Minneapolis, MN20 days agoRemote
p>Responsibilities: s tort laws as normally acquired through a bachelors degree (or equivalent training) plus 3 to 5 years directly related work experience.
p>Responsibilities: s tort laws as normally acquired through a bachelors degree (or equivalent training) plus 3 to 5 years directly related work experience.
Ranked 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. Amerisure is currently recruiting a Senior Commercial GL & Auto Claims Specialist with experience with handling claims that deal with risk transfer, subcontractors, and general contractors.
PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.
The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. These investigations may include participation in telephone calls or meetings with providers, members, clients, legal compliance, and other investigative areas and requires adherence to state and federal compliance policies, reimbursement policies, and contract compliance.
p>The anticipated compensation listed above and the value of core and optional employee benefits offered by Boston Scientific (BSC) - see www.bscbenefitsconnect.com-will vary based on actual location of the position and other pertinent factors considered in determining actual compensation for the role.
p>Click here to view federal employment laws applicable for applicants..
In addition to serving as a technical anchor, this position helps define and scale the use of AI across the development lifecycle, including prompt engineering, guardrails, and human‑in‑the‑loop validation, to ensure responsible and effective adoption. The ideal candidate is curious, methodical, and comfortable working in complex, high volume transactional systems, and will grow into a technical leadership and ownership role for major areas of the platform.
Serves as the primary subject matter expert for Claims Workforce Management (WFM), partnering closely with senior leadership and cross‑functional stakeholders to support operational decision-making, performance outcomes, and scalability. Provides strategic ownership of Claims workforce management by leveraging deep analytical expertise to forecast demand, develop capacity and staffing models, and optimize workforce utilization.
Responsible for providing sales support for insurance clients by creating timely illustrations, sending of state specific and compliance forms, providing educational or point of sale documents, and is a liaison between carriers and clients. Integrity's employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide.
p>Responsible for providing sales support for insurance clients by creating timely illustrations, sending of state specific and compliance forms, providing educational or point of sale documents, and is a liaison between carriers and clients. Throughout their growth, their 5,000 agents have remained focused on helping over 82,000 Americans protect their most valuable assets: health, wealth and wellbeing.
p>Minimum Requirements: Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 5 years of experience in business analyst and strategic planning, IT operations, IT leadership strategic and technical architecture with a minimum of 3 years in organizational management as it related to information architecture; or any combination of education and experience, which would provide an equivalent background. The Senior Advisor - Rx Claims & Adjudication (Business Architect) will be responsible for driving and completing the Business Architecture portion of business blueprints, including establishing guiding principles, defining capabilities, performing functional analysis/definition, analyzing and documenting the value chain, and assessing organizational impacts.
p>ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early return-to-work efforts with the appropriate parties Manages subrogation and litigation of claim as it applies Manages potential claim recoveries of all types Reports claims to the excess carrier when applicable Communicates claim status with the customer and claimant Adheres to client and carrier guidelines and participates in claims review as needed Develops and maintains professional customer relationships Complies with rules and regulations of applicable state Additional duties as assigned. KNOWLEDGE & SKILLS: Excellent written and verbal communication skills Ability to assist team members to develop knowledge and understanding of claims practice Ability to identify, analyze and solve problems Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets Strong interpersonal, time management and organizational skills Ability to work both independently and within a team environment Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation.
Responsible for managing a caseload consisting of incoming and more complex workers' compensation cases including extended disability cases, litigation, employer's liability claims, and assigned claims. Experience must include litigation, subrogation and complex medical/legal issues or two years post-high school education and five years' experience in workers compensation claims management.
p>Responsible for managing a caseload consisting of incoming and more complex workers' compensation cases including extended disability cases, litigation, employer's liability claims, and assigned claims. Experience must include litigation, subrogation and complex medical/legal issues or two years post-high school education and five years' experience in workers compensation claims management.
Responsibilities: Responsible for managing a caseload consisting of incoming and more complex workers’ compensation cases including extended disability cases, litigation, employer’s liability claims, and assigned claims. Company Details: .
West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies. The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, business needs, geographical location, and internal equity.
p>Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - 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, Nebraska - Home Teleworkers {+ 20 more}.
p>'',''Third-Party Claims-HB&PB'',''Third-Party Claims-HB&PB'',''MN-Minneapolis-Downtown Campus'',''MN-Minneapolis-Downtown Campus'','''','''',''FTE = 1.00 (80 hours per pay period)'',''FTE = 1.00 (80 hours per pay period)'',''Day'',''Day'',''Staff'',''Staff'',''Regular'',''Regular'',''Yes'',''Yes'',''Union'',''Union'',''$22.18'',''$22.18'',''$28.37'',''$28.37'',''Jun-02-2026'',''Jun-02-2026'',''false'',''424744'',''424744'',''true'',''424744'',''false'',''Submission for the position: RCM Representative Senior, Third-Party Claims-HB&PB - (Job Number: 260356)'',''false'',''424744'',''false'',''true''. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St.
li>Location: This role is eligible for fully remote work .
Proficient with MS Office Suite Microsoft Excel - Strong to expert level skills required Ability to maintain a high level of confidentiality Excellent verbal and written communication skills Strong analytical and critical thinking ability Ability to work independently Detail oriented with excellent organizational skills. The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.
We are a relationship-driven Farmers Insurance agency in Minneapolis, serving individuals, families, and businesses across the Twin Cities metro and parts of North Dakota and Wisconsin. You stay calm when things get complicated, handle conflict directly when it is needed, and support your teammates without creating drama.
At SFM, you'll manage high-exposure and complex lost-time claims while partnering closely with injured workers, employers, and internal experts to drive the best outcomes. Job title and starting pay will be based on the selected candidate's relevant knowledge, skills, abilities and/or experience, and education, if applicable as well as internal equity with other employees in the same job classification.