Claims Resolution Specialist
Molina Healthcare of Illinois
Molina Healthcare seeks a Claims Processing Associate to support adjustment activities, administer payments, and maintain claim records. You will counsel claimants on coverage amounts and benefit interpretation while helping control backlog and ensure timely settlements. In this role you will research tracers and resubmissions, adjudicate or readjudicate claims, and contribute to departmental efficiency. Strong data entry, organization, and communication skills are essential. #J-18808-Ljbffr
$54k - $103k
...direction and within defined authority limits to manage commercial claims of moderate to high complexity and exposure within the General... ...policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits...SuggestedWork experience placementWork at officeLocal areaFlexible hours$59.9k - $98.2k
...Claims Specialist II, Workers Compensation Zurich North America is seeking a skilled and experienced Claims Specialist II to join our dynamic... ...the loss falls within the coverage. Work to have a timely resolution to claims by developing case strategy; developing a case...SuggestedFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship$80k - $88k
...Essential Job Functions And Responsibilities Manages an inventory of claims to evaluate compensability/liability. Plans and conducts claim... ...ability to organize and prioritize caseloads, ensuring timely resolution of claims. Excellent interpersonal and communication skills...SuggestedFull timePart timeSeasonal workLive outRemote work$75.8k - $124.1k
Sr. Claims Specialist, Workers Compensation Zurich North America is looking for an exceptional Senior Workers' Compensation Claims Specialist... ...the loss falls within the coverage. Work to have a timely resolution to claims by developing case strategy; developing a case...SuggestedFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship$80k - $85k
...Senior Liability Claims Adjuster Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Home... ...Analyze claim exposures and determine appropriate strategies for resolution and settlement Evaluate coverage, liability, and damages, and...SuggestedPermanent employmentFull timeTemporary workWork at officeLocal area- ...CNA Insurance in New York is seeking an experienced claims professional to manage commercial claims within the General Liability line. The role offers a flexible hybrid schedule, requiring 2 days in CNA offices per week, and frequent collaboration with customers and partners...Flexible hours
- ...set advance rates, and price facilities. Manage originator relationships post-close. Quarterly reviews, facility expansion, issue resolution. These are long‑term partnerships, not transactions. Build the team as volume grows. What you bring 5+ years in premium finance,...
- ...are seeking a highly skilled and experienced Global Third Party Claims Handler to oversee the technical handling of claims across... ...such as loss adjusters and legal teams to ensure efficient claims resolution and stakeholder alignment across regions. Customer & Third-Party...Work at officeLocal areaFlexible hours
- ...outstanding loan conditions. Communicate effectively with internal teams, borrowers, and external partners to facilitate timely resolution and loan closings. Operational Excellence & Secondary Market Management Take ownership of meeting Service Level Agreements (SLAs)...
- My name is Pondsy Anthony , and I am Recruiting Specialist with Mindlance Inc . I have reviewed your resume and at a first glance find it... ...primary function/purpose of this job: Verify member submitted claims forms, member’s eligibility and pharmacy information is complete...Contract workFor contractorsShift work
$15 - $16 per hour
...If you only make one career connection today, connect with Kelly. Job Description Kelly Services is currently seeking several Claims Specialist for our client's Lake Mary, FL location. In addition to working with the world’s most recognized and trusted name in staffing...Hourly payPermanent employmentTemporary workImmediate startMonday to Friday- ...AutoNation is seeking a Service Warranty Administrator in the Town of Florida, NY, responsible for managing and processing warranty claims efficiently. The ideal candidate will operate with attention to detail while ensuring compliance with regulations and interacting...
$57k
...experience preferred) Strong customer orientation, excellent interpersonal and communication skills Strong problem analysis and resolution skills Must be able to prioritize and be responsive to complex issues Detail oriented and able to multi-task Proficient in Microsoft...Work at office- ...Next step in progression could include Complex Claims Examiner Athens Administrators Explore the Athens Administrators difference: We... ...Facilitate between claimants, clients, brokers, and attorneys in resolution of liability claims. Participate and/or conduct department...Full timeFor contractorsLive inWork at officeLocal areaImmediate startRemote workMonday to Friday1 day per week
$116k - $165k
...interact with these key customers. In this Medical Malpractice focused Complex Claims Consultant position, you will be responsible for the overall investigation, management and resolution of Allied Healthcare Provider claims in multiple states within your assigned jurisdiction...Work experience placementWork at officeLocal areaFlexible hoursShift work- ...Great American Insurance Group is seeking a Crop Adjuster in the Town of Florida, NY, to handle insurance claims for various crops. This role involves conducting field inspections, documenting claims, and ensuring compliance with insurance policies and regulations. The...Part timeSeasonal work
$122.4k - $183.6k
...Overview Claims Consultant FL - CV07GE We’re determined to make a difference and are proud to be an insurance company that goes well... ...indemnity reserves above established levels Develop and implement resolution strategies through negotiations to achieve high-quality...Full timePart timeWork at officeRemote work3 days per week- ...high‐quality onsite appraisal services for auto property damage claims. Core responsibilities include conducting field inspections,... ...damage assessment, estimating platforms, negotiation, and claim resolution. The ideal candidate must live in the Miami, Florida area and is...Live in
- ...National General Holdings Corp. is seeking Auto Claims Adjusters to investigate and confirm the facts of loss for auto accidents. You... ...verify coverage. The role focuses on accuracy, customer care, and efficient claims resolution in a remote US environment. #J-18808-Ljbffr...Remote work
$88k - $120k
...Description**Primary Purpose**The Commercial General Liability (CGL) Claims Adjuster is responsible for the end-to-end handling of complex... ..., and contractual liability exposures.* Drive timely claim resolution through proactive file management, strategic planning, and...Work experience placementWork at officeLocal areaFlexible hours- ...Bristol West Claims Liability Claims Representative-Hybrid We are Farmers – where ambition meets opportunity. Job Summary Participates... ...and fire departments, state and country fraud and arson specialists, special investigators, attorneys, medical professionals and other...For contractorsTraineeshipWork at officeFlexible hoursShift work
- DAVIES is seeking a Liability Senior Claims Adjuster to investigate and resolve complex liability claims while ensuring compliance with client service standards. This is a remote role servicing clients in south Florida. The ideal candidate will have a strong background...Remote job
$18 - $19.5 per hour
...utilizing available resources, knowledge bases, troubleshooting techniques, and critical thinking skills to achieve high one‑call resolution whenever possible. This position requires representatives to research issues, educate customers, resolve concerns within their...Hourly payPermanent employmentFull timeRemote workMonday to FridayShift work$16 - $17 per hour
GoldenTrust Insurance is one of South Florida’s fastest-growing agencies, known for delivering trusted insurance solutions with professionalism, transparency, and care. We are expanding our team and seeking a detail-oriented and analytical Insurance Underwriter Agent to...Hourly payFlexible hours- The underwriter is responsible for assessing and managing risk associated with surety bond applications. They evaluate the financial strength and credibility of applicants, analyze terms, and make informed decisions to protect the interests of the surety company while ...Temporary workWork visaFlexible hours
- ...policies, and call center software. Strive to achieve and exceed call center performance metrics, including call quality, first‑call resolution, and patient satisfaction scores. Handle high call volumes and manage multiple tasks simultaneously while maintaining a positive...Temporary work
$48k - $55k
...Job Description To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments. Responsibilities...Temporary work- ...Casualty Claims Examiner at AssuranceAmerica Job Summary This position is responsible for the oversight of complex and large exposure losses and will report to the National Casualty Claims Manager. The Casualty Claims Examiner works alongside claims management, providing...Full timeContract workWork experience placementLocal areaHome office
- ...seasonal needs. As a Crop Adjuster, You Will Understand and work claims for all major crops, policy/plan types, through all stages of... ...loss information to determine potential. Work toward the resolution of claim files, and may attend arbitrations, mediations, depositions...Full timePart timeSeasonal work
$18 - $19 per hour
...Overview Position Title: Claim Assistant Location: Maitland, FL (in-office reporting M-F) Schedule: 8:00 am-4:30 pm ET Salary Range: $18-$19/hr Job Summary We are seeking a Claim Assistant to support our claims team in a fast‑paced, high‑volume office environment. In this...Work at office
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