Lost-Time Claims Examiner: Negotiation & Adjudication
Jobtailor
Jobtailor is seeking an experienced claims professional to analyze Lost-Time claims for our clients in New Jersey. You will assess benefits due, adjudicate within service expectations, and gather information to determine exposure and settlement decisions. The role requires negotiation within authority, clear communication with claimants and clients, and adherence to industry best practices. A relevant certification and knowledge of NJ licensing are a plus. #J-18808-Ljbffr Jobtailor
$55.13k - $110.64k
...any of our listed payroll approved states. Job Summary This Lost Time Claims Specialist, Workers’ Compensation manages indemnity claims,... ...external resource reports to evaluate and adjust claim strategies. Negotiate claim settlements to achieve the best possible outcomes....SuggestedTraineeshipWork at officeRemote workFlexible hours$55.13k - $110.64k
...remote in any of our listed payroll approved states. Lost Time Workers' Compensation claims handling experience in any of the following states Illinois... ...adjust claim strategies as needed. 13. Evaluates and negotiates claim settlements utilizing human relation skills and...SuggestedTraineeshipWork experience placementWork at officeRemote workFlexible hours- Managing indemnity claims remotely, the full-time Iowa Licensed Lost Time Claims Specialist will evaluate and determine compensability for work-related injury and disease claims while ensuring cost-effective outcomes and collaboration across teams. Key responsibilities...SuggestedFull timeRemote work
- ...and doing it well. Whether you're managing claims, supporting clients, or improving... ...Document and communicate claim activity timely and efficiently, supporting the outcome of... ...Claims Background: workers compensation lost time/indemnity Jurisdictional Experience...SuggestedFull timeLive outWork at officeLocal areaRemote workFlexible hours
- Jobtailor is seeking an experienced Claims Adjuster to investigate, evaluate, negotiate and resolve assigned claims, ensuring coverage determinations and timely guidance on next steps. The role emphasizes outstanding customer service and cross-functional collaboration...Suggested
- Firstsource Solutions Limited is seeking a remote Claims Examiner to analyze documents and adjudicate claims in line with client specifications. You will determine pay/deny decisions and route items for any missing information, ensuring adherence to TAT and SLA while coordinating...Remote job
- Claims Examiner - Auto, General Liability & Bodily Injury | NY, FL, and/... ...knowledge and experience to adjudicate complex customer claims in the... ...subrogation of claims and negotiate settlements. PRIMARY PURPOSE... ...plans to an appropriate and timely resolution. Assesses...Full timeWork at officeRemote workFlexible hours
$80k - $110k
...fun, innovative and growing Claims team where you’ll get the opportunity... ...Role:**The Senior Claims Examiner adjudicates assigned claims within given... ...and legal filings to set timely and accurate a reserves and... ...to actively and effectively negotiate settlement of moderate to...Permanent employmentTemporary workWork at office2 days per week- Sedgwick is hiring a full-time Claims Examiner for Workers Compensation I to adjudicate complex customer claims while ensuring timely resolution and adherence to... ...regulations. Key responsibilities include negotiating settlements and communicating updates to claimants...Remote jobFull timeFlexible hours
- ...Specialist to support its Procurement Department with contract negotiations, drafting, and administration. This hybrid role requires 3... ...Sourcing Managers and a Procurement Business Analyst to ensure timely execution of sourcing initiatives. Responsibilities include drafting...Contract workWork at officeRemote work
- ...institutional contracting matters from intake through execution. You will draft agreements, negotiate with clients and counsel, and coordinate with control and business stakeholders to drive timely decisions. Ideal candidates have 2-5 years in contracts or related operations,...
- ...company is seeking an ESS Senior Contract Management Specialist. You will support contract negotiations, ensuring compliance and accuracy for a variety of agreements. This is a full-time remote position requiring strong communication skills, contract management experience,...Remote jobFull timeContract work
- Mercury Insurance is seeking a Property Claims Examiner 2 who will investigate and settle moderate homeowners' claims, write damage estimates... ...Xactimate to assess coverage, set reserves within authority, and negotiate settlements. #J-18808-Ljbffr Mercury Insurance CompanyRemote job
- ...Claims Examiner Life, Accident, Critical Illness, LTC, and Hospital Indemnity As a Claims... ..., and other stakeholders to facilitate timely and fair claim settlements. Key Responsibilities... ...established guidelines for claims adjudication and payment authorization. Quality...Temporary workWork experience placementCasual workWork at officeRemote work
$61.9k - $96.1k
...AIGI, has an opening with the Claims Division on the Mid Corp Casualty Team as a Claims Examiner, Casualty. In this role, the responsibilities... ...'s care Develop and implement timely and accurate resolution... ...the resolution of the matter Negotiate resolution of claims Select...Temporary workWork experience placement- Job Description Currently, Chubb is seeking a Workers Compensation Lost Time Claims Examiner in our Alpharetta office. Major Duties & Responsibilities Deliver superior customer service and satisfaction through effective interactions with insureds, claimants, agents, underwriters...Work at officeLocal areaImmediate start
$16.5 - $22.2 per hour
A healthcare provider in the United States is seeking a Claims Processor responsible for evaluating and adjudicating claims. This role requires strong communication skills and the ability to navigate multiple systems. Candidates should have a high school diploma and at...Hourly payWork at office- Position Overview The Claims Examiner I is responsible for the data entry and system adjudication of provider claims. The incumbent authorizes final disposition of claims... ...prescribed guidelines in an accurate and timely manner. Scope Of Role & Responsibilities Process...
$75k - $85k
Claims Examiner | No Fault- PIP | Lit Required | New York page is loaded## Claims Examiner | No... ...PURPOSE OF THE ROLE** : Investigates, negotiates, and resolves personal injury protection... ...involved parties informed and provides timely claims status updates.* Serves as a...Local areaFlexible hours- ..., and damages for each unique claim. You’ll collaborate across teams... ...to effectively investigate, negotiate, and resolve claims. Key Responsibilities... ...: Strong organizational and time management skills to manage... ...for Associate Claims Examiner 7+ years of relevant experience...Full timePart timeRemote work
- Responsibilities To examine, adjust, defend, claims and lawsuits against our insureds Review and verify... ...made by the claimant Issue timely coverage position letters Conduct factual... ...and prompt settlement determination Negotiate settlements Follow all company and...
$140k - $160k
...exciting opportunity for a Complex Claims Director in our New York City... ...the company and effectively negotiate settlements.Provide... ...underwriters in the handling and adjudication of claims.Analyze and draft coverage... ...holiday and Paid Time OffTuition ReimbursementPaid...Temporary workFlexible hours$18 per hour
LSI Staffing is seeking a full-time Claims Specialist for the Papillion area near Omaha, NE. The role involves directly handling insurance claims, following up with insurers, and ensuring timely processing. You will work standard Monday to Friday, 40 hours per week, from...Hourly payFull timeMonday to Friday$71.44k - $87.31k
...Union N/A FT/PT Full-Time Category Finance/Real... ...Management Position Summary Manage claims adjudication by identifying contractual variances... ...Excellent analytical, communication and negotiation skills. Additional Information...Full timeWork experience placementRemote work$63k - $105k
...and make a difference. Position Summary As Coalfire's Contracts Negotiator, Global Transactions you will join the Legal & Compliance... ...mitigation approaches Support legal and compliance tasks/projects from time to time including updating various contract templates and other...Contract workWork experience placementFor subcontractorWork at officeRemote workFlexible hours- Coalfire Systems, Inc. is seeking a full-time remote Contracts Negotiator to support global revenue transactions. You will review, draft, and negotiate a broad range of commercial agreements and provide legal support to revenue and procurement teams. Responsibilities include...Remote jobFull timeContract work
$66.33k - $145.86k
...Alliance for Career Enhancement is seeking a skilled professional in New Jersey for a full-time role focused on network contracting and provider relationship management. You will negotiate complex contracts, recruit providers, and support health plan expansion initiatives....Full timeContract work- ...office in the United States. Position Summary Are you a contracts negotiator with experience in commercial technology agreements and an... ...preferred. A J.D. is preferred but not required. This is a full-time role expected to work 40 hours per week, office-based, hybrid,...Full timeContract workWork at officeWork from homeWorldwideHome office
$101.18k - $120.46k
...meet the unique coverage and claims‑handling needs of businesses.... ...Adjuster Employment Type: Full‑Time FLSA Status: Exempt... ...business hours. This role will adjudicate workers' compensation claims... ...organizational referral procedures. Negotiate cost‑effective solutions...Full timeVisa sponsorship- ...bodily injury and property damage claims which can be subject to... ...relevant) and quantum analysis, to timely and accurate resolution;... ...concerning reserve changes to manager Negotiates and settles claims either... ...of 5 years as a Claims Examiner Commercial auto experience a...Full timeWork experience placementWork at officeWork from home
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Lost-Time Claims Examiner: Negotiation & Adjudication. Be the first to apply!
- remote medical claims processor New York, NY
- claims assistant New York, NY
- claim representative (remote) New York, NY
- claims analyst work from home New York, NY
- claim specialist New York, NY
- medical insurance claims specialist New York, NY
- claims resolution specialist New York, NY
- senior claims specialist New York, NY
- medical claims analyst New York, NY
- claims specialist remote New York, NY

