575 claims specialist jobs found

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Position Description : We are looking for a skilled and detail-oriented Claims Appeals Specialist to join our team. The successful candidate will have at least five years of experience in claims processing and evaluation, with a desired background in disaster-related losses. This role involves interpreting federal policies, assessing damages, and providing excellent customer support. If you are proficient in using technology to facilitate claims processing and communication, we want to hear from you. As a Claims Appeals Specialist, you will: Conduct detailed evaluations of disaster-related claims, determining the extent of damages and validity of losses. Ability to match the claims determination baseline to added data & documentation from the claim appeals. Review appeals information and reassess the claims determination. Interpret complex federal policy language, including statutes, regulations, and guidelines, to ensure accurate claims processing. Assist with...

Position Description : We are looking for a skilled and detail-oriented Claims Appeals Specialist to join our team. The successful candidate will have at least five years of experience in claims processing and evaluation, with a desired background in disaster-related losses. This role involves interpreting federal policies, assessing damages, and providing excellent customer support. If you are proficient in using technology to facilitate claims processing and communication, we want to hear from you. As a Claims Appeals Specialist, you will: Conduct detailed evaluations of disaster-related claims, determining the extent of damages and validity of losses. Ability to match the claims determination baseline to added data & documentation from the claim appeals. Review appeals information and reassess the claims determination. Interpret complex federal policy language, including statutes, regulations, and guidelines, to ensure accurate claims processing....

Position Description We are looking for a skilled and detail-oriented Claims Appeals Specialist to join our team. The successful candidate will have at least five years of experience in claims processing and evaluation, with a desired background in disaster-related losses. This role involves interpreting federal policies, assessing damages, and providing excellent customer support. If you are proficient in using technology to facilitate claims processing and communication, we want to hear from you. As a Claims Appeals Specialist, you will: - Conduct detailed evaluations of disaster-related claims, determining the extent of damages and validity of losses.- Ability to match the claims determination baseline to added data & documentation from the claim appeals.- Review appeals information and reassess the claims determination.- Interpret complex federal policy language, including statutes, regulations, and guidelines, to ensure accurate claims processing.- Assist...

Position Description We are looking for a skilled and detail-oriented Claims Appeals Specialist to join our team. The successful candidate will have at least five years of experience in claims processing and evaluation, with a desired background in disaster-related losses. This role involves interpreting federal policies, assessing damages, and providing excellent customer support. If you are proficient in using technology to facilitate claims processing and communication, we want to hear from you. As a Claims Appeals Specialist, you will: - Conduct detailed evaluations of disaster-related claims, determining the extent of damages and validity of losses.- Ability to match the claims determination baseline to added data & documentation from the claim appeals.- Review appeals information and reassess the claims determination.- Interpret complex federal policy language, including statutes, regulations, and guidelines, to ensure accurate claims processing.- Assist...

Acts as a subject matter expert on requirements to properly resolve matters when Sentry is faced with a conditional demand from counsel for a claimant. Provides technical advice, instruction, and guidance to claims associates on conditional demands in various states on a daily basis. Effectively participates in the development of technical content and implementation of training programs to ensure understanding of claims standards, policies, procedures, and processes around conditional demands. Recommends changes in claims handling practices based on legislative action or court decisions as well as trends in the insurance industry and legal landscape. What You’ll Do: Our Claims Legal Specialist will act as an expert on requirements to properly resolve matters when Sentry is faced with a conditional demand from counsel for a claimant. This position provides technical advice and guidance to claims associates on conditional demands in various states, and...

Position Description Join our dynamic team as a Claims Quality Control Specialist, where your expertise will contribute to effective disaster claim processing and customer satisfaction. You will leverage your NFIP Certification and robust experience in claims evaluation to navigate complex federal policies while maintaining exceptional standards of service. This role requires proficiency in technology and communications as you work closely with claimants and other stakeholders. As a Disaster Claims Quality Control Specialist, you will: Evaluate and process a variety of disaster-related claims, accurately determining loss validity and extent. Interpret complex federal policy language, including statutes, regulations, and guidelines, in order to facilitate accurate claim processing. Verify detailed assessments of damages and determine appropriate repair and replacement costs for affected properties. Communicate effectively with claimants, FEMA staff,...

Position Description : Join our dynamic team as a Claims Quality Control Specialist, where your expertise will contribute to effective disaster claim processing and customer satisfaction. You will leverage your NFIP Certification and robust experience in claims evaluation to navigate complex federal policies while maintaining exceptional standards of service. This role requires proficiency in technology and communications as you work closely with claimants and other stakeholders. As a Disaster Claims Quality Control Specialist, you will: Evaluate and process a variety of disaster-related claims, accurately determining loss validity and extent. Interpret complex federal policy language, including statutes, regulations, and guidelines, in order to facilitate accurate claim processing. Verify detailed assessments of damages and determine appropriate repair and replacement costs for affected properties. Communicate effectively with claimants, FEMA staff, and...

Position Description : Join our dynamic team as a Claims Quality Control Specialist, where your expertise will contribute to effective disaster claim processing and customer satisfaction. You will leverage your NFIP Certification and robust experience in claims evaluation to navigate complex federal policies while maintaining exceptional standards of service. This role requires proficiency in technology and communications as you work closely with claimants and other stakeholders. As a Disaster Claims Quality Control Specialist, you will: Evaluate and process a variety of disaster-related claims, accurately determining loss validity and extent. Interpret complex federal policy language, including statutes, regulations, and guidelines, in order to facilitate accurate claim processing. Verify detailed assessments of damages and determine appropriate repair and replacement costs for affected properties. Communicate effectively with claimants, FEMA staff, and...

Specialist, Claims & Fraud Operations Country: United States of America Your Journey Starts Here: Santander is a global leader and innovator in the financial services industry. We believe that our employees are our greatest asset. Our focus is on fostering an enriching journey that empowers you to explore diverse career opportunities while nurturing your personal growth. We are committed to creating an environment where continuous learning and development are prioritized, enabling you to thrive both professionally and personally. Here, you will find ample opportunities to connect and collaborate with talented colleagues from around the world, sharing insights and driving innovation together. Join us at Santander, where you are supported by a culture of engagement and a commitment to your success. An exciting journey awaits, if you are interested in exploring the possibilities We Want to Talk to You! The Difference You Make : The Specialist, Claims &...

Position Description Join our dynamic team as a Claims Quality Control Specialist, where your expertise will contribute to effective disaster claim processing and customer satisfaction. You will leverage your NFIP Certification and robust experience in claims evaluation to navigate complex federal policies while maintaining exceptional standards of service. This role requires proficiency in technology and communications as you work closely with claimants and other stakeholders. As a Disaster Claims Quality Control Specialist, you will: Evaluate and process a variety of disaster-related claims, accurately determining loss validity and extent. Interpret complex federal policy language, including statutes, regulations, and guidelines, in order to facilitate accurate claim processing. Verify detailed assessments of damages and determine appropriate repair and replacement costs for affected properties. Communicate effectively with claimants, FEMA staff,...

We are seeking a talented individual to join our team at Guy Carpenter. This role will be based in Edina, Minnesota . This is a hybrid role that has a requirement of working at least three days a week in the office. This role serves as an intermediary between clients and reinsurers, handling the processing of technical transactions while ensuring compliance with contractual obligations, managing timely payment settlements, and securing year-end collateral. Additionally, it involves collaborating with colleagues to drive innovation and improve service delivery. We will count on you to: Act as an intermediary between clients and reinsurers Responsible for processing technical transactions (e.g., invoicing and reporting) and ensuring they meet contractual obligations Manage the timely settlement of payments and secure year-end collateral Collaborate with peers to innovate and enhance service delivery. What you need to have: 3+ years...

Specialist, Claims & Fraud Operations   Country: United States of America   Your Journey Starts Here: Santander is a global leader and innovator in the financial services industry. We believe that our employees are our greatest asset. Our focus is on fostering an enriching journey that empowers you to explore diverse career opportunities while nurturing your personal growth. We are committed to creating an environment where continuous learning and development are prioritized, enabling you to thrive both professionally and personally. Here, you will find ample opportunities to connect and collaborate with talented colleagues from around the world, sharing insights and driving innovation together. Join us at Santander, where you are supported by a culture of engagement and a commitment to your success.   An exciting journey awaits, if you are interested in exploring the possibilities We Want to Talk to You!   The Difference You...

We are looking for a proactive individual to join our Regional Claims team. Ideally you will have experience from within the industry that you can bring with you to this role, otherwise you will be part of a team with expert professionals where you will be able to learn, grown and develop from their experience. **Please note this is a 12 month Fixed Term Contract** What makes working at Aon Aotearoa New Zealand different As a Claims Specialist you will have the opportunity to collaborate with other professionals both within and externally to the organisation. Your valued contributions will play a key part in the delivery of our Risk and Broking services to our corporate clients. You will have access to a range of benefits that we hope will make an impact on your life when and where it matters most including access to a range of subsidised insurance coverage – Life, Income and Trauma, Partially Subsidised Southern Cross Health Insurance, access to extensive Wellbeing...

Our Company PharMerica Overview PharMerica is aclosed-door pharmacywhere you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh growth mode, which meansadvancement opportunitiesfor individuals who are looking for career progression! Step Into a Rewarding Role as a Claims Analystwith PharMerica! The3rd Party Claims Analystis responsible for configuring 3rdparty insurance setups within our proprietary system, and monitoring and evaluating events related to 3rdparty claims. The 3rdparty analyst will interact with appropriate departments to ensure integrity of third party claim information and provide pharmacy operations support. The position specializes in pharmacy claim billing and reimbursement detail. Analyst are considered experts in Medicare Part D, Medicaid, and Commercial insurance. The analyst will also assist with special projects and ad hoc...

Lensa is a U.S. career site that helps job seekers discover job opportunities. We are not a staffing firm or agency. We promote jobs on behalf of our clients, which include employers, recruitment agencies, and marketing partners. We are Generac, a leading energy technology company committed to powering a smarter world. Over the 60 plus years of Generac’s history, we’ve been dedicated to energy innovation. From creating the home standby generator market category, to our current evolution into an energy technology solutions company, we continue to push new boundaries. The Associate Industrial Technical Support Specialist is responsible for providing technical support to our authorized dealer network including fielding and resolving technical service issues, troubleshooting support, and authorizing warranty repairs autonomously with guidance from leadership and higher-level support specialists. Major Responsibilities Answer inbound calls and respond to emails from Dealer...

Position Type: Licensed Educators and Specialists/Specialist Date Posted: 6/4/2025 Location: Explorer Academy Date Available: 08/20/2025 District: Fargo Public Schools Full/Part Time 1.0 FTE Regular/Temporary Regular Schedule 9-months Monday - Friday Salary Range $47,042 - $57,905 annually* *Salary range is subject to pending contract negotiations. The 2023-2025 salary ranges are listed for reference. Position Purpose: Develop and implement student behavior plans and direct intervention under the direction of Board Certified Behavior Analyst (BCBA) and MTSS team. Responsibilities 1. Student Behavior Management: with specific training in applied behavior analysis, collaborates with teaching and other school staff and families to increase positive behavior and student social/emotional development. Priority: Essential | Percent of Time: 80% Examples of this work include: Creates behavior support plans in conjunction with the MTSS team. Implements direct intervention with the...

INTRODUCTION Company Overview BioMatrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Our compassionate care team helps patients navigate the often-challenging healthcare environment. We treat our patients like family and get them started on therapy quickly. We work closely with them as well as their family and their healthcare providers throughout the patient journey, staying focused on optimal clinical outcomes. At the heart of our Inclusion, Diversity, Equity, & Access (IDEA) philosophy is the commitment to cultivate a welcoming space where everyone's contributions are acknowledged and celebrated. Our goal is to draw in, develop, engage, and retain talented, high-performing individuals from diverse backgrounds and viewpoints. We believe that both respecting and embracing diversity enriches the experiences and successes of our patients, employees, and partners. Please note that this...

At SpartanNash, we deliver the ingredients for a better life through customer-focused innovation. We do this for our supply chain customers and U.S. military commissaries, retail store guests and, most importantly, our Associates. In fact, we see a day when each will say, "I can't live without them." Our SpartanNash family of Associates is 20,000 strong, ranging from bakery managers to order selectors; from IT developers to vice presidents of finance; from HR Business Partners to export specialists. Each of them plays an integral role in SpartanNash's People First culture, Operational Excellence and Insights that Drive Solutions. Ready to contribute to the success of our food solutions company? Apply now! Location: 850 76th Street S.W. - Byron Center, Michigan 49315 Job Description: Position Summary: In this role the OwnBrands Labeling Specialist - will support the OwnBrands labeling process through assistance, review and guidance to ensure product and...

An entry-level Claims Customer Service position requiring a learning nature, empathy and interpersonal skills along with a strong desire to assist customers. Provides prompt investigation, processing and settlement of claims with minor exposures. Requires the explanation of the claims process to customers. Generates payments in accordance with assigned authority limit. Documents all activities and pertinent information in applicable claim system. Responsible for handling claims that require learning of basic claim skills relating to fact of loss investigations, compensability and damages such as material damage and medical bill processing. Entry-level role for associates who are new to claims or who have limited insurance knowledge and / or customer service experience. This position will be located at our Stevens Point office. What You'll Do: As an Entry Level Claims Representative for the Commercial Auto & Equipment team, you will: Verify...

Labor Relations Specialist Job Number: 25-04509   Want to be part of the Energy Industry? ECLARO is looking for a Labor Relations Specialist for our client in Niagara, NY.    ECLARO's Client is America's largest state power organization and is a national leader in energy efficiency and clean energy technology. If you’re up to the challenge, then take a chance at this rewarding opportunity!   Project Overview: Dynamic and versatile consultant workers to join HR department. The opportunity to immerse yourself in the day-to-day operations of our HR team, contributing to various projects and tasks critical to our success while our team is engaged in an HR transformation project. Experience with SAP and SuccessFactors is a plus. Gain comprehensive HR experience within a supportive environment.   Pay Rate: $35.00 - $50.00/Hour   Responsibilities: First point of contact for employees regarding all HR issues and advise management in appropriate resolution of...

JOB Title: Human Resources SpecialistPosition Number: 0097415T Hiring Unit: College of Education, Center on Disability StudiesLocation: ManoaDate Posted: June 13, 2025Closing Date: June 30, 2025Band: A / BSalary: salary schedules and placement informationFull Time/Part Time: Full-time Temporary/Permanent: Temporary Other Conditions: Multi-level recruitment (see application instructions). Appointment to begin July 2025 or soon thereafter. Renewal contingent upon satisfactory performance, department needs, and availability of funds.Duties and ResponsibilitiesPay Band A*Under the supervision of the Center on Disability Studies (CDS) lead Administrative Officer, serve as the unit’s Human Resource Specialist.*Analyze and recommend administrative staffing needs, ensuring the operational needs of various programs are met.*Assist in processing all personnel actions for Board of Regents (BOR) (Faculty, Administrative, Professional & Technical (APT), lecturers), Research Corporation...

Aon Is Looking For An Underwriting Referral and Claim Specialist! This is an exciting opportunity for an Operations Specialist II, who will report directly to the Assistant Vice President to handle Underwriting Referrals and Claim support activities for the Aon Allied Healthcare Individual program. This is a Hybrid position (2 days a week in office) located in Fort Washington, PA office. The Healthcare Allied Individual program: Insures over 1.05M individual customers Drives over $178M in premium with 9% growth Generates $80M in revenue with 10% growth Program operates at a 45% margin Job Responsibilities: Review of new business and renewal submissions that do not meet standard underwriting criteria to develop creative solutions to meet program eligibility and establish rating Prepare in-house and carrier referrals Manage conditional and non-renewal pending accounts Interact with clients and carrier partner in writing and by phone Identify trends and...

Forge ahead with WSB. WSB was founded on the understanding that culture drives results and we ve dedicated ourselves to the value of strong relationships, collaboration and forward-thinking ideas. We ve inspired each other to discover thoughtful and creative solutions that look beyond the needs of today to the opportunities of tomorrow. What You Will Do: * As a right of way acquisition specialist, you will meet with clients, design staff and landowners to discuss project impacts to parcels and address landowners concerns. * You would complete field title investigations, present offers of compensation and negotiate settlements. * Research property ownership, set up parcel files, notarize documents, assist in project management tracking. * Draft conveyance documents and obtain mortgage releases. * Relocation tasks will include meeting with displaced property owners and tenants, providing referrals, preparation of relocation claims, and coordination of move estimates and maintenance...