Excess Loss Claims Specialist
4 days ago
We are seeking a highly skilled Excess Loss Specialist to join our team at Elevance Health. As a key member of our risk management team, you will play a critical role in reviewing claims and interpreting contracts to ensure accurate and timely payments.
Key Responsibilities- Review and analyze excess loss claims to ensure compliance with contractual requirements
- Interpret complex contracts and policies to determine claim entitlement
- Work closely with reinsurance carriers and internal departments to resolve claims issues
- Prepare management reports to identify areas for improvement and prevent future errors
- Serve as liaison with reinsurance auditors to resolve aggregate claims
- High school diploma or equivalent required; 3+ years of claims and/or customer service experience preferred
- Strong written and oral communication skills; proficiency in Microsoft products and computer skills a plus
- Attention to detail, strong organizational skills, and ability to work independently and with team
Elevance Health offers a competitive total rewards package, including merit increases, paid holidays, Paid Time Off, and incentive bonus programs. We also offer medical, dental, vision, short and long term disability benefits, 401(k) + match, stock purchase plan, life insurance, wellness programs, and financial education resources.
We operate in a Hybrid Workforce Strategy, with associates required to work at an Elevance Health location at least once per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.
-
Excess Loss Claims Specialist
3 weeks ago
Columbus, Georgia, United States Elevance Health Full timeJob Title: Excess Loss Claims SpecialistWe are seeking a highly skilled Excess Loss Claims Specialist to join our team at Elevance Health. As a key member of our claims team, you will be responsible for reviewing and interpreting complex claims related to excess loss, managing a large volume of files, and interacting with multiple reinsurance carriers and...
-
Medical Claims Specialist
3 weeks ago
Columbus, Georgia, United States Aspirion Health Resources LLC Full timeJob Title: Medical Claims Specialist/AnalystAspirion Health Resources LLC is seeking a highly skilled Medical Claims Specialist/Analyst to join our team. In this role, you will be responsible for investigating and resolving insurance claims, ensuring accurate and timely reimbursement for our hospital and health system partners.Key...
-
Asset Protection Specialist
3 weeks ago
Columbus, Georgia, United States Home Depot Full timeJob Title: Asset Protection SpecialistAt Home Depot, we are seeking a highly skilled and detail-oriented Asset Protection Specialist to join our team. As an Asset Protection Specialist, you will play a critical role in preventing financial loss caused by theft and fraud, while also supporting safety and environmental program compliance in your assigned store...
-
Deaf Education Specialist
3 weeks ago
Columbus, Georgia, United States Soliant Full timeJob Opportunity for Deaf/Hard of Hearing SpecialistSoliant Health is seeking a dedicated and passionate Deaf/Hard of Hearing Specialist to provide exceptional educational services within a well-respected school district in Columbus, GA.Responsibilities:Provide direct instruction to students who are deaf or hard of hearing, utilizing specialized strategies...
-
Safety Manager
4 days ago
Columbus, Georgia, United States Mediacom Broadband LLC Full timeJob Title: Safety ManagerMediacom Broadband LLC is seeking a highly skilled and experienced Safety Manager to join our team. As a key member of our organization, you will be responsible for directing, developing, and overseeing the general health and well-being of our employees, as well as ensuring adherence to safety policies and procedures.Key...
-
Project Manager
2 weeks ago
Columbus, Georgia, United States Surge Staffing LLC Full timeJob OverviewSurge Staffing LLC is committed to connecting top talent with exceptional clients. Our comprehensive services have solidified our position as a leader in the staffing industry. We guarantee a robust pool of qualified candidates to meet hiring needs and provide customized business solutions to manage workforces effectively.This full-time position...
-
Project Manager
3 weeks ago
Columbus, Georgia, United States Surge Staffing LLC Full timeJob OverviewSurge Staffing LLC is dedicated to connecting top talent with exceptional clients. Our comprehensive services have solidified our position as a leader in the staffing industry. We guarantee a robust pool of qualified candidates to meet hiring needs and provide customized business solutions to manage workforces effectively.This full-time position...
-
Legal Intake Coordinator
3 weeks ago
Columbus, Georgia, United States The Wright Legal Group, LLC Full timeJob SummaryWe are seeking a highly skilled Legal Intake Specialist to join our team at The Wright Legal Group, LLC. As a key member of our staff, you will play a critical role in ensuring the smooth operation of our law firm.Key ResponsibilitiesScreen incoming client calls to determine the scope of our firm's services and provide exceptional customer...
-
Staff Pharmacist
3 weeks ago
Columbus, Georgia, United States Walmart Full timeJob SummaryAs a Staff Pharmacist at Walmart, you will be at the forefront of patient communications, developing relationships with customers and advocating for their well-being. You will be empowered to share your clinical knowledge and work to the top of your license, creating moments of care and making a meaningful impact in the community.Key...
-
Newborn Hearing Screen Specialist
3 days ago
Columbus, Georgia, United States Pediatrix Full timeAbout the RoleWe are seeking a highly skilled and compassionate Newborn Hearing Screen Technician to join our team at Pediatrix Medical Group. As a key member of our team, you will play a vital role in the early detection of hearing loss in newborns.ResponsibilitiesConduct newborn hearing screens in a hospital setting, providing accurate and timely results...
-
Excess Loss Claims Specialist
4 weeks ago
Columbus, Ohio, United States Elevance Health Full timeJob Title: Excess Loss SpecialistWe are seeking a highly skilled Excess Loss Specialist to join our team at Elevance Health. As an Excess Loss Specialist, you will play a critical role in reviewing claims and interpreting contracts, working with complex concepts of excess loss, managing a large volume of files, and interacting with multiple reinsurance...
-
Excess Loss Claims Specialist
3 weeks ago
Columbus, Ohio, United States Elevance Health Full timeJob Title: Excess Loss SpecialistWe are seeking a highly skilled Excess Loss Specialist to join our team at Elevance Health. As an Excess Loss Specialist, you will play a critical role in reviewing claims and interpreting contracts, working with complex concepts of excess loss, managing a large volume of files, and interacting with multiple reinsurance...
-
Excess Loss Claims Specialist
4 weeks ago
Columbus, Ohio, United States Elevance Health Full timeAbout the RoleWe are seeking a highly skilled Excess Loss Specialist to join our team at Elevance Health. As a key member of our organization, you will play a critical role in reviewing claims and interpreting contracts.Key ResponsibilitiesWork independently to review claims and interpret contractsManage a large volume of files and interact with multiple...
-
Excess Loss Claims Specialist
1 week ago
Columbus, Ohio, United States Elevance Health Full timeAbout the RoleWe are seeking a highly skilled Excess Loss Specialist to join our team at Elevance Health. As a key member of our organization, you will play a critical role in reviewing claims and interpreting contracts.Key ResponsibilitiesWork independently to review claims and interpret contractsManage a large volume of files and interact with multiple...
-
Excess Loss Specialist
4 weeks ago
Columbus, United States Elevance Health Full timeAnticipated End Date: 2024-10-18 Position Title: Excess Loss Specialist (Columbus, GA) Job Description: Title: Excess Loss Specialist Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of 6087 Technology Pkwy Columbus, GA 31820 PulsePoint location. The Excess Loss Specialist will be responsible...
-
Excess Loss Specialist
1 month ago
Columbus, United States Elevance Health Full timeTitle: Excess Loss Specialist Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of 6087 Technology Pkwy Columbus, GA 31820 PulsePoint location. The Excess Loss Specialist will be responsible for working independently reviewing claims and interpreting contracts. Works with complex concepts of...
-
Property Claims Specialist
2 days ago
Columbus, Nebraska, United States State Farm Mutual Automobile Insurance Company Full timeJob SummaryState Farm Mutual Automobile Insurance Company is seeking a skilled Property Claims Specialist to join our team. As a Property Claims Specialist, you will be responsible for handling accidental and weather-related claims for homeowners, commercial properties, and large losses. Key ResponsibilitiesConduct on-site inspections and assessments of...
-
Claims Adjuster
1 month ago
Columbus, Ohio, United States Sedgwick Full timeAbout the RoleSedgwick is seeking a skilled Claims Representative to join our team. As a Claims Representative, you will play a critical role in analyzing and processing low to mid-level auto and transportation claims.Key ResponsibilitiesAnalyze and process auto property damage and lower-level injury claims, assessing damage, making payments, and ensuring...
-
Senior Medical Claims Specialist
2 weeks ago
Columbus, Ohio, United States RemX Full timeJob SummaryWe are seeking a highly skilled Senior Medical Claims Specialist to join our team at RemX. As a Senior Medical Claims Specialist, you will play a critical role in ensuring patients receive the coverage they need by verifying insurance details and coordinating benefits.This is a fantastic opportunity to work with a leading organization that values...
-
Senior Property Claims Adjuster
2 weeks ago
Columbus, Ohio, United States Engle Martin Full timeJob Title: Senior Property AdjusterEngle Martin is seeking a highly skilled Senior Property Adjuster to join our team. As a Senior Property Adjuster, you will be responsible for determining and communicating the extent of loss or damage associated with commercial property claims in a variety of business classes.Key Responsibilities:Investigate insurance...
-
Property Field Inspection Claims Specialist
2 weeks ago
Columbus, Nebraska, United States State Farm Mutual Automobile Insurance Company Full timeJob Title: Property Field Inspection Claims SpecialistState Farm Mutual Automobile Insurance Company is seeking a highly skilled Property Field Inspection Claims Specialist to join our team. As a key member of our claims handling team, you will be responsible for conducting on-site inspections and assessments of property damages for both residential and...
-
Loss Prevention Specialist
1 month ago
Columbus, Ohio, United States Macy's Inc. Full timeMacy's Inc. - Job Overview As a FEDFLO Specialist at Macy's, you will be responsible for the protection of company assets and associates. Your key responsibilities will include: * Completing reports, such as inbound/outbound Trailer logs, common carrier logs, and discrepancy reports * Maintaining access control of all who enter and exit the facility *...
-
Daily Property Field Adjuster
5 hours ago
Columbus, Ohio, United States Alacrity Solutions Full timeAbout the RoleAlacrity Solutions is seeking a skilled Daily Property Field Adjuster to join our team. As an independent contractor, you will be responsible for providing excellent claim handling services for our clients regarding daily claim work within your area.The ideal candidate will have a minimum of 2-3 years of property field adjusting experience and...
-
Medical Claims Specialist
3 days ago
Columbus, Ohio, United States RemX Full timeJob OpportunityWe are seeking a highly skilled Medical Claims Specialist to join our dynamic team at one of Columbus, Ohio's most prestigious facilities. As a Medical Claims Specialist, you will be responsible for reviewing and processing medical claims submitted by healthcare providers, verifying claim information, and communicating with providers,...
-
Medical Claims Specialist
1 day ago
Columbus, Ohio, United States RemX Full timeJob OverviewRemX is seeking a dedicated Medical Claims Specialist to join their dynamic onsite team in Columbus, OH. As a key member of the team, you will be responsible for reviewing and processing medical claims submitted by healthcare providers.Key Responsibilities:Verify claim information and ensure it aligns with patient records and insurance...
-
Claims Associate
1 month ago
Columbus, Ohio, United States Nationwide Insurance and Financial Services Full time{"h1": "Personal Lines Claims Intern", "p": "At Nationwide Insurance and Financial Services, we're looking for a talented and motivated individual to join our Personal Lines Claims team as a Personal Lines Claims Intern. As a key member of our team, you'll have the opportunity to learn and grow with us, developing your skills and expertise in claims...
-
Insurance Claims Adjuster
3 weeks ago
Columbus, Ohio, United States The Cincinnati Insurance Companies Full timeMake a Difference with a Career in InsuranceAt The Cincinnati Insurance Companies, we prioritize people and apply the Golden Rule to our daily operations. We're seeking exceptional individuals to join our talented team, where we strive to be the best company serving independent agents.Our service-oriented, ethical, knowledgeable, and caring associates are...
-
Columbus, Ohio, United States Chubb Full timeJob DescriptionChubb is seeking a skilled Commercial Lines Senior Underwriter to join its Nashville Middle Market Commercial Insurance team.Position Description:As a Senior Underwriter, responsibilities will include managing a renewal book and generating new business. The position will be responsible for driving profitable growth with assigned agents and...
-
Medicaid Claims Specialist
3 weeks ago
Columbus, Ohio, United States Alvis Full timeMedicaid Billing Specialist RoleWe are seeking a skilled Medicaid Billing Specialist to join our team at Alvis. This role is responsible for managing financial and contract activities for individuals with intellectual and/or developmental disabilities.Key Responsibilities:Assist with the management of financial activities for individuals with intellectual...
-
Medicaid Claims Specialist
3 weeks ago
Columbus, Ohio, United States Alvis Full timeMedicaid Billing Specialist RoleWe are seeking a skilled Medicaid Billing Specialist to join our team at Alvis. This role is responsible for managing financial and contract activities for individuals with intellectual and/or developmental disabilities.Key Responsibilities:Assist with the management of financial activities for individuals with intellectual...