Senior Medical Malpractice Claims Specialist
Sedgwick
Sedgwick is seeking a Sr. Claims Specialist, Professional Liability (Medical Malpractice) to analyze complex claims, determine exposure, and coordinate resolutions with high service standards. You will manage case costs while delivering timely outcomes. Ideal candidates bring strong analytical and negotiation skills, extensive medical malpractice experience, and the ability to work with clients and defense counsel to optimize settlements and preserve relationships. #J-18808-Ljbffr Sedgwick
- ...Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | Medical Malpractice PRIMARY PURPOSE OF THE ROLE: To analyze complex or technically difficult medical malpractice claims; to...SeniorMedicalLocal area
$100k - $115k
...Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | Medical Malpractice | New Jersey Claims PRIMARY PURPOSE OF THE ROLE: To analyze complex or technically difficult medical...SeniorMedicalLocal areaFlexible hours$105k - $125k
...insurance organization is looking to add an experienced Senior Garage Liability Claims Specialist to manage complex commercial garage claims and serve as... ...(depending on experience) ~ Extremely competitive Medical, Dental, Vision and Life plans ~ Employer matching 40...SeniorMedicalRemote work- LumenCeler Group seeks a seasoned litigation paralegal to join its growing medical malpractice team in Phoenix, AZ. The Senior Paralegal will collaborate closely with litigation attorneys, leveraging extensive court system knowledge to support a broad range of cases with...SeniorMedical
$18.5 - $42.35 per hour
CVS Health in Phoenix, AZ seeks a Reinsurance/Stoploss Claims Adjuster to review, research, and adjust complex medical claims, collaborating with teams to ensure accurate processing and timely resolutions. The role requires 2+ years of medical claim processing and experience...SeniorMedicalHourly payWeekly payFull time- Sedgwick, a leading risk and claims solutions partner, seeks a Senior Claims Specialist for medical malpractice and high-exposure claims. You will analyze complex cases, coordinate investigations, and manage reserves and settlements with a focus on cost efficiency and...SeniorMedicalRemote job
- King's Insurance Staffing is seeking an experienced Workers’ Compensation Claims Representative to support claims across Arizona. You will manage indemnity and medical-only files, including higher-exposure litigated cases, from investigation through resolution. The ideal...SeniorMedicalRemote job
$18.5 - $38.82 per hour
...reviewing, and correcting pharmacy-related claim issues to ensure accurate benefit... ...-specified claims or claims that exceed specialist adjudication authority or processing expertise... ...in a production environment. 2+ years medical claim processing experience. Preferred...SeniorMedicalHourly payFull timeTemporary workLocal area$61.05k - $98.33k
...Job Description Job Description The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company... ...is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability,...SeniorMedicalMinimum wageFull timeWork at officeLocal areaFlexible hours- ...pursue recovery. Adhere to all statutory and regulatory fair claims practices. Recognize and identify potential fraudulent claims.... ...status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status,...SeniorMedicalContract workLocal area
- ...Office Per Week Employment:Full-Time Level:Experienced (3+ Years WC Claims) ABOUT THE ROLE We are seeking an experienced Workers'... ...days. You will collaborate closely with claimants, employers, medical providers, defense counsel, and applicant attorneys to drive quality...SeniorMedicalFull timeWork at officeRemote work2 days per week
$78.1k - $105k
Senior Claims Representative Are you looking to grow your career in workers' compensation and claims support? Join ESIS, a leader in risk... ...the primary point of contact for injured workers, employers, medical providers, and other stakeholders, providing clear and professional...SeniorMedicalFull timeTemporary workWork at officeLocal area$250k
...management and resolution of complex and litigated transportation claims throughout the United States. This role requires an advanced... ...preferred. What we offer Our Benefits Package includes 401k, Medical, Dental, Vision, Disability, Supplemental and Life Insurance as...SeniorMedicalContract workWork at officeLocal areaRemote workFlexible hours$3,000 per month
...Other duties as assigned Obtains and analyzes information to make claim decisions and payments on LTD, Voluntary disability and WOP... ...and quality standards based on product line. Utilizes appropriate medical and risk resources, adhering to referral polices, and transferring...SeniorMedicalContract workImmediate startRemote workFlexible hoursShift work- Liberty Mutual Insurance seeks a Workers' Compensation Claims Specialist in the West Region to review, analyze, and process moderately complex to complex claims within authority limits. You will determine liability, evaluate losses, negotiate settlements, and support the...SeniorRemote work
- ...Phoenix, AZ is seeking a detail‑oriented Pharmacy Billing Assistant to join our team. You will process patient bills and insurance claims, maintain accurate billing records, and provide excellent service to patients, providers, and payers. The role requires 2+ years of...Senior
- Blue Star Claims LLC in Phoenix, AZ is seeking an Occupational Accident Claims Adjuster responsible for investigating and adjusting assigned... ...claims in accordance with our procedures. You will review medical and related invoices, authorize payments within authority,...Medical
- Blue Star Claims LLC in Phoenix, AZ, is seeking an Occupational Accident Claims Adjuster to investigate and adjust occupational accident claims across the United States. You will review medical and legal invoices, authorize payments, and apply policy provisions to ensure...Medical
$100k
...and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are... ...Holdings Inc. Job Description Business Title(s): Senior Construction Defect Technical Claims Specialist Employment Type: Full-Time FLSA Status: Exempt Location...SeniorFull timeLocal areaRemote work- ...thriving organization! We are seeking an experienced Casualty Claims Specialist! The Casualty Claims Specialist will be responsible for... ...in Casualty claims experience a MUST! Knowledge of legal and medical terminology. Excellent negotiation, communication, written, organizational...MedicalFull timeWork at office
- ...exciting opening for a Workers Compensation Claims Specialist within the West Region! As a Workers... ...considered as a Claims Specialist II, Senior Claims Specialist I, or Senior Claims... ...cause and origin experts and independent medical examiners. Refers to claim to...MedicalWork experience placementLocal areaRemote work
$57.5k - $98.9k
...meaningful impact. We are looking to add a Workers' Compensation Claims Specialist to join our Creative Risk Solutions team. Creative Risk... ...final settlement information. Generates checks for indemnity and medical payments daily. Develops and monitors consistency in...MedicalRemote jobFull timeTemporary workWork experience placement$22.27 - $33.43 per hour
PAYMENTS CLAIM SPECIALIST WHAT IS THE OPPORTUNITY? The Payment Claims Specialist is responsible for the investigation and processing of payment... ...including: Comprehensive healthcare coverage, including Medical, Dental and Vision plans, available the first of the month following...MedicalHourly payWork at officeRemote workFlexible hours$57.97k - $97.82k
...Supportive team environment What You’ll Do Manage complex auto claims from initial investigation through resolution, including multi-... ..., and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance,...SeniorMedicalH1bWork at officeRemote workWork from homeRelocation packageAfternoon shift3 days per week$260k - $390k
...for two decades, Ashurst Perkins Coie is seeking a mid-level to senior-level associate attorney to join our Restructuring & Special... ...position is eligible for an annual discretionary bonus, 401(k) plan, medical, dental, and vision insurance, personal medical and parental...SeniorMedicalFull time$16.74 - $26.92 per hour
...The Workers’ Compensation Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims under close supervision, supporting... ...modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different...MedicalHourly payMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours- ...ourselves on delivering exceptional workers’ compensation claims solutions to our clients. As a WC Claims Specialist, you will play a pivotal role in driving our... ...a liaison between employees, insurance carriers, medical providers, and internal departments to facilitate...MedicalFull timeWork at officeLocal area
- ...service providers, electronics manufacturing companies as well as medical technology and pharmaceutical companies. The Account Executive... ...CPCU designation.What is a Must Have?Four years of underwriting, claim, operations, risk assessment, actuarial, sales, product, or...SeniorMedicalFull timeLocal area
- ...chronic disease management, cognitive health, medication review and weight management, organized... ...to lead longevity days at our partner senior living communities. Each day opens with... ...and E/M coding Your own malpractice insurance (minimum $1M per occurrence, $...SeniorMedicalContract workFor contractorsFlexible hoursWeekday work
- IQVIA is seeking a Patient Support Medical Billing Representative for a 100% remote role in the United States. You will handle co-pay cards, vouchers, and claims support, reviewing documentation and vetting claims against business rules to determine payment or rejection...MedicalRemote jobFull timeContract work
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