Lead Claims Specialist - USFHP Providence St. Joseph HealthLead Claims Specialist - USFHPRenton, WAAs a Lead Claims Specialist supporting the US Family Health Plan (USFHP) at Pacific Medical Centers, you''ll be the go-to authority for adjudicating purchased services claims for our enrolled capitated population - resolving complex claim situations, managing advanced processing needs, responding to customer service requests with accuracy and efficiency, and applying your expertise in TRICARE reimbursement to ensure compliant, timely claims resolution for our military beneficiary population. Together, 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.
Principal Claims Adjuster, SIU PEMCO Mutual Insurance CompanyPrincipal Claims Adjuster, SIUWashington, WA$105,762–$129,264 / yearBenefits: Regular part-time PEMCO employees working at least 24 hours per week and regular full-time PEMCO employees are eligible to elect coverage under medical, dental, and vision plans for themselves and their eligible family members with generous employer premium cost shares. Associate in Claims (AIC) designation from AICPCU/IIA, Chartered Property Casualty Underwriter (CPCU), Certified Fraud Examiner (CFE), or other insurance, investigative, fraud, or law enforcement-related certifications preferred.
Senior Claims Specialist - USFHP Providence St. Joseph HealthSenior Claims Specialist - USFHPRenton, WATogether, 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. 4 years of Managed Care operations, including a minimum of 3 years claims processing experience, in a TPA, MSO, HMO, PHO or large group practice setting.
Claims Specialist - USFHP Providence Health & ServicesClaims Specialist - USFHPRenton, WARequsition ID: 447122 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: Hybrid Pay Range: $21.55 - $33.53 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Senior Claims Specialist - USFHP Providence Health & ServicesSenior Claims Specialist - USFHPRenton, WA$25.61–$39.88 / hourRequsition ID: 442924 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: On-site Pay Range: $25.61 - $39.88 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Claims Specialist - USFHP Providence St. Joseph HealthClaims Specialist - USFHPRenton, WATogether, 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. These amounts 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.
Claims Examiner - Workers Compensation | Jurisdiction: WA & OR | Licensing: WA & OR Cert preferred Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation | Jurisdiction: WA & OR | Licensing: WA & OR Cert preferredWARemote$70,000–$95,000 / 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 OF THE ROLE To analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Claims Examiner - Workers' Compensation | Dedicated Client | Jurisdiction: Midwest States | Licensing: MI Preferred - Hybrid Sedgwick Claims Management Services, Inc.Claims Examiner - Workers' Compensation | Dedicated Client | Jurisdiction: Midwest States | Licensing: MI Preferred - HybridLacey, WA$70,000–$85,000 / 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 OF THE ROLE To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Claims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA (Hybrid - Seatac) Sedgwick Claims Management Services, Inc.Claims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA (Hybrid - Seatac)Seatac, WA$51,781–$72,494 / 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. To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Claims Examiner - Liability | Multi State Jurisdiction | Auto, BI, PD, GL | Licensing: NY Preferred and Reciprocal required Sedgwick Claims Management Services, Inc.Claims Examiner - Liability | Multi State Jurisdiction | Auto, BI, PD, GL | Licensing: NY Preferred and Reciprocal requiredLacey, WARemote$65,000–$85,000 / yearPRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. 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 - Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner - Bodily InjuryWA$80,000–$85,000 / yearTo analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
Claims Representative II - REMOTE Ryder System IncClaims 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 ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
WFRP Claims Specialist Sompo International Holdings LimitedWFRP Claims SpecialistWA$70,000–$90,000 / yearThe employee is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects, small parts, and/or operation of machines (including inspection); using measurement devices; and/or assembly or fabrication parts at distances close to the eyes. As one of the leading writers of Federal Crop Insurance, AgriSompo North America combines industry experience, resources, capital and talent to deliver both traditional and innovative crop insurance and productivity tools to farmers, ranchers, insurers and agribusinesses in the United States.
CHS/PRC Claims Specialist NISQUALLY INDIAN TRIBECHS/PRC Claims SpecialistOlympia, WAWorking 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.
AR Claims Specialist I Yakima Valley Farm Workers ClinicAR Claims Specialist IWA$19.76–$24.21 / hourQualifications: High School diploma or GED Minimum six months' experience in healthcare setting Certified Revenue Cycle Representative (CRCR) preferred Experience with FQHC billing and/or coding preferred Strong attention to detail, analytical skills, and ability to meet deadlines Knowledge of medical and insurance terminology, CPT/ICD coding structures, and UB‑04/1500 claim forms Strong written and verbal communication skills. Through diligent follow‑up, payer expertise, and collaboration with billing and revenue cycle partners, this role helps reduce denials, improve workflows, and support YVFWC's mission.
Supervisor Claims Administration Puget Sound EnergySupervisor 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.
Lead Claims Specialist - USFHP Pacific Medical Center IncLead Claims Specialist - USFHPRenton, WAAs a Lead Claims Specialist supporting the US Family Health Plan (USFHP) at Pacific Medical Centers, you'll be the go-to authority for adjudicating purchased services claims for our enrolled capitated population - resolving complex claim situations, managing advanced processing needs, responding to customer service requests with accuracy and efficiency, and applying your expertise in TRICARE reimbursement to ensure compliant, timely claims resolution for our military beneficiary population. Requsition ID: 452032 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: Hybrid Pay Range: $26.90 - $41.89
Data Entry Claims Intake Processor Remote Jobs SolutionsData Entry Claims Intake ProcessorColumbia, WashingtonRemoteWork collaboratively with other team members to ensure that work is completed in accordance to designated turnaround times. Additional Responsibilities: Perform quality review of other team members claims/authorizations according to established data entry guidelines.
Senior Claims Specialist - USFHP Pacific Medical Center IncSenior Claims Specialist - USFHPRenton, WA$25.61–$39.88 / hourRequsition ID: 442924 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: On-site Pay Range: $25.61 - $39.88 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Claims Specialist - USFHP Pacific Medical Center IncClaims Specialist - USFHPRenton, WARequsition ID: 447122 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: Hybrid Pay Range: $21.55 - $33.53 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.