Senior Health Claims Specialist: Complex Adjudication
$18.5 - $42.35 per hourHispanic Alliance for Career Enhancement
Hispanic Alliance for Career Enhancement is seeking a Medical Claims Reviewer in Missouri. The role involves reviewing and adjudicating complex medical claims, ensuring compliance with regulations, and supporting customer service operations. Required qualifications include a High School Diploma and a minimum of 18 months of medical claim processing experience. The position offers a pay range of $18.50 - $42.35 hourly. Benefits include medical, dental, vision coverage, and retirement savings options. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$18.5 - $42.35 per hour
We're building a world of health around every individual - shaping a... ...Position Summary Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established... ...specified claims and those that exceed specialist adjudication authority or...SeniorRemote jobHourly payFull timeWork experience placementLocal area$59.68k - $96.12k
...Job Description Job Description The Senior Claims Indemnity Specialist handles complex and high-profile Workers' Compensation claims following company standards... ...solutions for the workers’ compensation, auto, health and disability management industries. CorVel was...SeniorMinimum wageFull timeLocal areaRemote workFlexible hours$84.48k - $126.72k
...Group Underwriter Senior Location: This role requires associates... ...premium rates for large, complex renewal and prospect employer... ...with sales, administration and claims to assess the rating and administrative... ...to your salary, Elevance Health offers benefits such as a comprehensive...SeniorTemporary workWork experience placementWork at officeLocal area2 days per week1 day per week- Travelers is seeking a Sr Technical Specialist to handle complex claims in Overland Park, Kansas. You will leverage your expertise in insurance claims management to ensure fair resolution and guide customers through challenges. The ideal candidate has at least 7 years of...SeniorRelocation package
- ...approach will deliver better overall results. ESIS' specialized claim intervention strategy integrates an effective deployment of resources... ...and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of...SeniorFull timeContract workTemporary workWork at officeLocal area
- Travelers Canada in Overland Park is seeking a Technical Specialist to manage complex, high-exposure claims. The role involves investigating and documenting... ...claims experience. This position offers comprehensive health insurance, retirement matching contributions, and generous...Senior
- ...time, In-Office Department: Claims Salary: Top of market... ...equity Steadily is hiring a Senior Liability Claims Adjuster to help manage our most complex and high-exposure claims. If you... ...Rights Evaluate, negotiate, and adjudicate claims within your established...SeniorFull timeContract workWork at officeWeekend workAfternoon shift
$16.74 - $26.92 per hour
...Job Description The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims... .... For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be... ...for the workers’ compensation, auto, health and disability management industries...Hourly payMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours- ...Description Overview We are currently looking for an experienced Complex Claims Examiner I to join our growing Claims team! Key... ...maternity and parental leave program, along with paid STD and LTD. Health and well-being We are committed to your health and are...Work at officeLocal areaFlexible hours
$100k - $165k
...including P&C, Multinational, Financial Lines, Cyber, Accident & Health, and other relevant products. Work closely with local... ...exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At Chubb, we...SeniorFor contractorsWork at officeLocal area$123k - $129k
...Requisition ID: 180570 Job Level: Senior Level Home District/Group: Kiewit Industrial... ...who bring your work to life, and solve complex challenges that demand both technical... ...growing electricity demands. With top notch health benefits, 20 days paid time off, a wealth...SeniorFull timeContract workRemote workWork from homeWeekend work$140k - $210k
...City seeks a Solutions Sales Lead to drive the distribution of Life & Health Solutions. Responsibilities include hitting fee-based revenue targets, developing origination strategies, and managing complex sales cycles. The ideal candidate has at least 10 years of sales...Senior$75.8k - $124.1k
...divh2Sr. Claims Specialist, General Liability/h2p133638 Zurich is seeking an individual interested... ...River, CA./ppAs a General Liability Senior Claims Specialist, you will work with a... ...claims of moderate to high exposure and complexity within specific authority limits, to ensure...SeniorTemporary workApprenticeshipWork at officeLocal area- ERM is seeking a Consultant, Health and Safety to be based in Overland Park, Kansas. In this leadership role, you will directly influence client safety programs, addressing complex health and safety challenges. Your expertise will support technology, energy, and manufacturing...Senior
$85k - $100k
...insurance staffing firm is seeking a Senior Workers' Compensation Claims Examiner for a fully remote role.... ...successful candidate will manage mid to complex Workers' Compensation Lost Time... ...with a 10% Target bonus and excellent health benefits. #J-18808-Ljbffr King's Insurance...SeniorRemote job- JE Dunn in Kansas City is seeking a Senior Project Manager for sports general construction. This role requires ownership of project outcomes, leadership in safety culture, and management of complex projects. With a minimum of 10 years in construction management and experience...Senior
- ...is looking for a Clinical Dietitian to join their team. The ideal candidate will provide medical nutrition therapy to patients with complex conditions and collaborate with an interprofessional team. Required qualifications include a Bachelor's degree and 5-10 years of...SeniorPart time
- ...The ideal candidate will hold an MD or equivalent, have completed specialized surgical training, and possess 2-3 years of relevant experience. An opportunity to contribute to complex congenital surgeries and program development is offered. #J-18808-Ljbffr Ctsnet, Inc.SeniorTraineeship
- ...Practitioner to provide on-site behavioral health services in skilled nursing and long-term... ...in geriatric psychiatry, managing complex cases, and the ability to work autonomously... ...role offers competitive compensation and senior-level support, promoting a balanced work...Senior
$46.99k - $122.4k
CVS Health is looking for a dedicated individual to manage complex healthcare fraud investigations. The role demands at least 3 years of relevant experience and a Bachelor's degree or equivalent, alongside strong analytical skills. You will collaborate with law enforcement...SeniorFull time- NoTraffic is seeking a NOC Engineer for its Overland Park location to enhance the operational health of NoTraffic deployments. This role involves troubleshooting complex systems and driving incident resolution, ensuring a reliable and efficient operational environment....SeniorNight shift
$75.8k - $124.1k
Zurich is seeking an individual to grow their claims career with our Major Case Unit in the Commercial General Liability Team. At Zurich... ...‑party commercial line claims of moderate to high exposure and complexity within specific authority limits. Collaborate and develop...SeniorFull timeTemporary workApprenticeshipWork at officeRemote workVisa sponsorship- McCownGordon Construction, LLC in Kansas City is looking for a Construction Operations Lead to oversee multiple complex projects. This position requires managing project safety, schedules, and budgets while mentoring team members and developing positive client relationships...Senior
$108.28k - $170.15k
...and developing multi-year pricing strategies tailored to large, complex employer groups. The role requires extensive research and... ...Massachusetts; Minnesota In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive...Contract workTemporary workWork experience placementWork at officeLocal area2 days per week1 day per week$89k - $136k
...Senior Claim Specialist Amtrust Financial Services, a fast-growing commercial insurance company, is seeking a Senior Claim Specialist within... ..., Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans,...SeniorWork at officeRemote workFlexible hours- A leading estimating firm in the United States is seeking an experienced industrial estimator to handle large complex projects across various sectors, including automotive and manufacturing. The ideal candidate will have a minimum of 5 years of estimating experience, preferably...Senior
- ...premier commercial construction company in Kansas City is seeking a Senior Estimator to engage in the bid and estimating process. This role entails quantity take-offs, pricing, and bidding for complex projects. Candidates should possess a Bachelor’s degree and have over...Senior
- Syneos Health/inVentiv Health Commercial LLC is looking for a Senior Clinical Project Manager to lead complex Phase III oncology and hematology trials in a remote capacity within the US or Canada. This role requires strong leadership skills, oncology expertise, and financial...SeniorRemote job
- ...project execution, and strategic partnership, supporting Population Health initiatives while embedded onsite with a key client. Acting as... .... Responsibilities Support development and management of complex internal and external programs to deliver business‑aligned outcomes...SeniorWork experience placement
- Jacksongov is seeking a Senior Residential Appraiser in Kansas City, MO. The position entails... ...making field and office appraisals of complex agricultural and residential properties,... ...hourly pay, excellent benefits including health care, vacation time, and a pension plan....SeniorHourly payTraineeshipWork at office
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