Claims Adjuster Senior - Injury The Progressive CorpClaims Adjuster Senior - InjurySalem, OR$70,000–$90,000 / 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/ . Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
Claims Adjuster Senior - Litigation The Progressive CorpClaims Adjuster Senior - LitigationSalem, OR$70,000–$90,000 / 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/ . Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
NewProperty Claims Adjuster Specialist - Field USAAProperty Claims Adjuster Specialist - FieldSalem, OR$69,920–$133,620 / yearWhat you'll do: Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.
Senior Claims Adjuster Trean Insurance Group IncSenior Claims AdjusterOregon, OR$75,000–$90,000 / yearEnsure that all claim determinations and payments are completed timely including but not limited to, acceptance/denial letters, wage determination letters including required enclosures and appeal forms. Timely claims determinations for all services including but not limited to: acceptance, denials, authorizations for treatment, benefit payment start, termination are to be included within the statutory or regulatory time frames of the jurisdiction.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTESalem, ORRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Senior Claims Representative - REMOTE Ryder System IncSenior Claims Representative - REMOTESalem, ORRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Revenue Cycle Claims Manager St. Charles Health SystemRevenue Cycle Claims ManagerOR$85,904–$128,856 / yearServices include but are not limited to: billing insurance claims, posting insurance and patient payments, resolving insurance denials, collecting unpaid insurance claims, maintaining payer contracts in the EMR, resolving under and over payments, identifying and resolving payer issues, processing refunds, processing financial assistance applications, billing patients, resolving patient accounts including patient questions, and vendor management: lockbox, third-party collections, clearinghouse, early out, collection agencies. Attends and/or leads applicable meetings including huddles, staff meetings, payer meetings, clinical and support department meetings, and educational opportunities as appropriate.
Revenue Cycle AR Claims Specialist Corvallis Clinic Business OfficeRevenue Cycle AR Claims SpecialistCorvallis, Oregon2. Researches and resolves claims based on assignment, which could include contacting payers via phone or website, contacting practices, working across departments, writing appeals, and facilitating their submission, and all other activities that lead to the successful adjudication of eligible claims including but not limited to: Provides medical record documentation to insurance companies as requested. The responsibility of the Revenue Cycle Claims Specialist is to maintains current knowledge of insurance carriers’ rules, regulations, and contracts; acts as a liaison for patients with the insurance carrier for internal/external customers; and is responsible for posting payments, adjustments, status, and reason codes.
Sr. Claims Specialist - Commercial Auto BI Philadelphia Insurance CompaniesSr. Claims Specialist - Commercial Auto BIWest Linn, OR$102,150–$120,177 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
NewClaims Research & Resolution Representative Humana IncClaims Research & Resolution RepresentativeORRemote$40,000–$52,300 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Sr. Examiner, Homeowner Claims Multi-State - Remote CSAA Insurance GroupSr. Examiner, Homeowner Claims Multi-State - RemoteORRemote$37.26–$41.40 / hourAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Serves as the owning adjuster for all assigned claims, including low- to higher-complexity losses that may require oversight of service providers conducting physical or virtual inspections.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTESalem, ORRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
Senior Claims Manager EPL - Remote Providence Health & ServicesSenior Claims Manager EPL - RemoteORRemoteRequsition ID: 442190 Company: Providence Jobs Job Category: Financial Transactions Job Function: Health Plans Services Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4008 SS RIS Address: CA Orange 1100 W Stewart Dr Work Location: St Joseph Hospital-Orange Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
NewClaims Management Consultant (Operations & Policy Analyst 3) State of OregonClaims Management Consultant (Operations & Policy Analyst 3)Salem, OR$6,834–$10,076 / yearThe Department of Administrative Services (DAS) is the central administrative agency for the State of Oregon, working to help state agencies operate efficiently and effectively. Minimum Qualifications: A Bachelor's degree demonstrating the capacity for the required knowledge and skills; AND Four years of professional-level experience in claims management, including the handling of litigated files.
Claims Negotiation Manager CVS Health CorpClaims Negotiation ManagerOR$66,330–$145,860 / yearDemonstrated expertise in the No Surprises Act (NSA), out-of-network reimbursement methodologies, provider billing practices, and healthcare claims adjudication, with the ability to interpret complex regulations, evaluate claim and reimbursement disputes, guide negotiation strategies, ensure compliance, and drive favorable financial and operational outcomes. Lead daily negotiation operations while partnering closely with Product, Operations, Compliance, Analytics, and Client teams to enhance negotiation strategies, support product development, drive operational excellence, and ensure compliance with federal and state regulations.
Liability Claims Examiner Sedgwick Claims Management Services, Inc.Liability Claims ExaminerOR$85,000–$105,000 / 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: To address and handle high end General Liability cases with serious injuries, complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeOREpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Claims Assistant Western Partitions, Inc.Claims AssistantWilsonville, OR$50,000–$75,000 / yearThe Claims Assistant supports the Claims Manager with the administrative, documentation, communication, and tracking tasks necessary to manage workers' compensation, general liability, auto, OCIP, and CCIP claims from initial report through closure. Help coordinate early Return to Work efforts by tracking work status updates, modified-duty documentation, carrier communication, modified-duty payroll reports, and follow-up items as directed by the Claims Manager.
Claims Assistant Western PartitionsClaims AssistantWilsonville, OregonThe Claims Assistant supports the Claims Manager with the administrative, documentation, communication, and tracking tasks necessary to manage workers’ compensation, general liability, auto, OCIP, and CCIP claims from initial report through closure. Help coordinate early Return to Work efforts by tracking work status updates, modified-duty documentation, carrier communication, modified-duty payroll reports, and follow-up items as directed by the Claims Manager.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistOR$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.