6+ YOE2+ MgmtBachelor's or equivalent experience, 6+ years workers' compensation administration, 2+ years supervisory experience, current workers compensation license, strong leadership and claims compliance knowledge.
AECOMNYSE: ACM: Provides infrastructure consulting and engineering services for global projects.
10+ YOE2+ MgmtBachelor’s degree or equivalent, 10 years of related experience including 2 years of leadership; claims, contract management, infrastructure, procurement, and dispute resolution experience preferred.
Microsoft Office Suite, Microsoft SharePoint, PMIS, P6 Scheduling
7+ YOE7+ years workers' compensation claims experience, supervisory experience, strong writing and PC skills, knowledge of Maryland Workers' Comp law, medical terminology, and claims financial calculations.
Capital OneNYSE: COF: Financial services offering credit cards, banking, and loans.
4+ YOE1+ MgmtProject manager to administer enterprise claims/disclosures library; 4+ years project management, 1+ year people management, 2+ years in Marketing/Legal/Compliance or DAM/CMS/MLR tools; Bachelor's or military experience.
Digital Asset Management (DAM), Content Management System (CMS), Veeva Vault PromoMats
Construction Claims Analyst/Lead Construction Claims Analyst (Full-Time)
Raleigh or Tampa or Vienna or Richmond or Chesapeake or Washington
$82k-$115k/yrOnsiteFull Time
MBP: Construction management firm providing project risk and value optimization services.
Experience analyzing construction claims related to delay, productivity, and cost; proficient in Oracle P6; BS in Civil Engineering or equivalent experience; PE/CCM/PSP preferred; able to draft expert reports.
Oracle P6, Microsoft Project, Phoenix Project Manager, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
Zurich Insurance GroupSIX Swiss Exchange: ZURN: Global provider of general and life insurance products.
2+ YOEManage surety claims from notice through resolution. Requires adjuster license, 2+ years claims/insurance experience (minimum), knowledge of regulations and products, Microsoft Office/Excel proficiency, and strong analytical and communication skills.
White Plains or Hartford or Richmond or Greensboro or West Palm Beach or Maitland or Dublin or Schaumburg or Tampa or St. Louis or Clearwater or Norwalk or Louisville or Atlanta or West Point or Alpharetta or Johns Creek or Columbus or Fort Lauderdale or New York City or South Bend or Irvine or Troy or Austin or Washington or Charleston or Fort Myers or San Antonio or Las Vegas or Cary or Saddle Brook or Tulsa or Van Nuys or San Francisco or Nashville or Boise or Scottsdale or Bend or Lexington or Palm Beach Gardens or Knoxville or Dallas or Wilmington or Golden Valley or Melville or Aliso Viejo or King of Prussia or Chesterfield or Fort Worth or Morristown or Baton Rouge or Philadelphia or Providence or Boston or Chicago
$94k-$175k/yrRemoteFull Time
Marsh McLennanNYSE: MRSH: Global professional services firm providing risk, strategy, and people solutions.
10+ YOE10+ years of P&C insurance experience focused on complex claims, coverage, or litigation; bachelor's required, JD preferred; strong negotiation, analytics, stakeholder management, and claims advocacy skills.
Verida: Manages non-emergency medical transportation for Medicaid and Medicare members.
High school diploma, reconciliation and claims processing experience, strong oral/written communication, computer proficiency, able to lift 25 lbs, able to key 8000+ keystrokes, knowledge of Medicaid Non-Emergency Transports preferred.
Claims Loss Specialist Restoration Estimator & Project Manager
Rockville or United States
$60k-$80k/yrHybridFull Time
ServiceMaster Contract Services: Professional janitorial and commercial cleaning services provider.
Experience with Xactimate and project management; strong construction/restoration and estimating knowledge; ability to conduct site inspections, prepare estimates, manage projects, communicate with stakeholders, and maintain organized documentation.
Claims Management Program Analyst (O-4 Billet) Non-Supervisory
Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin
$1-$150k/yrOnsiteFull Time
ICE: Enforces immigration laws and provides medical care to detainees.
3+ YOEMinimum 3 years professional experience with at least 2 years in program management/healthcare management or medical claims; knowledge of claims processes, ICD-10/CPT/DRG/CMS coding, EHRs, and Microsoft Office/SharePoint; must be USPHS IHSC officer.
Microsoft Office, Sharepoint, Electronic Health Records
HITT Contracting: National general contractor providing commercial construction and renovation services.
12+ YOE5+ MgmtRequires 12+ years of multi-line commercial claims experience, including 5+ years in leadership, with expertise in insurance programs, reserving, litigation, analytics, and executive communication.
GT Independence: Providing financial management services for self-directed home care programs.
2+ YOESupervising and training claims team, managing claims submission and A/R, Microsoft Excel proficiency, 2 years relevant experience, high school diploma required and associate preferred, strong communication and analytical skills.
Liberty Mutual: Provides diversified property, casualty, and commercial insurance products.
1+ YOEInvestigate onsite property damage, prepare repair estimates, manage claims from first notice to closure, coordinate vendors, and provide customer service; bachelor's degree or equivalent experience and 1+ year related experience.
Liberty Mutual: Provider of global property and casualty insurance products.
1+ YOEConduct onsite property damage investigations, prepare repair estimates, manage claims from notice to closure, coordinate vendors, and complete training; requires 1+ year directly related experience and ability to obtain required adjuster licensing.
Capital OneNYSE: COF: A diversified financial services providing banking and credit products.
4+ YOE1+ MgmtBachelor’s degree or military experience, 4+ years project management, 1+ year people management, and 2+ years in marketing operations, legal operations, compliance, or DAM/CMS/MLR workflow tools.
Digital Asset Management (DAM), Content Management System (CMS), Medical, Legal, and Regulatory (MLR), Veeva Vault PromoMats
Kansas City or Hartford or Baltimore or Portland or Wellesley Hills or Milwaukee or Nashville
$54k-$81k/yrOnsiteFull Time
Sun LifeToronto Stock Exchange: SLF: Provides insurance, retirement, and asset management services globally.
3+ YOE3+ years medical claims/stop loss experience, expert knowledge of stop loss claims, strong written/verbal communication, organizational and analytical skills, ability to interpret contracts and manage complex inquiries.
Guidehouse: Provides management and technology consulting services to diverse organizations.
5+ YOERequires 5+ years in payment or reimbursement policy, claims, payment integrity, revenue cycle, fee schedules, or healthcare reimbursement, with Medicare, Medicaid, coding, and claims adjudication knowledge.
Eden Prairie or Minneapolis or Washington or United States
$113k-$193k/yrRemoteFull Time
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
7+ years product management experience, 5+ years professional claims/payment integrity, experience with reimbursement/coding (CPT/HCPCS,E/M,NCCI,RBRVS), working with AI/ML and data science, strong analytical and stakeholder influence skills.
Healthcare Claims Operations Team Lead - Washington, DC (On-site) (Washington, DC, US, 20005)
Washington, District of Columbia, United States
$50k-$55k/yrOnsiteFull Time
Gainwell Technologies: Delivers technology solutions for public health and Medicaid programs.
5+ YOE5+ years in medical/healthcare claims with Medicaid/Medicare experience; knowledge of claims lifecycle, financial reconciliation, and proven team leadership in claims operations.