Senior Health Claims Specialist: Complex Adjudication
$18.5 - $42.35 per hourHispanic Alliance for Career Enhancement
CVS Health®, located in Delaware, is hiring for a full-time medical claims processing role. The position involves reviewing complex claims, ensuring compliance with regulations, and offering positive member experiences. Candidates should have at least 18 months of medical claim processing experience and be detail-oriented. The salary ranges from $18.50 to $42.35 per hour. Benefits include medical, dental, vision coverage, retirement savings options, and more. Join CVS Health® and contribute to transforming health care. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$18.5 - $42.35 per hour
...CVS Health is seeking a Medical Claims Specialist to review and adjudicate complex medical claims. The role requires minimum 18 months of experience in medical claim processing within a health insurance payor environment. Candidates should have excellent attention to...SeniorHourly payFull time$18.5 - $42.35 per hour
...CVS Health is seeking a Medical Claims Adjudicator in Idaho to review and adjudicate complex medical claims while supporting customer service operations. The role requires at least 18 months of experience in medical claim processing with specific qualifications in detail...SeniorHourly payFull time$18.5 - $42.35 per hour
...for Career Enhancement is seeking a Medical Claims Processor in New York, NY. The position involves reviewing and adjudicating complex medical claims while ensuring compliance... ...hour, with comprehensive benefits including health coverage and retirement options. #J-18808-Ljbffr...SeniorHourly payFull time$18.5 - $42.35 per hour
CVS Health is hiring a Medical Claims Processor in Oklahoma. This full-time position involves reviewing complex medical claims and providing expertise to ensure compliance with guidelines. The ideal candidate should have 18 months of experience in medical claim processing...SeniorHourly payFull time$18.5 - $42.35 per hour
A leading healthcare provider in the United States seeks a Medical Claims Specialist to review and adjudicate complex claims. The ideal candidate has at least 18 months of experience in medical claim processing within a high-volume environment and demonstrated attention...SeniorHourly payFull time$18.5 - $42.35 per hour
Stryker Corporation in Idaho is seeking a medical claims processor to review and adjudicate complex claims, ensuring compliance with guidelines and regulations. Ideal candidates will have at least 18 months of experience and a strong ability to manage multiple responsibilities...SeniorHourly payFull time$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$104k - $171.7k
Travelers is seeking an experienced claims professional in New York, NY, to handle severe and complex claims, with a target annual salary between $104,000 and $171,... ...to $20,000 is available, along with comprehensive health benefits and a retirement plan. #J-18808-Ljbffr...SeniorRelocation package- A leading insurance company is seeking a Complex Cyber Claims Specialist in New York City. This role involves investigating and evaluating complex cyber claims, working closely with attorneys and experts. Candidates should have several years of experience in cyber claims...SeniorFlexible hours
$90.5k
...leading property & casualty, accident & health, specialty and standard commercial... ...Description Seneca’s Home Office Claims Department is looking for a Senior Property Claims Examiner for... ...negotiate settlement of claims of varying complexity under the general direction of the...SeniorFor contractorsWork experience placementWork at officeRemote workHome office$87.5k - $129k
Sedgwick Claims Management Services Ltd is seeking a Sr. Claims Specialist for Professional Liability work. This role involves analyzing complex medical malpractice claims, negotiating settlements, and coordinating legal defenses while ensuring high levels of customer service...SeniorRemote job- Insurance Administrative Solutions, L.L.C. is seeking a Health Insurance Claims Adjuster in Idaho. The role involves analyzing claims to determine... .... The ideal candidate will have at least 1 year of claims adjudication experience, strong research and communication skills, and...
$72k - $141k
CNA Insurance in New York is seeking an experienced Claims Manager to oversee unsupported excess claims management. The role requires negotiation of complex claims and managing investigations while ensuring compliance with regulations. The ideal candidate will have at...Senior- Karna LLC is looking for a Temporary, Full-Time Medical Claims Processor to join the Bakinaw-Karna Joint Venture Team. The role involves processing complex medical claims for the World Trade Center Health Program, ensuring accuracy and compliance. The ideal candidate will...Remote jobFull timeTemporary work
$100k
...Senior Technical General Liability Bodily Injury Claims Specialist Argo Group is an underwriter of specialty... ...and is focused on adjudicating commercial General Liability... ...degree of technical complexity, potentially with... ...program—including health, dental, vision, 401(...SeniorLocal area$80k - $110k
Hiscox SA is looking for a Senior Claims Examiner in New York, NY. This permanent position involves adjudicating claims, documenting files, and conducting nuanced analyses to... ...and exceptional employee benefits including health insurance, paid time off, and wellness programs...SeniorPermanent employment$67.9k
Senior Claims Examiner Seneca is looking for a senior claims specialist who enjoys being a key part of a dynamic team. As a Senior Claims... ...mid-to-high level of risk and complexity. You will also be expected to... ...benefits that go beyond health, dental & vision. Our programs...SeniorRemote jobWork at officeFlexible hours- GNY Insurance Companies is seeking a Senior Claim Examiner in New York responsible for handling complex litigated general liability bodily injury and property damage claims. The role involves making coverage determinations, coordinating with defense counsel, and ensuring...Senior
$140k - $170k
...Join our dynamic and forward-thinking Claims team! Here, you’ll be part of an... ...IL; Manhattan, NY; West Hartford, CT. Senior Complex Claims Specialist - Professional Liability Our Senior Complex... ...Professional Liability, A&E, Allied Health, and Media claims from inception to...SeniorPermanent employmentTemporary workWork at office2 days per week$151.06k - $181.25k
## Senior Technical New York Labor Law Claims SpecialistApplylocations: US NY -... ...Labor Law Claims Specialist**Employment Type:*... ...This role will be adjudicating claims of general... ...degree of technical complexity, potentially with... ...program—including health, dental, vision, 4...SeniorFull timeLocal area- HCC Service Company, Inc. is seeking a Senior Claims Examiner in New York, NY to analyze coverage and process complex claims efficiently. You will be responsible for reviewing submitted claims, drafting action plans, and ensuring compliance with department workflows. Ideal...Senior
$130k - $170k
Aon is seeking a Property Claim Consultant in New Jersey to provide senior-level advisory services for complex commercial property insurance claims. This role involves leading claim preparation efforts, strategic guidance on loss quantification, and direct client interaction...SeniorRemote job$130k - $170k
Aon Corporation is seeking a Property Claim Consultant for a senior-level role involving complex property insurance claims. This position offers the flexibility of hybrid or remote work and requires strong advisory skills. The consultant will provide strategic guidance...SeniorRemote work$125k - $135k
...Dormont Manufacturing Co is hiring for a position focused on managing complex claims and ensuring compliance with fair practices. The candidate will conduct investigations, negotiate settlements, and maintain communication with clients throughout the claims process. Applicants...Senior$94.85k
R T Specialty, LLC in New York is hiring a Senior Binding Authority Underwriter to leverage extensive industry knowledge and underwriting expertise. This role requires evaluating complex risks, negotiating terms, and managing relationships with brokers and clients. A minimum...Senior- Integrated Specialty Coverages, LLC is seeking a Senior Underwriter (Accident & Health) to work remotely. The role focuses on developing a portfolio by reviewing complex insurance applications and cultivating broker relationships. This position also contributes to team...SeniorRemote jobWork at office
$125k - $175k
...Senior Claims Specialist Date: Jan 7, 2026 Company: Odyssey Headquartered in New York City with offices throughout the U.S. and in Vancouver,... ...policies. Determine potential subrogation and fraud within complex cases. Provide timely updates to management and underwriting...SeniorWorldwide$100k
...unique coverage and claims-handling needs of businesses... ...Business Title(s): Senior Construction Defect Technical Claims Specialist Team Lead... ...Claims Handlers and adjudicating our most complex construction defect claims... ...benefits program-including health, dental, vision, 401(...SeniorFull timeLocal areaRemote work$117k - $184.4k
...XL is an Equal Opportunity Employer. Our Claims team sets us apart. Our experienced Claims... ...expertise to handle even the most complex claims seamlessly. You focus on excellence... ...offer a competitive retirement savings plan, health and wellness programs, and many other benefits...Senior$100k - $140k
...specialty insurance and wholly owned by Fairfax Financial Holdings Limited. Position Summary: 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...SeniorWorldwide
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