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
- ...decisions. Credits would typically include those with moderate complexity and customer exposure up to $2,500M. Utilizes single approval authority up... ...internet resources Excellence in customer service, highly motivated, focused and goal oriented Excellent written...SuggestedFull timeH1bWork at officeRemote workWork from homeFlexible hours
$95k - $120k
...basis, with a commitment to innovation and high performance. Company URL: The... ...risk characteristics; determine accurate exposure classifications; set adequate property limits... ...number of factors, including the scope, complexity and location of the role; the skills,...SuggestedFull time- ## Senior Claims Specialist, Environmental ClaimsApplyremote type... ...risks.MSIG USA is seeking a highly experienced **Senior Environmental... ...Specialist** to manage complex environmental, toxic tort, and... ...claims, including long-tail exposures* Oversee claims from **intake...SuggestedLocal area
- ...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 We are...Suggested
- Segment (Twilio) in Cincinnati seeks a seasoned claims professional to handle losses nationwide, including complex adjustments for national accounts. The role requires evaluating policies, determining coverage, and guiding settlements with a focus on accuracy and profitability...
$58k - $78k
...learning objectives, they will begin to underwrite increasingly complex commercial relationships to determine the creditworthiness of applicants... ...riskDegree of Independence and Decision-MakingModerate to high level of independence compared to entry-level positions. They...InternshipWork at officeLocal area$96.4k - $180k
...theirs, too. Join our team as we help shape the future. Join a high-performing, collaborative team within our Life Sciences underwriting... ...individual authority; consult with subject matter experts for complex cases.Influence renewal retention and risk-reward outcomes using...Full timeTemporary workWork at office- An insurance management company is seeking a highly capable Workers' Compensation Claims Adjuster for a temporary assignment through May 8, 2026. This... ...role involves adjudicating indemnity claims of higher complexity for customers in MD, PA, and VA, and can be performed...Remote jobTemporary work
- ...officers, processors, brokers, and internal departments to resolve documentation issues or application discrepancies. Escalate complex or high-risk applications to management when necessary. Education & Experience High school diploma or equivalent required; Bachelor’s degree...Local area
$82.1k - $172.5k
...possess excellent verbal and written communication skills. Must be highly organized and able to manage several detailed tasks and... ...concurrently. Working Conditions Normal office environment with little exposure to dust, noise, temperature and the like. Extended viewing of...Work experience placementWork at office- 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...
$80k - $120k
## Senior Casualty Claim Representative/Claims Specialist-Specialty Human ServicesApplylocations... ...to address the coverage needs and loss exposures of more than 16,000 social service and... ..., or trials.* Conveys moderately complex information regarding coverage and settlements...Full timePart timeSeasonal workRemote work- ...Embedded Solutions Group is hiring a Senior Claim Representative! Great American’s culture... ...of loss through resolution. Manage a high-volume inventory of contents claims while... ...prescribed authority. Conveys moderately complex information regarding coverage and settlements...Full timePart timeSeasonal workWork at officeRemote work
- Molina Healthcare is seeking a claims adjudication support specialist in Kentucky to address provider claim issues and inquiries. You will collaborate with enrollment, information management, benefits configuration, and processing teams to resolve questions efficiently...Work at office
$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$149.52k - $175.9k
...requiring presentation skills and dialogue with bank senior leaders.- Highly proficient in Excel, Word, and PowerPoint.- Prior work... ...and give you peace of mind. Our benefits include the following:Healthcare (medical, dental, vision)Basic term and optional term life insuranceShort...Full timeWork experience placementWork at officeLocal areaRemote workFlexible hours3 days per week$80k - $120k
...results. We emphasize teamwork, collaboration - among underwriting, claims, and shared services teams - and continuous development of... ...initiatives that support growth, profitability, retention, and high levels of customer service. Develops and maintains strategic business...Full timeContract workPart timeSeasonal workWork at officeRemote work$67.5k - $172.5k
...location.The Entity Finance Underwriter is responsible for performing comprehensive credit underwriting and portfolio management across complex entity-level real estate transactions, including private and institutional real estate funds, homebuilders, real estate operating...Full timeTemporary workPart timeWork experience placementWork at office- ...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
$1,000 per month
...in the life of an Coordinated Claim Owner: Spend your day handling... ...escalated claims files that have complex contents or additional living... ...Qualifications: Have a High School Diploma/GED or higher (... ...employment. This includes time off, healthcare, retirement, and more. That is...Work at officeWork visaRelocation packageMonday to FridayFlexible hoursWeekend work$45 - $55 per hour
...Claims AssistantMSIG USA continues to grow! MSIG USA is the US-based subsidiary of MS&AD... ...bill-review vendor; med-legal reports to examiners, managers, and the R&C Manager.Manage outgoing... ...organization and prioritization across high-volume, time-sensitive tasks....Permanent employmentWork at officeLocal area- ...ResponsibilitiesAccountable for overseeing Financial Products Underwriting operations, enhancing workflow efficiency, and maintaining high productivity levels.Accountable for developing and implementing strategic plans for the Production Underwriting team, ensuring...Full timePart timeSeasonal workWork at officeRelocationOverseas
$128k - $252.5k
...Transformation practitioners serve as trusted advisors to our clients, combining strategic thinking with deep industry knowledge to solve complex business problems in a team-based environment. We architect operating models and processes that enable growth, optimize capital,...$57k - $124k
...financial statements and ratio and trend analysis to determine customer eligibility for financing. Duties and Responsibilities Underwrite high quality credit narratives in support of new and existing loans; review and analyze applications, financial statements, balance...Full timeWork at office- ...necessary information from the data collected. In addition, builds a high level of knowledge of other technical aspects of the... ...insurable interest). Make underwriting decisions that produce claim results within the Company's mortality expectations. Review and...Work at officeHome office
- ...skills and demonstrated ability to prioritize and multi-task Qualifications : Essential: Graduates with as minimum of 24-36 months of US Mortgage Underwriting experience. Desirable: Exposure to the FNMA and FHLMC guidelines would be an added advantage. Ace Stack
- ...documents 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
$80k - $105k
...account level appropriately price renewal accounts and anniversary reviews with consideration given to segmentation, net rate and exposure increase targets consider risk characteristics, agency performance, market conditions and department initiatives along with...- ...independent agents, grow premium, and maximize renewal retention across our Mid-Atlantic footprint. The role emphasizes delivering high customer satisfaction and underwriting excellence within established guidelines. Key functions include evaluating risk, pricing within...
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