Workers’ Compensation Claims Adjuster (KY Dedicated Account) CCMSIWorkers’ Compensation Claims Adjuster (KY Dedicated Account)Louisville, KentuckyRemote$70,000–$75,000 / yearResponsibilities: When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust. This position is designed for experienced adjusters with 5+ years of workers’ compensation claim handling experience who are confident managing complex files, applying sound professional judgment, and delivering consistent, high-quality outcomes.
Bodily Injury Claims Specialist Auto-Owners Insurance CoBodily Injury Claims SpecialistNew Albany, INThe 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. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Bodily Injury Claims Specialist Auto-Owners Insurance GroupBodily Injury Claims SpecialistLouisville, KYThe 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. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Casualty Claims Representative Auto-Owners Insurance CoCasualty Claims RepresentativeLouisville, KYThis job requires mastery of claims-handling skills and requires the person to: Investigate assigned casualty claims by collecting statements, physical evidence, and legal documentation. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Field Claims Representative Auto-Owners Insurance CoField Claims RepresentativeNew Albany, INAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job requires mastery of claims-handling skills and requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability.
Experienced Catastrophe Claims Representative Auto-Owners Insurance CoExperienced Catastrophe Claims RepresentativeLouisville, KYOur group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. The position requires the following, but is not limited to: Frequent travel up to 21 days at a time and is required upon short notice to location of catastrophe, which would most likely be out of state.
Remote Claims Representative - 630669B Metro Public AdjustmentRemote Claims Representative - 630669BCorydon, INRemoteMetro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim. We provide ongoing training and development opportunities to ensure that you will have the skills and knowledge needed to succeed.
Remote Claims Representative - 630669 Metro Public AdjustmentRemote Claims Representative - 630669New Albany, INRemoteMetro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim. We provide ongoing training and development opportunities to ensure that you will have the skills and knowledge needed to succeed.
Client Service Director | Claims Industry & Liability Experience Required Sedgwick Claims Management Services, Inc.Client Service Director | Claims Industry & Liability Experience RequiredKYPRIMARY PURPOSE OF THE ROLE: To determine account management strategies related to client service plans; to be responsible for retention of existing clients, customer satisfaction, revenue growth, client surveys, and new business; to provide program management for jumbo clients requiring dedicated staff, multiple offices and complex service models; and to oversee the work of other local Client Services staff. Ten (10) years related experience or equivalent combination of education and experience required to include two (2) years account manager experience or five (5) years adjuster experience including two (2) years in a supervisory capacity.
Claims Consultant, Life Sciences CNA Financial CorpClaims Consultant, Life SciencesLouisville, KY$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims with large exposures that require a high degree of technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to complex manage litigation and authorizing payments within scope of authority.
Workers Comp Claims Representative Elevate Patient Financial Solutions IncWorkers Comp Claims RepresentativeKYSpecifically, this position is focused on the effort to obtain Workers' Compensation injury details and insurance information from hospital, employers, patients and from other sources; submission of insurance bills and documentation to Workers' Compensation insurance carriers; review of payments and denials for potential appeal; writing and submitting appeals; and communication with insurance carriers, employers, attorneys and patients during the claims adjudication process to ensure that the hospital and/or medical providers receive appropriate payment on submitted bills and denied claims. Required computer skills: must have experience with data entry and word processing, be capable of operating routine office equipment, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications.
Pharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistLouisville, KentuckySkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Claims Processing Representative Humana IncClaims Processing RepresentativeLouisville, KY$40,000–$52,300 / yearTo ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended. NOTE: Depending on the number of openings, the number of candidates who apply, and the schedules of interviewers and recruiters, this process may take several weeks or less; however, know that we are working hard to proceed as quickly as possible and to keep you informed.
NewClaims Examiner II, Warranty American International GroupClaims Examiner II, WarrantyJeffersonville, INAIG Warranty delivers a full range of service solutions including warranty management administration, extended service contracts and mobile insurance theft/loss programs, customer service support, service network management, claims processing services, and service contract underwriting. Claims Analysts are responsible for receiving incoming calls and emails from Service Providers needing authorization or payment for repairs on major appliances, consumer electronics, heating and air, or other home systems.
Junior Analyst, CRSC Claims PZI GroupJunior Analyst, CRSC ClaimsFort Knox, KYCapabilities to research medical and personnel records; understand military and medical acronyms; have an understanding or knowledge of military unique equipment, training and/or weaponry; and have a moderate level of logical reasoning and writing skills. Enters information regarding claim decisions into Soldier Management System (SMS) database and reviews claims processed by peers to assure quality of work products and deliverables.
Claims Consultant - Advertising / Personal Injury CNA Financial Corp.Claims Consultant - Advertising / Personal InjuryLouisville, KY$72,000–$141,000 / yearIndividual contributor responsible for the overall strategic management and resolution of highly complex claims that involve personal and advertising injury exposures, including but not limited to intellectual property, class action, and commercial disparagement. Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost-effective manner and ensuring timely issuance of disbursements.
Claims Examiner - Workers Compensation | Dedicated Client | Jurisdiction: MS, AR, AL, TN, GA, KY | Licensing: MS, AR or Reciprocal State Required (Remote) Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation | Dedicated Client | Jurisdiction: MS, AR, AL, TN, GA, KY | Licensing: MS, AR or Reciprocal State Required (Remote)KYRemote$80,000–$100,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE To analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Claims Representative, Auto | Property Damage Sedgwick Claims Management Services, Inc.Claims Representative, Auto | Property DamageKY$50,000–$55,000 / yearProcesses auto and general liability property damage claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. 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 Comp - Southeast (FL, GA, NC, SC, AL, AR, KY) Sedgwick Claims Management Services, Inc.Claims Examiner Workers Comp - Southeast (FL, GA, NC, SC, AL, AR, KY)KYRemoteMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE To analyze claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Claims Examiner - Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner - Bodily InjuryKY$80,000–$85,000 / yearTo analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. 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, coverage's, principles, and laws.