NewClaims Adjuster Trainee Allstate Insurance CompanyClaims Adjuster TraineeOntario Ng, CAAs a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Senior Claims Examiner Lowe's Companies IncSenior Claims ExaminerMooresville, NCBased in Mooresville, N.C., Lowe's supports the communities it serves through programs focused on creating safe, affordable housing, improving community spaces, helping to develop the next generation of skilled trade experts and providing disaster relief to communities in need. Collaborates with other claims examiners on a team, focusing on bodily injury or property damage in a particular jurisdiction, acting as a leader for the team of Claims Examiners by integrating Lowe's culture, team training, and jurisdiction-specific training into the on-boarding process.
NewTelephone Claims Adjuster Allstate Insurance CompanyTelephone Claims AdjusterUTAs a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Attorney-Represented Bodily Injury Claims Adjuster - PST/MST (Remote) Allstate Insurance CompanyAttorney-Represented Bodily Injury Claims Adjuster - PST/MST (Remote)CARemoteAs a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Workers' Compensation Claims Assistant King'S Insurance StaffingWorkers' Compensation Claims AssistantCaliforniaCoordinate with injured workers, medical providers, employers, and attorneys to obtain necessary documentation and schedule appointments. Requirements: 2 - 5+ years of experience in a Workers' Compensation Claims Assistant or Claims Support role (California experience preferred) .
Auto Claims Adjuster (Experienced) AllstateAuto Claims Adjuster (Experienced)KansasThe Claims Auto Adjuster plays a key role in supporting customers during automobile accidents by thoroughly investigating each claim and confirming the facts of loss. As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.
Claims Adjuster - Workers Compensation SchneiderClaims Adjuster - Workers CompensationGreen Bay, WIThis diversity and openness ensures all associates have equal access to opportunities and resources to contribute fully to the organization's success, and it fuels innovation, improves strategic thinking and cultivates leadership. Schneider is seeking a Claims Adjuster in Green Bay, WI to investigate, analyze and resolve claims and incidents.
Title Insurance Claims Counsel (Hybrid) First American Financial CorpTitle Insurance Claims Counsel (Hybrid)Santa Ana, CAFirst American reasonably believes that a criminal history may have a direct, adverse and negative relationship with the following material job duties for this position potentially resulting in the withdrawal of the conditional offer of employment: handling of confidential, proprietary or trade secret information belonging to First American or its customers, administrating or facilitating financial transactions, and the ability to meet customer-imposed criminal history requirements. As Claims Counsel at First American, you will manage matters from intake through resolution, including evaluating risk, making coverage determinations, resolving complex title claims, and collaborating with internal business partners.
Claims Specialist Project Resources GroupClaims SpecialistDenver, ColoradoResolve and negotiate claims recovery of repair and replacement costs on third-party cable/fiber and utility damages across multiple state lines, via phone, email, and letters. Use photographs, narratives, job costs, site sketches, locate tickets, and other components on-site field investigators provide to visualize and understand the damage scene to defend liability accurately.
Bodily Injury Claims Specialist Auto-Owners Insurance CoBodily Injury Claims SpecialistMount Vernon, IL$52,500–$102,300 / yearAdditional benefits include: generous paid time off including holidays, vacation days, personal time, sick leave and parental leave; adoption assistance; discounts on personal insurance; education matching gift program, a student loan assistance program, and a gym membership and fitness class reimbursement program. The position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss.
Sr. Claims Advocate Next Insurance IncSr. Claims AdvocateRemote$81,000–$110,000 / yearYou can find additional information about this type of scam and report any fraudulent employment offers via the Federal Trade Commission''s website ( https://consumer.ftc.gov/articles/job-scams ), or you can contact your local law enforcement agency. At ERGO NEXT, we are dedicated to building a diverse, inclusive and respectful workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways.
Claims Professional I Aon CorporationClaims Professional IVirtual, Indiana$60,000–$80,000 / yearWe welcome applications from all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to perform essential job functions once onboard. Exhibits excellent verbal and written communication skills and upholds the organizations values and is a positive spokesperson for the Company.
Claims Supervisor CorVel Enterprise Claims, Inc.Claims SupervisorDallas, TX$71,696–$110,701 / yearPart timePay 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. 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.
NewClaims Specialist CorVel Enterprise Claims, Inc.Claims SpecialistPortland, ORRemote$52,999–$85,473 / yearPart timeThe Workers’ CompensationClaims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay 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.
NewSenior Liability Claims Specialist CorVel Enterprise Claims, Inc.Senior Liability Claims SpecialistCharlotte, NCRemote$61,053–$98,334 / yearPart timePay 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. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
Claims Supervisor - NY CorVel Enterprise Claims, Inc.Claims Supervisor - NYSyracuse, NYRemote$73,345–$113,247 / yearPart timePay 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. 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.
Senior Claims Adjuster, Specialty LotSolutions, Inc.Senior Claims Adjuster, SpecialtyJacksonville, FL$90,000–$150,000 / yearPart timeAs a direct report to the Manager of Specialty Claims, you should possess the ability to handle and manage a wide variety of severity/complex claims with coverage issues as well as coverage litigation within Commercial Auto and General Liability lines of business. Please be aware of job fraud(s) – all correspondence emails regarding your candidacy will come from our Fortegra.com email address.
Property Damage Claims Director Warrior Insurance NetworkProperty Damage Claims DirectorBedford Park, ILFull timeReview reports and support the implementation of procedures which improve overall claim settlement process, customer service levels, and ensure that desired quality and quantity levels are maintained. Determine training needs of the department / unit, establish and participate in programs to ensure training needs of personnel and processes.
Auto Casualty Claims Supervisor Warrior Insurance NetworkAuto Casualty Claims SupervisorBedford Park, IL$52,500–$106,250 / yearFull timeReview reports, design and support the implementation of procedures which improve claim settlement and customer service levels, and ensure that desired quality and quantity levels are maintained. Are you currently an experienced Casualty Claims Supervisor looking to join a growing company where you will be rewarded for your hard work, and have future upward career growth opportunities? .
Auto Claims Property Damage Supervisor Warrior Insurance NetworkAuto Claims Property Damage SupervisorBedford Park, IL$48,750–$93,750 / yearFull timeReview reports and support the implementation of procedures which improve overall claim settlement process, customer service levels, and ensure that desired quality and quantity levels are maintained. *Seeking local candidates to work in either our Bedford Park location, approximately one mile south of Chicago Midway Airport, or our Oak Brook location.
Complex Claims Specialist (Remote) Selective Insurance Company of AmericaComplex Claims Specialist (Remote)RemoteRemote$124,000–$160,000 / yearFull timeSelective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work® in 2025 for the sixth consecutive year. Total Rewards: Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life.
NewComplex Claims Specialist - E&S/NY Labor Law (Remote) Selective Insurance Company of AmericaComplex Claims Specialist - E&S/NY Labor Law (Remote)RemoteRemote$124,000–$160,000 / yearFull timeSelective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work® in 2025 for the sixth consecutive year. Total Rewards: Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life.
Construction Claims Consultant Aon CorporationConstruction Claims ConsultantChicago, Illinois$120,000–$190,000 / yearVarious other types of leaves of absence; paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, health savings account, health care and dependent care reimbursement accounts, employee and dependent life insurance and supplemental life and AD&D insurance; optional personal insurance policies, adoption assistance, tuition assistance, commuter benefits, and an employee assistance program that includes free counseling sessions. You’ll spend significant time interacting with clients—addressing questions, providing updates, offering strategic guidance, and collaborating with your workers compensation advocate counterpart to get a full view of each client’s claims profile.
Claims Adjuster (Workers'''' Compensation) Saint Francis Health SystemClaims Adjuster (Workers'''' Compensation)New Haven, CTEssential Functions and Responsibilities: Receives, reviews, investigates and establishes incident reports, events, claims and reserves in a timely and accurate manner, including OSHA Log tracking. Job Summary: Reports to the Worker's Compensation Attorney, the Claims Adjuster is responsible for all processes related to Workers' Compensation claims.
Field Property Claims Adjuster: Los Angeles, CA (Gateway Cities / Central LA) Farmers Group, Inc.Field Property Claims Adjuster: Los Angeles, CA (Gateway Cities / Central LA)Los Angeles, CARemote$24.70–$41.88 / hourExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Claims Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
Field Property Claims Adjuster: Seattle, WA Farmers Group, Inc.Field Property Claims Adjuster: Seattle, WASeattle, WARemote$23.22–$55.59 / hourExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. Candidates Must be Willing and Able to: Climb Ladders to inspect roofs, and be comfortable working on rooftops, multiple times per day, Work in small, confined spaces that have been damaged; such as attics and crawlspaces.
Field Property Claims Adjuster: Sullivan, MO Farmers Group, Inc.Field Property Claims Adjuster: Sullivan, MOSullivan, MORemoteExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
NewField Property Claims Adjuster: Hackensack, NJ Farmers Group, Inc.Field Property Claims Adjuster: Hackensack, NJHackensack, NJRemote$23.22–$47.07 / hourExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. Candidates Must be Willing and Able to: Climb Ladders to inspect roofs, and be comfortable working on rooftops, multiple times per day, Work in small, confined spaces that have been damaged; such as attics and crawlspaces.
NewField Property Claims Adjuster: Princeton, NJ Farmers Group, Inc.Field Property Claims Adjuster: Princeton, NJPrinceton, NJRemote$23.22–$47.07 / hourExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. Candidates Must be Willing and Able to: Climb Ladders to inspect roofs, and be comfortable working on rooftops, multiple times per day, Work in small, confined spaces that have been damaged; such as attics and crawlspaces.
Field Property Claims Adjuster: Madison, WI Farmers Group, Inc.Field Property Claims Adjuster: Madison, WIMadison, WIRemoteExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
Field Property Claims Adjuster: Greater Milwaukee, WI Area Farmers Group, Inc.Field Property Claims Adjuster: Greater Milwaukee, WI AreaMilwaukee, WIRemoteExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
Field Property Claims Adjuster: Reno, NV Farmers Group, Inc.Field Property Claims Adjuster: Reno, NVReno, NVExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Claims Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
Senior Commercial Auto PIP Claims Examiner | Remote King'S Insurance StaffingSenior Commercial Auto PIP Claims Examiner | RemoteRemoteResponsibilities include investigating coverage, evaluating liability and damages, coordinating medical management, negotiating settlements, and managing both litigated and non-litigated files. Manage litigated files, direct defense counsel, and participate in mediations and settlement negotiations when appropriate.
Claims Examiner I MagnaCareClaims Examiner ILas Vegas, NVFull timePerform in-depth research on account receivables and spreadsheets that require claim adjustments, delivering thorough and clarifying responses to providers and clients. Execute client-requested claim adjustments and provide clear, concise written responses to client inquiries within established deadlines.
WC Claims Examiner W. R. Berkley CorpWC Claims ExaminerSaint Paul, MNBerkley Risk is focused on providing self-insured entities program administration services and insurance operations which can include taking or sharing risk using Berkley paper. Properly investigate and handle all types of workers' compensation files including lost time, litigation and long-term exposure within predetermined claim-handling guidelines.
Insurance Claims Analyst (Full-Time, Monday - Friday, 8:00Am-4:30Pm) Washington Regional Medical CenterInsurance Claims Analyst (Full-Time, Monday - Friday, 8:00Am-4:30Pm)Fayetteville, ARHunt Transport Services Neuroscience Institute; Washington Regional Walker Heart Institute; Washington Regional Women and Infants Center; Washington Regional Total Joint Center; and Washington Regional Pat Walker Center for Seniors. This position is responsible for verifying patient information, checking for coding errors (like ICD-10 and CPT), effectively and efficiently communicating with healthcare providers and internal departments, and maintaining detailed records.
Claims Examiner & Support Specialist Level I HealthTexas Medical GroupClaims Examiner & Support Specialist Level ISan Antonio, TXThe Claims Examiner & Support Specialist Level I is responsible for accurately processing health plan delegated claims, addressing provider inquiries via phone calls, and handling various administrative tasks within the department. Additionally, maintaining a customer-centric approach when dealing with inquiries and issues is essential to ensure a positive experience for providers and stakeholders.
Manager, Claims Coalition IncManager, ClaimsNYRemoteAssist team in establishing accurate and timely reserves, maintaining accurate file documentation/information in our claims systems and analyzing liability and damage data to coordinate with insureds to develop resolution plans for complex first and third party claims. Provide support and training to the team in the analysis of individual claim exposures and identification of overall trends, address insurance coverage issues, draft coverage letters and provide supportive counsel to the team.
Claims Coordinator, PSA Collectors Holdings, Inc.Claims Coordinator, PSASanta Ana, CA$20.50–$23 / hourOur services span collectible trading cards, autographs, comic books, coins, video games, event tickets, and memorabilia. We grade, authenticate, vault, and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions.
QA Engineer - DM platform (Remote) - Blue Bell, PA AHU TechnologiesQA Engineer - DM platform (Remote) - Blue Bell, PAWashington, District of ColumbiaRemoteThey are responsible for utilizing internal data sources to perform in-depth research and analysis on client data inquiries, execute a varying level of implementation functions such as testing new file extracts, provide defect and enhancement support to development and product teams. Job Description: Looking for a mid level QA Testing Job Requirements - QA Engineers Overall qualifications : •Bamboo, and Github experience required •Cucumber-TestNG framework using JAVA, Selenium, RestAssured, Maven for UI and API Automation Testing experience preferred.
Senior Claims Adjuster I | California Employers Holdings IncSenior Claims Adjuster I | CaliforniaCalifornia, CA$60,000–$106,000 / yearCompletes detailed settlement analysis and recommends appropriate settlement value, utilizing in-depth knowledge of appropriate workers' compensation insurance principles and laws, subrogation recoveries, offsets and deductions, claim and disability duration, cost containment principles; including medical management practices and Social Security and Medicare application procedure as applicable. Independently analyzes case facts to establish timely and accurate reserves using knowledge and experience with medical disabilities and related costs, as well as judgment of extent of disability.
Claims Adjuster II (Workers'' Compensation) | California Employers Holdings IncClaims Adjuster II (Workers'' Compensation) | CaliforniaSacramento, CARemote$50,000–$85,000 / yearThe Work comp Claims Adjuster II is responsible for timely and accurate management of workers' compensation claims with moderate medical and indemnity benefit exposure, including litigation. As a dynamic, fast-growing provider of workers'' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work!
Field Auto Claims Adjuster - Louisana Allstate Insurance CompanyField Auto Claims Adjuster - LouisanaLA$26.20–$38.50 / hourThrough our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs.
Claims Follow-up Specialist I (FT)| Business Services | Ames | 2026-149 McFarland Brand 2016-09-29Claims Follow-up Specialist I (FT)| Business Services | Ames | 2026-149Ames, IowaUtilizes insurance and billing expertise to resolve denials and patient questions/concerns filtered through Patient Services Reps regarding their billing statements and insurance notifications. Candidates should be service-oriented, a team player, and be able to provide extraordinary care, every day to our patients.
NewData Exchange Manager - Claims Operations Capital Rx LLCData Exchange Manager - Claims OperationsNew York, NY$150,800–$188,500 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. The role oversees analysts and specialists responsible for healthcare data integrations, client onboarding, EDI transactions, eligibility feeds, claims exchanges, configuration setup, data quality monitoring, and operational issue resolution.
NewEmployment Claims and Immigration Administration Paralegal Presbyterian Healthcare ServicesEmployment Claims and Immigration Administration ParalegalNYSummary: The Employment Claims & Immigration Administration Paralegal provides high-level paralegal, case management, and operational support to the Legal Department, with primary responsibility for employment claims management and litigation support, including administrative charges, demand letters, internal investigations support, litigation coordination, document preservation, case file management, deadline tracking, reporting, and coordination with internal stakeholders and outside counsel. This position serves as a key operational partner to Employment Counsel, HR, Compliance, Talent Acquisition, Workforce Operations, and departmental leaders to ensure timely claim response, accurate recordkeeping, defensible documentation, regulatory compliance, and consistent communication across employment claims and immigration-related matters.
NewClaims Manager CorVel Enterprise Claims, Inc.Claims ManagerNottingham, MD$87,190–$134,613 / yearPart timePay 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. 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.
Claims Compliance Manager Centivo CorpClaims Compliance ManagerManage RxDC (Prescription Drug and Health Care Spending) reporting under the Consolidated Appropriations Act (CAA), including both D2 Medical and P2 Medical data files; coordinate with pharmacy benefit managers (PBMs), stop-loss carriers, and internal teams to compile and submit accurate annual reports on behalf of plan sponsors. Fraud, Waste & Abuse (FWA) Management Serve as a key contributor to the organizations Fraud, Waste & Abuse program, monitoring claims data for patterns, anomalies, and indicators of potential FWA activity across self-funded and level-funded plan populations.
Claims Compliance Manager CentivoClaims Compliance ManagerBuffalo, New YorkManage RxDC (Prescription Drug and Health Care Spending) reporting under the Consolidated Appropriations Act (CAA), including both D2 Medical and P2 Medical data files; coordinate with pharmacy benefit managers (PBMs), stop-loss carriers, and internal teams to compile and submit accurate annual reports on behalf of plan sponsors. Manage and coordinate NSA negotiations for out-of-network claims subject to the open negotiation process; partner with claims leadership and legal counsel to support Independent Dispute Resolution (IDR) proceedings, including submission preparation, documentation, and tracking of outcomes.
Sr. Claims Adjuster, Large Loss Tesla IncSr. Claims Adjuster, Large LossNew York, NY$92,000–$138,000 / yearThe Large Loss Adjuster is responsible for managing high-exposure, complex, and litigated claims, including catastrophic injuries, excess limit exposures, and high-profile cases. Manage complex coverage issues, excess limit exposures, catastrophic injuries, high profile cases, and litigated claims, with a focus on customer service.