152 Results for

Insurance Claims Specialist Jobs in Oregon

Jobs

Redmond, OR24 days ago

$73,000–$110,000 Per Year
Full-time

Position requires exposure to the environmental/atmospheric conditions: Indoor conditions, cold/hot temperature changes, wet, noise, vibration, fumes, odors, dust and mechanical / electrical / chemical hazards. Under general supervision, responsible for leading the implementation of Employee Health and Safety programs, policies, management systems and strategies in support of all facilities in assigned region.

Eugene, Oregon20 days ago

$21–$34 Per Hour

While performing the duties of this job, the employee is regularly exposed to direct contact with patients with potential for exposure to blood, toxic substances, ionizing radiation and other conditions common to a clinic environment. The actual hiring rate is dependent on many factors, including but not limited to: prior work experience, education, job/position responsibilities, location, work performance, internal equity etc.

Corvallis, Oregon30+ days ago

2. Researches and resolves claims based on assignment, which could include contacting payers via phone or website, contacting practices, working across departments, writing appeals, and facilitating their submission, and all other activities that lead to the successful adjudication of eligible claims including but not limited to: Provides medical record documentation to insurance companies as requested. The responsibility of the Revenue Cycle Claims Specialist is to maintains current knowledge of insurance carriers’ rules, regulations, and contracts; acts as a liaison for patients with the insurance carrier for internal/external customers; and is responsible for posting payments, adjustments, status, and reason codes.

Portland, OR30+ days ago

Remote

$52,999–$85,473 Per Year
Part-time

The Workers’ CompensationClaims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.

Remote24 days ago

Remote

$52,999–$85,473 Per Year
Part-time

West Linn, OR30+ days ago

$82,800–$97,300 Per Year

Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.

OR30+ days ago

$110,000–$120,000 Per Year

Although we typically require 10+ years of experience, we will consider exceptional candidates with 7+ years of proven success in California workers' compensation claims adjusting experience with higher exposure claims. We take an extremely aggressive and proactive approach to claims adjusting and are looking for the person who not only knows their territory's comp laws but also enjoys the role of putting that experience to good use.

Lake Oswego, OR30+ days ago

Responsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss.

Portland, OR30+ days ago

Remote

$16.74–$26.92 Per Hour

Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.

Eugene, OR29 days ago

$81,500–$108,000 Per Year

For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/. As a claims specialist on our team, you'll play a critical role in our ability to successfully and efficiently resolve large-loss injury claims valued over $60k.

Roseburg, OR30+ days ago

Full-time

Acting as the primary liaison between Umpqua Health and the TPA, this role drives accountability, resolves claims issues, and supports organizational goals for quality and efficiency. About Umpqua HealthAt Umpqua Health, we’re more than a healthcare organization—we’re a community-driven Coordinated Care Organization (CCO) dedicated to improving the health and well-being of individuals and families throughout Douglas County, Oregon.

Roseburg, OR16 days ago

$84,000–$95,900 Per Year

Acting as the primary liaison between Umpqua Health and the TPA, this role drives accountability, resolves claims issues, and supports organizational goals for quality and efficiency. At Umpqua Health, we're more than a healthcare organization-we're a community-driven Coordinated Care Organization (CCO) dedicated to improving the health and well-being of individuals and families throughout Douglas County, Oregon.

Lake Oswego, OR23 days ago

Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. You will be required to go into the office twice a month if you reside within 50 miles of one of the following offices: Boston, MA; Westborough, MA; Hoffman Estates, IL; Weatogue, CT; Indianapolis, IN; Plano, TX; Suwanee, GA; or Lake Oswego, OR; Las Vegas, NV; Chandler, AZ.

Lake Oswego, OR30+ days ago

Qualifications BS/BA degree or equivalent work experience Minimum of 2 years experience in claims adjustment, general insurance or formal claims training Required to obtain and maintain all applicable licenses Continuing education courses leading to industry certifications preferred (e.g., AEI, IIA, CPCU) Knowledge of claims investigation techniques, medical terminology and legal aspects of claims. • Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate.

Portland, OR30+ days ago

Remote

$52,999–$85,473 Per Year

The Workers' Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.

Lake Oswego, OR30+ days ago

Remote

Responsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages. Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the states tort laws as normally acquired through a bachelors degree (or equivalent training) plus 3 to 5 years directly related work experience.

Lake Oswego, OR30+ days ago

Remote

Responsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements, and managing an inventory of commercial property/casualty claims involving bodily injury or property loss.

Lake Oswego, OR30+ days ago

Remote

Under direct supervision, develops the knowledge and skills needed to conduct thorough investigations, make decisions about liability / compensability, evaluate losses, negotiate settlements and manage an inventory of commercial property/casualty and disability claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job training. Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first point of contact (claimants, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly.

OR11 days ago

Remote

$137,496–$164,934 Per Year

Boston 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.

Salem, Oregon30+ days ago

$78,000–$90,000 Per Year

Responsibilities: When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust. At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.

Milwaukie, OR10 days ago

$20.88–$23.49 Per Hour

Strong analytical, problem solving, and decision-making skills with demonstrated ability to handle and resolve complaints, correct errors, and resolve departmental issues in accordance with Moda contracts and company policies. Includes monitoring of assignments and overtime, evaluating performance, training, communicating policy to staff, and answering questions from Claims Auditors and Reinsurance Specialists.

Work At Home, OR17 days ago

$17–$28.46 Per Hour

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. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.

Portland, Oregon30+ days ago

As the Claims Review Specialist, your responsibilities will include prior authorizations, answering questions regarding prior authorizations, apply for prior authorizations and communicate with facilities and physicians, work daily rejects, communication with internal departments. Consonus Pharmacy is a closed-door long-term care pharmacy specializing in the needs of nursing facilities, assisted living residents, and their caregivers.

Tigard, OR30+ days ago

$69,400–$89,800 Per Year

An ideal candidate will have experience managing an inventory independently, experience assessing and evaluating liability, coverage, and damages, as well as working independently and directly with attorneys to negotiate and settle claims. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/.

Eugene, OR30+ days ago

$70,000–$90,000 Per Year

For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/. Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.

Salem, OR30+ days ago

$70,000–$90,000 Per Year

For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/. Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.

New!

Marion, OR5 days ago

$59,059.65–$90,000 Per Year

Competitive candidates should reside within one of the listed zip codes and will service this same territory: 97002, 97013, 97020, 97026, 97032, 97071, 97101, 97108, 97111, 97112, 97114, 97115, 97122, 97127, 97128, 97135, 97137, 97148, 97149, 97301, 97302, 97303, 97304, 97305, 97306, 97317, 97321, 97322, 97324, 97325, 97326, 97327, 97330, 97331, 97333, 97335, 97338, 97341, 97343, 97344, 97345, 97346, 97347, 97348, 97350, 97351, 97352, 97355, 97357, 97358, 97360, 97361, 97362, 97364, 97365, 97366, 97367, 97368, 97369, 97370, 97371, 97374, 97376, 97377, 97378, 97380, 97381, 97383, 97385, 97386, 97388, 97389, 97391, 97392, 97394, 97396, 97419, 97437, 97446, 97461, 97489, 97490, 98024, 98027, 98029, 98038, 98045, 98050, 98051, 98058, 98059, 98065, 98075. 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!

Portland, OR30+ days ago

Compensation: The target hiring range for this role may vary based on geographic location and other factors, including merit or performance, demonstrated proficiency, skills for the role, education, travel requirements, and experience. Individuals with disabilities who wish to request a reasonable accommodation to participate in the job application or interview process, or to perform essential job functions, should contact us at:HRServices@hanover.com and include the link of the job posting in which you are interested.

Lake Oswego, OR18 days ago

Liberty Mutual has an immediate opening for a Claims Team Manager who will lead a team of Claims Specialists who manage a portfolio of Workers Compensation claims, for a dedicated account, to achieve the best possible outcomes and deliver an exceptional customer experience. Provides management oversight of claims files (non-litigated or litigated) within the unit, to include Manager Reviews on open inventory and reviews files to measure quality assurance discusses individual training and development needs.

Portland, Oregon30+ days ago

CLAIM OPERATIONAL SERVICE AND PARTNERSHIPS: Partners with claim professionals in multiple departments to assist with the timely resolution of claims, which may include: Properly documents claim files, including notes and diaries, Requests reports and records, and reviews medical bills, mail and wage statements. CLAIM PAYMENTS AND EXPENSE PROCESSING: Ensures the proper handling of financial transactions to include: Processes and issues claim payments including outside vendor invoices, attorney expenses, and medical processing fees.

PORTLAND, Oregon26 days ago

$21.25–$30.39 Per Hour

Two years of directly applicable healthcare business office experience (billing/credit/collection) or applicable insurance customer service experience required. Your keen attention to detail and accuracy will help strengthen the patient-physician relationship, ensuring patients have the insurance information they need for expert care.

Portland, OR25 days ago

$27.46–$37.16 Per Hour

By providing patients and internal and external stakeholders with a consistent, efficient, and easy experience, you'll help ensure that patients at The Oregon Clinic receive the highest value care tailored to their needs. Our goal is for patients, physicians, and team members to see and feel diversity, equity, safety, and inclusion in all aspects of their interactions with TOC clinics and administration.

OR12 days ago

Remote

$25–$27 Per Hour

We provide Boulder patients with a fully virtual, multidisciplinary care team-including medical providers and peer recovery specialists-who deliver personalized treatment, including medication for opioid use disorder (MOUD) and ongoing support. Named by Fortune as one of the Best Workplaces in Healthcare, Boulder fosters a culture of kindness, respect, and meaningful work that delivers outstanding patient outcomes and moves the addiction medicine industry forward.

Lake Oswego, OR30+ days ago

$45,400–$74,900 Per Year

New!

Eugene, OR6 days ago

$44,000–$75,000 Per Year

We're looking for a bright spark to join us as an Insurance Sales Specialist, someone who genuinely enjoys helping people protect what matters most to them. Welcome to Jeff Williams Insurance Agency LLC, where we believe in genuine connections and providing peace of mind to the Eugene community.

Hillsboro, OR23 days ago

$25.36–$29.18 Per Hour

Essential Skills: Minimum 2 years' experience in customer service or administration, with experience in the financial services industry; default management experience is preferred. Ability to anticipate needs and prioritize projects in a fast-paced environment with tight deadlines and high-volume peaks while producing high-quality work.

Hillsboro, OR24 days ago

$25.36–$29.18 Per Hour
Full-time

Essential Skills: Minimum 2 years’ experience in customer service or administration, with experience in the financial services industry; default management experience is preferred. Ability to anticipate needs and prioritize projects in a fast-paced environment with tight deadlines and high-volume peaks while producing high-quality work.

Bend, OR12 days ago

As our Insurance Marketing Specialist on the Environmental Practice team, you'll support producers and account teams by owning the marketing and placement workflow for environmental/pollution liability business insurance submissions. Working as the primary placement resource for the environmental practice, you will analyze submissions, recommend market strategies, negotiate coverage and pricing with carriers, prepare proposals, and binds coverage as appropriate.

Portland, OR25 days ago

$21.25–$30.39 Per Hour

Experience: Two years of directly applicable healthcare business office experience (billing/credit/collection) or applicable insurance customer service experience required. Your keen attention to detail and accuracy will help strengthen the patient-physician relationship, ensuring patients have the insurance information they need for expert care.

Medford, OR30+ days ago

The DFC Insurance Specialist will be required to perform job duties in a manner that ensures timely and accurate submission of required documentation, completion of notes and addition of necessary documentation within the DFC loan management system, and all other activities associated with total losses and customer insurance updates. While this list is intended to be an accurate reflection of the current job, the company reserves the right to revise the functions and duties of the job or to require that additional or different tasks be performed.

Portland, OR30+ days ago

Remote

Full-time

Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.

Klamath Falls, OR26 days ago

$39,445–$69,167 Per Year

The incumbent shall cross-train with other members of the Klamath Tribal Health Business Office Staff and shall participate in all functions of the coding and billing cycle, to include: daily review of encounters, analyzing chart notes and assuring the appropriate service codes are utilized, data entry of encounter forms, posting charges into the computer system, perform claims review, claims submission, timely billing, follow-up and collection of all accounts, payment posting, claims audit and research. Type: Tribal Salary Range: $39,445 to $69,167 / Per Year Open Period: 1/15/2026 until filled Summary: APPLICATION PROCEDURE Submit a Klamath Tribal Health & Family Services Application for Employment with all requirements and supporting documentation to: Klamath Tribal Health & Family Services ATTN: Human Resource 3949 South 6th Street Klamath Falls, OR 97603 hr@klamathttribalhealth.org

Corvallis, OR30+ days ago

$24.65–$31.31 Per Hour

Associates Degree from accredited college or university with major coursework in computerized accounting systems, medical insurance billing, business administration or related field and one year of related experience in office and business practices and procedures including professional billing experience using computerized accounting systems. Performs utility billing customer service duties such as providing information, processing transactions, reconciling customer accounts, adjusting customer statements, resolving complex customer inquiries and complaints, posting monthly meter reads, posting and processing manual and electronic payments.

Eugene, OR18 days ago

Address patient inquiries regarding copays, deductibles, write-offs, and other patient-responsible portions, resolving complaints and explaining non-covered services. This position demands exceptional attention to detail, strong organizational and communication skills, and the ability to work both independently and collaboratively to meet multiple deadlines effectively.

Eugene, OR16 days ago

New!

PORTLAND, Oregon5 days ago

$22.32–$31.90 Per Hour

Responsibilities: Resolves delinquent payment issues of complex (high dollar and specialty) accounts requiring advanced knowledge of multi-payor system. Rebills, transfers payments, requests refunds and or adjusts misapplied payments as necessary.

New!

PORTLAND, Oregon5 days ago

$22.32–$31.90 Per Hour

New!

Bend, OR3 days ago

Part-time

The Billing Specialist will post payments, review and research past due accounts, follow-up on unpaid claims as assigned to specified work queues, and make collection calls on unpaid accounts. Using the computerized billing software as a tool, follow up on unpaid claims and patient accounts and perform necessary research and functions towards collection for those claims in the correctly identified work queues.

Bend, OR30+ days ago

Portland, OR30+ days ago

$22.58–$28.35 Per Hour

Day, Presidents Day, Memorial Day, Juneteenth, Battle of Little Big Horn, Independence Day, Labor Day, Native American Day, Indigenous Peoples' Day, Veterans Day, Thanksgiving, day after Thanksgiving, and December 25th! Consistent with NARA NW's sobriety policy, all employees, volunteers, interns, and contractors, as applicable, are required to sign a "Drug-Free/Alcohol-Free Workplace Certification Form" and NARA NW "Modeling Sobriety Policy Form" as a condition of employment to confirm that they are aware of this policy and that they agree to comply with it.

Stand out to leading employers.

Upload your resume and let employers find you for new Insurance Claims Specialist job openings. Plus, receive relevant job matches delivered straight to your inbox.

Create A Free Account

Insurance Claims Specialist Jobs in Oregon

EHS Specialist - Redmond, OR Medline Industries

Insurance Specialist - Claims Follow Up Willamette Valley Cancer Institute & Research Center

Revenue Cycle AR Claims Specialist Corvallis Clinic Business Office

Claims Specialist CorVel Enterprise Claims, Inc.

New England Claims Specialist CorVel Enterprise Claims, Inc.

Claims Specialist - Auto Philadelphia Insurance Companies

Senior Claims Specialist - CA Workers'''' Compensation Great American Insurance Company

Senior Claims Specialist - WA and OR Jurisdiction Experience Liberty Mutual Holding Company Inc

Medical Only Claims Specialist CorVel Corp

Claims Specialist Lead The Progressive Corp

Contracting Specialist Benefits and Claims Umpqua Health

Contracting Specialist Benefits and Claims UMPQUA HEALTH

Claims Specialist - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims Adjuster Liberty Mutual Holding Company Inc

Claims Specialist - Rideshare Commercial Auto Claims Injury Adjuster Liberty Mutual Holding Company Inc

Claims Specialist CorVel Corp

Senior Claims Specialist I, Workers Compensation - West Region Liberty Mutual Holding Company Inc

Claims Specialist II, Workers Compensation - West Region Liberty Mutual Holding Company Inc

Associate Claims Specialist - Workers Compensation - West Region Liberty Mutual Holding Company Inc

Senior Construction Defect Technical Claims Specialist Argo Group International Holdings Inc

OR WC Claim Specialist CCMSI

Lead Medical Claims Auditor I Moda Health

Claim Benefit Specialist CVS Health Corp

Pharmacy Technician - Claims Review Consonus Pharmacy

Claims Adjuster - Attorney Represented Injury The Progressive Corp

Claims Adjuster Senior - Litigation The Progressive Corp

Claims Adjuster Senior - Injury The Progressive Corp

Claim Specialist - Property Field Inspection State Farm

WC Lost Time - Sr Consultant Casualty Claims - Southwest The Hanover Insurance Group Inc

Claims Team Manager, Workers Compensation Liberty Mutual Holding Company Inc

Claim Operations Specialist Travelers

Insurance Verification Specialist Legacy Health

Insurance Billing and Coding Specialist for Central Admin in NE Portland The Oregon Clinic

Insurance Verification and Patient Support Specialist Remote in AZ, ID, NV, OR, UT, WA Boulder Care Inc

Claim Operations Specialist The Travelers Companies Inc

Insurance Sales Specialist Jeff Williams Insurance Agency LLC

Short Insurance Specialist First Tech Federal Credit Union

Short Insurance Specialist First Technology Federal Credit Union

Environmental Practice, Insurance Marketing Specialist Marsh & McLennan Companies Inc

Insurance Verification Specialist Legacy Health System

DFC Insurance Specialist Lithia Motors Inc

Sr Claims Reviewer TriWest Healthcare Alliance

BILLING SPECIALIST II Indian Health Service

Utility Billing/EMS Billing Support Specialist City of Corvallis

Revenue Cycle Billing Specialist WHITE BIRD CLINIC

Revenue Cycle Billing Specialist White Bird Clinic

Account Follow-up Specialist II Legacy Health

Account Follow-up Specialist 2 Legacy Health

Billing Specialist Mosaic Community Health

Billing Specialist Mosaic

Billing Specialist - AD016 NATIVE AMERICAN REHABILITATION ASSOCIATION INC

Similar Job Searches