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 Molina Healthcare
$54k - $103k
...direction, and within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific... ...policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits...SuggestedWork experience placementWork at officeLocal areaFlexible hours$107.6k - $161.4k
...Specialist Claims - CH07DE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages... ...above established authority levels; Developing and implementing resolution strategies to achieve high quality outcomes; Proactively...SuggestedTemporary workWork at officeRemote work3 days per week- ...Position Title: Claims Specialist Department: Claims Reports To: Claims Manager or Director of Claims Location: Florida (Hybrid/Remote as... ...analysis, claims strategy, litigation management, and complex loss resolution. This role partners closely with leadership to improve...SuggestedRemote work
$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$59.9k - $98.2k
Litigated Claims Specialist (General Liability) Zurich is seeking an experienced Litigation Claims Specialist to join its Commercial General... ...to develop and execute a negotiation strategy and plan for resolution. Ability to identify subtleties in customer/client and/or...SuggestedFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship- ...Role We are seeking a dedicated and detail-oriented Insurance Claims Specialist to join our dynamic law practice. In this vital role, you... ...documentation, and evaluating claim validity to support timely resolutions. By combining strong analytical skills with knowledge of...Temporary workWork at officeMonday to FridayNight shiftWeekend work
- Overview Work alongside an engaged onsite team focused on claims resolution, compliance, and customer service excellence. Work Style: Onsite Location: St Agustine, FL FTE: Full-Time (1.0 FTE) Schedule: Monday - Friday, 8:00 AM - 4:30 PM Manages and evaluates insurance claims...Full timeMonday to Friday
- Jobtailor in New York is seeking an experienced Bodily Injury Claims Manager to oversee claims from intake to resolution. You will evaluate compensability and liability, conduct investigations, negotiate settlements, and maintain accurate files. This role requires a Bachelor...
- ## Remote Senior Claims Specialist - National Claim ServicesApplylocations: Remote - Florida: Remote - Texastime type: Full timeposted on:... ...liability construction defect cases, ensuring timely and fair resolution while adhering to company policies, regulatory requirements,...Remote jobFull timeContract workTemporary workWork experience placementWork at officeShift workDay shift
- The Hartford is seeking a Claims Specialist to manage a portfolio of complex auto and general liability claims, from inception through resolution. The role requires handling litigated matters, working with defense counsel, and applying coverage knowledge to analyze and...
- CNA Insurance in New York is seeking an experienced claims professional to manage highly complex commercial auto/general liability claims... ...with broad authority and coordinates all aspects of the resolution process, delivering high-quality outcomes and strong customer service...Work at officeFlexible hours
$106.4k - $159.6k
Specialist Claims - CH07DE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages... ...a well‑reasoned analytical focus, and a clear strategy for resolution. The Claim Specialist must also be willing to share their expertise...Contract workTemporary workFor contractorsRemote workHome office3 days per week- CNA Insurance is a leading insurer seeking an experienced claims professional to manage highly complex healthcare claims with broad authority... ...responsibilities. The role demands coordination of resolution activities, skilled investigations, and clear communication with...
- CRC Group is seeking a Remote Senior Claims Specialist to manage moderately complex commercial general liability construction defect claims from initial intake through resolution. You will review policy terms, assess exposure, and negotiate settlements with claimants, attorneys...Remote job
- AssuranceAmerica is seeking an experienced Liability Adjuster II to manage auto liability claims from first notice of loss through resolution while delivering an exceptional customer experience. The role requires at least one year of claims handling experience, strong communication...
- CRC Group is seeking a Senior Claims Specialist to manage the claims process for moderately complex commercial general liability construction... ...cases in the United States. You will ensure timely and fair resolution while adhering to company policies, regulatory requirements,...
$54k - $103k
...contributor position works under moderate direction to manage commercial claims with moderate to high complexity and exposure for a specific... ...commercial claims, verifying policy coverage and developing resolution strategies within authority limits. Investigates claims to...Work at officeLocal area$62k - $67k
Liability Assoc. Claims Adjuster Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Remote... ...and internal stakeholders to ensure timely and effective claim resolution. Key Responsibilities Investigate first party physical damage...Permanent employmentFull timeTemporary workFor contractorsLocal areaRemote work- ...America is seeking a Bodily Injury Adjuster to handle third party General Liability, Auto Liability, E&O, and related bodily injury claims from a remote home-based office. Travel to client locations and CEU events may be required. The role emphasizes timely action,...Remote jobWork at officeWork from home
- ...POSITION SUMMARY The Claims Analyst supports accurate and timely claims payment through pre-payment audits, claims analysis, and payment... ...to Claims Leadership and collaborate with internal teams on resolution. Assist with audits, implementations, special projects, and other...Remote work
- Job Description Join our growing team as a Sr. Liability Claims Specialist, Supervisor at Creative Risk Solutions, where you'll lead a high-performing group of adjusters and ensure exceptional claims handling from start to finish. This role offers the opportunity to drive...Remote jobFull timeTemporary work
- Liberty Mutual Insurance is seeking a Casualty Claims Adjuster to investigate, manage and resolve Bodily Injury claims, working directly with injured parties and policyholders. The role supports our claims operations and requires collaboration across teams. This position...Work at office
- A dynamic law practice is seeking a dedicated and detail-oriented Subrogation Specialist to join the team. This position involves managing and processing insurance claims while acting as a liaison between clients, insurance companies, and legal teams. Strong analytical...
- Jobtailor is seeking a skilled Medical Disability Claims Analyst in New York to assess benefits, guide claimants, and ensure plan compliance. You will collaborate with LTD teams, negotiate settlements within authority, and coordinate documentation and reporting to ensure...
- 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
$16 per hour
...which partners with many of the leading employers across the country. Feel free to check us out at Job Description Business Claim Specialist Location 255 Technology Park, Lake Mary FL 32746 Division Pharmaceutical Pay $16.00/hr. Contract 5 Month Timings Mon - Fri...Hourly payContract 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- Great American Insurance Group is seeking a Claims Representative/Senior Claims Representative to join the Reinsurance Claims team in Cincinnati, OH. The role requires on-site presence four days a week with one remote day, with full-time hours. Ideal candidates will understand...Full timeRemote work
- Join Our Team as an Insurance Claims Examiner - Make an Impact in Healthcare Payment Accuracy! Are you passionate about ensuring fair... ...support the integrity of the claims process, ensuring timely resolutions and compliance with industry standards. Required Skills and...Work at office
- Subrogation Claims Specialist The position plays a vital role in identifying and pursuing subrogation opportunities within workers’ compensation claims across Florida and other designated jurisdictions. The successful candidate will be responsible for conducting thorough...
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