SVP of Litigation JobotSVP of LitigationFranklin, TN$275,000–$300,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Our teams work across complex care settings to deliver consistent, compassionate, and clinically responsible services while supporting the operational, legal, and safety needs of the organizations we serve.
NewEHS Manager A.O. SmithEHS ManagerFranklin, TNThe company is one of the world’s leading manufacturers of residential and commercial water heating equipment and boilers, as well as a manufacturer of water treatment products for residential and light commercial applications. Competitive compensation package and comprehensive benefits plans which include medical and dental insurance, company-sponsored life insurance, retirement security savings plan, short- and long-term disability programs and tuition assistance.
NewCorporate Quality Analyst A.O. SmithCorporate Quality AnalystAshland City, TNThis role analyzes failure data to identify product and process improvements and collaborates with internal teams and suppliers to reduce warranty costs while improving customer satisfaction. The company is one of the world’s leading manufacturers of residential and commercial water heating equipment and boilers, as well as a manufacturer of water treatment products for residential and light commercial applications.
Casualty Claims Manager | Remote King'S Insurance StaffingCasualty Claims Manager | RemoteTennesseeRemoteThis leadership role will oversee a team of claims examiners handling moderate to complex auto bodily injury claims from cradle to grave, ensuring claims are investigated, evaluated, and resolved accurately and efficiently. This is an outstanding opportunity for a seasoned claims professional to oversee casualty operations, mentor a high-performing team, and drive strategic initiatives that support operational excellence and quality claim outcomes.
AVP - General Liability Claims Manager - Remote CRC Insurance Services, LLCAVP - General Liability Claims Manager - RemoteTNRemotePlease review the following job description: The AVP - GL Claims Manager, reporting directly to SVP - Claims, is a full-time remote role responsible for managing and overseeing General Liability claims activities across assigned programs. Day-to-day responsibilities include supervising claims handling workflows, reviewing complex and high-severity claims, providing guidance on coverage, liability, and damages evaluation, and ensuring consistent application of claims best practices.
Senior Manager, Stop Loss & Health Claims Sun Life Financial IncSenior Manager, Stop Loss & Health ClaimsNashville, TN$68,200–$102,300 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
NewClaims Negotiation Manager CVS Health CorpClaims Negotiation ManagerTN$66,330–$145,860 / yearDemonstrated expertise in the No Surprises Act (NSA), out-of-network reimbursement methodologies, provider billing practices, and healthcare claims adjudication, with the ability to interpret complex regulations, evaluate claim and reimbursement disputes, guide negotiation strategies, ensure compliance, and drive favorable financial and operational outcomes. Lead daily negotiation operations while partnering closely with Product, Operations, Compliance, Analytics, and Client teams to enhance negotiation strategies, support product development, drive operational excellence, and ensure compliance with federal and state regulations.
Sr Manager, Life & Annuities Claims DXC Technology CoSr Manager, Life & Annuities ClaimsNashville, TNDXC Technology is a leading enterprise technology and innovation partner delivering software, services, and solutions to global enterprises and public sector organizations - helping them harness AI to drive outcomes at a time of exponential change with speed. With deep expertise in Managed Infrastructure Services, Application Modernization, and Industry-Specific Software Solutions, DXC modernizes, secures, and operates some of the world's most complex technology estates.
Senior Provider Experience Program Manager - Healthcare Claims CVS Health CorpSenior Provider Experience Program Manager - Healthcare ClaimsTN$106,605–$284,280 / yearWhat you will do: Lead enterprise delivery of multiple, highly complex business process and technology initiatives aligned to the Provider Experience / Provider NPS program, supporting all lines of business. Drive Agile delivery of Provider Experience / Provider NPS initiatives, supporting business process and technology improvements across multiple lines of business.
Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerNashville, TN$99,000–$232,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.
NewProgram Manager (Claims Adjuster) - Hybrid Vanderbilt HealthProgram Manager (Claims Adjuster) - HybridNashville, TNDiscover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.
NewProgram Manager (Claims Adjuster) - HYBRID Vanderbilt University Medical CenterProgram Manager (Claims Adjuster) - HYBRIDNashville, TNDiscover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.
Division Claims Coordinator HCA Healthcare IncDivision Claims CoordinatorNashville, TNRemoteYou must possess excellent communications skills and an understanding of hospital operations in order to coordinate activities with defense counsel, all levels of hospital administration, HCI personnel and the Division Claims Administrator to provide information to defense counsel and schedule hospital personnel for interviews, depositions, mediations, etc. Some examples include, but not limited to; Delineation of Privileges of Physicians, Employment Files, Credentialing Files, Surgical Schedules, Facility Maintenance documents, Surveillance footage, Radiology Imaging, Census Data, etc.
Manager, Liability Claim Community Health Systems IncManager, Liability ClaimFranklin, TNThe Manager, Liability Claims is responsible for overseeing professional and general liability claims, including assessing liability, managing case reserves, developing and approving defense strategies, and directing negotiation efforts as appropriate. Manages professional and general liability claims files, including assessment of liability, evaluation of case reserves, and approval of defense strategies.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTENashville, TNRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Senior Claims Representative - REMOTE Ryder System IncSenior Claims Representative - REMOTENashville, TNRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
NewSr. Claims Specialist, Commercial Casualty - Remote CSAA Insurance GroupSr. Claims Specialist, Commercial Casualty - RemoteTNRemote$74,295–$82,550 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including Mobilitas offices.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTENashville, TNRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
Life & Annuity Senior Manager (Claim process). Pyramid Consulting, IncLife & Annuity Senior Manager (Claim process).Nashville, TNRemote$129,000–$130,500 / yearBy applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Lead process improvement initiatives in Life & Annuity Insurance industry, and manage daily operations, focusing on achieving efficiency and compliance.
Warranty Claims Investigator Amrize LtdWarranty Claims InvestigatorTNRemoteRemote workforce position with regular travel in the field performing in-depth investigations to complete analysis of roofing systems exhibiting issues, requiring extensive knowledge of all construction practices as they relate to Elevate/GenFlex roofing systems. Quick and thorough completion of all paperwork including photographs related to each claim to properly document Amrize Building Envelope position for presentation and future reference including possible litigation.
Director, Claims AmSurg CorpDirector, ClaimsNashville, TNRemoteUnderstands and communicates, as well as educates, claims management philosophy and strategy to Corporate and Center staff while building, maintaining, and managing relationships with claims adjusters and outside legal counsel. Company Overview: AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide.
Fleet Claims Specialist, Middle Mile Property Damage Amazon.com IncFleet Claims Specialist, Middle Mile Property DamageNashville, TNAn ideal candidate brings a background in fleet maintenance and automotive claims handling, with experience managing professional relationships with multiple stakeholders, holding responsible individuals accountable for asset damages and repair costs, and achieving organizational targets. Interact with carriers and customers to obtain facts, explain claims processes, and provide high quality service to achieve a positive customer experience.
CLAIMS REPRESENTATIVE SR Dollar GeneralCLAIMS REPRESENTATIVE SRGOODLETTSVILLE, Tennessee$70,000–$76,000 / yearFull timeJob Details: Timely conduct interviews with injured employees, customers, store personnel and medical care providers within 24 hours of receiving reported incident to evaluate facts regarding compensability of a claim under the state requirements. Whether you are looking to launch a new career in one of our many convenient Store locations, Distribution Centers, Store Support Center or with our Private Fleet Team, we are proud to provide a wide range of career opportunities.
Senior Claims Representative (Workers Compensation) Dollar General CorpSenior Claims Representative (Workers Compensation)Goodlettsville, TNRemoteTimely conduct interviews with injured employees, customers, store personnel and medical care providers within 24 hours of receiving reported incident to evaluate facts regarding compensability of a claim under the state requirements. Whether you are looking to launch a new career in one of our many convenient Store locations, Distribution Centers, Store Support Center or with our Private Fleet Team, we are proud to provide a wide range of career opportunities.
CLAIMS REPRESENTATIVE Dollar GeneralCLAIMS REPRESENTATIVEGOODLETTSVILLE, Tennessee$60,000–$67,000 / yearFull timeThis role partners with injured employees, store personnel, medical providers, attorneys, case managers, and other service providers to support return-to-work efforts, manage benefits, control claim costs, develop strategic resolution plans, and maintain compliance with applicable workers’ compensation regulations and licensing requirements. • Proactively coordinate and communicate with physicians, injured employees, and store personnel regarding light-duty or full-duty return-to-work opportunities, payment of appropriate benefits, and utilization of in-house and field nurse resources for medical and disability management.
Workers Compensation Claims Representative Dollar General CorpWorkers Compensation Claims RepresentativeGoodlettsville, TNThis role partners with injured employees, store personnel, medical providers, attorneys, case managers, and other service providers to support return-to-work efforts, manage benefits, control claim costs, develop strategic resolution plans, and maintain compliance with applicable workers' compensation regulations and licensing requirements. Proactively coordinate and communicate with physicians, injured employees, and store personnel regarding light-duty or full-duty return-to-work opportunities, payment of appropriate benefits, and utilization of in-house and field nurse resources for medical and disability management.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistTNRemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
Life & Annuity Senior Manager (Claim process). Pyramid, IncLife & Annuity Senior Manager (Claim process).Nashville, TN$129,000–$130,500 / yearFull timeKey Requirements and Technology Experience: Key skills: -Life Insurance or Life & Annuity Bachelor's degree in a relevant field or equivalent combination of education and experience Typically, 8 years of relevant work experience in Life & Annuity Insurance industry, with a minimum of 3 years in a similar role Proven experience in business process transactions Claims Proficiencies in business process management and optimization A continuous learner that stays abreast with industry knowledge and technology Advanced degree in a relevant field a plus Relevant certifications (e.g., Six Sigma, PMP) or significant relevant work experience a plus Our client is a leading IT Industry, and we are currently interviewing to fill this and other similar fulltime positions. By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners.
TEMP- Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP- Workers' Compensation Claims AdjusterTN$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
Stop Loss Claims Resolution Consultant Sun Life Financial IncStop Loss Claims Resolution ConsultantNashville, TN$54,100–$81,200 / yearThis role combines deep technical expertise as a Stop Loss Health Claims Analyst with responsibility for managing end-to-end inquiry resolution, including research, claim determination support, documentation review, and clear customer communication. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation.
EDI Claims Filing Specialist Nesco Resource, LLCEDI Claims Filing SpecialistBrentwood, TN$18 / hourThe EDI Claims Filing Specialist is responsible for ensuring that claims are accurately submitted to payors, either electronically or via paper, with all required documentation. Establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
Epic Certified Resolute Professional Billing & Claims Senior Consultant Accenture PlcEpic Certified Resolute Professional Billing & Claims Senior ConsultantNashville, TNThe Advanced Technology Centers (ATCs) make tremendous impact in solving our clients' business problems leveraging Innovation, Intelligence, Industry insights, new IT and new technology skills. For our clients, the Network provides the strength of our geographic diversity, greater resilience, and seamless access to the deepest industry knowledge, the latest in Gen AI solutions, and tech expertise from around the world.
Claims Escalation Specialist Fast Pace HealthClaims Escalation SpecialistTennesseeFull timeThe Claim Escalation Specialist will perform the daily collections and management of outstanding accounts, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments. Performs daily on collecting and managing of outstanding accounts, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments.
NewUnemployment Insurance Claims Analyst Thomas and CompanyUnemployment Insurance Claims AnalystNashville, TNFull timeEssential Duties and Responsibilities Receive and process incoming claims within 48 hours of receipt of claimDocument all claim activity in TNC Claims Management SystemMust be able to provide a timely and detailed response to all claimsCoordination with state agencies, EX: return state calls and other requests when neededResponsible for returning all state calls within 4 business hours of receiptResponsible for all claim responses while adhering to proper template for the agency, as notated in the claim's analyst handbook Respond to internal client emails, SHIELD (T&C system) discussions and voicemails regarding open claims within 4 business hoursCheck outgoing fax queue one hour prior to departure. Always accept incoming calls when at desk, never send incoming calls to voicemailMust be efficient in recording proper separation / disposition codesProvide current and correct separation information to applicable State Agencies whenComplete facility change form immediately upon receipt of information from clientMaintain minimum efficiency and productivity benchmarks based on tenure of employmentRespond to internal client emails, SHIELD (T&C system) discussions and voicemails regarding open claims within 4 business hoursRequirements and Qualifications High school diplomaExperience with Microsoft officeExcellent written and oral communication skillsExperience in a fast, multi-tasking environment a plusTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
Claims Specialist CKE Restaurants Holdings, Inc.Claims SpecialistFranklin, TNContribute to the Companys broader Risk Management and Safety strategies and initiatives by identifying claim trends, escalating potential risk issues, and supporting franchise and landlord certificate of insurance (COI) compliance, CCTV maintenance, and safety inspection follow-up activities. This position exercises independent judgment in reviewing claim facts, assessing documentation, coordinating resolution activities, and recommending appropriate next steps to help ensure claims made against the Company are handled fairly, efficiently, proactively, and in accordance with industry best practices.
Leave and Disability Claims Roles UNUM GroupLeave and Disability Claims RolesUSA, TN$22.12–$24.04 / hourWhether you’re directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. When you apply, you'll be considered for positions such as Integrated Paid Leave Specialist, STD Benefits Specialist Trainee, Associate Leave Specialist, Eligibility Specialist and Associate Life Event Specialist.
Auto Claims Representative Auto-Owners Insurance CoAuto Claims RepresentativeBrentwood, TNAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: Investigate, evaluate, and settle entry-level insurance claims.
Disability Insurance (Di) Claims Analyst Northwestern MutualDisability Insurance (Di) Claims AnalystFranklin, TN$66,960–$100,440 / yearThrough structured training and on-the-job mentoring, you'll learn end-to-end claim management across initial and ongoing phases, build expertise in medical and financial reviews, and deliver timely, high-quality outcomes for clients, field partners, and the enterprise. Through structured training, ongoing mentorship, and meaningful work, you'll build a rewarding career focused on delivering exceptional outcomes for clients, field partners, and Northwestern Mutual.
National Complex Claims Leader Marsh & McLennan Companies IncNational Complex Claims LeaderNashville, TNRemote$93,700–$174,800 / yearReporting to the SVP, National Claims Director, you will serve as a senior resource and technical authority on complex and high-exposure claims, bringing deep expertise, strategic judgment, and a national perspective to drive resolution on complex, high-stakes commercial P&C claim situations across the organization. In this capacity, you will build and maintain strong relationships with national and regional leadership, industry vertical leaders, and Marsh Risk, ensuring MMA clients receive best-in-class advocacy at every level.
PFML- Absence Management Claims Consultant Pacific LifePFML- Absence Management Claims ConsultantTennesseeThe PFML Claims Consultant will partner closely with Product, Technology, Legal, Compliance, and Operations teams to define business requirements, support system configuration and testing, develop workflows, create claims procedures and training materials, drive process improvements, and ensure regulatory requirements are effectively translated into scalable operational solutions. Partner closely with Product Owners, Business Analysts, Technology teams, and external vendors to define business requirements, user stories, workflows, business rules, and system functionality needed to support PFML administration.
Workers Compensation Claims Adjuster | MO & Lost-Time Experience | FL Jurisdiction & FL Licensing | Dedicated Client Sedgwick Claims Management Services, Inc.Workers Compensation Claims Adjuster | MO & Lost-Time Experience | FL Jurisdiction & FL Licensing | Dedicated ClientTNRemoteMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
Claims Examiner - Workers Compensation | Dedicated Account | Jurisdiction/Licensing: FL - Required (Remote) Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation | Dedicated Account | Jurisdiction/Licensing: FL - Required (Remote)TNRemoteMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. To analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Claims Examiner, Auto | Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner, Auto | Bodily InjuryTN$70,000–$80,000 / yearTo analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
Claims Consultant, Life Sciences CNA Financial CorpClaims Consultant, Life SciencesNashville, TN$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims with large exposures that require a high degree of technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to complex manage litigation and authorizing payments within scope of authority.
Complex Claims Consultant - Epl, Private & NFP D&O CNA Financial Corp.Complex Claims Consultant - Epl, Private & NFP D&ONashville, TN$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&ONashville, TN$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
NewLead Director, Claim Management - Provider Digital Operations CVS Health CorpLead Director, Claim Management - Provider Digital OperationsTN$100,000–$231,540 / yearThe Lead Director, Claim Management for Provider Digital Operations is responsible for the strategic leadership and operational oversight of Aetna's Claim suite of provider-facing transactions - inclusive of Claim Submission, Status, Attachments, and Remittances. This role partners with the technology teams to develop strategy and roadmaps, ensuring exceptional provider experiences and operational excellence through performance management, compliance, and team leadership.
Claims Associate - Workers Compensation | Med Only | Jurisdiction: NY and PA | Licensing: NY Licensing preferred Sedgwick Claims Management Services, Inc.Claims Associate - Workers Compensation | Med Only | Jurisdiction: NY and PA | Licensing: NY Licensing preferredTN$18.06–$22 / hourMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Workers Compensation Claims Adjuster (Southeast Experience Required) CBCSWorkers Compensation Claims Adjuster (Southeast Experience Required)Nashville, TNYou will be working from home so previous workers compensation adjusting experience is required (i.e. taking statements, paying lost wage benefits, filing state forms, denying claims, subrogation, litigation, etc.). Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve.
Claims Adjuster Trainee The Progressive CorpClaims Adjuster TraineeNashville, TN$54,000–$57,500 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://www.progressive.com/careers/how-we-hire/faq/job-scams/ . This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months.