Claims Management Specialist

1 day ago


Washington, United States Allianz Popular SL. Full time
About the Role

We are seeking a highly skilled Senior Claims Service Consultant to join our team at Allianz Popular SL. As a key member of our customer service team, you will be responsible for reviewing and identifying claims that do not fall within the scope of policies, ensuring the correct outcome has been made.

Key Responsibilities
  • Claims Review and Analysis: Conduct thorough reviews of claims to ensure they meet policy requirements and make recommendations for resolution.
  • Stakeholder Liaison: Collaborate with internal and external stakeholders to discuss outcomes and dispute resolution.
  • Documentation and Communication: Prepare and draft documentation for stakeholders as required, ensuring clear and concise communication.
  • Customer Relationship Management: Develop and maintain strong relationships with customers to understand their needs and deliver a positive customer experience.
  • Knowledge Management: Stay up-to-date with insurance guidelines, legislation, regulations, and court decisions, recommending policy changes for continuous improvement and compliance.
About You
  • Claims Management Experience: Proven experience in claims management in a complex customer service environment.
  • Business Acumen: Ability to optimize business value by delivering high-quality services and positive customer experiences.
  • Technical Knowledge: Possess technical knowledge of relevant insurance lines and associated legislation.
  • Attention to Detail: High attention to detail and technical proficiency with systems, software, databases, and communication tools.
  • Problem-Solving Skills: Proactive problem-solver with strong decision-making skills and excellent verbal and written communication abilities.
What We Offer
  • Collaborative Work Environment: Be part of a team that is open-minded, supportive, and genuinely focused on customer outcomes.
  • Work-Life Balance: An employer that is committed to supporting your work/life balance and is always open to conversations about flexible & remote working.
  • Professional Development: Access to over 10,000 on-demand learning resources and programs, to support you in taking control of your career development.
  • Employee Benefits: Insurance products, deals, and discounts across a great range of retail, tech, and travel brands, and offers for health and well-being.
  • Financial Wellness: Initiatives to support your financial wellness through selected discounted Allianz insurance products, superannuation matching, salary sacrificing, novated leasing and our referral bonus scheme.
  • Employee Share Purchase Program: The opportunity to take part in our Employee Share Purchase Program - own a piece of your employer.
About Allianz Popular SL

We care about everything that makes you, you. We believe in an equitable workplace that celebrates diversity and inclusion, where people of all genders, ages, religions, sexual orientations, abilities, and work statuses are not only welcomed, but valued for the perspectives and talents they bring to work.

We are committed to fostering an environment where everyone can thrive, grow, and contribute their unique perspectives to our collective success and reach their fullest potential.


  • Claims Specialist

    3 weeks ago


    Washington, United States Healthcare Legal Solutions LLC Full time $21 - $22

    Job DescriptionJob Description Position: Claims SpecialistHours: 9am-5:00pm, Monday-Friday Company Profile:Healthcare Legal Solutions, LLC, is a healthcare collections firm that provides denial management, consulting, and corporate collections services to hospitals and health systems. We are a small, fast-growing firm with lots of opportunities for new...


  • Washington, Pennsylvania, United States Washington Auto Mall Full time

    Job Description**Job Summary:**The Warranty Claims Specialist at Washington Auto Mall is responsible for the prompt and accurate submission of manufacturer and after-market warranty claims, as well as the resulting collection of all warranty revenues.Key Responsibilities:Establish and maintain productive relationships with manufacturers designated warranty...


  • Washington, Washington, D.C., United States Healthcare Legal Solutions LLC Full time

    Healthcare Legal Solutions - Legal Claims SpecialistCompany Overview:Become a part of the committed team at Healthcare Legal Solutions, LLC, a distinguished firm focused on healthcare collections, specializing in denial management, consulting, and corporate collections for medical institutions.Position Summary:Are you an experienced attorney eager to...


  • Seattle, Washington, United States CommonSpirit Health Full time

    About the RoleAt CommonSpirit Health, we are seeking a highly skilled Medical Insurance Claims Specialist to join our team. As a key member of our revenue cycle team, you will play a critical role in ensuring the timely and accurate processing of medical claims.Key ResponsibilitiesProcess and manage medical claims from receipt to payment, ensuring compliance...


  • Washington, Washington, D.C., United States Healthcare Legal Solutions LLC Full time

    Position OverviewRole SummaryThe Medical Claims Review Specialist plays a crucial role in the thorough examination and interpretation of clinical records and claim documents to facilitate the appeals process for denied insurance claims. Key responsibilities include composing appeal letters grounded in clinical expertise and knowledge. This role offers the...


  • Mountlake Terrace, Washington, United States Mindful Support Services Full time

    Mindful Support Services is a company dedicated to empowering therapists, psychologists, and nurse practitioners to succeed in their careers. We provide high-quality billing, marketing, and administrative services to independent mental health care providers across the Pacific Northwest. Our team is passionate about creating a collaborative, transparent, and...


  • Mountlake Terrace, Washington, United States Mindful Support Services Full time

    About the RoleThe Insurance Follow-up Specialist is a key member of our team at Mindful Support Services, responsible for reviewing rejected claims, posting insurance payments, and resolving outstanding insurance balances.ResponsibilitiesCall insurances and use payer portals to resolve insurance denials.Focus on denials and 120+ resolution of...


  • Brewster, Washington, United States State Farm Full time

    About the Role:We are seeking a highly skilled and experienced Property Field Inspection Claims Specialist to join our team at State Farm. 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 commercial claims.Key Responsibilities:Conduct thorough...

  • Claims Specialist III

    2 months ago


    Washington, United States AmTrust Financial Full time

    Overview Amtrust Financial Services, a fast growing commercial insurance company, is seeking a Construction Defect Commercial Claims Specialist III. This position can be located in one of our claims offices, with the possibility of working remotely. The successful candidate will directly handle Construction related claims. The successful candidate will...


  • Washington, United States Medstar Full time

    Job SummaryWe are seeking a highly skilled and experienced Director of Patient Claims to join our team at Medstar. This is a critical role that requires a strong understanding of risk management, patient safety, and medical professional liability.Key ResponsibilitiesDevelop and implement hospital internal risk management and patient safety programs in...


  • Washington, Washington, D.C., United States U.S. Court of Federal Claims Full time

    Position Overview for Case Administrator II The U.S. Court of Federal Claims is seeking a dedicated professional to fill the role of Case Administrator II. This position plays a crucial role in the efficient management of court cases and supports the judicial process. Key Responsibilities: Oversee the processing and management of case files. Assist in the...


  • Washington, Pennsylvania, United States Washington Hospital Full time

    Job SummaryWashington Hospital is seeking a skilled Medical Claims Specialist to join our Finance Business Office team. As a key member of our team, you will be responsible for preparing and submitting accurate and complete medical claims to insurance companies, as well as processing payments and adjustments.Key Responsibilities:Claims Preparation: Ensure...


  • Washington, Washington, D.C., United States Specialist Office Full time

    Job SummaryWe are seeking a highly skilled and experienced Healthcare Operations Manager to join our team at Specialist Office. The successful candidate will be responsible for overseeing the clinical operations of our department, ensuring the delivery of high-quality patient care and services.Key ResponsibilitiesLeadership and Management: Provide strategic...


  • Washington, Washington, D.C., United States Genworth Financial Full time

    About the RoleAs a Senior Manager, LTC Claims Customer Service, you will play a crucial role in delivering exceptional customer service and capabilities to our policyholders. You will be responsible for developing and maintaining an excellent service culture, executing on all performance metrics, and motivating and energizing the team.Key...


  • Washington, United States AmTrust Financial Full time

    OverviewAmTrust Cyber Claims Adjuster Come and join the AmTrust Cyber Team! We are a growing and flourishing Cyber/Tech Team with offices around the country. In this role, you will be the AmTrust Cyber Claims Adjuster responsible for: handling first and third-party cyber claims; managing relationships with outside counsel and vendors; and providing timely...


  • Washington, Washington, D.C., United States U.S. Court of Federal Claims Full time

    Position Overview for Case Administrator II The U.S. Court of Federal Claims is seeking a dedicated individual for the role of Case Administrator II. This position plays a crucial role in managing and overseeing case files and ensuring the smooth operation of court proceedings. Key Responsibilities: Maintain and organize case documentation to support...

  • Claims Analyst I

    4 months ago


    Washington, United States Healthcare Legal Solutions LLC Full time

    Job DescriptionJob DescriptionHealthcare Legal Solutions LLC is currently seeking an experienced Healthcare Claims Analyst to join our team in Washington DC.About Us:Healthcare Legal Solutions, LLC, is a healthcare collections firm that provides denial management, consulting, and corporate collections services to hospitals and health systems. We are a small,...


  • Washington, United States Export-Import Bank Of The United States Full time

    Please Note: Employees will be required to report to their assigned office location at least 2 day per week for non-supervisory positions and 3 days per week for supervisory/managerial positions unless the position advertised is designated as a remote-only position. This position is located in the Office Board Authorized Finance (OBAF), Structured &...


  • Washington, Washington, D.C., United States Export-Import Bank Of The United States Full time

    Please Note: Employees will be required to report to their assigned office location at least 2 day per week for non-supervisory positions and 3 days per week for supervisory/managerial positions unless the position advertised is designated as a remote-only position.This position is located in the Office Board Authorized Finance (OBAF), Structured & Project...


  • Washington, Washington, D.C., United States District Elite Pest Management Full time

    Job OverviewPest Management SpecialistDistrict Elite Pest Management is a leading provider of pest control services in the Washington, DC area. Our commitment to trust and integrity drives us to deliver exceptional pest eradication solutions for both residential and commercial clients.We are seeking a dedicated Pest Management Specialist to fulfill essential...