• SIU / Claims Investigator

    Allied Universal (Las Vegas, NV)
    Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services ... state agency for prosecution. **RESPONSIBILITIES:** + Independently investigate suspected fraudulent insurance claims for a variety of coverage to include… more
    Allied Universal (07/18/25)
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  • Claims Advisor, Professional Liability

    Sedgwick (Dayton, OH)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** ... coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors others....Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health… more
    Sedgwick (07/24/25)
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  • Claims Adjuster II, MD/DC (Remote)

    CareFirst (Baltimore, MD)
    …in reports. + Settles insurance claims by approving or denying claims and partnering with supervisor on progress towards claim settlement + Improves ... limits, and in line with standard procedures and guidelines. Verifies insurance claims by reviewing claims requirements; examining documentation and… more
    CareFirst (07/19/25)
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  • Manager, Claims Operations (Auto Injury…

    USAA (Phoenix, AZ)
    …time in role. **What sets you apart:** + Current leadership experience as an Auto Claims Manager or Supervisor + 5+ years handling 3rd party auto moderately ... special and impactful. **The Opportunity** As a dedicated Manager, Claims Operations, you will lead and be accountable for... adjusters to meet organizational and development goals + Insurance Designations (ie: CPCU, SCLA) + US military experience… more
    USAA (07/24/25)
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  • Workers Compensation Claims Examiner|…

    Sedgwick (Rancho Cordova, CA)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner| Dedicated Account | Rancho Cordova, CA ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
    Sedgwick (07/24/25)
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  • Claims Examiner - Bodily Injury…

    Sedgwick (Naperville, IL)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Bodily Injury - Richfield, MN, Plano, TX, Irving, ... - Hybrid **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims … more
    Sedgwick (07/22/25)
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  • Complex Claims Director - TPA Oversight

    AIG (Atlanta, GA)
    …reimagining the way we help customers to manage risk. Join us as a Complex Claims Director - TPA Oversight to play your part in that transformation. It's an ... valued member of the team. Make your mark in Claims Our Claims teams are the proven...of the claim. + Refer case as appropriate to supervisor and management. Respond to requests or directions in… more
    AIG (07/20/25)
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  • Claims Specialist Sr - Commercial Coverage…

    Sedgwick (Indianapolis, IN)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
    Sedgwick (07/10/25)
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  • Managed Care Claims Validator / Biller

    CommuniCare Health Services Corporate (Charleston, WV)
    …all managed care claims on their assigned caseload with the appropriate insurance carrier. The position requires working with the CBO cash collections team, CBO ... validate on the claim may be contained within areas of the Census, AR Insurance , authorization documentation, and eligibility. The claims validator will play a… more
    CommuniCare Health Services Corporate (06/29/25)
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  • Sr. Claims Specialist, Medical Malpractice…

    Sedgwick (Baton Rouge, LA)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Medical Malpractice (LTC) **PRIMARY PURPOSE** : To ... analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
    Sedgwick (06/21/25)
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