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You will own a content domain end to end, move multiple data-validated concepts into production, maintain accurate and current source documentation, contribute to at least one AI-assisted improvement in how content is built, set up a repeatable process for tracking New York policy changes, and show measurable results in edit accuracy, speed, or client value. You will learn Machinify's content portfolio, source library, technology, and development process; build working relationships with Product and Data Science; assess current New York Medicaid coverage against state policy; and deliver a prioritized list of New York content gaps and opportunities.

YEAR

Machinify

Content Innovation, Claims Editing - NY Medicaid Multiple Levels

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The Senior Claims Consultant serves as a senior client advocate and technical resource for complex property and casualty claims, with emphasis on general liability, auto liability, workers compensation, excess liability, and other high-severity or coverage-sensitive matters. The role also supports loss trend analysis, risk mitigation initiatives, client stewardship, prospect presentations, and the development of consistent claims consulting practices across the Northeast Series.

Lockton Inc

Senior Claims Consultant

The Manager, Short-Term Disability Claims will focus on effectively managing the performance of all individuals to achieve optimal productivity and strive for quality through accurate and timely claim decisions This individual will also maintain clear and ongoing communications with other business partners, inside and outside of claim department, such as QA, Appeals, Training Team, Program Managers, Policy and Procedures, Underwriting, Legal, etc. If you are offered and accept this position, please be advised that OneAmerica Financial does not have any offices located in the State of New York and OneAmerica Financial associates are not permitted to work remotely in the State of New York.

Preparing for the Future

Manager STD Claims

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This position combines strong data engineering fluency with analytical acumen transforming complex, multi-domain data (membership, encounters, providers, claims, quality metrics) into interpretable and actionable insights used by leaders across the health plan. The Authorizations and Claims Analytics Solutions and Data Analyst III serves as a Subject Matter expert (SME), technical and analytic integrator, responsible for designing, developing, and operationalizing advanced analytic solutions that drive strategic insight and organizational performance.

L.A. Care Health Plan

Authorizations and Claims Analytics Solutions Business Insights and Data Analyst III

Recognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").

MetLife Inc

Corporate Counsel - Claims Litigation

Since then, we've boldly claimed our place in the casual dining industry as the place to go for Big Mouth burgers, house smoked ribs, full on fajitas, and hand shaken margaritas! With a legacy deeply rooted in service, hospitality, and giving back, we are committed to delivering the best experience to every Guest, every day.

Chili's

To Go Specialist - Now Hiring

Appcast Exclusive 1

Duty 3: Creates, maintains and distributes timely, accurate and detailed databases for contract management (participation status, rates, contacts, renewals, contracting process tracking, etc.), NPIs, W-9, tax IDs, provider numbers, etc. to ensure BVHS constituents have information needed to perform their jobs as relates to billing and managed care. Coordinates communication with internal and external parties on credentialing process, to support the timely, accurate and complete credentialing, re-credentialing and enrollment of all BVHS facilities, entities and employed/contracted physicians and midlevel providers in governmental and payer plans and networks.

Blanchard Valley Health System

Credentialing and Managed Care Specialist - 10 hrs/wk, 1st shift

Analyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.

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

Claim Benefit Specialist

Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Analyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department.

Claim Benefit Specialist- Franklin, TN.

We could spend a lot of time having you read about ALL our awards, but we’ll save time (and practice some humility) just naming a few others; Comparably Awards: Best Company for Diversity, Best Company Culture and Best Company Leadership, oh and don’t forget Phoenix Business Journal Healthiest Employers (okay, we’ll stop there)! Knowledge of collection policies/procedures including skip tracing and the Fair Debt Collection Practices Act (FDCPA), and general knowledge of state specific cancellation and refund regulations.

DriveTime has become one of the nations leading automotive retailers as a result of the passion, energy and dedication of our more than 2,700 employees. We believe in hiring great people, developing their skills, nurturing their career progression and offering them strong compensation and benefits. It's a simple philosophy, yet quite unique. 
 We invite you to learn more about us and explore our opportunities.
 
 At DriveTime, we're experts at obtaining financing for all of our customers while providing a unique experience that allows the customer to take control over the entire process. DriveTime offers innovative credit solutions, quality vehicles and outstanding customer service. Headquartered in Phoenix, Arizona, we currently operate more than 100 dealerships across the United States and continue to expand our operations.

DriveTime

Ancillary Specialist

ADAPTED_NOW

The ideal candidate is knowledgeable in insurance processes, thrives in a fast-paced environment, and is committed to delivering exceptional support to patients and providers. This position serves as a liaison between patients, providers, and insurance carriers to ensure medical services meet payer requirements and are authorized before treatment.

Ohio ENT & Allergy Physicians

Pre-Certification Specialist

JobTarget

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. Lead AI solutions in Claims: FNOL intake and triage, document and email intake (OCR/IDP, i.e. optical character recognition and intelligent document processing), claim summarization, fraud and SIU (special investigations unit) signals, reserving support, litigation prediction, and adjuster copilots.

Markel Corporation

IT Director, Claims

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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. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.

Senior Claims Examiner, Excess Construction

The Claims Team Lead is responsible for leading a team of Adjusters and Specialists by monitoring their workloads, providing supervisory oversight for individual claim activities, and providing technical and jurisdictional direction on claims adjudication to ensure Pie is providing optimal claim outcomes and experiences for our clients. People Management: Develop & lead a team of adjusters by ensuring the quality, accuracy, and timely resolution of claims that may include high exposure/complex cases.

Pie Insurance Holdings Inc

CA - Team Lead, Claims - Workers Compensation

The role requires deep SAP ITCM functional experience, trade-claims and deduction-management expertise, integration knowledge, infrastructure and networking awareness, and the skills to diagnose serious issues, then develop, test, package, and deliver fixes in complex, integrated, and highly configured environments. The strongest candidate combines deep SAP ITCM configuration and production-support expertise with a practical understanding of how deductions, documents, promotions, claims, approvals, settlements, and accounting entries move through an integrated landscape.

Mindlance

SAP, Intelligent Trade Claims Management

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Serve as the go-to resource for employee benefits questions, providing high-touch, 1:1 concierge guidance across medical, dental, vision, FSA/HSA, life, disability, retirement, and voluntary benefits. Ensure timely distribution of required notices and plan documents (SPDs, SBCs, SMMs, HIPAA, COBRA, WRAP, Medicare Part D, SAR).

NorthPoint Development LLC

Benefits Concierge Specialist

J-Vers Cloud

Work involves frequent sitting, computer usage, operating office equipment, cell phone usage, airline travel, driving, lifting and carrying 30-40 lbs., walking, face to face discussions, web based meeting participation. Willingness to work additional hours, as needed, including evening, overnight, weekend hours, and accommodates occasional meetings and work activities scheduled after normal hours.

Eberl

Team Manager

FULL_TIME

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As a Property Claims Adjuster, you must keep a service-oriented attitude at all times by maintaining professional and productive relationships with coworkers, supervisors, agents, agency managers, claimants, policyholders, engineers, restoration specialists, general contractors, attorneys, and others. We value a culture where integrity, teamwork, passion, service, leadership, and accountability are at the heart of every decision we make and every action we take.

Farm Bureau Financial Services is looking for people to join our team. Are you interested in running your own business and helping others? As a Farm Bureau agent, you’ll sell insurance products, but being an agent is about so much more – it’s about building relationships and being an advocate for people in your community.
Founded more than 75 years ago, we started off providing insurance for farmers. Today, we help people from all walks of life – rural, urban, and everything in between. We couldn’t be more proud of our heritage and our close relationship with the Farm Bureau federations in the states where we do business. When it comes to protecting livelihoods and futures, we’ve got it covered with a wide variety of property/casualty, life insurance, and financial services products. 
When you make a commitment to be a Farm Bureau agent, we make a commitment to you. We believe that little things make a big difference in your career, and at Farm Bureau, that means deciding on a work schedule that fits your life, new agent financing, marketing support, training and education, cash bonuses, incentive travel, and most importantly, you’ll be backed by a team of talented and supportive individuals who want to see you succeed. 
We invite you to take control of your professional future by visiting beafarmbureauagent.com. Click <a href="http://www.beafarmbureauagent.com/" target="_blank">Get Started</a> and apply today.

Farm Bureau Financial Services

Property Representative

While the work we do as a claims organization is complex, our mission is clear: to deliver outstanding service, attract and retain top-tier professionals, and leverage industry-leading technology to drive results. We are seeking a motivated and detail-oriented Client Support Specialist who is responsible for the timely and accurate set up of new insurance claims and provides administrative support to the Claims Department.

Raphael and Associates

Client Support Specialist-Claims

partner JazzHR

The Analyst reviews and audits claim files for accuracy, provides critical financial alerts to the Director on high-impact claims, and utilizes critical thinking to conduct proactive communication with internal and external partners, as well as with injured employees when necessary or as directed by leadership. THE JOB: The primary purpose of the Workers' Compensation Claims Analyst is to manage the investigation and administration of all Workers' Compensation claims handled by Third-Party Administrators (TPAs), ensuring program excellence and the success of our collaborative team.

Claims Specialist Jobs in the United States

Content Innovation, Claims Editing - NY Medicaid Multiple Levels Machinify

Senior Claims Consultant Lockton Inc

Manager STD Claims Preparing for the Future

Authorizations and Claims Analytics Solutions Business Insights and Data Analyst III L.A. Care Health Plan

Corporate Counsel - Claims Litigation MetLife Inc

To Go Specialist - Now Hiring Chili's

Credentialing and Managed Care Specialist - 10 hrs/wk, 1st shift Blanchard Valley Health System

Claim Benefit Specialist CVS Health Corp

Claim Benefit Specialist- Franklin, TN. CVS Health Corp

Ancillary Specialist DriveTime

Pre-Certification Specialist Ohio ENT & Allergy Physicians

IT Director, Claims Markel Corporation

Senior Claims Examiner, Excess Construction Markel Corporation

CA - Team Lead, Claims - Workers Compensation Pie Insurance Holdings Inc

SAP, Intelligent Trade Claims Management Mindlance

Benefits Concierge Specialist NorthPoint Development LLC

Team Manager Eberl

Property Representative Farm Bureau Financial Services

Client Support Specialist-Claims Raphael and Associates

Workers'''' Compensation Claims Analyst MGM Resorts International

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