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FEED

Perform analytical intake and early-stage claim assessment by obtaining facts of loss through investigative questioning, validating allegations, assessing credibility, resolving inconsistencies, and evaluating potential liability, exposure, and regulatory requirements to determine appropriate claim handling actions Determine the need for and assign independent field adjusters based on facts of loss, damage indicators, injury severity, and potential liability exposure Manage communication with claimants, adjusters, and legal teams to maintain transparency and advance timely resolutions for all involved parties during day one investigations, while also being available to take escalated calls as needed; model strong interpersonal, professional, and empathetic skills, as well as provide guidance to team members when de-escalating emotional and sometimes complex situations. Utilize independent knowledge to assess the preliminary event grading process including the assignment of preventability based on all known facts and documentation in compliance with ATA guidelines; explain and support grading and reserving decisions to both internal and external parties in layman's terms Manage claims involving single vehicle events, including review of reports from third-party independent adjusters, appraisers, and body shops to process and resolve these claims through associated expense payments within designated authority.

J.B. Hunt

Sr Casualty Claims Specialist

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Perform analytical intake and early-stage claim assessment by obtaining facts of loss through investigative questioning, validating allegations, assessing credibility, resolving inconsistencies, and evaluating potential liability, exposure, and regulatory requirements to determine appropriate claim handling actions Determine the need for and assign independent field adjusters based on facts of loss, damage indicators, injury severity, and potential liability exposure Manage communication with claimants, adjusters, and legal teams to maintain transparency and advance timely resolutions for all involved parties during day one investigations; utilize strong interpersonal, professional, and empathetic skills to de-escalate emotional and sometimes complex situations. Ensure accurate, timely, and complete documentation of safety events with regard to the direct effects on business units’ financial performance, the company’s overall DOT safety rating, driver coaching, establishment of training programs, analysis of trends, and resolution or defense of litigated matters Actively provide continued investigative support to claims examiners with ongoing investigative findings and documentation that is critical to resolution and defense.

Casualty Claims Specialist I

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Skills: written and oral communication skills, presentation skills, PC literate including Microsoft Office Products, strong negotiation skills, ability to work in a team environment, and meet or exceed performance competencies. Analyzes and processes complex or technically difficult professional liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.

YEAR

Sedgwick Claims Management Services, Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the company takes care of people and organizations by delivering cost-effective claims, productivity, managed care, risk consulting and other services through the dedication and expertise of nearly 15,000 colleagues in some 275 offices located in the U.S., Canada, the U.K and Ireland. Sedgwick facilitates financial and personal health and helps customers and consumers navigate complexity by designing and implementing customized programs based on proven practices and advanced technology that exceed expectations. Sedgwick’s majority shareholder is KKR; Stone Point Capital LLC, La Caisse de dépôt et placement du Québec (CDPQ) and other management investors are minority shareholders.

Sedgwick Claims Management Services, Inc.

Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL)

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The position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.

Auto-Owners Insurance Group

Bodily Injury Claims Specialist

Auto-Owners Insurance Co

FULL_TIME

OUR IDEAL FIELD INSPECTOR - EXTERIOR RESTORATIONS AND INSURANCE CLAIMS SPECIALIST We're looking for a dedicated professional who can meet the following qualifications: Reliable transportation capable of hauling a ladder. THE GROWTH YOU HELP PROVIDE AS A FIELD INSPECTOR - EXTERIOR RESTORATIONS AND INSURANCE CLAIMS SPECIALIST You start early, review your prepared scope, and head to the site ready to lead.

Southern Roofing and Renovations

Field Inspector – Exterior Restorations and Insurance Claims Specialist

Talent Acquisition

Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines.

HOUR

CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

CVS Health Corp

Senior Claims Benefit Specialist

ADAPTED_NOW

Physical agility to allow for: walking; bending, reaching, kneeling, squatting, stooping, frequent lifting, carrying, unfolding, and climbing a ladder; ability to utilizing appropriate equipment in accordance with safety guidelines to traverse roofs at various heights and pitches for inspection of both residential and commercial structures; ability to crawl in tight spaces to gather information needed during the adjustment of a claim. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!

Customers and communities rely on us to help them face life's uncertainties. They come to us for guidance with insurance needs, financial planning, and strengthening the community.

State Farm

Claim Specialist - WCCS Deployed

Physical agility to allow for : walking; bending, reaching, kneeling, squatting, stooping, frequent lifting, carrying, unfolding, and climbing a ladder; ability to utilizing appropriate equipment in accordance with safety guidelines to traverse roofs at various heights and pitches for inspection of both residential and commercial structures; ability to crawl in tight spaces to gather information needed during the adjustment of a claim. Competitive candidates should reside within one of the listed zip codes and will service this same territory: 71631 71701 71720 71722 71725 71726 71730 71742 71744 71745 71747 71749 71751 71758 71762 71763 71764 71765 71766 .

Claim Specialist - Property Field Inspection

[AW]-iCims

Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.

Senior Claim Benefit Specialist - Remote

The candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.

Claim Benefit Specialist

Accurately abstracts data and codes ambulatory surgery center procedures for reimbursement using ICD-10, CPT, and other applicable patient classification schemes. Medical Billing and Coding Certification with successful completion of medical terminology, anatomy, physiology, and coding courses in ICD-10-CM and CPT-4 preferred.

Apex Staffing

Medical Billing and Coding Specialist

This position works closely with physicians, clinical staff, insurance companies, and patients to resolve billing issues, obtain reimbursement, and maintain accurate patient accounts while ensuring compliance with healthcare regulations and billing guidelines. The Medical Billing Specialist is responsible for managing the billing and claims process to ensure accurate and timely submission of medical claims to insurance companies and government payers.

Ideal Staffing

Medical Billing Specialist

Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - 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 {+ 20 more}. Actively shapes our company culture through words and actions (e.g., supporting employee resource groups, mentoring employees, volunteering, joining cross-functional projects, encouraging team member involvement in these activities).

CSAA Insurance Group is an insurance company that offers automobile and other personal lines of insurance to AAA members.

CSAA Insurance Group

Sr. Litigation Specialist (Remote)

This position works to ensure timely claims submission, payment resolution, denial management, and collection of outstanding balances while maintaining compliance with Medicare, Medicaid, commercial payer, and regulatory requirements. We reward ambitious, talented individuals with a work environment that fosters creativity, teamwork and collaboration while encouraging fresh thinking away from the way things have always been done.

TIS International (USA) Inc

AR Specialist

Instead, you will work with insurance companies, claims adjusters, and legal offices to verify coverage, follow up on claims, and help resolve outstanding medical balances. Experience in medical billing, collections, insurance verification, claims processing, accounts receivable, customer service, or a healthcare or legal office is helpful but not required.

Arkansas Talent Group

Medical Collections Specialist

Beneficial to have worked in one or more Health Information Systems: Epic physicians or hospital, Meditech, Invision, AS400, Citrix, IDX, Nextgen, Allscript Physicians or hospital, Centricity, Soarian, Series & HBOC Star, Cerner, Practice Plus, TMHP and other Medicaid sites. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training.

Elevate Patient Financial Solutions Inc

Medicare Specialist

Must analyze reported Family Medical Leave (FMLA) requests; to make determinations based on Federal and State regulations; to communicate clearly with clients and claimants on all aspects of the claims process; and to ensure that claim management processes are followed per our best practices and client specific steps. We improve lives through our technology solutions and foster a culture of innovation that empowers team members to solve complex problems and create remarkable human outcomes in a digital world.

Telus Corp

Integrated ADM Specialist

The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. Department's Website: Summary of Job Duties: The Pharmacy Specialist will serve as a member of an interdisciplinary team representing UAMS Specialty Pharmacy Services.

University Of Arkansas System

Pharmacy Specialist - Specialty Pharmacy Oncology

Evaluate the payment status of outstanding third-party claims and resolve any impediments to payment by providing information such as appropriate medical records, detailed itemization of charges, information regarding other insurance benefits, and explanation of charges. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics.

Yakima Valley Farm Workers Clinic serves over 120,000 people across 27 clinics and programs in two states. We have expanded medical care to include dental, orthodontia, nutritional counseling, autism screening, and behavioral health. We also offer community programs that offer assistance with employment and training, afterschool education, rental and shelter assistance, energy assistance, weatherization, HIV and AIDS counseling and testing, home visits, tobacco cessation, and three mobile medical/dental clinics.

 
 Our mission celebrates diversity. We are committed to equal opportunity employment.

Claims Specialist Jobs in Arkansas

Sr Casualty Claims Specialist J.B. Hunt

Casualty Claims Specialist I J.B. Hunt

Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL) Sedgwick Claims Management Services, Inc.

Bodily Injury Claims Specialist Auto-Owners Insurance Group

Bodily Injury Claims Specialist Auto-Owners Insurance Co

Field Inspector – Exterior Restorations and Insurance Claims Specialist Southern Roofing and Renovations

Senior Claims Benefit Specialist CVS Health Corp

Claim Specialist - WCCS Deployed State Farm

Claim Specialist - Property Field Inspection State Farm

Senior Claim Benefit Specialist - Remote CVS Health Corp

Claim Benefit Specialist CVS Health Corp

Medical Billing and Coding Specialist Apex Staffing

Medical Billing Specialist Ideal Staffing

Sr. Litigation Specialist (Remote) CSAA Insurance Group

AR Specialist TIS International (USA) Inc

Medical Collections Specialist Arkansas Talent Group

Medicare Specialist Elevate Patient Financial Solutions Inc

Integrated ADM Specialist Telus Corp

Pharmacy Specialist - Specialty Pharmacy Oncology University Of Arkansas System

AR Follow Up Specialist I Yakima Valley Farm Workers Clinic

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