Senior Claims Manager EPL - Remote Providence Health & ServicesSenior Claims Manager EPL - RemoteWashington, WARemoteRequsition ID: 455795 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.
Senior Claims Manager EPL - Remote Providence St. Joseph HealthSenior Claims Manager EPL - RemoteSeattle, WARemoteTogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Candidate must possess strong communication and litigation management skills to collaborate with business partners and defense counsel to direct litigation activities and claim outcomes while considering the overall impact to the company and individual stakeholders.
NewSupervisory Veterans Claims Examiner U.S. Department of Veterans AffairsSupervisory Veterans Claims ExaminerSeattle, WA$126,384–$164,301 / yearCommunications - Effectively expresses information to multiple audiences through clear, convincing oral and written communications; demonstrates logical thinking when describing facts and concepts, and shapes communications to meet the needs of a specific audience; actively listens to others and demonstrates understanding of their comments and/or questions. Analyzes complex claims-processing and quality-review data to identify trends, systemic errors, root causes, resource gaps, and opportunities for quality enhancement; applies quality-assurance frameworks, statistical methods, and analytical techniques to evaluate program effectiveness.
Claims Specialist Lead The Progressive CorpClaims Specialist LeadFederal Way, WA$81,000–$107,000 / 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/ . As a claims specialist on our team, you'll play a critical role in our ability to successfully and efficiently resolve large-loss injury claims valued over $60k.
NewClaims Examiner - General & Product Liability | Multi State Jurisdiction | Licensing: Reciprocal preferred - Hybrid Sedgwick Claims Management Services, Inc.Claims Examiner - General & Product Liability | Multi State Jurisdiction | Licensing: Reciprocal preferred - HybridLacey, WA$65,000–$80,000 / yearProcesses product and general liability claims by gathering information to determine liability exposure; assign reserve values to claims, determines risk transfer (tender opportunities); settle claims up to designated authority level; make claim payments as necessary. Mental: 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.
NewClaims Examiner - General & Product Liability | Multi State Jurisdiction | Licensing: Reciprocal Preferred - Hybrid Sedgwick Claims Management Services, Inc.Claims Examiner - General & Product Liability | Multi State Jurisdiction | Licensing: Reciprocal Preferred - HybridLacey, WA$65,000–$80,000 / yearProcesses product and general liability claims by gathering information to determine liability exposure; assign reserve values to claims, determines risk transfer (tender opportunities); settle claims up to designated authority level; make claim payments as necessary. Mental: 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.
Senior Director, AI & Data Science - Claims & Fraud Liberty Mutual Holding Company IncSenior Director, AI & Data Science - Claims & FraudWAWe''re hiring a Senior Director to lead the data science and AI team supporting our Medical, SIU (Special Investigations Unit), and Programs (MSP) Claims organization and Central Fraud Hub, building the models, decisions, and tools that shape how we detect fraud, resolve claims, and serve customers at scale. You''ll set the AI strategy for the space, lead a team of 15 data scientists, and partner directly with senior claims and fraud leaders to turn AI capabilities into operational changes that move the numbers that matter.
Professional Liability Claims Advisor (Remote) Sedgwick Claims Management Services, Inc.Professional Liability Claims Advisor (Remote)WARemote$100,000–$145,000 / yearYou bring experience handling complex Medical Malpractice and/or Professional Liability claims, excel at investigating claims, evaluating coverage, and driving strategic resolutions, and thrive in a client-focused environment where you can manage high-exposure files, collaborate with defense counsel, and mentor others while delivering exceptional results. Mental: 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.
CHS/PRC Claims Specialist Nisqually Indian TribeCHS/PRC Claims SpecialistOlympia, WAFull timeGENERAL SUMMARYWorking with a motivated Business Office Staff focused on providing access and support of specialty referred care from a Health and Wellness Center environment, by way of coordination of care, management of benefits, approvals of services based on IHS eligibility guidelines, to provide the best customer service and assistance to the population that we serve. In compliance with Federal Law, this position will not be filled by an applicant with any felonious offense or any of two or more misdemeanor offenses under Federal, State, or Tribal law involving crimes of violence; sexual assault, molestation, exploitation, contact, or prostitution; crimes against persons; or offenses committed against children.
Supervisor Claims Administration Puget Sound Energy IncSupervisor Claims AdministrationBellevue, WA$87,800–$212,300 / yearTo learn more about why PSE is a great place to work, see our Employee Value Proposition, which highlights our commitment to employee growth, work-life balance, and meaningful career opportunities in the energy sector. Under the direction of the Manager Claims, responsible for overseeing the accuracy and performance of the damage-claim receivable database, conducting audits, and driving process improvements to maximize recovery efforts.
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 TimeWAEpic 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 Specialist Expeditors International of Washington IncClaims SpecialistFederal Way, WACommunication skills including written, phone and presentation; Must be proficient in Excel, PowerPoint and Word; Strong problem solving, organizational and analytical skills; Ability to work productively both individually and in a team environment; Strong and consistent documenting skills; Attention to detail, pro-active, tenacious; Ability to execute consistent follow-up on action items; Ability to manage multiple tasks and projects; Ability to document business process flows; Interpersonal skills to foster collaboration among team members and customer; Pro-active and strong organization and time management skills. Documents should include proof of transit, proof of value, proof of loss, proof of resolution, and all customer, claimant, and insurance provider correspondence.
Claims and Litigation Manager University of WashingtonClaims and Litigation ManagerSeattle, WashingtonThe Claims and Litigation Manager under the general direction of the Director of Claim Services, manages the University’s claims to achieve optimal outcomes for the University and its clients, balancing indemnity paid and expense incurred. Prepare reports to appropriate regulatory agencies including but not limited to CMS for Medicare beneficiaries and the State Disciplinary Boards and the National Practitioner Data Bank as for medical malpractice claims.
SIU Claims Investigator Lemieux & Associates LLCSIU Claims InvestigatorSeattle, WAPart timeNotary license strongly (preferred).Surveillance experience a plus (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.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWA$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
Workers'''' Compensation Claim Manager Brown & Brown IncWorkers'''' Compensation Claim ManagerTacoma, WAThe WC Claims Manager will manage a book of claims for consulting customers with the goal of containing claim costs and supporting implementation of recommended strategies. 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.
Workers' Compensation Claim Manager Brown & Brown, INC.Workers' Compensation Claim ManagerTacoma, WAThe WC Claims Manager will manage a book of claims for consulting customers with the goal of containing claim costs and supporting implementation of recommended strategies. 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.
Claim Representative II - REMOTE Ryder System IncClaim Representative II - REMOTEOlympia, WARemoteCompensation 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.
Claim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionGig Harbor, Washington$69,398.62–$99,000 / yearFull timePhysical agility to allow for : walking; bending, reaching, kneeling, squatting, stooping, frequent lifting, carrying, unfolding, and climbing a ladder; ability to utilizing appropriate equipment in accordance with safety guidelines to traverse roofs at various heights and pitches for inspection of both residential and commercial structures; ability to crawl in tight spaces to gather information needed during the adjustment of a claim. Competitive candidates should reside within one of the listed zip codes and will service this same territory: 98310, 98311, 98312, 98314, 98329, 98332, 98333, 98335, 98337, 98349, 98351, 98359, 98366, 98367, 98380, 98383, 98394, 98524, 98528, 98588.
Claim Counsel, Bond & SI The Travelers CompaniesClaim Counsel, Bond & SIFederal Way, WA$111,600–$184,200 / yearTravelers' Construction Services Team includes legal, accounting, and engineering professionals to handle claims on construction-related and other surety bonds, mitigate exposures on construction surety accounts, and provide a wide range of business support and legal services to advance our mission to serve as trusted advisors to our underwriting partners. Prepare and present reports for management that accurately reflect loss development, potential/actual financial exposure, reserve adjustments, coverage issues, and claim and recovery strategies.