• Claims Associate - Consumer

    Sedgwick (Toledo, OH)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Associate - Consumer **PRIMARY PURPOSE** : To process claims and ... or denials up to designated authority level. + Handles high volume of claims , phone calls and correspondence ensuring claim files are properly documented;… more
    Sedgwick (10/10/25)
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  • Workers Compensation Claims

    Sedgwick (Long Beach, CA)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Associate | Long Beach, CA Are you looking for an ... of general office experience or equivalent combination of education and experience required. Claims industry experience preferred . + High School Diploma or GED… more
    Sedgwick (10/14/25)
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  • Medical Claims Specialist - Remote

    Rising Medical Solutions (Tampa, FL)
    …to: Program Manager Requirements Education/Training + High school diploma required; Associate 's or Bachelor's degree preferred + CPC (Certified Professional ... The Claims Specialist will assist in reviewing, processing, and...to verify if the amounts are related to the claim + Develop and maintain a working knowledge of… more
    Rising Medical Solutions (09/27/25)
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  • General Claims Associate - Part Time…

    NJM Insurance (Hammonton, NJ)
    The General Claims Associate is responsible for assisting with claim related tasks, making phone calls, and documenting claim files, while providing ... through Friday and may be scheduled around a student's academic obligations in an associate 's, bachelor's, or master's program. The hours for the position are 15 to… more
    NJM Insurance (09/16/25)
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  • Claims Advisor, Professional Liability

    Sedgwick (Fort Worth, TX)
    … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...to Bachelor of Science in Nursing, Legal Nurse Consultant, Associate in Claims (AIC), Chartered Property and… more
    Sedgwick (09/07/25)
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  • Insurance & Claims Analyst

    Chevron Corporation (Houston, TX)
    …responsibilities in these key areas: 1) Responsible for the management of third-party claim administrator handling of domestic liability claims and recovery ... + Excellent communication skills. + Outstanding prioritization and organizational skills. ** Preferred Qualifications:** + Associate in Risk Management (ARM) or… more
    Chevron Corporation (10/02/25)
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  • Claims Investigator

    Allied Solutions (Plano, TX)
    Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. ... claims per day. This position ensures that all claim documentation is thoroughly reviewed and assessed for coverage...Property and Casualty insurance experience of 1-3 years highly preferred ; + Preference given to those with Claim more
    Allied Solutions (10/12/25)
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  • Senior Claims Manager - Risk and Insurance

    Bon Secours Mercy Health (Cincinnati, OH)
    …expert reviews to evaluate legal liability and causation to set financial reserves, evaluate claim values, and negotiate and resolve claims when indicated or to ... necessary. + Assigns appropriate defense counsel depending on venue, claim type, and potential claim value. Works... preferred . + CPCU, ARM, SCLA, AIC, CCP preferred . + 7 years handling Professional Liability Claims more
    Bon Secours Mercy Health (10/10/25)
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  • Analyst, Configuration Oversight ( Claims

    Molina Healthcare (Iowa City, IA)
    …+ Experience independently reviewing and processing simple to moderately complex High dollar claims and knowledge of all claim types of reimbursements not ... such Stoploss, DRG, APC, RBRVS, FFS applicable for HD Inpatient, Outpatient and Professional claims . + 2+ years of comprehensive claim audits as preference +… more
    Molina Healthcare (09/17/25)
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  • Claims Technical Analyst

    TEKsystems (St. Louis, MO)
    …experience in health insurance or PBM claims + High school diploma or GED ( Associate or Bachelor's degree preferred ) + Experience in claims research, QA, ... + Pulling and analyzing claims reports, including rejected claims + Assisting with claim reprocessing efforts + Supporting analysts with data and reporting… more
    TEKsystems (10/08/25)
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