Medical-Only WC Adjuster: Complex Claims (Hybrid)
$55k - $68kSelective Insurance
Selective Insurance is hiring a WC Complex Med Only Adjuster for their Charlotte office. This hybrid role involves managing medical only claims, communicating with various stakeholders, and ensuring compliance with regulations. The ideal candidate will have a background in workers' compensation and strong communication skills. The compensation ranges from $55,000 to $68,000 annually, along with a comprehensive benefits package including healthcare, retirement savings plans, and paid time off. The position requires a college degree and experience in claims management. #J-18808-Ljbffr Selective Insurance
$55k - $68k
Selective Insurance Company of America is seeking a WC Complex Med Only Adjuster for their Charlotte office. This hybrid role involves managing complex medical only claims, requiring excellent communication skills and knowledge of workers' compensation statutes. The successful...MedicalClaimsRemote jobWork at office$103.3k - $140k
...Complex Liability Claims Specialist - Commercial General Liability At Utica... ...and Charlotte. This is a hybrid role to our offices in Charlotte... ...your license(s) as an adjuster in the state(s) in which you... ...the following: ~ Medical and Prescription Drug Benefit...MedicalClaimsFull timeWork experience placementWork at officeHome officeFlexible hours- ...strategic, practical representation for claims handling and litigation across the range of WC matters. You will defend clients... ..., conduct depositions, analyze medical records, draft briefs, and... ...insurers and corporate clients. Hybrid schedule and strong compensation...MedicalClaims
$72k - $91k
Senior Claims Specialist - Auto Bodily Injury (Charlotte, NC; hybrid) Job Category: Claims Requisition Number... ...ll be responsible for adjusting auto bodily injury... ...a supervisor on more complex coverage and technical... ...include the following: Medical and Prescription Drug...MedicalClaimsFull timeWork experience placementWork at officeHome officeFlexible hours$77k - $110k
Commercial Lines Claims Specialist - Commercial General... ...(Southern venues; hybrid) At Utica National Insurance... ...claims with moderate complexity. With skills in detail... ...your license(s) as an adjuster in the state(s) in... ...the following: Medical and Prescription Drug...MedicalClaimsFull timeWork experience placementWork at officeWork from homeHome officeFlexible hours$68k - $92k
Employee Benefits Claims Team Leader (HYBRID OR REMOTE) At Equitable, we help clients secure their financial... ...and take referral tasks for complex items that require more tenured resources... ...a full range of benefits, including medical, dental, vision, a 401(k) plan, and...MedicalClaimsRemote jobTemporary workWork experience placementLocal areaFlexible hours2 days per week3 days per week$60k - $68k
Sr. Group Life Claims Examiner (HYBRID or REMOTE) (260000BU) About the Role At Equitable, we help clients secure... ...are achieved. Review and interpret medical records, utilizing resources as appropriate. Complete complex financial calculations specific to claims when...MedicalClaimsRemote jobContract workTemporary workWork experience placementLocal areaFlexible hours2 days per week3 days per week$88k - $120k
...Insurance Construction Defect Adjuster Job Description Primary Purpose... ...General Liability (CGL) Claims Adjuster is responsible for the end-to-end handling of complex third-party bodily injury and... ...surveillance Evaluate injury severity, medical treatment, and long-term...MedicalClaimsWork experience placementWork at officeLocal areaFlexible hours- A leading insurance provider is hiring a Senior Workers' Compensation Claims Adjuster for their Charlotte, NC office. This full-time role involves investigating and resolving medium complexity claims while collaborating with clients and internal stakeholders. Candidates...ClaimsFull timeWork at officeFlexible hours
$46k - $59k
...Selective Insurance is seeking a Claims Technical Assistant for our... ...group. This is a hybrid role and will assist the technical... ...manner directed to expedite the adjustment of claims. All job duties and... ...Claims Inquiry. May obtain medical records from paperless claims...MedicalClaimsWork at office- ...contracting and network management. This is a hybrid role based in Charlotte, NC. Responsibilities ~ Manage complex fee-for-service and value-based contracting... ...closely with matrix partners (i.e., Claims, Medical Management, Credentialing) to ensure aligned...MedicalClaimsContract workWork at officeLocal areaWork from home
$220k - $274k
...workflows. This position offers a hybrid work schedule, with an on‑site... ...range of benefits, including medical, dental, vision, a 401(k) plan... ...with experience handling complex agreements. Experience advising... ...negotiation and settlement of claims; ability to formulate and...MedicalClaimsTemporary workWork at officeLocal area2 days per week3 days per week- ...location in Charlotte. This position is a hybrid schedule with rotating days in the office... ...for receiving all OrthoCarolina claim denials for services not authorized for Surgery... ...understanding the authorization process, medical criteria, denials, and appeals and will serve...MedicalClaimsWork at office
- Sedgwick is seeking a Workers Compensation Claims Representative to handle a capped caseload of workers' compensation claims. This role... ...skills. Sedgwick offers a comprehensive benefits package including medical, dental, and 401(k) options. #J-18808-Ljbffr SedgwickMedicalClaimsRemote job
$44.94k - $71.78k
...Inside Property Adjuster Date: Jun 2, 2026 Location: Charlotte... ...factors including the scope and complexity of the role and the skills,... ...work. Low contributions to medical and prescription premiums. We... ...telephonically handling property claims within designated level of...MedicalClaimsFull timeTemporary workSecond jobWork at officeRemote workWork from homeHome office$75k - $97.5k
...Workers' Compensation Claim Supervisor... ...Charlotte, NC (in office hybrid) Schedule: 8:00 am... ...investigation, adjustment and supervision of... ...Provide oversight of medical, legal, damage... ...designated litigated and complex claims. Provide... ...- and mid-level WC adjusting roles...MedicalClaimsWork at office$19 - $24 per hour
...diverse working environment Hybrid work arrangement Positive and... ...management systems Competitive Pay Medical Plan Options, including a... ...to medical summaries, claims correspondence, and potentially... ...and verbal communications with adjusters and clients. Conduct preparation...MedicalClaimsHourly payWork at officeFlexible hours- ...office. Essential Functions: Processing electronic insurance claims, along with generating and analyzing custom claims reports.... ...patient accounts. Skills and Abilities: Health care and/or medical billing experience. Experience in processing electronic...MedicalClaimsWork experience placementWork at office
- ...Claims Business Analyst Duration-6 12 months ++ Hybrid 3 Days a week: Charlotte, NC; Chicago, IL; Colorado Springs, CO;... ...experience with claims management and medical bill review solutions. ~... ...pbm, medical bill mngt, etd to adjudicate a wc claim RIT SolutionsMedicalClaims3 days per week
$80k - $125k
...maintenance. Interpret and operationalize complex reinsurance contracts in accordance with... ...experience in reinsurance accounting, claims and reporting within the insurance industry... ...incentive opportunities. Benefits include medical, dental, vision, 401(k), and paid time...MedicalClaimsRemote jobFull timeContract workTemporary workWork at officeLocal area- ...Senior Workers Compensation Claim Rep is a full-time role... ...include coordinating medical and disability benefits... ...damages, setting and adjusting reserves, and... ...policies and guidelines to complex claim scenarios. Experience... ...work effectively in a hybrid environment, balancing...MedicalClaimsFull timeWork at officeWork from home
$78.1k - $109.4k
...supports safer workplaces and effective claims outcomes. We are seeking a skilled and collaborative... ...entitlement Reviewing and approving medical bill payments or forwarding them for... ...resident or designated home state adjuster's license is required for ESIS Field Claims...MedicalClaimsContract workWork experience placementLocal area$59.88k - $89.82k
Provider Contract Specialist (Hybrid Remote + Provider Office Visits... ...with internal teams including claims, clinical, and network... ...contracting with an HMO or IPA, medical group or institutional provider... ...close vision and the ability to adjust focus.Pay Range: $59,877.00 -...MedicalClaimsRemote jobContract workWork at officeLocal areaWork from homeMonday to Friday$24 - $26 per hour
...Operations Claims Professional Providing for loved ones, planning... ..., NC. This role follows a hybrid schedule of one day a week in... ...level expectations Escalate complex or high-risk issues appropriately... ...health and well-being including Medical, Dental, Vision, and Wellbeing...MedicalClaimsContract workWork at officeFlexible hours1 day per week$110k - $140k
...strategies to help clients navigate complex challenges, enhance business... ...Group. We offer a flexible, hybrid work environment. The... ...projections, insurance claim evaluations, economic damage evaluations... ...that includes your choice of medical programs, generous PTO and...MedicalClaimsWork experience placementWork at officeLocal areaFlexible hoursNight shift- ...Exempt role. This is a Hybrid position.... ...with high technical complexity and coordination.... ...tools (e.g. RQI, WC RST, UWWS, and CLAY... ...monitors performance, adjusts plan to ensure a... ...Effectively utilize Claims, Risk Solutions... ...need to succeed. Medical, dental, vision, life...MedicalClaimsFull timeTemporary workLocal areaWork from homeFlexible hours
- ...(EHP), which consolidates all claim administration-related workflows... .... To learn more, visit Hybrid 3 days (offices in NYC, Denver... ...transfers Ability to analyze complex business problems to discover... ...national origin, disability status, medical condition, genetic information...MedicalClaimsWork experience placementLocal area
$16.74 per hour
...Field Claims Professional – Auto-Owners Insurance Auto-Owners Insurance... ...Workers' Compensation Claims Adjuster – Amerisure Workers'... ...promise to our par ... Full-time Medical-Only Claims Specialist – (... ...Claims Specialist manages non-complex and non-problematic, medical...MedicalClaimsHourly payFull timeRemote work- ...ENGINEER- LEGAL, SAFETY AND COMPLIANCE (HYBRID, CHARLOTTE) Job Summary The Legal, Safety... ...effectively support incident management, claims, investigations, physical security, threat... ...maintains a drug‑free workplace. Benefits Medical Vision Life Insurance/ AD Disability...MedicalClaimsLocal areaFlexible hours
$78 - $80 per hour
...Duration: 9 Months Contract Mode: Hybrid Job Overview In this... ...initiatives and resources for highly complex business and technical needs... ...to benefits, including medical, dental, vision, and 401K contributions... ..., email, or phone call claiming to be from PTR Global do not...MedicalClaimsFull timeContract work
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