- The Hartford (Lake Mary, FL)
- …and successfully investigating, reserving, recommending and implementing strategies to resolve claims consistent with corporate claim standards, policies and ... strategies including investigation, valuation, disposition and settlement of assigned claims , in a manner consistent with corporate claim...within the US and work their own time zone hours . Start Date: Open Hours : 8:00 AM-… more
- CVS Health (Tallahassee, FL)
- …non-participating providers. Additionally, they will assist in creating bulletins, newsletters, and claim trainings to improve provider claims issues. as well as ... Field Analyst** works with the grievance and appeal and claims operations department to trend provider claim ...8am-5pm EST, with the flexibility to work beyond core hours as needed. **Preferred Qualifications** + Excellent verbal and… more
- Zurich NA (Schaumburg, IL)
- …and management of all communications and reporting associated with the life of a claim . At Zurich North America Claims we acknowledge that work life-balance and ... Sr. Pollution Claim Specialist 125621 Zurich is currently seeking a Sr. Claims Professional to join our Latent & Environmental team in Schaumburg, IL. This is an… more
- 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 ... and/or correspondence to the Agent or Insurer to process claims appropriately. 7. Analyze claim coverage with...computer and office skills 12. Ability to work extended hours when necessary **Preferred Qualifications:** 1. New York adjuster… more
- Molina Healthcare (NE)
- **Job Description** **Work hours will be 7am-3:30pm PST M-F** **Job Summary** Responsible for conducting various healthcare Healthcare claim audits including, ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
- CVS Health (Sacramento, CA)
- …day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject ... customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority… more
- Molina Healthcare (Warren, MI)
- …to providers. **Job Duties** + Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which ... United States. Work Schedule Monday to Friday - operation hours 6 AM to 6 PM (Team will work...schedule) Looking for a RN with experience with appeals, claims review, and medical coding. **Job Summary** Utilizing clinical… more
- MAPFRE Insurance (Webster, MA)
- Auto Damage Insurance Claim Rep (Hybrid or Remote) Date: Sep 22, 2025 Location: Webster, MA, US Company: MAPFRE **Job Summary:** **Position is Hybrid, within a ... (2 days in office/3 days remote). Will consider remote.** **Schedule/ Hours : Monday through Friday, 8:00 am to 4:30 pm...hour based on experience.** Excellent opportunity to join our Claims , Physical Damage Department. In this role as Auto… more
- NJM Insurance (Trenton, NJ)
- …the claim , and outlining and recommending an action plan to manage the claim . The WC Claims Specialist will work with and communicate to all internal ... guidance and collaborative engagement during the life of a claim . The WC Claims Department takes pride...other providing for a positive and nurturing work environment. Hours : Monday to Friday 8:00AM- 4:15PM ( Hours … more
- CVS Health (Amherst, NY)
- …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