Claims Adjudication Specialist
MagnaCare
MagnaCare in Las Vegas is seeking a professional for claims adjudication, focusing on the review and processing of claims to ensure adherence to quality, productivity, and timeliness standards. The ideal candidate will possess strong healthcare contract knowledge, excellent communication skills, and at least one year of relevant experience. Responsibilities include resolving client inquiries, collaborating with teams, and maintaining high standards under pressure. #J-18808-Ljbffr MagnaCare
$100k
...designed to meet the unique coverage and claims-handling needs of businesses. The Argo... ...Construction Defect Technical Claims Specialist Employment Type: Full-Time FLSA Status:... ..., MT, ND, SD, or VT. This role will be adjudicating our most complex construction defect claims...SuggestedFull timeLocal areaRemote work- ...Claims Adjuster - Workers Compensation PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation...SuggestedContract workWork at office
- ...Workers Compensation Claims Specialist Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers an exciting opening for a Workers Compensation Claims Specialist within the...SuggestedWork experience placementRemote work
- ...Basica Insurance Services seeks an experienced Bodily Injury Adjuster to manage injury-related auto and other claims. The role emphasizes investigation, liability assessment, medical review, and skilled negotiation to achieve fair resolutions. Candidates should have 2...Suggested
- ...Primary Responsibilities Review and adjudicate claims submitted for reimbursement that fall outside auto adjudication standards on a daily basis, ensuring compliance with quality, productivity, and timeliness requirements. Applying medical policies, contractual provisions...SuggestedWork at office
$78k - $106k
...week. Responsibilities Review, investigate, analyze and adjust claims in accordance with current laws and regulations. Report new incidents... ...The expected salary range for this position (Claims Specialist) in US-MA-Boston is between $78,000 and $106,000 USD. This represents...For subcontractorWork at office- ...Liberty Mutual Insurance is seeking a Claims Specialist in Las Vegas, NV. This role emphasizes collaboration in a hybrid setting while handling a caseload of claims. Responsibilities include evaluating compensability and conducting investigations, ensuring exceptional...
- ...Description The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution. This includes making decisions about liability/compensability...Local area
$19 - $24 per hour
...Financial Pacific to provide them with innovative financing solutions for their customers. About the Role: The Insurance Claims Specialist is responsible for communicating effectively and professionally while handling incoming calls and written communication from/...Full timeContract workLocal area- We are looking for a dedicated Workers Compensation Claims Specialist to join our fast‑growing Claims Team in the West Region. You will review, analyze, and process moderately complex to complex claims using the latest technology. Your responsibilities include determining...Work experience placementRemote work
- Superior Underwriters is hiring a First Notice of Loss (FNOL) Claims Representative to be the first point of contact for clients initiating claims. You will handle inquiries with professionalism and accuracy, ensuring information about policies and services is clear and...
- Superior Underwriters is seeking a dedicated First Notice of Loss (FNOL) Claims Representative to be the first contact for clients initiating claims. You will provide information on policies, assist in claim processing, and enter data into the CRM with professionalism...
$48k - $72k
Overview Description Workers' Compensation Claims Specialist Join GGRM Law Firm, Nevada's premier injury law firm in Las Vegas, NV, as a Workers' Compensation Claims Specialist and make a significant impact on the lives of those who have been injured. If you enjoy interacting...Work at officeLocal areaFlexible hours- A leading injury law firm in Las Vegas, NV is looking for a Workers' Compensation Claims Specialist. In this role, you'll manage claims and support attorneys while providing excellent client service. The firm offers a flexible schedule and values professional growth. Ideal...Flexible hours
- Liberty Mutual is seeking a Claims Specialist in Las Vegas to manage a caseload of routine to moderately complex claims from investigation through resolution. You will determine liability and compensability, evaluate losses, and negotiate settlements while interacting with...
$101.18k - $119.78k
...products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-... ...report to a manager who works in New York City and is focused on adjudicating first and third party commercial environmental claims (mostly...Full timeLocal areaRemote work- ...consistently outpaces the industry in year-over-year growth? Liberty Mutual offers exciting openings for Workers Compensation Associate Claims Adjuster within the West Region! As an Associate Claims Adjuster, you will develop the knowledge and skills needed to conduct...Work at officeLocal areaImmediate startRemote work
$90k - $125k
...maintaining competitive positioning in the marketplace.The Senior Stop Loss Underwriter collaborates with sales, clinical, policy, and claims teams to deliver sound underwriting decisions aligned with company guidelines and financial objectives.Responsibilities:Review...Full timeContract workImmediate startRemote workFlexible hours$37.66 - $44.33 per hour
...products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned... ...26 and work from anywhere in the United States. This role will adjudicate indemnity workers' compensation claims of higher technical...Temporary workFor contractorsLocal areaRemote work$37.66 - $44.33 per hour
...products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned... ...Angeles, New York City, Omaha, or Richmond (VA).This role will adjudicate indemnity workers' compensation claims of higher technical...Temporary workLocal areaRemote work- ...Job Title 12 months/8 hours per day Workers Comp Claims Experience Preferred Please ensure that you have read the job description and uploed the documentation required to qualify, including: High School Diploma/Equivalent Specific, verifiable documentation...
- Liberty Mutual Insurance in Las Vegas is seeking a Commercial Insurance Claims Representative to review and process straightforward commercial claims within authority limits, with the flexibility of a hybrid work arrangement. You will investigate claims, determine coverage...
- ...Position Summary The Underwriting Specialist plays a critical role in evaluating new referrals and securing funding approvals in a timely and efficient manner. This position serves as the primary liaison between attorneys, case managers, providers, and internal stakeholders...Live inWork at officeFlexible hours
- ...consistently outpaces the industry in year-over-year growth? Liberty Mutual offers exciting openings for Workers Compensation Associate Claims Adjuster within the West Region! As an Associate Claims Adjuster, you will develop the knowledge and skills needed to conduct...Work at officeLocal areaImmediate startRemote work
- Senior Underwriter Real Capital is looking for a technically fluent Senior Underwriter to drive acquisitions and investment decisions across our self-storage and express car-wash platforms. You will independently evaluate opportunities, own and improve our underwriting...Local areaRelocation
$65k - $85k
...while maintaining competitive positioning in the marketplace.The Stop Loss Underwriter collaborates with sales, clinical, policy, and claims teams to deliver sound underwriting decisions aligned with company guidelines and financial objectives.Responsibilities:Review...Contract workImmediate startRemote workFlexible hours$45.54 per hour
Job Title: Underwriter IV Location: Remote Texas What you'll do: As a Mortgage Underwriter IV you'll be responsible for underwriting Government and Conventional loans by reviewing the credit, capacity and collateral characteristics of loan files to ensure...Hourly payRemote work- Description Casualty Senior Claims Manager — Casualty Specialized ClaimsWe are seeking a Senior Claims Manager with at least 10+ years of relevant experience to join our Casualty Specialized Claims team. This leadership role is responsible to guide, plan, and lead the...Work experience placementWork at officeLocal area
$53.3k - $67k
Overview Assigned to Worker's Compensation claims, the Adjuster I is responsible for prompt and independent review of insurance claims through effective research, evaluation, investigation, negotiation and interaction with insureds and claimants. The Adjuster I is often...Flexible hours- ++ This is the Senior Claims Examiner 12 Months / 8 Hours per day Please ensure that you complete the entire work history in the “Experience and Credentials” section of your application including periods of unemployment, schooling and volunteer work. Please ensure that...
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