Senior Claims Analyst: Complex Claims & Auto Adjudication
University Health
Community First Health Plans in San Antonio, TX seeks an experienced Claims Analyst for its Claims department to analyze complex claim payments, eligibility, and related insurance issues. The role requires leveraging Amisys claims processing systems and collaborating with teams to resolve issues and improve auto-adjudication. A strong background in HMO/PPO claims and knowledge of CFHP benefit programs is preferred. #J-18808-Ljbffr University Health
- ...looking for an experienced Claims Analyst for our Claims department... ...RESPONSIBILITIES Analyze complex problems pertaining to... ...scope of claim examiners and senior claim examiners that affect... ...operations and reporting to assure auto adjudication. Perform in accordance with...Car
- ...Attorney Represented team is currently hiring for Senior Claims Specialists to manage attorney represented and litigated auto and homeowner's bodily injury claims. This... ...for mild to moderate severity and/or complexity claims. Work Arrangement Hybrid: Candidates...SeniorCarCurrently hiringWork at officeLocal areaRemote workHome office
- Liberty Mutual Insurance is seeking Senior Claims Specialists to manage attorney represented auto and homeowner's bodily injury claims. You will investigate, resolve, and settle claims within authority while maintaining high service levels for policyholders. The role offers...SeniorCarWork at officeRemote work
- University Health seeks an experienced claims professional to review, analyze, and adjudicate all claim types, including coordination of benefits and DME claims. You will analyze provider appeals and document outcomes via formal correspondence. As a provider liaison, you...Senior
$85.04k - $162.55k
.... The Opportunity As a dedicated Injury Claims Examiner (Central to West regions), you will be responsible to adjust complex auto and homeowner bodily injury claims, UM/UIM... ..., evaluating, negotiating, and adjudicating claims in compliance with state laws and...CarContract workH1bWork at officeRemote work3 days per week- Nationwide is seeking a Senior Trial Attorney to independently handle complex commercial, construction defect, insurance defense, and subrogation matters through... ..., and will mentor junior attorneys while supporting claims professionals and business development #J-18808-...Senior
- Tata Consultancy Services in the United States seeks a senior Business Analyst with 8+ years of BA experience, including 5+ years in P&C insurance claims and hands-on Guidewire ClaimCenter expertise, to lead requirements for insurance projects. You will map FNOL, claims...Senior
- ...Vice President of Claims Adjudication About the Company Premier cost-effective commercial insurance provider Industry Insurance... ...business insurance small business insurance and commercial auto About the Role The Company is seeking a Vice President...Car
- POSITION SUMMARY/RESPONSIBILITIES Performs review, analysis, and adjudication of all claim types including coordination of benefits and DME claims. Performs analysis of provider appeals and documents outcome determination via correspondence. Acts as a provider liaison for...Senior
$94k - $141k
Senior Performance Analytics Consultant Location: The Hartford (Hybrid... ....) Description: The Claims Liability Performance Analytics... ...Analytics Consultant to join the Auto Bodily Injury (ABI) analytics... ...strategic thinking to transform complex data into actionable insights...SeniorCarTemporary workWork at officeRemote workShift work3 days per week$50k - $55k
...Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto PRIMARY PURPOSE OF THE ROLE: To analyze and process... ...perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com...CarContract workWork at officeLocal areaFlexible hours- A leading insurance company is seeking a Senior Performance Analytics Consultant in San Antonio, Texas. This role involves analyzing operational and financial trends for auto bodily injury claims, requiring strong analytical expertise and strategic thinking. Candidates...SeniorCarWork at officeRemote work
- University Health is seeking an experienced Claims Examiner to join our Claims department, supporting Community First Health Plans. The role involves adjudicating medical and hospital claims (HCFA/UB92) for Medicaid, Commercial, and CHIP, while upholding departmental audit...
- ...Description Job Description Electrical Senior Superintendent An Electrical Senior... ..., typically ground up projects requiring complex coordination of multiple subordinate supervisors... ...OSHA inspections, investigations, claims, as well as any other government inspection...SeniorCarFor contractorsWork experience placementFor subcontractorWork at office
- ...calls. We are looking for an experienced Claims & Risk Coordinator to take ownership of the... ...workers' compensation, commercial auto, general liability, property, subcontractor... ...claims-management system. Litigation or complex-claim experience. AIC, ARM, CPCU, Texas Adjuster...CarFull timeFor subcontractorWork at officeImmediate startShift work
$90k - $100k
...insurer specializing in commercial auto and transport risks. San... ...underwriter to manage complex risks, deepen your expertise,... ...guidance. ● Collaborate with claims and risk control teams to identify... ...Successful Applicant ~ A successful Senior Commercial Underwriter should...SeniorCarPermanent employmentWork at officeLocal areaRelocation package$54.55k - $80k
...Description A client of AlphaStaffHCM™ is searching for an Senior Auto Adjuster- Non-Injury. This insurance client empowers... ...a dedicated Senior Auto Adjuster, you will adjust highly complex auto insurance claims presented by or against policyholders to include the end-...SeniorCarContract workH1bWork at officeLocal areaRelocation packageFlexible hoursAfternoon shift3 days per week- Athens Administrators is seeking a full-time Claims Examiner I to support our Property & Casualty department in San Antonio, TX. The role... ...school diploma, a state license, and at least three years of auto-claims experience, including commercial auto. The position offers...CarFull timeWork at officeRemote work
$63.59k - $121.53k
...applicable policy and business needs. The Opportunity As a Senior Property Adjuster, you will work within defined... ...and framework, investigate, evaluate, negotiate and settle complex property insurance claims presented by or against our members. Confirm/analyze coverage...SeniorCarHourly payH1bWork at officeLocal areaRemote workRelocation packageMonday to FridayShift workAfternoon shift3 days per week- The Hartford is hiring a Senior Claim Representative for Workers’ Compensation in a flexible hybrid/remote setup. The role involves timely investigations, accurate financial handling, and collaboration with medical and legal resources to support claim resolutions. Required...SeniorRemote jobFlexible hours
$8k
.... As a trusted advisor, you'll leverage your expertise to solve complex business challenges and create significant value for both Verizon... ..., identity theft protection, pet insurance and group home & auto insurance. We also offer a matched 401(k) savings plan, up to 8...SeniorCarFull timeTemporary workPart timeWork experience placementShift work$62.4k - $127.2k
Consultant Claims - CH08CE Sr Representative Claims - CH08BE We’re determined to make a... ...individual to join our claims team as a Senior Claim Representative or Claims Consultant... ...resolve high exposure claims, involving complex issues and/or litigation. This position...SeniorTemporary workWork at officeRemote work3 days per week- ...fastest companies to make the Fortune 500. As an Experienced Auto Technician, you will perform a full range of automotive repairs—... ...diagnostics on our vehicles, including: Performing general to complex repairs on all makes and models, ranging from timing belts and...SeniorCarMonday to Friday
$62.4k - $93.6k
Sr Representative Claims - CH08BE We’re determined to make a difference and are proud to be an insurance company that goes well beyond... ...our team as we help shape the future. The Workers’ Compensation Senior Claim Representative is accountable for planning, recommending,...SeniorTemporary workRemote workMonday to Friday3 days per week$15k
...Summary Athens Administrators has an immediate need for a full‑time Claims Examiner I to support our Property & Casualty department.... ...determination of settlement or denial of minor to moderate multi‑line auto property and casualty claims, handling claims from inception to...CarFull timeLive inWork at officeLocal areaImmediate startRemote workMonday to Friday1 day per week- ...Experienced Auto Technician We're looking for automotive mechanics with a minimum of 3 years of professional automotive repair experience... ...on our vehicles, including: Performing general to complex repairs on all makes and models, ranging from timing belts and suspension...SeniorCarMonday to Friday
- ...Work Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation | San Antonio, TX - Hybrid... ...world's best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver...Work at officeWork from home
$77k - $202k
...learning how to manage and inspire others. Navigating increasingly complex situations, you are growing your personal brand, deepening... ...configuration;Cloud Application Performance Monitoring (APM);Cloud auto-scaling, ELB;Cloud AI Ops / AI Monitoring; and, Cloud Discovery....SeniorCarFull timeH1b- ...insurance partners according to manufacturer and Classic Collision guidelines. Partners with the insurance companies to manage customers claim to insure the best customer experience. Maintains communication with customers providing updates on repair process. Coordinates...SeniorCarLocal area
- ...Experienced Auto Damage Adjuster- San Antonio, TX Salary: $29.51 -$37.65 per hour/$59,000-$75,850... ...customer service while promptly and accurately settling claims. The ideal candidate will have the ability to handle complex claims using their technical and industry...CarHourly payWork experience placementWork at officeLocal areaRemote workRelocation packageFlexible hours
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