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This position plays an important role in keeping claims moving efficiently by completing claim-related tasks, communicating with adjusters and policyholders, maintaining accurate claim information, and supporting daily and catastrophe operations. This is a fast-paced, task-driven position that requires strong attention to detail, excellent communication skills, and the ability to manage changing priorities and increased workloads during severe weather and catastrophe events.

Claim Assist Solutions

Claims Administrative Support Specialist

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In addition to wage statement preparation, this position supports the overall Workers' Compensation program by coordinating claim activity, maintaining claim records, assisting with return-to-work and accommodation efforts, and serving as a liaison between Human Resources, Payroll, insurance carriers, third-party administrators, state workers' compensation boards, and other stakeholders. Prepare and submit required Workers' Compensation Wage Statement Forms, including state-specific forms such as California DWC-12, Texas TWCC-3, and equivalent forms within required deadlines.

Five Guys

Workers Compensation Claims Specialist

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Across the healthcare ecosystem, we’re helping our clients unlock critical insights to track detailed patient behaviors and treatment patterns, identify gaps in care, address unmet patient needs, and reduce the global burden of disease. Healthcare or regulated data experience (claims, EHR, patient journeys, provider analytics), or a track record of getting fluent fast in a comparably complex data domain like supply chain, energy, or financial data.

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Komodo Health

Principal Product Manager, AI Products

Ivy Exec

HOUR

Draft, review, and negotiate agreements: Master service agreements (MSAs), statements of work (SOWs), service level agreements (SLAs), order forms, amendments, third-party information security agreements, and data privacy and processing agreements. Focus on statements of work for staff augmentation, managed services, renewals across the data and analytics portfolio, and contracting workstreams supporting new investment vehicles.

Axelon

Contract Manager

This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.

Markel Group Inc

Claims Examiner II

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Contribute to TPA oversight through training, audits, and best practice sharing, and support key proceedings such as mediations and trials while maintaining required licensing. This role will be responsible for handling bad faith suits filed against the major case unit while working heavily with coverage counsel and legal.

Selby Jennings Ltd

Coverage & Complex Claims Lead

Requsition ID: 455795 Company: Providence Jobs Job Category: Financial Transactions Job Function: Health Plans Services Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4008 SS RIS Address: CA Orange 1100 W Stewart Dr Work Location: St Joseph Hospital-Orange Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.

<h1><img src="http://seo.nlx.org/providence/img/locations/washington.jpg" /></h1>
<h1>Our Mission is more than just words.</h1>
<h4>About Us</h4>
<p>As the third largest not-for-profit health system in the United States, we are committed to providing for the needs of our communities &ndash; especially for those who are poor and vulnerable &ndash; across Alaska, California, Montana, Oregon and Washington.</p>
<p>Our system includes more than 82,000 caregivers (all employees) serving in a diverse range of ministries from birth to end of life, including acute care, physician clinics, long-term and assisted living, palliative and hospice care, home health, supportive housing and education.</p>
<h4>Where we serve</h4>
<p>We operate 34 hospitals, 600 physician clinics, 22 long-term care facilities, 19 hospice and home health programs and 693 supportive housing units in 14 locations. Our health plan serves our caregivers and other large employer groups covering 513,000 members.</p>
<p>On any given day, we care for more than 1,200 people in our long-term care settings, more than 4,000 in our hospitals and more than 15,000 in our clinic settings. Daily, we serve more than 7,000 people in our many home health and palliative care programs and almost 800 in supportive housing. We touch more than five times as many lives in non-acute settings as we do in the traditional hospital setting.</p>
<h4>A tradition of caring for everyone</h4>
<p>When the Sisters arrived in the Pacific Northwest in 1856, they came to answer a call for help from a new pioneer community. What they found were many communities in need of service, and so with dedication to the Mission and collaboration with like-minded partners, their ministry grew to what is now a five-state health system.</p>
<p>Providence Health &amp; Services continues a tradition of caring that the Sisters of Providence began more than 158 years ago. The cornerstone of our Mission is to provide compassionate care that is accessible for all &ndash; especially those who are poor and vulnerable.</p>
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<h1><img src="http://seo-nlx-org.s3.amazonaws.com/providence/img/benefits_fatherdaughter.jpg" /><img src="http://seo-nlx-org.s3.amazonaws.com/providence/img/benefits_family.jpg" /></h1>
<h1>We believe making a difference is one of our greatest rewards.</h1>
<h4>Caring is what we do.</h4>
<p>Our benefits help us care for our employees and their families by supporting their wellness and providing tools that promote financial security and&nbsp;professional growth.*</p>
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<h4>Benefits:</h4>
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<li>Medical, dental and vision insurance coverage that start on your first day</li>
<li>Retirement program that helps you prepare for your future</li>
<li>Life and AD&amp;D insurance</li>
<li>Health Reimbursement and Savings Accounts (HRA, HSA, FSA)</li>
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<h4>Well-being:</h4>
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<li>Health assessment and personal coaching to help you meet your goals</li>
<li>Incentives for participation in healthy activities</li>
<li>Caregiver Assistance Program (for employees) offering work/life services, resources and expertise when you need it</li>
<li>Weight management, tobacco cessation and diabetes programs</li>
</ul>
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<h4>Work/Life Balance:</h4>
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<li>Volunteers in Partnership program to match you with volunteer opportunities that support our communities</li>
<li>Support for life events such as birth, adoption, marriage or other changes to your family</li>
<li>Ergonomics and injury prevention to promote safe work environments</li>
<li>Paid time off</li>
<li>Disability benefits</li>
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<h4>Career and Development:</h4>
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<li>Tuition reimbursement to support your education as you tackle your career goals</li>
</ul>
<p><img src="http://seo-nlx-org.s3.amazonaws.com/providence/img/01sunlightshining.jpg" /></p>
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<h1>Awards and Recognition</h1>
<h4>Healthcare Excellence</h4>
<p>We are deeply honored that Providence facilities have been distinguished with national awards and certifications. At Providence Health &amp; Services, our dedication to excellence is evident in the service our people demonstrate every day. Here, you&rsquo;ll find an environment built on the core values of respect, compassion, justice, excellence and stewardship. They are at the heart of everything we do...and others have noticed.</p>
<p><img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/jd.png" alt="JD Power and Associates Distinguished Hospital Award for Service Excellence" />&nbsp;&nbsp;<img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/oregon-business.png" alt="'100 Best Companies to Work For' -Oregon Business magazine" />&nbsp;&nbsp;<img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/alaska-medical.png" alt="Cardiac Surgery Excellence Award" /></p>
<p><img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/working-mother.png" alt="'100 Best Companies for Working Mothers' Award" />&nbsp;&nbsp;<img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/magnet.png" alt="Magnet Hospital for Excellence in Nursing Services - American Nurses Credentialing Center (ANCC)" />&nbsp;&nbsp;<img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/five-star.png" alt="Five-Star Hospital Award" /></p>
<p><img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/solucient.png" alt="'100 Top Hospitals' - Solucient" />&nbsp;&nbsp;<img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/qualis.png" alt="Award of Excellence in Healthcare Quality - Qualis Health" />&nbsp;&nbsp;<img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/thomson.png" alt="Thomson Reuters '100 Top Hospitals' Award" /></p>
<p><img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/ceo.png" alt="'Washington's 100 Best Companies' - CEO magazine" />&nbsp;&nbsp;<img src="http://seo-nlx-org.s3.amazonaws.com/jobs.providenceiscalling.jobs/img/static-page/awards/HealthgradesDistingHospital2017.jpg" alt="'Distinguished Hospital Clinical Excellence 2017" /></p>

Providence Health & Services

Senior Claims Manager EPL - Remote

7+ years of multi-line commercial claims experience, including at least 2 years managing or mentoring claims professionals, with strong coaching and performance management skills. The role partners with the Claims Director on claims strategy execution, and works directly with carriers, third-party administrators, and defense counsel on assigned files.

HITT

Claims Manager

The WC Claims Manager will manage a book of claims for consulting customers with the goal of containing claim costs and supporting implementation of recommended strategies. The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.

Brown & Brown, INC.

Workers' Compensation Claim Manager

Claims Specialist LeadDays - Full TimeSouthlake Campus Position Summary / Career Interest: The Claims Specialist Lead is responsible for assisting the Claims Manager and Claims Staff with claim issues. The positions assist the Claims Manager with workload assignments as needed, filling in for staff as needed, and troubleshooting questions in the absence of the Claims Manager.

The University of Kansas Health System

Claims Specialist Lead

We’re looking for a detail-oriented Claims Investigator to support the fair, accurate, and timely resolution of general liability, property damage, and Injury claims across our convenience store and fuel station locations. If you have a background in investigations and enjoy uncovering facts, assessing risk, and supporting sound outcomes, then this may just be the role for you!

Rebel Convenience Stores

Retail Claims Investigator

Workable

Maintains accurate and complete personnel records to include mentoring the ongoing progress and performance of Commercial Representatives and Commercial Specialists and oversee the day-to-day operations and workflows for Commercial Claims team. Demonstrates ability to work independently and remotely to achieve results with limited supervision and the ability to maintain a high level of productivity, confidentiality and customer service.

New Jersey Manufacturers Insurance Company

Supervisor, Commercial Claims

This role ensures that claim investigations, coverage determinations, damage assessments, settlements, and negotiations comply with the New Jersey Unfair Claims Practices Act and company policies. The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service.

Plymouth Rock Management Company of New Jersey

Claims Supervisor Field Appraisal

This position requires thorough and complete investigations to gather sufficient information to make informed and knowledgeable coverage and liability decisions. At least 2 years' experience in attorney represented bodily injury claims and significant knowledge of complex coverage issues and statutory requirements.

AssuranceAmerica Corporation

Liability Claims Adjuster III (Casualty Adjuster)

The suitable candidate will review and evaluate newly reported claims and work with their assigned manager in evaluating coverage, establishing appropriate reserves, undertaking claim investigations, overseeing TPA handling and managing expenses. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets: experience and training: licensure and certifications: and other business and organizational needs.

Starr Companies

Marine Claims Analyst

OTHER

Assures optimal and high-performing relationships with other WRBC entities (RSS, BTS, BSS, BMMS, MEC, AMP, other Regional Segment companies, WRBC Corporate Claims) as well as all other BMAG functional areas. Responsibilities: The Chief Claims Officer (CCO) serves as the highest level of Claims leadership in the Operating Unit (OU) and is responsible for Claims strategy, operations, compliance, customer service, and overall management of loss costs.

Berkley

VP, Chief Claims Officer

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Our Claims team are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. The position requires an experienced claims adjuster with a demonstrated ability to work independently, efficiently, and consistently in support of the client centric NA Aviation claim proposition.

<p><em>AIG and its member companies form one of the world’s leading insurance organizations. We provide insurance for businesses and individuals, helping individual customers plan for their futures by offering life insurance, travel insurance, product warranty, auto insurance and retirement products. Our commercial clients have come to rely upon our risk expertise and financial strength to help them address some of their most complex challenges – from huge construction projects to protecting themselves from the emerging threats to data security. We offer our people the chance to grow in a dynamic company that values teamwork, fresh perspectives, and a commitment to helping their clients.</em></p>

American International Group

Aviation Claims Analyst IV

This role serves as the senior technical and legal claims resource, providing strategic leadership through close collaboration with cross-functional business leaders and external partners, including outside counsel, TPAs, and expert vendors, to optimize claim outcomes, protect the Companys financial interests, identify emerging risks and loss trends, support underwriting profitability, and ensure timely, fair, and compliant claim resolution. The Vice President, Complex Claims provides executive leadership for Fortegras Complex Claims function, overseeing the handling, strategic direction, coverage analysis, litigation oversight, and resolution of the Companys highest-severity, major loss, and high-value litigated claims.

The Fortegra Group Inc

Vice President, Complex Claims

Acts as a trusted advisor to Claims leadership, proactively bringing forward innovative solutions, emerging capabilities, and market insights that enhance customer outcomes, improve efficiency, and drive competitive advantage. Effectively communicates and shares pertinent and timely information to employees by holding team meetings, regular 1:1 employee discussions, reinforcing leadership messages and providing shared access to company process and protocol documentation.

CNA Financial Corp.

Managing Director, Claims Vendor Strategy & Partnerships

This role involves managing the entire claims process from intake to final decision, ensuring frequent status updates to claimants through their preferred communication channels (email, phone, mail, etc.). NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com and @talent.nttdataservices.com email addresses.

Claims Manager Jobs in the United States

Claims Administrative Support Specialist Claim Assist Solutions

Workers Compensation Claims Specialist Five Guys

Principal Product Manager, AI Products Komodo Health

Contract Manager Axelon

Claims Examiner II Markel Group Inc

Coverage & Complex Claims Lead Selby Jennings Ltd

Senior Claims Manager EPL - Remote Providence Health & Services

Claims Manager HITT

Workers' Compensation Claim Manager Brown & Brown, INC.

Claims Specialist Lead The University of Kansas Health System

Retail Claims Investigator Rebel Convenience Stores

Supervisor, Commercial Claims New Jersey Manufacturers Insurance Company

Claims Supervisor Field Appraisal Plymouth Rock Management Company of New Jersey

Liability Claims Adjuster III (Casualty Adjuster) AssuranceAmerica Corporation

Marine Claims Analyst Starr Companies

VP, Chief Claims Officer Berkley

Aviation Claims Analyst IV American International Group

Vice President, Complex Claims The Fortegra Group Inc

Managing Director, Claims Vendor Strategy & Partnerships CNA Financial Corp.

Claims Case management NTT DATA Group Corp

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