach the appropriate documentation substantiating your claim. WORKING FOR THE GREATEST STATE IN THE NATION - Wyoming offers a lifestyle you can't find anywhere else - wide-open spaces, clean air, friendly communities, year-round recreation, and no state income tax .
NewEPIC Physician Billing Analyst 5 Star RecruitmentEPIC Physician Billing AnalystHicksville, New YorkTechnical Skills: Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates. An Epic Physician Billing Analyst (also known as an Epic Professional Billing Analyst) is responsible for the configuration, maintenance, and optimization of the Epic Professional Billing module within a healthcare organization.
NewPharmacy Technician Actalent IncPharmacy TechnicianCary, NCWe are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service. The Pharmacy Technician - Customer Support Representative manages inbound and outbound calls, coordinates medication refills and deliveries, and maintains accurate information within pharmacy systems.
NewTemporary Claims Examiner II State of MontanaTemporary Claims Examiner IIBillings, MTAll applications and required application documents must be submitted through the MT Careers site at: https://mtstatejobs.taleo.net/careersection/200/jobdetail.ftl?job=26141913&tz=GMT-06:00&tzname=America/Denver . REQUIRED SKILLS AND COMPETENCIES: Customer service and conflict management: Provide responsive, respectful service and manage difficult or emotionally charged interactions with professionalism and empathy.
Claims Payment Specialist Emergent Holdings IncClaims Payment SpecialistLansing, MISUMMARY: Responsible for all of the following duties Enterprise wide; Analysis and entry of detailed payment data into the claim system for all states including manual states, contact with employers to obtain missing payment information or to clarify information submitted, issuance of non-indemnity and non-medical payments and manual payments, processing of refunds and transfers, handling route back checks for distribution, posting manual payments, research and resolution of returned non-medical checks. ADDITIONAL EDUCATION, EXPERIENCE, SKILLS, KNOWLEDGE AND/OR ABILITIES PREFERRED: Additional training, work experience, or course work in workers compensation, insurance or accounting.
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.