CHS/PRC Claims Specialist - Tribal Health
Nisqually Indian Tribe
Nisqually Indian Tribe seeks a detail-oriented administrator to manage PRC/CHS workflow within the Health & Wellness Center. You will coordinate care, manage benefits, and approve services per IHS eligibility guidelines while delivering prompt financial processing and reporting for obligations. The role involves extensive customer service, eligibility verification, and PO/EOB tasks within a tribal health setting, aligned with HIPAA rules. #J-18808-Ljbffr Nisqually Indian Tribe
- ...under Federal, State, or Tribal law involving crimes of... ...specialty referred care from a Health and Wellness Center... ...daily operations of the CHS program. Administer... ...routine and complex health claims as well as providing customer... ...and phone contact with PRC/CHS eligible clients...SuggestedContract workWork at officeImmediate startFlexible hours
- Nisqually Tribal Health & Wellness Center is seeking a detail‑oriented PRC/CHS Billing Coordinator to ensure accurate processing of health claims and eligibility, while coordinating care and addressing client needs. The role involves customer service interactions with patients...SuggestedContract work
$26.49 - $40.99 per hour
...customers' evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products,... ...comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. This role is utilized as a...SuggestedWork at officeWork from homeVisa sponsorshipWork visa- Humana, Inc. is seeking a Claims Process and Policy Professional 1 for a remote role in the United States. You will handle TRICARE claims, perform research, and respond to inquiries from beneficiaries, providers, and partners while advancing to SME status. Required experience...SuggestedRemote jobContract work
- Amentum is seeking a DBA Claims Administrator to manage reporting of Foreign (DBA) and Maritime work-related injuries to our insurance partners and the DOL. This US remote role requires US Citizenship and offers benefits and a path for growth. The role supports the DBA...SuggestedRemote job
$60k - $75k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation | Jurisdiction: MI, TX, IN, IL,... ...and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Sedgwick...Full timeContract workLocal areaRemote workFlexible hours- Sedgwick is seeking a Claims Adjuster I Captive for a remote US position. The role analyzes mid-level general liability claims to determine benefits due, adjudicates within standards, and manages subrogation and settlements. Strong negotiation and analytical skills are...Remote jobContract work
$50k - $55k
...Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto | Property Damage PRIMARY PURPOSE OF THE... ...disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits....Full timeContract workWork at officeLocal areaFlexible hours$27.5 - $30.5 per hour
POSITION SUMMARY: Responsible for underwriting loss mitigation applications in accordance with Treasury, Company and Investor guidelines while following company’s policies and procedures under general supervision. Makes sound underwriting decisions and ensures that all ...Temporary work$27.5 - $30.5 per hour
Carrington Mortgage Services is seeking an Underwriter II to assess loss mitigation applications in line with Treasury, Company, and Investor guidelines. The role involves VOI, debt-to-income analysis, and determining workout options while ensuring compliance with policies...Hourly pay- Sedgwick is seeking a claims examiner for product liability with hybrid work options. You will analyze complex claims, negotiate settlements, and coordinate with clients and claimants across multiple states. Licensing and multi-state jurisdiction experience are favored...Remote job
- Sedgwick is seeking a Litigation Consultant - Liability to address high-end cases with serious injuries and complex coverage scenarios. You will develop strategies to achieve satisfactory resolutions and coordinate with clients and local counsel. The role demands extensive...Local areaFlexible hours
$65k - $85k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claim Examiner - Product Liability | Multi-State Jurisdiction |... ...disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits....Work at officeRemote workFlexible hours- ...responsibilities receive a 5% increase in pay. The Program Coordinator/Claim Processor, reporting to the Claim Unit Supervisor within... ...addition, L&I is a diverse state agency dedicated to the safety and health and security of Washington's 3.3 million workers. Take a look at...Permanent employmentFull timePart timeWork at officeRemote workFlexible hoursShift work
$53k - $67k
...employees in more than 70 countries across all 7 continents. The DBA Claims Administrator is responsible for reporting Foreign (DBA), and... ...handling functions working collaboratively with Occupational Health, DBA Claims Manager and internal HR and Legal departments. This...Hourly payContract workWork at officeLocal areaRemote work$63.4k - $90k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster I Captive I PD Experience I Remote PRIMARY PURPOSE: To... ...and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Always...Remote jobContract workWork at officeLocal areaFlexible hours- ...among the first 25 applicants Get AI-powered advice on this job and more exclusive features. A dynamic organization supplying quality claims outsource solutions to insurance carriers, countrywide is seeking multi-line adjusters in your area. There are many competing...Contract workImmediate startRemote work
- Provencher & Company, LLC is actively seeking Multi-Line Claims Adjusters who are experienced in adjusting various types of claims, both property and liability. This remote position requires expertise in inspections, damage assessments, and comprehensive coverage knowledge...Remote job
- Sedgwick in the United States is seeking an experienced Claims Adjuster for Workers' Compensation, supporting remote jurisdictions MI, TX, IN, IL, OH. You will adjudicate complex claims, manage reserves, and coordinate settlements with clients. We value analytical thinkers...Remote jobFlexible hours
- Washington State Office of the Insurance Commissioner is seeking a Criminal Analyst for the Criminal Investigations Unit in the Legal Affairs Division, based in the Tumwater office. The analyst will perform expert-level criminal intelligence analysis, research, and reporting...Work at office
$5,376 - $7,224 per month
...376 - 7,224 Benefits & Perks Comprehensive benefits package: Health, dental, vision, retirement, paid leave (vacation, sick, etc.)... ...applicant’s suitability and competence to perform in the position. If claiming veteran status, please send your DD 214 to ****@*****.***....Full timePart timeWork at officeImmediate startFlexible hoursShift work$88k - $163.5k
If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and...Full timeTemporary workPart timeCasual workRemote workWork from home
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