Senior Manager, Stop Loss & Health Claims Sun Life FinancialSenior Manager, Stop Loss & Health ClaimsNashville, TN$68,200–$102,300 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
Claims Consultant, Life Sciences CNA Financial Corp.Claims Consultant, Life SciencesNashville, TN$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims with large exposures that require a high degree of technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to complex manage litigation and authorizing payments within scope of authority.
Auto Claims Representative Auto-Owners Insurance CompanyAuto Claims RepresentativeBrentwood, TennesseeAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job includes training and development completion of the Company’s claims training program for the assigned line of insurance and requires the person to: Investigate, evaluate, and settle entry-level insurance claims.
Claims Representative Entry Level-Fast Track Sentry Insurance GroupClaims Representative Entry Level-Fast TrackNashville, TNWe're proud to be recognized for the culture we've built, earning spots on Forbes' lists for America's Best Midsize Employers and Best Employers for New Grads, as well as Newsweek's America's Greatest Workplaces for Women and Diversity. As a Claims Representative Entry Level, you will: Gain knowledge to verify coverage, compensability, and reasonable payments by thoroughly reviewing the policy, reviewing accident details, and other pertinent information related to the claim.
Claims Specialist ZenovaClaims SpecialistFranklin, TennesseeFull timeWellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support.
NewClaims Research & Resolution Representative Humana IncClaims Research & Resolution RepresentativeTNRemote$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 - RemoteTNRemote$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 Auditor- Remote American Health PlansClaims Auditor- RemoteFranklin, TNRemoteFull timeIn partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTENashville, TNRemoteCompensation 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.
Long Term Care Claims Representative - Payment Servicing Genworth Financial IncLong Term Care Claims Representative - Payment ServicingTN$45,500–$66,000 / yearYou will work in a fast -paced environment across multiple products, ensuring claims handling follows policy provisions, internal guidelines, and Compliance requirements and will be responsible for the processing and payment of long-term care claims. Your experience or education has provided you with knowledge of medical terminology, diseases/diagnoses, and the ability to understand and interpret contract language, disability processes, nursing home licensing, and rehabilitative requirements.
Claims Examiner, Auto | Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner, Auto | Bodily InjuryTN$70,000–$80,000 / 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 Examiner - Workers Compensation | Dedicated Account | Jurisdiction/Licensing: FL - Required (Remote) Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation | Dedicated Account | Jurisdiction/Licensing: FL - Required (Remote)TNRemoteMental: 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.
Senior Casualty Claim Representative/Claims Specialist-Specialty Human Services Great American Insurance CompanySenior Casualty Claim Representative/Claims Specialist-Specialty Human ServicesTN$80,000–$120,000 / yearSHS works with agents to address the coverage needs and loss exposures of more than 16,000 social service and non-profit organizations across the country. Since 1980, we've been Protecting Those Who Improve Your Community and were one of the first carriers to offer niche coverage solutions to nonprofit and service organizations.
Division Claims Coordinator HCA Healthcare IncDivision Claims CoordinatorNashville, TNRemoteYou must possess excellent communications skills and an understanding of hospital operations in order to coordinate activities with defense counsel, all levels of hospital administration, HCI personnel and the Division Claims Administrator to provide information to defense counsel and schedule hospital personnel for interviews, depositions, mediations, etc. Some examples include, but not limited to; Delineation of Privileges of Physicians, Employment Files, Credentialing Files, Surgical Schedules, Facility Maintenance documents, Surveillance footage, Radiology Imaging, Census Data, etc.
Disability Insurance (Di) Claims Analyst - Remote. Northwestern MutualDisability Insurance (Di) Claims Analyst - Remote.Franklin, TNRemote$66,960–$100,440 / yearThrough structured training and on-the-job mentoring, you'll learn end-to-end claim management across initial and ongoing phases, build expertise in medical and financial reviews, and deliver timely, high-quality outcomes for clients, field partners, and the enterprise. Through structured training, ongoing mentorship, and meaningful work, you'll build a rewarding career focused on delivering exceptional outcomes for clients, field partners, and Northwestern Mutual.
Webber - Third Party Claims Coordinator - Infrastructure Management FerrovialWebber - Third Party Claims Coordinator - Infrastructure ManagementMurfreesboro, TennesseeFounded in 1963, Webber , part of Ferrovial Construction, is a leading construction company that specializes in heavy civil, waterworks, energy and infrastructure management and is dedicated to safely providing intelligent solutions to its clients and community. Webber also has an in-house engineering services department to help optimize building efficiency and quality while solving complex project challenges using field experience, innovative construction methods and BIM technology.
Process Consultant, Stop Loss Claims Sun Life FinancialProcess Consultant, Stop Loss ClaimsNashville, TN$60,400–$90,600 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. Job Description: The opportunity: The Process Consultant, Stop Loss Claims is accountable for process governance, end-to-end documentation strategy, and continuous improvement that strengthens quality, compliance, scalability, and risk management within Stop Loss Claims Operations.
National Complex Claims Leader Marsh & McLennan Companies IncNational Complex Claims LeaderNashville, TNRemote$93,700–$174,800 / yearReporting to the SVP, National Claims Director, you will serve as a senior resource and technical authority on complex and high-exposure claims, bringing deep expertise, strategic judgment, and a national perspective to drive resolution on complex, high-stakes commercial P&C claim situations across the organization. In this capacity, you will build and maintain strong relationships with national and regional leadership, industry vertical leaders, and Marsh Risk, ensuring MMA clients receive best-in-class advocacy at every level.
Claims Auditor Lead Elevance Health IncClaims Auditor LeadNashville, TNMinimum Requirements: Requires a HS diploma or GED and a minimum of 6 years related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Warranty Claims Investigator Amrize LtdWarranty Claims InvestigatorNashville, TNRemote workforce position with regular travel in the field performing in-depth investigations to complete analysis of roofing systems exhibiting issues, requiring extensive knowledge of all construction practices as they relate to Elevate/GenFlex roofing systems. Quick and thorough completion of all paperwork including photographs related to each claim to properly document Amrize Building Envelope position for presentation and future reference including possible litigation.