Claims Manager

PrudentRx, LLC is a leading healthcare company seeking a highly skilled Claims Manager to join our team. This is a full-time position that can be performed remotely with the ability to work from home. The salary for this role is estimated to be around $90,000 per year.The successful candidate will oversee the entire pharmacy claims review process to ensure...

Ryz e Claim Solutions is a leading provider of independent claims adjusting services. We are currently seeking a Large Loss Claim Manager to join our team. In this role, you will be responsible for managing the resolution of complex first and third-party claim exposures from a coverage, investigative, and loss establishment...

About Wipro:Wipro is a global information technology, consulting, and business process services company that has established itself as a leader in the health insurance industry.Job Description:Oversee the day-to-day operations of the claims department, ensuring efficient and accurate claims processing.Ensure timely and accurate configuration of provider...

Job OverviewThe Senior Claims Specialist plays a crucial role in the claims department of CorVel Enterprise Comp, Inc. This hybrid position requires a strong understanding of workers' compensation claims and excellent communication skills.

USAA is seeking an experienced leader to join our team as an Auto Claims Manager and Operations Leader. This role will be based in Tampa, FL, and will play a critical part in driving business growth and delivering exceptional results for our members.In this position, you'll have the opportunity to lead and develop a team of claims professionals, working...

About the PositionThis Auto and Property Claims Management Position at USAA offers a unique opportunity to lead and manage high-performing teams and drive business results. As a seasoned leader, you will be responsible for developing and implementing effective claims strategies, collaborating with cross-functional teams, and ensuring compliance with...

Key Responsibilities">The successful candidate will have a proven track record of success in claims management, with a focus on general liability claims. The ideal candidate will possess excellent communication and interpersonal skills, as well as the ability to work independently and as part of a team.Investigate and evaluate claims to determine coverage...

At USAA, we're committed to serving those who serve our country.Compensation:We offer a competitive salary range of $63,590 - $121,530, based on experience and market position. Employees may also be eligible for pay incentives based on overall corporate and individual performance.Benefits: Our comprehensive benefits package includes medical, dental, and...

About CorVel Enterprise Comp, Inc.CorVel Enterprise Comp, Inc. is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients.We are a...

Key ResponsibilitiesManage non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims.Determine the validity and compensability of claims.Establish reserves and authorize payments within established limits.Communicate claim status with customers, claimants, and clients.Additional responsibilities include adhering to...

Job DescriptionGathering necessary documents and evidence for personal injury claimsNegotiating settlement offers with insurance providersPreparing demand letters and working with the team to negotiate settlementsResponsibilitiesManaging and negotiating cases with insurance providersEffectively managing a full case loadOverseeing and managing a dedicated...

Job OverviewWe are seeking a skilled Medical Claims Specialist to join our team at CorVel Enterprise Comp, Inc. This role will be responsible for managing non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims.This is a hybrid position that requires close supervision and supports the goals of our claims...

About the Role">We are seeking an experienced Senior Account Claims Representative to join our team at PMA Companies. As a member of our claims department, you will play a critical role in investigating, evaluating and resolving claims to achieve the best possible outcomes for our clients.This role requires exceptional customer service skills, as you will be...

Job Summary:Jimmie Giles Financial is seeking an experienced Field Claims Adjuster to handle daily Liability claims in Florida. The ideal candidate will have at least 5 years of experience with Liability claims adjusting and be proficient in Xactimate.A minimum of 5 years experience with daily Liability claims adjustingProficient in Xactimate and interior...

**Job Overview**This is a hybrid position as a Medical Only Claims Specialist at CorVel Enterprise Comp, Inc.The primary goal of this role is to manage non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims under close supervision.The ideal candidate should have excellent customer service skills, written and...

Job Overview">PMA Companies is seeking an experienced Senior Account Claims Representative to join our team. This role involves utilizing knowledge of general liability to investigate, evaluate, reserve and resolve claims to achieve appropriate outcomes.This includes providing superior customer service to internal and external business partners and...

Job Description:We are seeking a talented Insurance Claims Analyst to join our team. As an Insurance Claims Analyst, you will be responsible for understanding and interpreting health plan benefits and determining patient eligibility.Key Responsibilities:Interpreting health plan benefits and determining patient eligibilityMaintaining patient confidentiality...

Job Requirements:We are seeking a skilled Healthcare Claims Professional to join our team. As a Healthcare Claims Professional, you will be responsible for understanding and interpreting health plan benefits and determining patient eligibility.Key Responsibilities:Understanding and interpreting health plan benefits and determining patient...

**About the Role:** Denovo Review is seeking a highly skilled PIP Claims Specialist to join our team in Tampa, Florida.This position requires an individual with strong research and analytical skills, excellent communication abilities, and experience working with insurance claims and litigation.Responsibilities:Analyze and process Discovery Requests,...

About the RoleWe are seeking a Complex Claims Examiner to join our team at PMA Companies. As a member of our Claims team, you will be responsible for investigating, evaluating, and resolving complex workers compensation claims to achieve optimal outcomes.In this role, you will work closely with PMA nurse professionals to develop return to work strategies and...