Claims Specialist I
$50kMarkel
Full job description What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem‑solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! Responsibilities Investigate and resolve lower complexity and lower exposure claims. Manage a full claim workload with limited oversight and make sound decisions within delegated authority. Handle non‑litigated property damage liability with damages up to an estimated amount of $50,000. Handle litigated property damage liability with damages up to an estimated amount of $35,000. Handle minor non‑litigated bodily injury claims with anticipated value of $25,000 or less in all jurisdictions. Handle product liability matters and/or construction defect claims. Confirm coverage of claims by reviewing policies and documents submitted in support of claims. Analyze coverage and communicate coverage positions. Draft coverage position letters. Identify losses that should be reported to SIU. Conduct, coordinate, and direct investigation into loss facts and extent of damages. Evaluate information on coverage, liability, and damages to determine the extent of insured's exposure. Set reserves within authority or make recommendations concerning reserve changes to manager. Negotiate and settle claims within authority of up to $50,000. Prepare reports by collecting and summarizing information. Participate in special projects or assist other team members as requested. Provide excellent and professional customer service to insureds while maintaining a high level of production. Serve as a mentor to entry‑level associates. Attend local mediations as necessary. Benefits Competitive benefit programs including health, dental, and vision insurance plan options. Optional life, disability, and AD&D insurance. 401(k) with employer match contributions. Employee Stock Purchase Plan. PTO, corporate holidays, and floating holidays. Parental leave. Hybrid working schedules of 3 days in the office and 2 days remote. The base salary offered for the successful candidate will be based on compensable factors such as job‑relevant education, job‑relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. #J-18808-Ljbffr Markel
- Description The Claims Specialist ensures patient account and claim information contains comprehensive and accurate data to provide for timely billing and optimal reimbursement for services. Required Qualifications 2 years experience in healthcare business setting. Education...SuggestedWork experience placementLocal area
$21.55 - $33.53 per hour
Responsibilities Ensure patient account and claim information contains comprehensive and accurate data to provide for timely billing and optimal reimbursement for services. Monitor daily electronic claims transmission to research and resolve system and electronic clearinghouse...SuggestedWork experience placementLocal areaShift work$21.55 - $33.53 per hour
Description The Claims Specialist ensures patient account and claim information contains comprehensive and accurate data to provide for timely billing and optimal reimbursement for services. Required Qualifications 2 years experience in healthcare business setting. Education...SuggestedWork experience placementLocal area- Claims Specialist - Other Fiscal Services Be the engine behind accurate, efficient healthcare operations. As a Claims Specialist in Other Fiscal Services, you play a vital role in ensuring claims are processed correctly, payments are timely, and financial workflows run...SuggestedWork experience placement
- ...AutoNation is seeking a Service Warranty Administrator in Bellevue, Washington. In this role, you will process warranty claims, establish relationships with manufacturers, and ensure compliance with federal regulations. The ideal candidate will have a high school diploma...Suggested
- Responsibilities Adjudicates all claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. Adjusts complex claims for advanced processing needs. Responds to Customer Service Requests and resolves problem claim...Local area
- Providence Health & Services is seeking a skilled claims adjudicator to manage claims for their capitated population. The role involves complex claims processing and customer service for problem resolution, requiring a Bachelor's degree and significant experience in managed...
$102.15k - $120.18k
Senior Claims Specialist Commercial Auto BI Investigate, evaluate and settle more complex first and third party commercial insurance auto claims. Job Responsibilities Evaluates each claim in light of facts; affirm or deny coverage; investigate to establish proper reserves...Work at officeRemote work$21.55 - $33.53 per hour
Providence Health & Services in Seattle is looking for a Billing Specialist to ensure accurate patient account information for timely... ...with the EPIC platform. This role involves monitoring electronic claims, coordinating billing functions, and collaborating with various...- Pacific Medical Centers seeks a Claims Specialist to ensure patient accounts and claim data are accurate for timely billing and optimal reimbursement. The role requires knowledge of EPIC and strong customer service with patients and insurers. The position emphasizes data...
- Pacific Medical Centers is seeking a Claims Specialist to ensure accurate patient accounts and claim information for timely billing and optimal reimbursement. You will monitor electronic claims transmissions, research and resolve rejections, and coordinate billing with...
- PACCAR is seeking a Warranty Claims Analyst to review and process warranty claims for Kenworth products, collaborating with Supplier Recovery, Engineering, and Quality to ensure claims comply with guidelines. The role emphasizes data-driven analysis, strong communication...
- Pacific Medical Centers in Renton, Washington is looking for an experienced claims adjudicator to manage and resolve complex claims. The ideal candidate will have a Bachelor's Degree in a related field and at least 4 years of Managed Care operations experience. This role...
- Providence is seeking a Claims Specialist in Seattle to ensure the accurate and efficient processing of healthcare claims. In this role, you'll support financial workflows and work closely with various stakeholders to maximize reimbursement and ensure compliance. Required...
- Providence Health Plan Group in Renton, WA is seeking a Claims Processor to adjudicate claims for its capitated population. You'll be responsible for complex claims adjustments and act as a primary resource in specific areas like EDI and Health Plan Repricing. Join us...
- PEMCO in Seattle is searching for a Customer Engagement Specialist to provide exceptional customer service across multiple contact channels. You will handle claims, process transactions, and represent the PEMCO brand. The ideal candidate will have an associate's degree,...
- A leading insurance company in Washington is seeking a Customer Engagement Specialist to provide exceptional customer service and support claims processing. The ideal candidate will have at least 2 years of experience in a service role, a property/casualty insurance license...
- Argonaut Management Services, Inc is seeking a Senior Workers' Compensation Claims Adjuster for a temporary assignment. This role involves adjudicating complex indemnity claims, requiring over five years of experience and excellent negotiation skills. Candidates can work...Remote jobTemporary work
- Argonaut Management Services, Inc. is seeking a Senior Construction Defect Technical Claims Specialist Team Lead. This role involves managing a team of claims handlers and adjudicating complex construction defect claims. The position offers remote work options and requires...Remote job
- Providence Health Plan Group in Seattle seeks a Claims Specialist responsible for ensuring accurate patient account and claim information for timely billing and reimbursement. Candidates should have at least 2 years in a healthcare business setting and 1 year in customer...
$100k
Senior Construction Defect Technical Claims Specialist Employment Type: Full-Time FLSA Status: Exempt Location: In-Office or Remote Summary We are looking for a highly capable Senior Construction Technical Claims Specialist Team Lead to join our team and work from any...Full timeLocal areaRemote workVisa sponsorshipWork visa$100k
...products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned... ...Business Title(s): Senior Construction Defect Technical Claims Specialist Employment Type: Full-Time FLSA Status: Exempt Location: In-...Full timeLocal areaRemote work- ...To provide clients with professional care handling losses or claims regionally unassisted with the ability to address most complex adjustment issues pertaining to damages and coverage and to assist on large losses with the ability to manage smaller a Workers Compensation...
- Markel in Seattle is seeking a claims professional to investigate and resolve a range of lower‑exposure claims with sound judgment and timely service to insureds. You will manage a full claim workload with limited oversight, set reserves within authority, and negotiate...
- Accenture is seeking a Voluntary Benefits Claims Examiner to support a large Group Insurance contract. The role involves calculating Voluntary Benefits across wellness, hospital indemnity, accident and critical illness lines, with emphasis on reading medical records and...Contract work
- ...Position Summary Responsible for the oversight and timely/accurate claims adjudication for all clients assigned. Claim types would include but may not be limited to data entry, institutional, professional, dental, and adjustments to claims. This position may also have...Temporary workRemote workFlexible hours
$24.64 per hour
Northwest Administrators, Inc. in Mountlake Terrace is seeking an experienced medical claims processor. The successful candidate will process claims accurately and timely, follow up on necessary information, and assist with problem claims as needed. A strong background...$150k
The Travelers Indemnity Company is seeking a skilled professional to manage high complexity first-party property claims. The role is 100% remote and focuses on investigating, evaluating, and negotiating claims up to $150,000. Ideal candidates possess a Bachelor's Degree...Remote job$50k - $55k
Sedgwick in Seattle is seeking an experienced Claims Processor to effectively manage low to mid-level auto and transportation claims. The role will involve analyzing insurance claims, ensuring accurate documentation, and maintaining strong professional relationships with...$75k - $161k
Cincinnati Insurance Company is seeking an experienced excess and surplus lines underwriter in Washington. The role requires collaboration with producers to underwrite and price new and renewal commercial property and casualty business, mentoring junior staff, and achieving...
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