Storm Chaser Jobs in the United States
Blue Shield of California
$99000 - $148500 undefined
Oakland, CA
Requires knowledge of ICD-10, Risk Adjustment, Medicare Quality/Stars, analytics/finance, provider contracting, provider relations, medical management and/or provider network management areas of a healthcare-related company. The Risk Adjustment Provider Partnership team provides essential support to all functions within the risk adjustment program, which includes interaction with various cross-functional teams within Blue Shield and contracted Provider Groups.
Blue Shield of California
Long Beach, CA
Provide training and mentoring for team members on best practices for analysis and reporting; assist in the development of supplemental analytic training tools and materials; conducts formal training sessions for lower level analysts and analysts in other Departments. The Clinical Quality Analytics and Informatics team delivers best-in-class clinical quality analytics and informatics to enable high quality and affordable member-centered care.
Blue Shield of California
$206470 - $309650 undefined
Woodland Hills, CA
Directs and oversees Risk Adjustment strategy, internal and external audit preparation, and risk mitigation; data analysis to support risk revenue accruals; Center for Medicare and Medicaid Services (CMS) encounter data submissions for Medicare plans to ensure complete and accurate risk capture. This leader will develop the programs and take accountability by partnering with C-suite executive and cross functional senior leaders across multiple health plans (national) for better encounter data and member quality outcomes (including member/provider education and engagement initiatives, vendor management).
USAA
$50000 - $60000 Per year
Colorado Springs, CO
As a dedicated Injury Examiner, you will adjust complex bodily injury claims and UIM claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Investigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes.
USAA
$46000 - $55200 Per year
Phoenix, AZ
As a dedicated Injury Examiner, you will adjust complex bodily injury claims and UIM claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Investigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes.
USAA
$55000 - $66000 Per year
Phoenix, AZ
As a dedicated Subrogation specialist, within defined guidelines and framework, you will provide specialized Auto claims service in the recovery of payments made to USAA members by legally pursuing through arbitration a third party that caused an insurance loss to the insured. Conducts claims investigations for moderate to high complexity cases in arbitration by analyzing the facts surrounding a loss to reach a recovery conclusion, including recorded statements, securing public records and analyzing report findings.
USAA
$60000 - $72000 Per year
Colorado Springs, CO
As a dedicated Subrogation specialist, within defined guidelines and framework, you will provide specialized Auto claims service in the recovery of payments made to USAA members by legally pursuing through arbitration a third party that caused an insurance loss to the insured. Conducts claims investigations for moderate to high complexity cases in arbitration by analyzing the facts surrounding a loss to reach a recovery conclusion, including recorded statements, securing public records and analyzing report findings.
USAA
San Antonio, TX
Injury Adjuster, you will work within defined guidelines and framework, responsible to adjust attorney involved moderately complex bodily injury and UM claims or catastrophic auto PIP/MP medical claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Accountable for delivering a concierge level of best in class member service through setting appropriate expectations, proactive communications, advice, and compassion.
USAA
$60000 - $72000 Per year
Colorado Springs, CO
Investigate and determine coverage and liability, evaluates, negotiates, and settles highly complex auto claims such as comprehensive (i.e., theft and fire), collision (i.e., minimal policy limits, coverage determinations/issues, attorney representation, non-owned vehicles, mechanical breakdown, property damage lawsuits) property damage liability, uninsured motorist property damage, and rental vehicle coverages for repairable vehicles and total losses. Dispute resolution experience: Liability Investigation/Comparative Negligence, Unrelated Prior Vehicle Damages, Total Loss Valuation/Negotiation, Non-Owned Vehicles/Rideshare/Permissive Driver, Exceeding Coverage Limits.
USAA
$60000 - $72000 Per year
Colorado Springs, CO
Injury Adjuster- UM, you will work within defined guidelines and framework, responsible to adjust attorney-involved, moderately complex bodily injury claims, and UM claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Adjusts attorney-involved and non-represented soft tissue and moderately complex bodily injury claims with injuries (e.g., torn meniscus, broken bones, disc herniations) and UM/UIM claims, as well as some auto physical damage associated with those claims.
USAA
$55000 - $66000 Per year
Phoenix, AZ
Injury Adjuster- UM, you will work within defined guidelines and framework, responsible to adjust attorney-involved, moderately complex bodily injury claims, and UM claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Adjusts attorney-involved and non-represented soft tissue and moderately complex bodily injury claims with injuries (e.g., torn meniscus, broken bones, disc herniations) and UM/UIM claims, as well as some auto physical damage associated with those claims.
USAA
$60000 - $72000 Per year
Colorado Springs, CO
Investigates and determines coverage and liability, evaluates, negotiates, and settles highly complex auto claims such as comprehensive (i.e., theft and fire), collision (i.e., minimal policy limits, coverage determinations/issues, attorney representation, non-owned vehicles, mechanical breakdown, property damage lawsuits) property damage liability, uninsured motorist property damage, and rental vehicle coverages for repairable vehicles and total losses. You will investigate and determines coverage and liability, evaluate, negotiate, and settle highly complex auto claims such as comprehensive (i.e., theft and fire), collision (i.e., minimal policy limits, coverage determinations/issues, attorney representation, non-owned vehicles, mechanical breakdown, property damage lawsuits) property damage liability, uninsured motorist property damage, and rental vehicle coverages for repairable vehicles and total losses.
USAA
$55000 - $66000 Per year
Phoenix, AZ
Proactively manages assigned claims caseload comprised of claims with low to moderate complexity damages that require commensurate knowledge and understanding of claims coverage. The ideal candidate will possess strong virtual estimating skills for minimal to low severity losses and/or reconcile estimates while working in a telephone concentrated environment without physical inspection of loss.
USAA
$60000 - $72000 Per year
Colorado Springs, CO
Proactively manages assigned claims caseload comprised of claims with low to moderate complexity damages that require commensurate knowledge and understanding of claims coverage. The ideal candidate will possess strong virtual estimating skills for minimal to low severity losses and/or reconcile estimates while working in a telephone concentrated environment without physical inspection of loss.
USAA
Tampa, FL
Proactively manages assigned claims caseload comprised of claims with low to moderate complexity damages that require commensurate knowledge and understanding of claims coverage. The ideal candidate will possess strong virtual estimating skills for minimal to low severity losses and/or reconcile estimates while working in a telephone concentrated environment without physical inspection of loss.
USAA
Phoenix, AZ
As a dedicated Manager, Claims Operations you will lead and be accountable for property, and other claims operations member service employees who are responsible for serving our members, and providing appropriate solutions as they investigate, evaluate and negotiate the claim. 6 years of progressive customer service, operational, military or leadership experience to include a minimum of 2 years of claims handling experience required with demonstrated proficiency.
USAA
$16.67 - $20 Per hour
Colorado Springs, CO
The Manager, Claims Operations manages and is accountable for auto claims operations member service employees who are responsible for serving our members, and providing appropriate solutions as they investigate, evaluate and negotiate the claim. 6 years of progressive customer service, operational, military or leadership experience to include a minimum of 2 years of claims handling experience required with demonstrated proficiency.
Jobot
$110000 - $180000 Per Year
New York, NY
This position presents an exciting opportunity to work on a wide variety of complex legal matters, providing strategic advice and guidance to our diverse client base. Over the years our reputation for providing our people with the very best has caught the eye of some reputable clients who have chosen to use us as their primary firm!