• Workers Compensation Claims

    NJM Insurance (Trenton, NJ)
    NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/II/ Sr .) . This is a full-time position and offers a hybrid schedule after training with a ... outlining and recommending an action plan to manage the claim . The WC Claims Specialist ...+ Administer the delivery of timely, appropriate, and accurate benefits + Evaluate the claim for potential… more
    NJM Insurance (05/06/25)
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  • Sr . Claims Specialist

    Sedgwick (Baton Rouge, LA)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr . Claims Specialist , Medical Malpractice (LTC) **PRIMARY PURPOSE** : To ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
    Sedgwick (06/21/25)
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  • Claims Specialist Sr

    Sedgwick (St. Louis, MO)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Professional Liability **PRIMARY PURPOSE** **:** To ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
    Sedgwick (06/20/25)
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  • Sr . Claims Specialist

    Philadelphia Insurance Companies (Bala Cynwyd, PA)
    …member of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr . Claims Specialist to join our team! Summary: Investigate, evaluate and settle more ... complex first and third party insurance claims . A typical day will include the following: Communicates...sexual orientation and/or any other status protected by law. Benefits : We offer a comprehensive benefit package,… more
    Philadelphia Insurance Companies (05/23/25)
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  • Sr . Training Specialist (Insurance…

    Trustmark (Juneau, AK)
    …process and procedures and minimum of 2 years of experience in handling claims appropriately in accordance with the corporate claim philosophy, policy provisions ... role** This role is a dedicated training position for Claims that resides in the Knowledge Management & Customer...new and existing staff in all products including appropriate claim handling. Ensures that claim personnel follow… more
    Trustmark (06/04/25)
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  • Senior Claim Benefit

    CVS Health (Salem, OR)
    …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication… more
    CVS Health (06/25/25)
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  • Sr . Litigation Specialist , General…

    Travelers Insurance Company (Morristown, NJ)
    …negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
    Travelers Insurance Company (06/25/25)
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  • Sr . Litigation Specialist , General…

    Travelers Insurance Company (Melville, NY)
    …negotiating and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
    Travelers Insurance Company (05/24/25)
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  • Sr . Authorization Specialist

    UPMC (Pittsburgh, PA)
    …of excellence to which all work is to conform. The expertise of the Authorization Specialist Senior shall include an in depth working knowledge in the area of ... **University of Pittsburgh Physicians is hiring a full-Time Sr . Authorization Specialist to help support...denials, across service areas or business units. The Authorization Specialist Senior shall demonstrate the philosophy and… more
    UPMC (05/14/25)
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  • Senior Claims Benefit

    CVS Health (Augusta, ME)
    …compassionate. And we do it all with heart, each and every day. **Position Summary** The ** Senior Claims Benefit Specialist ** will review and adjust SF ( ... claims . They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing guidelines....every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
    CVS Health (06/23/25)
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  • Senior Claim Benefit

    CVS Health (Plymouth, MN)
    …challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and broker ... and external stakeholders and the stop loss administrators. Managing stop loss claim filings, you will reconcile and resolve discrepancies between the amount… more
    CVS Health (05/16/25)
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  • Senior Claims Benefit

    CVS Health (Montgomery, AL)
    …+ Distributes work assignment daily to junior staff. + Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. **Additional Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication… more
    CVS Health (06/25/25)
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  • Senior Claim Specialist

    CRC Insurance Services, Inc. (ID)
    …and makes recommendation for additional activity as appropriate. 4. Determine where new loss claims should be reported. 5. Manage all claim documentation. 6. Use ... the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 7. Analyze claim coverage with insurance carriers to… more
    CRC Insurance Services, Inc. (03/30/25)
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  • Sr Regulatory Affairs Specialist

    J&J Family of Companies (Santa Clara, CA)
    …United States of America **Job Description:** Johnson & Johnson is hiring for a ** Sr Regulatory Affairs Specialist , Ads/Promo Global - Shockwave** to join our ... pressure waves for the treatment of calcified plaque. **Position Overview** The Senior Regulatory Affairs Specialist assisting with Advertising and Promotion… more
    J&J Family of Companies (06/11/25)
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  • Sr . Application Fulfillment…

    Covr Financial Technologies (Houston, TX)
    …on our platform since 2016. Our platform has processed close to $5 billion in claim benefits for end-consumers. Covr's platform provides a simpler way for people ... REPORTS TO: Sr . Application Fulfillment Specialist DEPARTMENT: Operations...ethic and high level of personal integrity and accountability BENEFITS PACKAGE: We offer a competitive benefits more
    Covr Financial Technologies (04/17/25)
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  • Senior Claims Specialist

    Axis (Alpharetta, GA)
    …is available upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims...files is accurate. + Collaborate with Underwriting, Distribution, and Senior Claim Management in driving deeper relationships… more
    Axis (06/25/25)
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  • Remote Senior Claim

    CRC Insurance Services, Inc. (Salem, OR)
    …the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 5. Analyze claim coverage. 6. Anticipate and meets all ... of America) **Please review the following job description:** Analyzes and processes claims by gathering information, drawing conclusions. tracking and managing the … more
    CRC Insurance Services, Inc. (06/19/25)
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  • SR Regulatory Compliance & Audits…

    Commonwealth Care Alliance (Boston, MA)
    Claims Operations & Quality Assurance, the Regulatory Compliance & Audits Sr . Specialist II is responsible for ensuring CCA's operational compliance with ... reviews. * Respond to compliance inquiries from internal teams regarding benefit design, denial logic, or claims workflows. * Assist in the review of policy and… more
    Commonwealth Care Alliance (06/02/25)
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  • Sr . Data Scientist - AI/ML & LLM…

    UIC Government Services and the Bowhead Family of Companies (Corona, CA)
    **Overview** SR . DATA SCIENTIST - AI/ML & LLM (AR/PA IT) Bowhead seeks a Sr . Data Scientist - AI/ML & LLM Specialist to join our team supporting the AR/PA IT ... Surface Warfare Center - Corona in Corona, California. The Sr . Data Scientist - AI/ML & LLM Specialist...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
    UIC Government Services and the Bowhead Family of Companies (06/13/25)
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  • Finance Integration, Business Transformation…

    Southern California Edison (Rosemead, CA)
    …Clean Energy Revolution** Become a **Finance Integration, Business Transformation and Readiness, Sr Specialist ** at Southern California Edison (SCE) and build a ... process area & activities. As a **Finance Integration, Business Transformation and Readiness, Sr Specialist ** , your work will help power our planet, reduce… more
    Southern California Edison (05/16/25)
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