• General Liability Litigation Consultant / Senior…

    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
    The Hartford (08/27/25)
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  • Claim Benefit Specialist

    CVS Health (Austin, TX)
    …and more compassionate. And we do it all with heart, each and every day. ** Claim Benefit Specialist** Reviews and adjudicates claims in accordance with claim ... use multiple systems and screens to obtain and record claim information + Review claims information to...Degree **Education** High School diploma or GED **Anticipated Weekly Hours ** 40 **Time Type** Full time **Pay Range** The… more
    CVS Health (08/20/25)
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  • Claim Field Analyst (Tampa/Orlando,…

    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
    CVS Health (09/06/25)
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  • Sr. Pollution Claim Specialist

    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
    Zurich NA (09/09/25)
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  • Senior Claim Specialist - Prime Specialty

    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
    CRC Insurance Services, Inc. (06/28/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Lansing, MI)
    …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
    CVS Health (09/02/25)
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  • Medical Claim Review Nurse (RN)

    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
    Molina Healthcare (09/06/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Austin, TX)
    …we do it all with heart, each and every day. **Position Summary** The Senior Claim Benefit Specialist serves as a quality champion and advocate for the business by ... conducting routine audits and claim testing related to PPO network creation. This role...to test plan development. + Analyze and resolve complex claims scenarios within established timeframes. + Respond to internal… more
    CVS Health (09/11/25)
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  • Supervisor, Claim Operations

    CVS Health (Hartford, CT)
    …all with heart, each and every day. **Hybrid in Hartford, CT required** ** Claim Supervisor:** Responsible for the overall supervision of Medical Claim Processing ... + Develop, train, evaluate and coach staff to provide cost effective claim review/processing and claim service while ensuring compliance and quality… more
    CVS Health (08/27/25)
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  • Medical Claim Analyst

    CVS Health (Augusta, ME)
    …day. **Position Summary** -Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and ... staff for review. -Organized and prioritizes work to meet regulatory and claim turn-around times -Promotes communication, both internally and externally to enhance… more
    CVS Health (09/13/25)
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