- TEKsystems (Fairfax, VA)
- Description: PURPOSE: Under direct supervision reviews and adjudicates paper/electronic claims . Determines proper handling and adjudication of claims following ... policies and procedures. ESSENTIAL FUNCTIONS: 60 Examines and resolves non-adjudicated claims to identify key elements of processing requirements based on contracts… more
- HomeSafe Alliance (Arlington, VA)
- **Title:** Claims Adjuster (SCA) HHG/Military Move **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household ... are currently seeking a highly skilled and motivated Assistant Claims Manager to assist in all aspects of ...Claims Manager to assist in all aspects of claims management, to support and promote process improvement methodologies… more
- HomeSafe Alliance (Arlington, VA)
- **Title:** Claims Adjuster (SCA) HHG/Military Move **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household ... are currently seeking a highly skilled and motivated Assistant Claims Manager to assist in all aspects of ...Claims Manager to assist in all aspects of claims management, to support and promote process improvement methodologies… more
- Sedgwick (Washington, DC)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Adjuster | Public Entity & MD, VA & DC Jurisdictions Experience ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**PRIMARY PURPOSE OF THE ROLE:** To analyze Workers Compensation claims on behalf of our valued clients to determine… more
- Highmark Health (Washington, DC)
- …errors and/or performing quality control review and final adjudication of paper/electronic claims . Determines whether to return, deny or pay claims following ... claims and inquiries to determine corrective action including adjusting claims as necessary and takes the corrective action steps using enrollment, benefit… more
- Humana (Washington, DC)
- …of our caring community and help us put health first** The Senior Pharmacy Claims Professional adjudicates pharmacy claims and process pharmacy claims for ... data requires an in-depth evaluation of variable factors. The Senior Pharmacy Claims Professional oversees processes and ensures accuracy for pharmacy point of sale… more
- Sedgwick (Washington, DC)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Adjuster- Liability **PRIMARY PURPOSE:** To analyze mid- and higher-level general ... liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify… more
- Ryder System (Washington, DC)
- …Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ **Position Description** The Claims Analyst handles complex and high exposure bodily ... injury and property damage claims under Ryder's self-administered liability program. This position investigates and adjusts claims , as well as directs defense… more
- Ryder System (Washington, DC)
- …by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ **Summary** The Senior Claims Representative handles complex and mid-to-high exposure bodily ... injury and property damage claims under Ryder's self-administered liability program. This position investigates and adjusts claims , as well as directs defense… more
- Sedgwick (Washington, DC)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner **PRIMARY PURPOSE** **:** To analyze complex or technically difficult ... workers compensation claims to determine benefits due; to work with high...to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; and to ensure ongoing… more
- Ryder System (Washington, DC)
- …HERE. (https://ryder.com/job-applicant-privacy-policy)\_ Job Description **Summary** The Senior Claims Representative handles complex and mid-to-high exposure bodily ... injury and property damage claims under Ryder's self-administered liability program. This position investigates and adjusts claims , as well as directs defense… more
- UMB Bank (Washington, DC)
- **Duties & Responsibilities** The Manager, Card Fraud Claims , will oversee and manage the UMB card fraud claims process, ensuring timely and accurate resolution ... and assist in developing strategies to mitigate card fraud claims risk. This role will also assist with the...third-party card fraud claim vendors and ongoing card fraud claims monitoring, tracking, and reporting. Responsibilities will include: +… more
- Sedgwick (Washington, DC)
- …Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Complex Claims Advisor | Remote **This job will support workers' compensation for ... and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to provide oversight, and directs the… more
- Community Clinic Inc. (Silver Spring, MD)
- …more equitable health care system for everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial resource in support of the clinical ... services provided. The Claims Specialist will assure that services are promptly and...applicable Federal, State, and local regulations and guidelines, that claims are adjudicated in a timely manner, and customer's… more
- Sedgwick (Meridian, ID)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer (Agile) Claims Examiner - Liability | Midwest Region Are you looking for an ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...To analyze high-level Commercial General Liability & Auto Liability claims on behalf of our valued clients to determine… more
- Elevance Health (Columbus, OH)
- **Rating/ Claims System Senior Advisor** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of ... Mason, OH; Indianapolis, IN; Chicago, IL; Manchester, NH; Boston, MA.** The **Rating/ Claims System Senior Advisor** leads the activities for India based Commercial … more
- Acosta Group (Tampa, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position...change to provide continuous improvements. **RESPONSIBILITIES** + Process escalated claims , assesses the reason for the escalation, and provides… more
- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position...and Thursday working in office **RESPONSIBILITIES** + Processes escalated claims , assesses the reason for the escalation, and provides… more
- Sedgwick (Brea, CA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead - Workers Compensation - (Hybrid Schedule) **PRIMARY PURPOSE:** ... activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ...claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex… more
- Acosta Group (Charlotte, NC)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position...change to provide continuous improvements. **RESPONSIBILITIES** + Process escalated claims , assesses the reason for the escalation, and provides… more
Related Job Searches:
Claims Adjuster,
Claims Adjuster Injury,
Claims Analyst,
Claims Assistant,
Claims Manager,
Claims Representative,
Claims Specialist,
Field Property Claims Adjuster,
Insurance Claims,
Workers Compensation Claims Examiner