Healthcare Claims Examiner — Complex & High-Exposure
Core Specialty Insurance Holdings, Inc.
Core Specialty Insurance Holdings, Inc. is looking for a Healthcare Claims Examiner to manage Commercial Healthcare Claims across the U.S. You will ensure compliance with established guidelines and maintain contact with insureds, agents, and brokers while resolving complex claims. The ideal candidate has a college degree, must be licensed as a claims adjuster, and possesses strong negotiation and communication skills. Employee benefits include medical, dental, vision insurance, and a competitive 401(k) plan. #J-18808-Ljbffr Core Specialty Insurance Holdings, Inc.
- As the Healthcare Claims Examiner, you will directly handle Commercial Healthcare Claims across the U.S. Key Accountabilities / Deliverables... ...procedures. Successfully and proactively resolve complex and/or high exposure claims, promptly limiting exposure to the Company....SuggestedTemporary workWork at officeFlexible hours
- ## Liability Litigation Claims Examiner | Litigation, Premise, Auto, BI &... ...and experience to adjudicate complex customer claims in the context... ...information to determine the exposure on the claim.* Negotiating settlement... ...with premise liability**High School Diploma or GED...SuggestedWork at officeFlexible hours
$170.26k - $200.3k
...refer to our disability accommodations for applicants. Benefits Healthcare (medical, dental, vision) Basic term and optional term life... ...related workplace conduct and safety policies. Posting may be closed earlier due to high volume of applicants. #J-18808-Ljbffr Us BankSuggestedTemporary workLocal area$90k - $120k
...Perform contaminant fate/transport and exposure modeling. Review and interpret environmental... ...(both written and verbal). Must be highly motivated, customer focused, and work well... ...work together to provide clear solutions to complex problems by Leading with Science to...SuggestedFull timeFor contractorsSummer workWork at officeLocal areaRemote workWorldwideMonday to FridayFlexible hoursNight shift- ...Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations... ...outcomes and achieve their goals by connecting them with highly skilled and qualified professionals. HEDIS Course Includes...Suggested
- ...expand market reach and drive sales growth.* Build and develop a high-performing team of surety professionals, providing leadership,... ...analytical and decision-making skills, with the ability to assess complex risks and provide solutions.* Leadership and team management...Contract workTemporary workWork at officeLocal areaFlexible hours
$58k - $78k
...learning objectives, they will begin to underwrite increasingly complex commercial relationships to determine the creditworthiness of applicants... ...Degree of Independence and Decision-Making ~ Moderate to high level of independence compared to entry-level positions. They...InternshipWork at officeLocal area- ## Workers Compensation Claims Adjuster | Dedicated Client | CO, UT... ...and experience to adjudicate complex customer claims in the context... ...information to determine the exposure on the claim.* Negotiating settlement... ...of insurance appropriate* High School Diploma or GED required...Work at officeRemote workWork from homeFlexible hours
- Workers Compensation Claims Adjuster - Dedicated Client - CO, UT, WY... ...include adjudicating complex customer claims, delivering innovative... ...information to determine claim exposure. Negotiate settlement of... ...lines of insurance appropriate. High School Diploma or GED required...Remote workFlexible hours
$19 - $23 per hour
...Claims Resolution Specialist Cincinnati, Ohio Contract-to-hire Pay: $19 to $23 LHH Recruitment Solutions is partnering... ...work according to internal procedures • Escalate complex or high-priority issues to leadership as needed • Communicate process...Hourly payContract workTemporary workLocal area- ...for completing and filing investor/insurer claims within required guidelines in order to... ...claims within required guidelines to reduce exposure to curtailments and/or fines. In 2005,... ...KNOWLEDGE, SKILLS AND ABILITIES REQUIRED: ~ High school diploma. ~ Good organization...
$300k
...Overview Examines, investigates and evaluates information from policyholders, attorneys, physicians... ...of life, annuity, health and disability claims within authority limits. Benefit and... ...policies and standards. Qualifications High School Diploma High school diploma, some...Permanent employmentContract workWork experience placementWork at office- U.S. Bank is seeking a skilled Credit Portfolio Manager to partner with Relationship Managers and oversee Corporate Banking credit relationships in the Cincinnati area. The role drives revenue growth, profitability, and strategic direction for the unit. The ideal candidate...
- ...perform at their best.Mid-Continent Group is currently seeking a Claims Specialist/Senior Claims Specialist to join our Claims Team.... ...Job Functions and Responsibilities*** Manage a portfolio of complex, high-value commercial general liability and auto claims across the...Full timePart time
- ...for completing and filing investor/insurer claims within required guidelines to recoup... ...claims within required guidelines to reduce exposure to curtailments and/or fines. In 2005, claims... ..., Skills, and Abilities Required High school diploma. Good organization skills...
- Sedgwick Claims Management Services Ltd is seeking a Liability Litigation Claims Examiner to analyze and adjudicate complex customer claims within a hybrid work environment. You will utilize your experience in litigation, particularly in Bodily Injury and premises liability...Remote job
- Western & Southern Financial Group in Cincinnati is seeking a Claims Specialist to evaluate claims related to life, annuity, health, and... ...with clients and team members. The ideal candidate will have a high school diploma and demonstrated experience in claims handling, alongside...
- ...Claims Specialist The Claims Specialist will join the revenue cycle department and be responsible for... ...claim follow-up. Education/Experience: High School Diploma required Two years of experience in healthcare administration/revenue cycle CRCR/CPC or relevant...Work at office
$1,000 per month
...in the life of an Coordinated Claim Owner: # Spend your day handling... ...claims files that have complex contents or additional living... ...Preferred Qualifications: # Have a High School Diploma/GED or higher (... .... This includes time off, healthcare, retirement, and more. That is...Work at officeWork visaRelocation packageMonday to FridayFlexible hoursWeekend work- ...and other staff.+ Interacts with relevant departments such as Claims, Underwriting, Sales/Marketing, and provides customer service... ...and/or assists with researching, documenting, and communicating highly complex compliance related issues.* May have responsibility for...Full timePart timeFor contractorsSeasonal workWork at officeRemote work
- ...meet federal and state guidelines as well as FHA and/or conventional guidelines Requirements Must have a valid CHUMS # High school diploma or equivalent Five years of mortgage industry experience Knowledge of federal and state guidelines as they...Work at office
- ...pre-screen/opportunity memo for prospects and new loans to existing clients. Prepare credit memos for new and renewal requests on complex credits and large clients, including those going before the Senior Credit Committee. This position could also serve as point of contact...Local area
- ...agents to address the coverage needs and loss exposures of more than 16,000 social service and... ...SHS is currently looking for a Casualty Claim Professional in our downtown Cincinnati... ...depositions, or trials. Conveys moderately complex information regarding coverage and...Full timePart timeSeasonal workWork at officeRemote work
- ...Adjust and manage claims brought against security companies, private investigators and alarm installation and monitoring companies, from receipt of claim or suit through resolution or trial or appeal. Key Accountabilities and Deliverables Provide early contact with insured...Temporary workFlexible hours
- ...Claims Representative Primary Duties and Responsibilities: General Electric Credit Union is a not-for-profit, member-owned... ...Department as necessary Education and Experience: High school diploma or GED required Prior experience in personal insurance...Work at office
- ...expanding commercial surety production* Functions as a senior technical resource within underwriting, providing guidance and leadership on complex risks and program strategies**Key Accountabilities/Deliverables:*** Underwrite new and renewal commercial surety accounts within...Contract workTemporary workWork at officeFlexible hours
$65k - $217.1k
...oversight. Exercises exception and elevated approval authority. Prepares offerings for all types of transactions at any level of complexity or in management of a portfolio as assigned. Interacts with internal/external customers. Provides recommendations for credit structuring...Full timeTemporary workPart timeWork experience placementWork at office$20 - $26.39 per hour
...while managing steady daily file volume**Basic Qualifications** - High school diploma or equivalent - One to two years of collections/... ...give you peace of mind. Our benefits include the following:* Healthcare (medical, dental, vision)* Basic term and optional term life...Temporary workLocal area3 days per week- ...beneficial. Scope of Job/Qualifications: Performs work under general supervision and technical direction. Familiar with moderately complex concepts, practices and procedures. Works with authority on assignments of moderate technical complexity. Maintains strong knowledge...Full timeWork at office
- A leading claims management company is seeking a Cash Claims Processor in Cincinnati, Ohio. The role requires a high school degree and at least 1+ years of experience in cash claims processing. Candidates should demonstrate a strong work ethic, proficiency in Microsoft...
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