Analyst, Data Exchange - Claims Operations Judi HealthAnalyst, Data Exchange - Claims OperationsCharlotte, North Carolina$96,800–$121,000 / yearThis role is responsible for executing and monitoring outbound eligibility, claims, formulary, and network reporting; supporting manual claims activities; assisting with custome data feed configurations; and participating in historical data loads and connectivity setups for JUDI Rx clients. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Process Design Manager - Process Owner - Claims Bank of AmericaProcess Design Manager - Process Owner - ClaimsCharlotte, North CarolinaOversees partnerships with support organizations and Line of Business (LOB) partners to gather information needed to support the implementation of solutions that resolve critical business challenges and opportunities. Implements highly complex solutions in support of performance plan objectives to resolve issues and risks, optimize efficiency, reduce variability, and improve controls, effectiveness, quality, and sustainability.
Lead, Medical Network Claims Pricer Judi HealthLead, Medical Network Claims PricerCharlotte, North Carolina$128,000–$160,000 / yearApply Medicare-based pricing, Reference-Based Pricing (RBP), fee schedules, resource-based relative value methodologies, diagnosis-related groups, ambulatory payment classifications, per-diem rates, case rates, percent-of-charge arrangements, stop-loss provisions, and other approved reimbursement approaches. Advanced knowledge of procedure, revenue, diagnosis, and modifier logic; physician fee schedules; resource-based relative value methodologies; diagnosis-related groups; ambulatory payment classifications; per-diem, case-rate, percent-of-charge, and other medical reimbursement arrangements.
NewConstruction Claims Director Willis Towers Watson PLCConstruction Claims DirectorCharlotte, NCCharlotte, North Carolina, United States. Philadelphia, Pennsylvania, United States.
Senior Auto Physical Damage Claim Rep (Hybrid/Remote) Selective Insurance Company of AmericaSenior Auto Physical Damage Claim Rep (Hybrid/Remote)Charlotte, North CarolinaRemote$63,000–$81,000 / 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. Direct customer to approved car rental vendor, aggressively manage car rental expenses, set up appropriate inspection and repair assignments, and process immediate removal of total loss vehicles to salvage yard.
Senior Auto Physical Damage Claim Rep (Hybrid/Remote) Selective Insurance Group IncSenior Auto Physical Damage Claim Rep (Hybrid/Remote)Charlotte, NCRemote$63,000–$81,000 / yearSelective'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. Direct customer to approved car rental vendor, aggressively manage car rental expenses, set up appropriate inspection and repair assignments, and process immediate removal of total loss vehicles to salvage yard.
Associate Claim Rep, Outside Property The Travelers CompaniesAssociate Claim Rep, Outside PropertyCharlotte, NC$52,600–$86,800 / yearThis position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). As an Associate Claim Rep, Outside Property, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals.
Analyst, Data Exchange - Claim Ops (Tpa) Capital Rx, Inc.Analyst, Data Exchange - Claim Ops (Tpa)Charlotte, NC$96,800–$121,000 / yearKey Responsibilities: Data Integration & Mapping: Design, develop, and maintain data mappings and transformations for incoming and outgoing healthcare data files: 837/835 - claims & remittance, 270/271 - eligibility and responses, 278 - Prior Auth, 276/277 - claim status, 999/TA1 - file level acknowledgement as well as proprietary formats. Position Summary: The Data Exchange Analyst is a crucial member of our Data Operations team, responsible for ensuring the accurate, efficient, and secure exchange of healthcare data between Capital Rx - JUDI Health and its various partners, including employers, providers, and other TPAs.
Data Exchange Analyst - Claims Operations Capital Rx LLCData Exchange Analyst - Claims OperationsCharlotte, NC$96,800–$121,000 / 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. This role is responsible for executing and monitoring outbound eligibility, claims, formulary, and network reporting; supporting manual claims activities; assisting with custome data feed configurations; and participating in historical data loads and connectivity setups for JUDI Rx clients.
Sr. Claim Counsel, EPL Sompo InternationalSr. Claim Counsel, EPLCharlotte, NC$125,000–$175,000 / yearProvide coverage, liability, and damages analysis for EPL claims, with general knowledge of Director and Officer (D&O) liability claims and identify trends/exposures affecting CML or FI portfolios. Our business, your impact, our opportunity: What you'll be doing: Manage US Employment Practices Liability (EPL) claims, related systems, and processes, while evaluating exposures and making substantive claim decisions across EPL and other business lines.
Sr. Claim Counsel, EPL Sompo International Holdings LimitedSr. Claim Counsel, EPLCharlotte, NC$125,000–$175,000 / yearProvide coverage, liability, and damages analysis for EPL claims, with general knowledge of Director and Officer (D&O) liability claims and identify trends/exposures affecting CML or FI portfolios. Our business, your impact, our opportunity: What you'll be doing: Manage US Employment Practices Liability (EPL) claims, related systems, and processes, while evaluating exposures and making substantive claim decisions across EPL and other business lines.
Associate Claim Rep, Outside Property TravelersAssociate Claim Rep, Outside PropertyCharlotte, North CarolinaThis position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). As an Associate Claim Rep, Outside Property, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals.
EPL & D&O Liability Associate Claim Counsel The Travelers Companies IncEPL & D&O Liability Associate Claim CounselCharlotte, NC$89,800–$148,300 / yearWith significant supervision, provide a variety of legal and business support to underwriting colleagues which varies by business unit and may include negotiating indemnity documentation, drafting product forms and endorsements, reviewing contracts and bond forms, all involving matters of lower complexity, and supporting marketing and/or risk management efforts through broker visits and seminars. With close management supervision, retain, monitor, and manage outside counsel (and other vendors, as applicable) by actively utilizing incident response and/or litigation management plans and budgets, and negotiate settlements when appropriate to ensure effective legal and/or claim outcomes, involving litigation matters of lower severity and complexity.
Claim Representative, Auto Damage The Travelers CompaniesClaim Representative, Auto DamageCharlotte, NC$55,200–$91,100 / yearLeverage all internal and external resources to conduct thorough investigations to gather all relevant facts accurately document findings in the claim management system and maintain accurate records of claim activity in claim management systems. Manage auto physical damage claims from first notice of loss through resolution and settlement, handling low to moderate complexity cases, including total loss evaluations and vehicle repair oversight.
Data Exchange Analyst - Claim Ops TPA Capital Rx LLCData Exchange Analyst - Claim Ops TPACharlotte, NCKey Responsibilities: Data Integration & Mapping: Design, develop, and maintain data mappings and transformations for incoming and outgoing healthcare data files: 837/835 - claims & remittance, 270/271 - eligibility and responses, 278 - Prior Auth, 276/277 - claim status, 999/TA1 - file level acknowledgement as well as proprietary formats. Judi 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.
EPL & D&O Liability Associate Claim Counsel TravelersEPL & D&O Liability Associate Claim CounselCharlotte, North Carolina$89,800–$148,300 / yearWith significant supervision, provide a variety of legal and business support to underwriting colleagues which varies by business unit and may include negotiating indemnity documentation, drafting product forms and endorsements, reviewing contracts and bond forms, all involving matters of lower complexity, and supporting marketing and/or risk management efforts through broker visits and seminars. With close management supervision, retain, monitor, and manage outside counsel (and other vendors, as applicable) by actively utilizing incident response and/or litigation management plans and budgets, and negotiate settlements when appropriate to ensure effective legal and/or claim outcomes, involving litigation matters of lower severity and complexity.
NewClaim Representative, Auto Damage TravelersClaim Representative, Auto DamageCharlotte, North CarolinaLeverage all internal and external resources to conduct thorough investigations to gather all relevant facts accurately document findings in the claim management system and maintain accurate records of claim activity in claim management systems. Manage auto physical damage claims from first notice of loss through resolution and settlement, handling low to moderate complexity cases, including total loss evaluations and vehicle repair oversight.
Workers'''' Compensation Claim Specialist Amerisure Mutual Insurance CompanyWorkers'''' Compensation Claim SpecialistCharlotte, NCRanked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus. As a property and casualty insurance company, Amerisure's promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee.
Construction Claim Technical Specialist The Travelers CompaniesConstruction Claim Technical SpecialistCharlotte, NC$85,600–$141,200 / yearDirectly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
Analyst, Data Exchange - Claim Ops (TPA) Judi HealthAnalyst, Data Exchange - Claim Ops (TPA)Charlotte, North CarolinaDesign, develop, and maintain data mappings and transformations for incoming and outgoing healthcare data files: 837/835 - claims & remittance, 270/271 – eligibility and responses, 278 – Prior Auth, 276/277 – claim status, 999/TA1 – file level acknowledgement as well as proprietary formats. The Data Exchange Analyst is a crucial member of our Data Operations team, responsible for ensuring the accurate, efficient, and secure exchange of healthcare data between Capital Rx – JUDI Health and its various partners, including employers, providers, and other TPAs.