2mo
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Claims Examiner
San Bernardino, California, United States
$29-$34/hr HybridFull Time
2+ YOETwo years healthcare claims processing/adjudication; high school diploma; knowledge of CPT, HCPCS, ICD-10; experience with claims systems/EDI preferred.
CPT, HCPCS, ICD-10, Revenue Codes, EDI, Claims Systems, Microsoft Office, Google Workspace
1mo
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Claims Repricer
Philadelphia, Pennsylvania, United States
OnsiteFull Time
2+ YOEHigh school diploma required (Associate/Bachelor preferred); 2+ years claims processing/pricing experience; strong knowledge of claims adjudication, contract pricing; analytical skills; proficiency with Microsoft Excel/Word, claims systems; compatible mobile device for Microsoft Authenticator.
Microsoft Excel, Microsoft Word, Microsoft Authenticator, claims systems
3mo
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Senior Claims Analyst
Huntington Beach, California, United States
$70k-$80k/yr OnsiteFull Time
5+ YOE5+ years of healthcare claims operations experience; Bachelor’s degree; strong knowledge of claims systems and EDI; liaison between business and IT.
EDI, Claims systems, UAT, Test case development, CMS regulations
1mo
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Claims - Claims Examiner
Pensacola, Florida, United States
OnsiteFull Time
2+ YOEHigh school diploma or equivalent, 2+ years claims or healthcare administration experience, knowledge of long-term care policies and medical terminology, proficiency with claims systems and Microsoft Office, strong analytical and communication skills.
Microsoft Excel, Microsoft Word, Microsoft Outlook
2mo
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Director, Claims Solutions
Morristown, New Jersey, United States
$140k-$190k/yr OnsiteFull Time
10+ YOE5+ MgmtOversee Claims IT strategy, delivery, and vendor management; lead cross-functional teams.
Claims systems, APIs, Cloud platforms, Data integration, Automation, AI solutions
1mo
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Claims Coordinator
Wheeling, Illinois, United States
$20-$23/hr OnsiteFull Time
Process claims and credits, determine claim causes, initiate vendor claims, maintain claim logs, handle customer and sales rep communications, and perform basic accounting tasks.
1w
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Claims Analyst
Villa Rica, Georgia, United States
OnsiteFull Time
2+ YOEConduct audits and reviews of claims, document findings, analyze claim trends, research claims, and communicate with internal and external parties.
Microsoft Excel, Microsoft Office
1mo
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Claims - Field Claims Representative
Chicago, Illinois, United States
$68k-$108k/yr FieldFull Time
1+ YOEInvestigate and evaluate multi-line insurance claims in a territory; valid driver’s license; strong communication, problem-solving, and negotiation skills; 0–1+ years claims experience; AINS/AIC/CPCU preferred.
2mo
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Executive Director, Claims
White Plains, New York, United States
OnsiteFull Time
10+ YOE10+ Mgmt10+ years supervisory and management experience in health insurance claims; 10+ years handling health/disability/paid family leave claims; bachelor’s or associate degree or equivalent experience; NY A&H adjuster license; strong leadership, communication, and analytical skills.
Claims systems, Salesforce, MS Word, Excel, Anthem
2mo
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Senior Claims Adjuster Workers Compensation
New York, New York, United States
$66k-$95k/yr RemoteFull Time
3+ YOEInvestigate, evaluate, and resolve complex workers' compensation claims; 3+ years experience; NY license; licensed in states handled; HS diploma; claims software knowledge.
Claims software
2w
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Claims Manager
Houston, Texas, United States
OnsiteFull Time
3+ YOEManage and coordinate workers' comp, general liability, auto and property claims; oversee adjusters, report claims timely, gather claims data, and assist insurance renewal; 3+ years claims experience across jurisdictions.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Teams, Microsoft SharePoint, Adobe PDF
6d
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Claims Director
Jacksonville, Florida, United States
$125k-$150k/yr OnsiteFull Time
10+ YOE3+ Mgmt10+ years cargo/transportation/claims experience, 3+ years managing claims teams, HS diploma required, bachelor’s preferred, experience with claims/TMS/ERP systems, analytics, negotiation, and complex claim resolution.
claims management systems, transportation management systems, ERP systems, reporting tools
1mo
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Claims Examiner
Houston or Bellaire or Texas
OnsiteFull Time
1+ YOEHS diploma/GED and 1+ year claims examination experience required; process and adjudicate claims with high accuracy, document claim notes, meet productivity targets (~14 claims/hour), and follow HHSC requirements.
Macess
1mo
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Claims Supervisor
Los Angeles, California, United States
$75k-$98k/yr HybridFull Time
8+ YOE3+ MgmtMinimum 8 years of claims experience, 3+ years supervising claims teams; strong leadership, communication, writing, and analytical skills; experience with personal auto, BI and PD claims; proficient with claims management software and Microsoft Office.
Microsoft Office Suite
1mo
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Claims Auditor
United States or North Carolina or Washington, D.C.
OnsiteFull Time
6+ YOE6+ years general liability claims experience, bachelor\u0002s degree or equivalent claims experience, experience with litigated GL claims, strong investigative/analytical skills, Microsoft Word/Excel proficiency, ability to coach and mentor claims staff.
Microsoft Word, Microsoft Excel
1mo
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TPA Claims Account Manager
Des Moines or Dubuque or United States
RemoteFull Time
3+ YOE3+ years TPA, carrier, or claims experience; expertise in auto/general liability and/or workers' comp claims; client-facing account management; proficient with claims systems, Microsoft Excel/PowerPoint and CRM; bachelor's degree preferred; AIC/CPCU a plus.
claims systems, Microsoft Office, Microsoft Excel, Microsoft PowerPoint, CRM
3w
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Claims Specialist
Atlanta or New York City
$80k-$95k/yr OnsiteFull Time
3+ YOE3-5 years insurance claims experience with at least 30% in cyber claims; licensed claims adjuster preferred; college degree or equivalent; strong communication, organizational, and multitasking skills.
2mo
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Hospital Claims Processor V
New York, New York, United States
OnsiteFull Time
2+ YOEProcess and review hospital claims; ensure eligibility, benefits, and resolution; requires 2+ years claims experience; HS diploma; knowledge of ICD/CPT; QNXT.
QNXT, ICD-9, ICD-10, CPT, Claims system
1w
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Claims Supervisor
Milwaukee, Wisconsin, United States
$89k-$142k/yr HybridFull Time
2+ YOESupervisory claims role requiring multiple years of claims experience, ability to obtain state adjuster licenses, valid driver\u0002s license, and experience handling claims, legal papers, and staff development.
2mo
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Claims Coordinator
Tucson, Arizona, United States
$18-$26/hr OnsitePart Time
3+ YOEHigh school diploma, minimum 3 years claims coordination/management experience; coordinating claims lifecycle, liaising with internal departments and insurers, reporting to regulators, analyzing claims data and preparing reports.
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