Senior Health Claims Specialist: Complex Adjudication
$18.5 - $42.35 per hourStryker Corporation
Stryker Corporation is seeking a Medical Claims Processor in Portland, Oregon. The role involves reviewing and adjudicating medical claims, providing subject matter expertise, and ensuring compliance with guidelines. Required qualifications include 18 months of experience in medical claim processing and the ability to work in a high-volume environment. This full-time position offers a competitive pay range from $18.50 to $42.35 per hour, with a comprehensive benefits package. #J-18808-Ljbffr Stryker Corporation
$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...SeniorHourly payFull timeWork experience placementLocal areaRemote work$78.1k - $109.4k
...Esis Senior California Claim Representative Are you ready to make a meaningful impact in the world... ...Claim Representative handles more complex cases requiring advanced expertise.... ...insurance, personal accident and supplemental health insurance, reinsurance, and life...SeniorFull timeTemporary workWork at officeLocal area- A leading pediatric healthcare system in Portland seeks a full-time Pediatric Orthopedic Spine Surgeon specializing in complex spinal deformities. This high-volume role focuses on spine care, combining clinical assessments, surgical management, and collaboration with multidisciplinary...SeniorFull time
- ...Senior Claims Specialist The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making...SeniorWork experience placementLocal area
$105k - $140k
A leading insurance provider is seeking an Excess and Coverage Senior Technical Claims Specialist in Lake Oswego, Oregon. You will manage a book of Complex and Specialized claims, from investigations to settlements, requiring expertise in claims with significant financial...SeniorRemote job$105k - $140k
...Mutual has an immediate opening for an Excess and Coverage Senior Technical Claims Specialist as part of our Excess, Coverage and Specialized Claims... ...Coverage B claims on admitted and non-admitted paper. Complex Excess claims experience needed to evaluate claims with...SeniorWork at officeLocal areaImmediate startRemote workWork from homeHome office$76.2 - $129.74 per hour
...Senior Principal Software Engineer IS - Hybrid The Senior Principal Software Engineer... ...strategic value to Providence St. Joseph Health. They evaluate requirements, estimate costs... ...and successfully implementing a highly complex project. ~ Proven track record as a technical...Senior$16.74 - $26.92 per hour
...Workers' Compensation 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$22 - $34 per hour
...Technician for their Cardiology Specialty Team. This position involves advanced diagnostics, patient monitoring, and assisting in complex procedures. The ideal candidate will have experience in veterinary settings, particularly in cardiology, along with strong communication...SeniorHourly pay- A leading staffing agency is seeking a Senior Claims Processor in Portland, Oregon. This role involves supporting a small team processing... ...of experience in claims processing, strong knowledge of adjudication logic, and the ability to work independently. The company fosters...Senior
$83.41k - $94.26k
A global design firm is seeking an experienced Interior Designer in Portland, OR, to lead complex design projects from concept to completion. The ideal candidate will have 7+ years of experience and a strong background in public assembly buildings. Responsibilities include...Senior$60k
A leading technical support firm in Portland, Oregon, is seeking a Senior Technical Support Specialist to lead the resolution of complex issues and serve as a primary escalation point. The role involves cross-functional collaboration with Product and Engineering to diagnose...Senior- A leading engineering firm is seeking a Senior Electrical Analytical Engineer to specialize in Electromagnetic Transient (EMT) analysis of power systems. The role requires expertise in performing complex calculations related to Transient Over-Voltage (TOV) and Insulation...Senior
- ...Senior Vice President, Medicare About the Company Ambitious healthcare management organization Industry Hospital & Health Care Type Non Profit Founded 1945 Employees 10,0... ...who is adept at managing large, complex initiatives. The SVP will also be...Senior
$81.27k - $98.88k
A regional educational service entity in Vancouver, Washington, is seeking a Workers' Compensation Claims Adjuster to manage and handle claims for various school districts. The ideal candidate will have extensive experience in claims adjusting, possess a Washington State...SeniorFull time- A leading fintech company in Portland is seeking a Senior Technical Support Specialist to manage complex technical issues and drive continuous improvement in support processes. This role involves providing troubleshooting expertise, acting as an escalation point for support...SeniorFlexible hours
- Liberty Mutual Insurance is seeking a Senior Claims Specialist in Lake Oswego, Oregon. This role involves using advanced technology to review and process complex claims, making critical decisions regarding liability and compensability, and negotiating settlements. The ideal...Senior
$120k - $145k
A forward-thinking consulting firm is seeking a Senior Civil Engineer in Portland, Oregon. The role involves leading complex civil engineering projects, mentoring junior staff, and ensuring engineering excellence. Candidates should have at least 15 years of technical experience...Senior- A leading insurance company is seeking a Workers Compensation Claims Specialist in Lake Oswego, Oregon. In this role, you will investigate claims, assess policy coverage, negotiate settlements, and manage commercial property/casualty claims. Candidates must have a minimum...Senior
$131.96k - $205.33k
...Electrical Engineering and 12+ years of experience. Responsibilities include conducting detailed electrical analysis and performing complex calculations. The role offers comprehensive benefits and competitive compensation ranging from $131,960 to $205,330. #J-18808-...SeniorRemote job- Hispanic Alliance for Career Enhancement is looking for a Claims Examiner to process and analyze complex workers' compensation claims in Portland, Oregon. The... ...and a comprehensive benefits package including health and 401(k) options from day one. #J-18808-Ljbffr Hispanic...SeniorFlexible hours
- Sedgwick Claims Management Services Ltd is seeking a Claims Examiner in Portland, Oregon, focused on workers' compensation claims. The successful candidate will analyze and manage complex claims, negotiate settlements, and ensure accurate documentation. Required qualifications...SeniorFlexible hours
- A leading construction firm is seeking a Superintendent 3 in Beaverton, Oregon, to manage and execute projects with moderate complexity. The role involves leading safety initiatives, coordinating with subcontractors, and overseeing project budgets to ensure timely and...SeniorFor subcontractor
$68.2k - $102.3k
Rhode Island Bar Assn. is seeking a Senior Manager for Stop Loss and Health Claims. This role involves leading a dynamic claims unit, overseeing complex claims operations, and managing a high-performing team. Responsibilities include optimizing processes and collaborating...Senior- A leading health care organization is seeking an experienced individual to develop and implement complex sales strategies for health insurance accounts. The role requires building and maintaining relationships with customers and channel partners while utilizing advanced...Senior
- Precision Castparts in Portland, Oregon is hiring a Mold Machine Operator to manage complex wax pattern production and machine operation. The role includes preparing tooling dies, setting up mold machine functions, and inspecting parts for quality. Candidates should have...Senior
$168k - $275k
Cambia Health Solutions seeks a Platform Infrastructure Engineer V based in Portland, Oregon to lead cloud platform engineering efforts. In this role, you will manage and implement complex infrastructure while mentoring engineering teams and establishing best practices....Senior- Crains Cleveland is seeking a Senior Manager, Stop Loss and Health Claims to lead our dynamic claims unit. In this critical role, you'll oversee complex claims operations and manage a high-performing team while collaborating with key partners to ensure excellent customer...Senior
- An opportunity for a Senior Clinical Research Assistant in Portland, Oregon, focusing on coordinating complex clinical trials within the Parkinson Center and Movement Disorders Division. The role involves managing regulatory submissions, training junior staff, and ensuring...SeniorRemote work
$100k - $150k
...Attorney in Lake Oswego, Oregon, offering a competitive salary of $100K-$150K DOE. This role involves advising high-net-worth clients on complex transactional matters, drafting documents, and negotiating on their behalf. Candidates should have 5-10+ years of experience, an...Senior
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