Claim Health jobs

CA WC Senior Claims Specialist (SIP, 4850) Rancho Cucamonga CA The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel.

Claims Supervisor - Strategic Rotation Atlanta(Lawrenceville) GA The Claims Supervisor-Strategic is responsible for supervising a direct reports team of Senior Claim Specialists - Strategic or assisting with the supervision of field claims specialists (indirect) as the need arises. The primary responsibility of this position is to ensure all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel.

Regional Director, Executive Liability Claims - Claims 7 Locations posted: Posted 16 Days Ago

Assistant General Counsel, Labor & Employment Philadelphia, PA How You'll Make An Impact At Strive Health, patients come first. We're on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey. Our work reduces emergency visits, improves outcomes, and helps patients live fuller lives. You'll work alongside passionate Strivers who care deeply about making an impact, show up for one another as One Team, and find ways to elevate the everyday. If you're looking for meaningful work where your contributions truly matter, you'll feel right at home at Strive! Benefits & Perks - Hybrid-Remote Flexibility - Work from home while fulfilling in-person needs at the office, clinic, or patient home visits. - Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts. - Financial & Retirement Support - Competitive compensation with a performance-based bonus program, 401k with employer match, and financial wellness resources. - Time Off & Leave - Paid holidays, vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves. - Wellness & Growth - Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend. To learn more about our offerings, click here . What You'll Do The Assistant General Counsel, Labor & Employment (“AGC”) will play a key role in supporting Strive Health's People Team on

Claims Examiner/Senior Claims Examiner Walnut Creek, CA, US Company Details Preferred Employers Insurance, A Berkley Company specializes in providing workers' compensation insurance to California business owners. The company serves three major Product/Client Segments: Small Business, Mid-Larger Businesses and Group Association Members (Programs). The company's distribution partners (agents & brokers) number just under 400 locations throughout the state. Preferred serves thousands of policyholders and provides medical claims handling and claims management as needed to care for injured workers. The company is rated A+ Superior by industry-rating organization, AM Best & Company. Company URL: https://www.peiwc.com The company is an equal opportunity employer. Responsibilities We are seeking Workers' Compensation Claims Examiners and Senior Claims Examiners to join our team. In these roles, you will be responsible for the analysis and management of moderate to complex workers' compensation claims, including reviewing, investigating, and making determinations around coverage, compensability, and claim appropriateness. You will ensure all claims are processed and documented in compliance with company standards, industry best practices, and applicable legislative requirements while acting in a fiduciary capacity on behalf of policyholders. Our Claims Examiners are expected to handle claims with the utmost good faith, fully aligned with the rules, regulations, and statutes of the Workers' Compensation Appeals Board (WCAB) and the State of Cali

Case Manager RN Philadelphia, PA posted: Posted Yesterday

Claim Manager Atlanta, GA, US Company Details Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional Liability insurance solutions in the following market segments: Construction, Specialty Casualty, & Professional Liability. We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve. Responsibilities The Claims Manager will supervise and direct work of claims team responsible for the handling of the NY labor law and construction claims. This role will monitor conformance of claims personnel to industry and company standards, procedures, and objectives, plus be responsible and accountable for departmental results. The role may be based in our Atlanta, GA or Scottsdale, AZ offices or surounding states. Provide technical oversight and guidance to claim professionals, ensuring consistent execution of complex claim-handling standards and reserving practices. Partner closely with claim staff to support early, accurate, and sound reserving practices. Ensure strict adherence to Best Practices to drive optimal financial and operational outcomes. Serve as a primary decision maker on claim valuation, litigation strategy, and resolution pathways. Maintain an active diary on all direct reports' claim files to promote proactive, timely, and high‑quality claim handling. Collaborate with Claim Department leadership to enhance the performance and effectiveness of Vela's New York Panel Counsel. Conduct performance evaluation

Per Diem Acute Patient Access Services Representative BUMC South Tucson (2800 E Ajo Way) posted: Posted 30+ Days Ago

Patient Liaison Rochester, NY Patient Liaison

Claims Team Lead - Gadget & Warranty UK (Remote) | Ireland (Remote) READY FOR A BIGGER CLAIMS ROLE, BUT YOUR CURRENT COMPANY IS HOLDING YOU BACK? We're looking for a Gadget & Warranty Claims Team Lead to join ClaimSorted. This role is ideal for either: - an existing Claims Lead who wants to move faster, or - a strong Claims Handler who is ready to step up into leadership We are not looking for tenure for the sake of it. We are looking for people with talent, ambition, work ethic, and the drive to build a real career. If you join us, we will give you the training and support to become the best Team Lead possible - from people management to performance management, data, quality, and capacity planning. Our goal is to help you become one of the best claims leaders of the future. ABOUT CLAIMSORTED ClaimSorted is a Third-Party Administrator (TPA) that manages insurance claims end to end on behalf of insurers, in a ~$200B industry. We combine a high-performing claims team with an AI-enabled platform to deliver claims up to 3x faster, with better service and better economics for insurers. We're backed by Y Combinator, Atomico, and Eurazeo, have raised $16M+, and already manage claims for 30+ insurers across more than $200M in insurance premiums. WHAT YOU'LL DO - Lead and line-manage a team of Claims Handlers - Drive performance across quality, productivity, and customer satisfaction - Manage workflow allocation and team capacity - Review claims quality

Physical Therapist Outpatient Ortho Banner Churchill Comm Hosp (801 E Williams Ave) posted: Posted 30+ Days Ago

Claims Adjuster II Kenosha, WI, US Overview This position is onsite at the Corporate Headquarters located in Kenosha, WI. The Claims Adjuster II is responsible for adjusting claims from franchisee and corporate (Auto, Fleet, GL/PL and Property/Inventory) losses with minimal supervision. Additionally, individual will review, respond, and negotiate third party settlements with claimants and attorneys. Individual will be expected to handle claims from basic to moderate levels of complexity including bodily injury. Responsibilities Responsible for handling all aspects of claims administration for all property and casualty claims, coordinating claims to closure for the company and franchise network worldwide with minimal supervision. For casualty claims, conduct thorough investigations, evaluate damages and liability, and negotiate settlements with claimants or their attorneys. For property and franchisee inventory claims, investigate, evaluate damages, and negotiate settlements directly with Snap-on franchisees and Insurance carriers. For all claims, effectively establish reserves and manage all files for prompt closure. Responsible for the coordination and liaison with Insurance carriers on Franchisee & Corporate programs in the areas of General Liability and business auto programs. Responsible for settlements within Snap-on's self-insured retention. Support financial reporting of losses to Snap-on SecureCorp. Maintain accurate notes on claim history within the claim system. Review, document, and evaluate medical

Casualty Claim Consultant Accident Benefits CAN - ON GTA (Remote) posted: Posted 30+ Days Ago

CA Claims Specialist Rancho Cucamonga CA The Workers' Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.

Physician - 1099

Claims Specialist Richmond (Glen Allen) VA The Workers' Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.

Registered Nurse Occupational Health Banner Occ Hlth (5088 W Innovation Cir) posted: Posted 9 Days Ago

No Fault Claims Specialist - NY Brooklyn- Client Site The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic no-fault claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.

Health & Wellness Kroger Health & Wellness

Claim Specialist Floater KS - KansasCity OverlandP The Float Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.

Health Concierge 42 Locations posted: Posted Yesterday

Claims Consultant Uniondale, New York, United States of America Contact clients and gather all appropriate information to adequately report claims and report claims to all appropriate carriers under all appropriate lines of business. Enter all claims into Epic and...

Medical Representative - CVRM - HA TINH Vietnam - Hanoi posted: Posted 30+ Days Ago

Director of Claims Tampa Slide Insurance - Fun. Innovation Driven. Fueled by Passion, Purpose and Technology. At Slide, you will not only be part of a successful team, but you will also be a part of our Slide Vibe/award winning culture where collaboration and innovation are expected, recognized and awarded! As Director of Claims , you'll provide strategic leadership and operational oversight for our homeowners claims organization. You'll shape claims strategy, lead high‑performing teams, and ensure exceptional outcomes across complex, high‑exposure claims in a fast‑growing environment. What You'll Do Strategic & Operational Leadership Lead, support, and develop a multi‑layered team of managers and claims professionals Oversee overall claims inventory, including investigation, coverage, evaluation, resolution, and litigation management Set claim handling standards, performance expectations, and resolution strategies across the organization Direct handling of the most complex and high‑severity claims, including mediations and trials Litigation, Risk & Cross‑Functional Partnership Establish negotiation strategies and identify claims appropriate for trial Select, retain, and oversee defense counsel on litigated matters Partner closely with Underwriting on trends, case law, and statutory impacts to product lines Support underwriting decisions through policy and submission reviews, as needed Stay current on legislation, regulations, and industry developments impacting claims Talent Development & Continuous Improvement Provide executive‑level leadership, coaching, and structured performance feedback Drive training initiatives in partnership with Training & Auditing to elevate claims capability Champion best practices, analytics‑driven decision‑making, and operational excellence across claims What You Bring Bachelor's degree or equivalent relevant experience 8+ years of P&C homeowners claims