Claims Prevention Coordinator Operations Pitt-Ohio Express, LLCClaims Prevention Coordinator OperationsCheswick, PAFrequent movement and sedentary work required - may be required daily to lift up to 25 pounds or exert up to 10 pounds of force to lift, carry, push, pull or otherwise move objects including the human body in a sustained motion; walking is frequently required for sustained periods of time. These include, but are not limited to, calls regarding shortages and damages, problem calls from drivers, pick up calls, tracing, proof of delivery (POD''s), rates, and claims issues.
Pharmacy Benefits /Insurance Claims Specialist | Onsite- Pittsburgh Blink HealthPharmacy Benefits /Insurance Claims Specialist | Onsite- PittsburghPittsburgh, PAOur two primary products – BlinkRx and Quick Save – remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved health outcomes for patients. Company Overview: Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody.
Pharmacy Benefits /Insurance Claims Specialist | Onsite- Pittsburgh Blink Health Management LLCPharmacy Benefits /Insurance Claims Specialist | Onsite- PittsburghPittsburgh, PAOur two primary products - BlinkRx and Quick Save - remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved health outcomes for patients. Company Overview: Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody.
Workers Comp Senior Claims Rep Remote-NJ PA MA National Interstate CorporationWorkers Comp Senior Claims Rep Remote-NJ PA MAPittsburgh, PennsylvaniaRemoteOur steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes.
Claims Prevention Coordinator- Operations Pitt OhioClaims Prevention Coordinator- OperationsCheswick, PennsylvaniaFull timeFrequent movement and sedentary work required – may be required daily to lift up to 25 pounds or exert up to 10 pounds of force to lift, carry, push, pull or otherwise move objects including the human body in a sustained motion; walking is frequently required for sustained periods of time. These include, but are not limited to, calls regarding shortages and damages, problem calls from drivers, pick up calls, tracing, proof of delivery (POD's), rates, and claims issues.
Claims Operations Technician CNAClaims Operations TechnicianMeridian, PennsylvaniaCollaborates with underwriting, insureds, claimants, providers, vendors or claim adjusters utilizing various methods to obtain and provide information related to claim support activities. Completes data or makes data corrections based on set requirements or procedures within claim file information utilizing multiple claim systems that support P&C Claim.
Workers Comp Senior Claims Rep Remote-NJ PA MA Great American Insurance CompanyWorkers Comp Senior Claims Rep Remote-NJ PA MAPittsburgh, PARemote$72,000–$82,000 / yearOur steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes.
Property Field Claims Specialist-Pittsburgh, PA - Remote Selective Insurance Group IncProperty Field Claims Specialist-Pittsburgh, PA - RemotePittsburgh, PARemote$83,000–$108,000 / 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. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success.
Pennsylvania Workers' Compensation Claims Supervisor (Remote) CCMSIPennsylvania Workers' Compensation Claims Supervisor (Remote)Pittsburgh, PennsylvaniaRemote$85,000–$95,000 / yearResponsibilities: When we hire supervisors at CCMSI, we look for people-leaders who recognize that every claim impacts a real person’s livelihood, hold themselves and their teams accountable for results, and approach challenges as opportunities to develop others and drive excellence. The successful candidate will coach and develop adjusters, conduct file reviews, support complex claim strategy discussions, and help create a high-performing team environment focused on quality, accountability, and service.
Claims Recovery Director CNAClaims Recovery DirectorMeridian, PennsylvaniaLeads the work activities of Recovery Services professionals and/or managers and has full management responsibility for setting and communicating expectations, providing direction and coaching, facilitating ongoing training and development, managing employee performance and contributing to employee engagement. Responsibilities include managing direct staff, as well as outsourced vendor programs, while delivering superior business results through effective leadership of Recovery Services teams, driving continuous performance and operational improvements.
Workers Compensation Large Loss Claims Director CNAWorkers Compensation Large Loss Claims DirectorMeridian, PennsylvaniaWorking closely with claims leadership, disposition consultants, legal services, customers, brokers, and business partners, the Large Loss Director drives superior claim outcomes, technical excellence, operational effectiveness, and profitable growth while serving as a mentor and resource to claims professionals across the organization. This individual contributor role provides company-wide influence and leadership in the interpretation of complex policy coverages, litigation management, reserving, claim resolution strategies, regulatory compliance, and large loss methodologies.
Workers Comp Senior Claims Rep Remote-Nj PA MA Great American Insurance Group (DBA)Workers Comp Senior Claims Rep Remote-Nj PA MAPittsburgh, PARemote$72,000–$82,000 / yearOur steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes.
LTD Claims Examiner II Matrix Absence ManagementLTD Claims Examiner IIUnited, PARemote$52,450–$65,570 / yearReviews and investigates disability claims by using telephone and written contact with the applicable parties, (claimant, employer/supervisor, credit union, treating physician, etc.) to gather pertinent data to analyze the claim. The successful candidate's starting base pay will be based on several factors including work location, job-related skills, experience, qualifications, and market conditions.
Lost Time Claims Specialist, Workers'''' Compensation Encova Mutual Insurance GroupLost Time Claims Specialist, Workers'''' CompensationPennsylvania, PAOur current footprint includes: Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin. Consults with assigned claim director, return to work specialists, nurse case managers, internal/external medical, and legal on current and/or recommended treatment, litigation or rehabilitation plans to ensure claims outcomes are achievable and appropriate.
Claims Processor Highmark IncClaims ProcessorPAReviews processed claims and inquiries to determine corrective action including adjusting claims as necessary and takes the corrective action steps using enrollment, benefit and historical claim processing information; may coordinate benefits and interact with customers. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
SIU Claims Investigator Lemieux & Associates LLCSIU Claims InvestigatorWest Mifflin, PA$25–$32 / hourPart timeNotary license strongly (preferred).Bilingual ability and/or degree in Criminal Justice or related field (preferred).Willingness to travel; flexible schedule (varied/irregular hours).Strong computer and internet skills. Accurately photograph evidence (accident scenes, vehicle damage, etc.).Skills & ExperienceExperience handling complex SIU/Claims cases.
Lost Time Claims Specialist II (VA, MD, PA, and DC University of Pittsburgh Medical CenterLost Time Claims Specialist II (VA, MD, PA, and DCPittsburgh, PAThe Lost Time Claims Specialist 2 will apply litigation management skills to aggressively manage litigation activities, budgets and claim outcomes while considering the overall impact to the customer and company. Previous experience with the reserving and adjudication of the following: Workers' compensation lost time claims, Workers' compensation claim investigations (including subrogation and compensability decisions.
Engagement Lead - Risk Consulting- Forensic Accounting/Claims-Remote - US Marsh & McLennan Companies IncEngagement Lead - Risk Consulting- Forensic Accounting/Claims-Remote - USPittsburgh, PARemote$112,600–$239,800 / yearAs an Engagement Lead - Forensic Accounting & Claims Services Consultant, you will act as a recognized subject matter expert, leading large-scale strategic projects, coaching team members, and solving complex client problems. Marsh Risk is a business of Marsh (NYSE: MRSH), a global leader in risk, reinsurance and capital, people and investments, and management consulting, advising clients in 130 countries.
Systems Analyst - Team Lead (Epic HB Claims and Remittance University of Pittsburgh Medical CenterSystems Analyst - Team Lead (Epic HB Claims and RemittancePARemoteSeven years of total related experience, including one year experience as a senior or lead, OR equivalent combination of education/experience. Coordinate Claims-owned regulatory updates and edits (CCI, LCD, MUE as well as periodic Epic upgrades (Nova Notes.
Senior Claim Examiner Chubb LtdSenior Claim ExaminerPittsburgh, PATraining: Chubb managers, claim examiners and defense counsel provide a combination of classroom and on-the-job training to ensure our Claim Examiners are prepared to assume full claim handling responsibilities. The Senior Claim Examiner, under appropriate direction from the manager, investigates and settles litigated and higher severity non-litigated claims promptly, equitably and within established best practices guidelines.