Claims Specialist
ProKatchers LLC
Education : High School Diploma or GED required. General Description Process claims involving medical and/or surgical services; screens for complete member/provider information Applies administrative policies when necessary, utilizing the claims processing manuals Authorizes the generation of letters/questionnaires to providers to obtain additional information Reviews descriptions of services on claims to determine validity of charges of the presence of errors Evaluates and examines claims pended by the system due to contractual and/or payment discrepancies Maintains production and quality goals established for the department #J-18808-Ljbffr ProKatchers LLC
- ...A leading automotive service provider is looking for a Mechanical Claims Adjuster to investigate and negotiate vehicle repair claims in a professional remote environment. The role requires automotive knowledge and a strong background in claims adjustment. Candidates should...SuggestedHourly payRemote workWork from home
- ...RV Value Mart Inc. is seeking a detail-oriented warranty claims specialist to process and submit warranty claims, verify customer vehicle information, and review repairs for proper authorization. You will monitor claim status, reconcile payments, and maintain warranty...Suggested
$85.6k - $141.2k
...VetJobs is seeking a qualified claims professional in New York, NY, to handle Specialty Liability claims. The successful candidate will demonstrate strong negotiation skills and extensive experience in claim evaluation and resolution, while supporting military-affiliated...SuggestedRelocation package$18 - $22 per hour
...Job Description Job Description Title: Authorizations Specialist The Impact You Will Have: Liberty Home Guard is the country... ...services, negotiating with vendors and technicians, and ensuring all claims adhere to company guidelines, ultimately contributing to the...SuggestedWork at officeFlexible hours$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...SuggestedFull timePart timeSeasonal workWork at officeRemote work$75k - $130k
...AXIS Capital, a global specialty lines insurer and reinsurer, is hiring a Claims Specialist – Primary Casualty to join its North America Claim Team. The role focuses on managing primary claims for U.S. Primary Casualty policies. Key Responsibilities Assess and investigate...Work at office3 days per week- ...defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The position requires the person to Assemble facts, determine coverage,...Work at officeLocal areaWork from home
- ...The Workers’ Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional...Minimum wageFull timeWork at officeLocal areaWork from homeFlexible hours1 day per week
- ...Claims Specialist Claim Specialists within the Law Department's Litigation Support Division play a crucial role in assisting City agencies in complying with discovery obligations in litigation. This position requires a proactive approach to the management of record...Permanent employmentWork at office
- ...Morley is seeking a Remote Warranty Support Specialist to help automotive dealerships manage warranty claims from start to finish. You will analyze expenses and claim trends, provide timely solutions, and communicate with internal and external partners via phone, chat...Remote work
- A national insurance services provider seeks a Full‑Time Field Claims Representative for virtual assignments in Pennsylvania. The role involves managing on-site insurance property claim inventory and ensuring excellent customer relations. Key qualifications include strong...Full timeWork at officeLocal areaNight shift
- ...Wright Automotive Group in Pennsylvania is seeking a Warranty Clerk to manage warranty repair orders, submit manufacturer claims, and coordinate with service teams to ensure timely processing. The ideal candidate has warranty experience, strong attention to detail, and...Work at office
- ...risks into opportunities through specialized reinsurance solutions and expert guidance. About the Role Reporting to the Senior Claims Specialist, you will work closely with the Underwriting and Middle Office/Operations teams of MS Reinsurance. This role will be...Contract workWork at office
$20 - $26 per hour
Claims Specialist Remote | Full-Time Base pay range $20.00/hr - $26.00/hr About Zaya Zaya Care is a venture‑backed startup with a mission to establish a new standard of affordable prevention and recovery care, beyond the hospital setting. Zaya champions the voices of...Full timePrivate practiceRemote workShift work$48.21k - $76.97k
Overview Claim Specialists within the Law Department’s Litigation Support Division play a crucial role in assisting City agencies in complying with discovery obligations in litigation. The position requires a proactive approach to the management of record requests, utilizing...Permanent employmentFull timeWork at office$117k - $184.4k
...Senior Claims Specialist - Cyber United States Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. How do you make a good thing better? You focus on excellence and...Flexible hours- ...and/or oversee commercial and financial lines Public and Private D&O, Financial Institutions E&O, EPL, Fiduciary and Crime/Fidelity claims. Handle claims in accordance with Claim Handling Best Practices in all phases of the claim including through initial contact,...Work at office
- ...We’re looking for a detail-driven Claims Intake Specialist to join New Paradigm Staffing, supporting healthcare payers and billing departments with new claim submissions. This role is ideal for someone who enjoys documentation-heavy work and wants to support the early...Remote work
$130k - $160k
...Senior Claims Specialist - EPL/Fiduciary AXIS Capital is hiring a Senior Claims Specialist – EPL and Fiduciary Claims for its North America Claim Team. This role involves managing primary and excess claims for various AXIS policy forms. The individual will manage claims...Work at office3 days per week$100k - $140k
...Senior Claims Specialist The Senior Claims Specialist is responsible for managing all aspects of complex third-party liability claims, including class actions and high exposure matters, from inception through conclusion, brought against a wide variety of insureds, with...$80k - $110k
...Sr. Claims Specialist At-Bay is the world's first InsurSec provider designed from the ground up to help businesses tackle cyber risk head on. By combining industry-leading insurance with world-class cybersecurity technology, At-Bay offers end-to-end prevention and protection...- Description With minimal supervision, independently handles a book of specialty lines claims throughout the entire claim's life cycle. Responsible for conducting investigations, setting adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious...Work at officeLocal area
- ...We’re looking for a detail-oriented Entry-Level Healthcare Claims Intake Specialist to join New Paradigm Staffing , helping healthcare organizations process and route incoming claims data. This role is perfect for someone who enjoys accuracy and administrative work in...Immediate startRemote work
$117k - $184.4k
...Senior Claims Specialist, TPA Liability Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. You focus on excellence and creating a culture of continuous improvement. You...Flexible hours- ...Company, Inc. (WPC) is seeking experienced Automotive Warranty Administrators with at least 2 years of experience in processing warranty claims and delivering exceptional customer service. This remote opportunity requires strong technical knowledge, attention to detail, and...Remote work
$90.5k
Job Description Seneca’s Home Office Claims Department is looking for a Senior Property Claims Examiner for multiple locations along the Eastern part of the country. The Property Claims Examiner will be responsible for managing an assigned pending of property claims and...For contractorsWork experience placementWork at officeRemote workHome office$80k - $95k
Sr. Commercial General Liability Claims Specialist | Remote This range is provided by King's Insurance Staffing. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $80,000.00/yr - $95,000.00/yr Additional...Full timeRemote work- ...Eames Consulting has partnered with a leading P&C insurance carrier looking to add an experienced Senior Bodily Claims Adjuster . This role offers the chance to take ownership of complex commercial and litigated claims. This is a great opportunity to advance your career...
$105.3k - $184.4k
AXA XL is an Equal Opportunity Employer. Senior Claims Specialist – Commercial E&O Locations: Atlanta, GA; New York, NY; Stamford, CT; Hartford, CT Responsibilities Using independent analysis and expertise to determine the case strategy for assigned claims and...- ...The Gateway Development Commission (GDC) is seeking to add a highly qualified Senior Claims Specialist to the Risk Management team for the Hudson Tunnel Project (”HTP”). The Senior Claims Specialist will support the HTP Insurance Program, including the Owner Controlled...Contract workFor contractorsImmediate startFlexible hours
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