UNKNOWN

ADAPTED_NOW

This person will be responsible for identifying, tracking, reviewing, and processing stop-loss reimbursements claims on behalf of carriers within an MGU stop-loss operation. Needs to have 3+ years of experience in medical claims processing, stop-loss administration, aggregate claim review and processing, large claim review, or a related self-funded environment.

Allied National, Inc

Stop Loss Claims Specialist

jobtargetdirectftpin

Accounting, Finance, Human Resources, Information Technology, Operations Planning & Support, Sales & Marketing) area to support team and/or department business objectives. Generally, works under limited supervision, but within established guidelines, producing and analyzing more complex business information to assist in the decision-making process.

Marriott Vacations Worldwide

Risk Management Claims Manager

We’re proud to be recognized for the culture we’ve built, earning spots on Forbes’ lists for America’s Best Midsize Employers and Best Employers for New Grads , as well as Newsweek’s America’s Greatest Workplaces for Women and Diversity . Provide empathetic and supportive service to customers as they navigate challenging situations, clearly explaining the claims process, keeping them informed of their claim process, and communicating decisions along with the reasoning behind them.

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Sentry Insurance

Claims Representative Liability-NARBI

JobAdX

HOUR

The Senior Claims Examiner will adjust workers’ compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. Must possess a current Experienced Indemnity Claims Adjuster Designation, provided by an insurer, as defined in California Code of Regulations, Title 10, Chapter 5, Subchapter 3, Section 2592.01(f).

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<h4><strong>At JSG, We Understand People</strong></h4>
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<p>It is our mission to empower people, help our clients reach their goals, and hire motivated individuals.</p>
<p>Since our start in 1984, we’ve worked hard to establish our present position as the most effective cross-industry staffing and consulting solution available.</p>
<p>Headquartered in Chicago, IL with local offices throughout the United States and Canada, JSG proudly serves a diverse range of industries with the right solutions to help clients reach their company goals. Our client-centric approach enables us to create personalized solutions for businesses in need of top-tier talent.  Our dedication doesn’t stop at our clients. We strive to connect candidates with opportunities that match their skills and goals. More than just a go-between, we are a dependable bridge, uniting top talent with suitable opportunities, facilitating shared opportunities and growth.</p>
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Johnson Service Group

Sr. Workers Compensation Examiner-4850 Claims - CA (Contract - Full Remote)

As a dedicated Injury Claims Examiner (Central to West regions), you will be responsible to adjust complex auto and homeowner bodily injury claims, UM/UIM , and small business claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Investigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes.

YEAR

<strong>Industry leading service that puts our memberships' needs first.</strong><br>  We're dedicated to the financial well-being of members of the military and their families for generations to come. That's why we provide a variety of financial products and best-in-class service to help our members achieve their financial goals and plan for the future.<br><br> <strong>Our history continues to drive our purpose.</strong><br>  USAA began in 1922 with 25 Army officers who offered to insure each other's vehicles when no one else would. Today, their tiny organization has grown into a respected institution offering a full range of financial products to millions of members.<br><br> We believe they'd be pleased to know that USAA remains true to their founding values of service, loyalty, honesty and integrity.<br><br> In 1922, when 25 Army officers met in San Antonio, Texas, and decided to insure each other's vehicles, they could not have imagined that their tiny organization would one day serve over 8 million members and become one of the only fully integrated financial services companies in America.<br><br> We believe they would be pleased to know that USAA has remained true to their founding values of service, loyalty, honesty and integrity.

USAA

Injury Claims Examiner (Central to West region)

TMP PX

This role is remote eligible for candidates located in or willing to self-relocate to the Pacific, Mountain or Central time zones within the continental U.S. Individuals residing within a 60-mile radius of a USAA office are expected to work on-site three days per week. Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability.

Inside Property Adjuster Specialist - Desk Claims

Supervises, assists, and directs the activities of the assigned claims processing unit and the assigned staff. Three (3) or more years’ experience project coordination in a managed care environment is preferred.

University Health

Claims Supervisor

This role will investigate, evaluate, and resolve moderate-to-severe complex Workers’ Compensation claims by determining coverage and liability, coordinating with injured workers, employers, and medical providers, and negotiating appropriate claim resolutions in accordance with company guidelines, policy provisions, and state regulations. Determines insurance coverage by examining claim forms, policies, and other records; interviewing claimants/injured workers, insureds, and witnesses; reviewing police and hospital records; and consulting with experts when appropriate.

Society Insurance Company

Claims Representative II (Workers Compensation)

J-Vers Cloud

As a dedicated Manager of Claims Operations , you will manage and are accountable for auto, and other claims operations member service employees who are responsible for serving our members, and providing appropriate solutions as they investigate, evaluate and negotiate the claim. 6 years of progressive customer service, operational, military or leadership experience to include a minimum of 2 years of claims handling experience required with demonstrated proficiency.

Manager, Claims Operations - ATF

A CHRISTUS Regional Claims Specialist represents CHRISTUS Health and its facilities and providers and provides support to the Vice President of Litigation, the other Regional Claims Specialist and the Claims Team in the investigation, management, resolution and defense of claims, appeals, arbitrations or any other form of disputes. When appropriate, negotiates settlements within designated authority, prepare settlement agreements using language of settlement agreements approved by the CHRISTUS Vice President of Litigation.

<p>In 1999, two historic Catholic charities became one, forming CHRISTUS Health and creating a unique purpose in the modern health care market - to take better care of people. </p> <p>To extend the healing ministry of Jesus Christ, the mission that the Sisters of Charity Health Care system and Incarnate Word Health system shared for more than a century, is now also the mission of CHRISTUS Health. </p> <p>Ranked among the top 10 Catholic health systems in the United States by size, the CHRISTUS Health system includes more than 40 hospitals and facilities in seven U.S. states, Chile and six states in Mexico, with assets of more than $4.6 billion. </p> <p>Whether seeking care in Alexandria Louisiana, or Coahuila, Mexico, patients discover that the healing spirit is alive at CHRISTUS Health. </p>

CHRISTUS Health

Claims Specialist (Registered Nurse) - Risk Finance

2. Reviews, investigates and evaluates the facts and law at issue in the LPL claims brought against an insured, with the goal of timely assessing the risk of the covered portion of the claim poses to the insured(s) as well as timely assessing the risk to the company pursuant to the duties and obligations the company has under the policy with its insureds. Our Claims Attorneys deliver exceptional customer service by supporting insureds throughout the claims process, responding to risk management inquiries, and balancing the needs of both the insured and the company during claim resolution.

ALPS INSURANCE AGENCY INC

Claims Attorney

Required : Bachelor's degree required with focus on construction trades, agriculture-related studies, business administration or insurance related field preferred, or equivalent experience may be considered. Maintain advanced knowledge of various types of buildings, construction, repair cost and methods, repair-estimating system and scoping damages.

Michigan Farm Bureau

Senior Property Claims Representative

JobTarget

Preferred : Bachelors degree with focus on construction trades, agriculture-related studies, business administration or insurance-related field preferred. Acquire basic working knowledge of various types of buildings, construction, and repair costs and methods, repair estimating system and scoping damages.

Associate Property Claims Representative

FEED

The Claims Administrator provides administrative and operational support for the management of Workers’ Compensation and Liability claims, helping ensure claim files are maintained accurately, payments are processed timely, and documentation is handled efficiently. Technical: Proficient with common office technologies, including Windows PCs, Microsoft O365 (Outlook, Word, Excel, PowerPoint, etc.) and web conferencing (Teams, Zoom, Webex, etc.).

<p>Since 1990, Forward Air has been a leading provider of ground transportation and related logistics services to the North American air freight and expedited LTL market. We offer surface shipping on an accelerated “time-definite” basis, delivering cargo at a specific time, but under less time-sensitive situations – supplying you with a cost effective, reliable alternative to air transportation. We work with companies of all sizes to develop tangible advantages and build the best products to meet your specific needs. Forward Air presents to the wholesale transportation community (logistics companies, freight forwarders, integrated air cargo carriers, passenger/ cargo airlines, and non-traditional shippers), a single-source provider that can deliver more supply chain services and a superior menu of choices. Throughout the years we have added supplementary lines to our linehaul service, such as full truckload operations (Truckload Services), final-mile coverage (Complete® Cartage), and an Airline Logistics program, and we will continue to expand our services to meet the changing needs and growth of our customer base.</p>

<p>Forward Air is structured to optimize both savings and service to our customers. Direct partnerships with owner-operators and other surface transportation providers, enable us to remain cost-competitive. The Forward Air network is designed with over 90 facilities located at or near major U.S. and Canadian airports, 12 regional sort centers and over 300 beyond points (secondary airports provided through our Complete Cartage service), creating one of the most comprehensive linehaul networks in the industry.</p>

<p>The foundation product for Forward Air is our expedited linehaul service, offering consistent and reliable transit and on-time, damage-free deliveries. By locating terminals on or near airports and maintaining a scheduled transportation network, we are able to arrange for convenient and consistent service with broad geographic coverage. Shipments of varying sizes (TL/LTL) are received at our terminals and transported by contracted service providers either (1) on a direct truck to the destination terminal, (2) through our Columbus, Ohio central sorting hub, or (3) through one of our 12 regional hubs, where they are unloaded, sorted, and reloaded in rapid fashion. After reloading the shipments, our contracted service providers deliver them to the destination city for early morning recovery. Through our Forward Air Complete® cartage service, customers also can have shipments picked up from the shipper, delivered to the final consignee, or transferred at the airport, simplifying the freight management processes. These options allow us to maximize handling efficiency of each shipment while minimizing freight loss and damage, improving transit times over traditional ground transportation.</p>

Forward Air

Claims Administrator

Appcast PX 2

Collaborate with managers, appraisers, technical resources, and business partners to resolve complex issues and create a seamless experience for members and claimants. Manage complex auto claims from initial investigation through resolution, including multi-vehicle accidents, coverage disputes, disputed liability, comparative negligence, physical damage, and total loss.

Senior Auto Adjuster Complex Non-Injury Claims

This diversity and openness ensures all associates have equal access to opportunities and resources to contribute fully to the organization's success, and it fuels innovation, improves strategic thinking and cultivates leadership. Schneider is seeking a Senior Claims Adjuster in Green Bay to fully investigate, analyze and resolve complex claims and incidents.

<h3>Real Drivers. Real Reasons.</h3>Schneider didn’t become North America’s premier trucking company on accident. From one man with one truck and one dream in 1935, we now employ over 10,000 truck drivers and serve over two-thirds of the Fortune 500 companies — all because we treat people with respect and do business with integrity. <p>"I wanted to drive for a reputable company and stay at that company, have stability and not bounce around. Schneider offers job security while still providing room for growth within the company. Schneider also takes great pride in its dedication to safety, training and investment in technology." <br>– Perry Rine, Schneider National Tanker Driver </p>  Get in the driver’s seat at Schneider today!

Schneider

Senior Claims Adjuster

This diversity and openness ensures all associates have equal access to opportunities and resources to contribute fully to the organization's success, and it fuels innovation, improves strategic thinking and cultivates leadership. Schneider is seeking a Claims Adjuster in Green Bay to investigate, analyze and resolve claims and incidents.

Claims Adjuster

Supports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through exceptional service. Resolves claims through proactive problem solving and decision making, within authority guidelines and under moderate supervision, overcoming obstacles, and effectively prioritizing the workload.

Claims Auto Adjuster (Mid-Level) - Non-Injury

This position works closely with policyholders, claimants, attorneys, agents, medical providers, vendors, and internal departments to ensure fair and timely claim resolution while delivering exceptional customer service. The Claims Casualty Examiner is responsible for investigating, evaluating, negotiating, and resolving casualty claims in accordance with company policies, regulatory requirements, and industry best practices.

Utica First Insurance Company

Claims Casualty Examiner

Claim your career growth as a Claims Service Specialist at GEICO’s Fredericksburg, VA office and be a part of one of the fastest-growing auto insurers in the United States! Hybrid role: Training 100% in-office (6-9 months); post training 4 days a week in office and work from home 1 day a week .

<p>We know you know GEICO, but we want you to know that with us, you’ll find a rewarding career no matter which path you take. Our over 37,000 associates have been unexpectedly delighted to find that their jobs have turned into successful, illuminating careers. You know us for insurance. Get to know us for careers, too. Visit us at http://www.geico.jobs for more!</p>


Claims Processor Jobs in the United States

Stop Loss Claims Specialist Allied National, Inc

Risk Management Claims Manager Marriott Vacations Worldwide

Claims Representative Liability-NARBI Sentry Insurance

Sr. Workers Compensation Examiner-4850 Claims - CA (Contract - Full Remote) Johnson Service Group

Injury Claims Examiner (Central to West region) USAA

Inside Property Adjuster Specialist - Desk Claims USAA

Claims Supervisor University Health

Claims Representative II (Workers Compensation) Society Insurance Company

Manager, Claims Operations - ATF USAA

Claims Specialist (Registered Nurse) - Risk Finance CHRISTUS Health

Claims Attorney ALPS INSURANCE AGENCY INC

Senior Property Claims Representative Michigan Farm Bureau

Associate Property Claims Representative Michigan Farm Bureau

Claims Administrator Forward Air

Senior Auto Adjuster Complex Non-Injury Claims USAA

Senior Claims Adjuster Schneider

Claims Adjuster Schneider

Claims Auto Adjuster (Mid-Level) - Non-Injury USAA

Claims Casualty Examiner Utica First Insurance Company

Claims Specialist GEICO

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