• Claims Examiner - Workers Comp (Hybird Roseville,…

    Sedgwick (Roseville, CA)
    …practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** ... our clients. + Manages claim recoveries, including but not limited to: subrogation , Second Injury Fund excess recoveries and Social Security and Medicare offsets.… more
    Sedgwick (09/28/25)
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  • Claims Associate - Recovery

    Sedgwick (West Des Moines, IA)
    …physical, financial and professional needs. **PRIMARY PURPOSE:** Processes and reviews subrogation claims across all lines of business and all jurisdictions within ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Responsible for assigned inventory of subrogation files with recovery. + Maintains a monthly diary on cadence,… more
    Sedgwick (09/28/25)
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  • Claims Associate - Recovery

    Sedgwick (West Des Moines, IA)
    …physical, financial and professional needs. **PRIMARY PURPOSE:** Processes and reviews subrogation claims across all lines of business and all jurisdictions within ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Responsible for assigned inventory of subrogation files with recovery. + Maintains a monthly diary on cadence,… more
    Sedgwick (09/28/25)
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  • Appeals & Grievances Specialist (Complaints…

    Molina Healthcare (Tampa, FL)
    …* Health claims processing experience, including coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims ... denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials. * Customer service experience. * Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines. *… more
    Molina Healthcare (12/14/25)
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  • Outside Property Claim Representative

    Travelers Insurance Company (Calabasas, CA)
    …+ Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit. + Identifies and refers claims with Major Case Unit exposure to ... the manager. + Performs administrative functions such as expense accounts, time off reporting, etc. as required. + Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers… more
    Travelers Insurance Company (12/13/25)
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  • Immediate Claims Support Customer Service

    TEKsystems (Parkersburg, WV)
    …support in various disciplines including material damage, property, liability, subrogation , workers compensation, medical, and litigation. + Assists with various ... activities including preparing and processing documents, preparing time sensitive and confidential claim file information on a routine basis. + Assist with follow up calls and other claim file support as needed. + Greets, screens and directs visitors to… more
    TEKsystems (12/13/25)
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  • Claims Examiner - Workers Compensation (REMOTE-…

    Sedgwick (Atlanta, GA)
    …practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** ... + Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely… more
    Sedgwick (12/13/25)
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  • Collections Claims Specialist

    Enterprise Mobility (Gainesville, FL)
    …programs and/or internet use is required + One year of general collections, subrogation or claims experience preferred + Must have a permanent residence with a ... defined workspace that is free of distractions + Must have consistent and reliable high-speed internet access + Must be willing to accept $18.23/hour for this position + Heavy phone experience preferred + At least basic/beginner skill level in Microsoft Office… more
    Enterprise Mobility (12/13/25)
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  • Triage Nurse I - Virtual - CareBridge

    Elevance Health (TN)
    …appropriate. + Identifies and refers cases or issues to QI, SIU, Subrogation , Underwriting, or other departments as appropriate. + Documents appropriate clinical ... information, decisions, and determinations in a timely, accurate, and concise manner. + Develops a working knowledge of member benefits, contracts, medical policy, professional standards of practice, and current health care practices. Position requirements: +… more
    Elevance Health (12/12/25)
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  • Complex Commercial Construction Defect Claim…

    Travelers Insurance Company (Las Vegas, NV)
    …resources for specific activities required to effectively evaluate claims, such as Subrogation , Risk Control, nurse consultants, and fire or fraud investigators, and ... other experts. + Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damage documentation. + Maintains claim files and documents claim file activities in accordance with established procedures. +… more
    Travelers Insurance Company (12/12/25)
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