Claims Recalculation Specialist
CommunityCare, Inc.
CommunityCare, Inc. in Tulsa, OK is seeking a Recalculation Examiner to research and reprocess previously adjudicated claims across all lines of business. You will determine actions to pay, deny or adjust, using your knowledge and decision-making acumen to support accurate outcomes. Examiners are expected to meet performance expectations in accuracy and efficiency, collaborating with multiple departments to resolve issues and improve processes. #J-18808-Ljbffr CommunityCare, Inc.
- ...Claims Resolution SpecialistDemonstrate competency as a claims resolution specialist for a large-scale multi-specialty/multi-site healthcare organizations in the U.S.Perform claims resolution or medical billing and appeals or claims denials in Athena within the last two...SuggestedWork at office
- ...Markel Group, a Fortune 500 company with a global presence, seeks a Claims Technician to support case management and the claims process under the Markel Service Standards. With moderate guidance, you will initiate, direct and control activities as part of a professional...Suggested
- ...CNA is seeking a detail-oriented claims processor to support non-technical claim duties under general supervision. You will evaluate information, complete forms, and perform data corrections across multiple claim systems to ensure accurate processing. Responsibilities...Suggested
- ## Sr. Liability Claims Specialist, Supervisor (Remote)Applylocations: West Des Moines - Remote: Nebraska: Iowa: Texas: South Dakotatime type: Full timeposted on: Posted Yesterdayjob requisition id: R0000932**Job Description:**Join our growing team as a **Sr. Liability...SuggestedRemote jobFull timeTemporary work
- Sun Life U.S. seeks a Case Manager I, LTD to manage a caseload of long-term disability claims, applying contractual provisions and medical records to decide on acceptance/denial and payment duration. You will communicate findings clearly and sensitively to claimants. Responsibilities...Suggested
- ## Bodily Injury Claims SpecialistApplylocations: Troy, MI: Mount Pleasant, MI: Southgate, MI: Muskegon, MI: Lansing, MItime type: Full timeposted on: Posted 3 Days Agojob requisition id: R\_14082A career at Auto-Owners is challenging and rewarding. Our group of caring...Work at officeLocal areaWork from home3 days per week
$107.6k - $161.4k
Specialist Claims - CH07DE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals — and to help others accomplish theirs, too. Join our...Temporary workRemote work3 days per week- ...the largest commercial banks headquartered in California, is seeking an ATM Central Processing Specialist to join our winning team. This role supports ATM operations and claims processing with a focus on accuracy and customer service. You will board and process ATM-...
- Blue Ridge Risk Partners is seeking a Claims Coordinator to support clients, policyholders, and carriers through the claims process. You will report, monitor, and follow up on claims, gather information, and submit claims to carriers, ensuring workflows stay current and...
- At AIG, we are reimagining the way we help customers to manage risk. Join us as a Casualty Claim Specialist I to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. Make your mark in Casualty Claims...Work experience placementWork at office
$17.63 per hour
Description Under the direct supervision of the Business Office Manager, the Claims Specialist is responsible for handling the support administrative functions of the business office. Ogden Clinic provides competitive pay and benefits.Full-Time employees have access to:...Hourly payFull timeWork at officeShift workWeekend work$69.6k - $92.4k
...customer relationships. Summit is who you turn to when you need a specialist who not only knows workers’ comp but also gets to know your... ...Essential Job Functions And Responsibilities Manages an inventory of claims to evaluate compensability/liability. Plans and conducts claim...Full timePart timeSeasonal workWork at officeRemote work- Davies North America in Baltimore, MD seeks an experienced Claims Representative II to manage, investigate, and resolve serious claims including property damage and bodily injury, filed against the Maryland Transit Administration (MTA). Reporting to the MTA Claims Supervisor...
- ...Buick GMC Cadillac in Raleigh seeks a detail-oriented Warranty Administrator to join our Service Department. You will process warranty claims, ensure proper documentation, and collaborate with Service Advisors, Technicians, Parts, and management to keep claims accurate and...
- Aon plc, a leading risk, retirement and health solutions provider, seeks a Claims Specialist I to support warranty and waiver requests for member-based programs. You will handle calls, review documentation, and process transactions with accuracy. In a largely independent...
- KS - KansasCity OverlandP 11101 Switzer Rd Suite 210 Overland Park, KS 66210, USA The Indemnity Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best...Minimum wageFull timeWork at officeLocal areaRemote workFlexible hours
- ESIS is seeking an experienced Auto, General & Liability (AGL) Claims representative for the Overland Park, KS office. The person in this role will handle and maintain all AGL claims and file reviews under general supervision of a supervisor and as part of the ESIS team...Work at office
$95.12k - $136.74k
...multi-state employer, and this salary range may not reflect positions that work in other states. THE OPPORTUNITY: The Complex Claims Specialist exercises independent judgment and discretion in the investigation, evaluation, negotiation, and resolution of highly complex,...Full timeWork experience placementWork at officeLocal areaRemote workHome officeShift work$55.13k - $110.64k
...Compensation jurisdictional experience. Lost Time Workers' Compensation claims handling experience in Illinois and Michigan is strongly... ...review closely for details. JOB OBJECTIVE The Lost Time Claims Specialist, Workers’ Compensation primarily manages indemnity claims. The...TraineeshipWork experience placementWork at officeRemote workFlexible hours- ...corporate and servicer advances for HUD insured loans in the REO department. Responsibilities include overseeing HUD 27011 Part B claims, managing reconveyed properties, processing reconveyed inventories, and preparing HUD supplemental claims. Growth opportunities exist...
- National General is seeking an experienced Adjuster with a background in Bodily Injury and Homeowners Liability claims. You will handle complex cases, collaborate with professionals, and support customers through challenging situations. Liability and litigation experience...
$30.4k - $36.5k
Aon is looking for a Claims Specialist I As part of an industry-leading team, you will help empower results for our clients by delivering innovative and effective solutions supporting warranty and waiver requests for member-based programs. Aon is in the business of better...Full timeTemporary workPart timeWork experience placementWork at officeLocal area- The Phia Group is seeking a Claim Specialist in Kentucky to manage healthcare claims and empower health plans. Responsibilities include reviewing claims, contacting providers, drafting settlement correspondence, and ensuring compliance with the No Surprises Act. Preferred...
- Claim Specialist needed to combat rising healthcare costs and empower health plans! The Phia Group is a service-oriented consultant that assists health plans nationwide. We provide our clients with innovative cost-cutting solutions and innovative service offerings. We...Work at office
$89k - $108.19k
Claims Specialist - Victim/Witness I (8129) Full-time Work Hours: Regular Job Code and Title: 8129-Victim/Witness Investigator I Fill Type: Permanent Exempt Compensation: USD 88998 - USD 108186 - yearly Application Opening: August 18, 2026 Application Filing Deadline...Permanent employmentFull timeWork experience placementWork at office- AXIS Capital in the United States seeks a Claims Specialist focused on Employment Practices Liability within our North America Claims team. You will determine the valuation of complex claims, recommend settlement strategies, and collaborate with insureds, brokers, and AXIS...Work at office3 days per week
$135k - $150k
...broker network and the businesses they serve. The company is an equal opportunity employer. Responsibilities The Senior Complex Claims Specialist investigates, evaluates, negotiates, and resolves complex and high-exposure litigated and non-litigated claims across bodily...Full timeLocal area- The San Francisco District Attorney's Office seeks a Claims Specialist to join the Victim Compensation Unit. You will guide crime victims through the California Victim Compensation Board application process, assess eligibility, verify losses, and determine reimbursements...Work at office
- Position Purpose The Senior Insurance and Claims Specialist is responsible for compliant billing and system operations to ensure timely and accurate claim submission and prevention of denials per regulatory and payor requirements, as well as improved payment turnaround....Contract workWork at office
- ...collecting production records to assess damage. You will travel within Oklahoma up to 75% and work from home, reporting to the Area Claims Supervisor. The ideal candidate has a high school diploma, crop insurance claims experience or related ag background, strong...Remote jobWork from home
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