Claim Health jobs

Senior Client Support Representative 28 Locations posted: Posted Yesterday

Claims and Remit Support Developer - X12 Healthcare transactions (Remote) Remote | United States, UNITED STATES, United States Company Description: Experian is a global data and technology company, powering opportunities for people and businesses around the world. We help to redefine lending practices, uncover and prevent fraud, simplify healthcare, create digital marketing solutions, and gain deeper insights into the automotive market, all using our unique combination of data, analytics and software. We also assist millions of people to accomplish their financial goals and help them to save time and money. We operate across a range of markets, from financial services to healthcare, automotive, agrifinance, insurance, and many more industry segments. We invest in people and new advanced technologies to unlock the power of data and to innovate. A FTSE 100 Index company listed on the London Stock Exchange (EXPN), we have a team of 23,300 people across 32 countries. Our corporate headquarters are in Dublin, Ireland. Learn more at experianplc.com . Job Description: As Claims and Remit Support Developer, you'll be responsible for software development and support of provider-specific claim processing solutions, implementing, and configuring customer environments, analysis, and maintenance within the Experian Health product portfolio. Ensure provider-specific support development and processes meet corporate policies for security, consistency, and professional software development standards Maintain high standards of software quality, within the team, by establishing good practices and habits Identify and encourage process improvement within the team Use de-bug techniques and tools to identify and correct errors Work with claims core

Manager Patient Access 2 Locations posted: Posted 2 Days Ago

Claims Technician Chilliwack, British Columbia, Canada Take on the role of a Claims Technician and manage a diverse portfolio of property, liability, and specialty claims. Use your expertise in claims handling, investigation, and negotiation to deliver fair outcomes. Collaborate with a supportive team, leverage advanced systems, and grow your career with HUB International, a leader in insurance brokerage.

Associate Collector Salt Lake City, UT

Employee Benefits Employee benefits Skip to content Close Menu Close Search About About UnitedHealth Group We are a health care and well-being company made up of a diverse team around the world dedicated to making health care work better through two distinct and complementary businesses: Optum and UnitedHealthcare. Mission & Values Our People & Culture United for Giving Awards & Recognition United Health Foundation Our Businesses Sustainability What We Do Value-Based Care Health Financial Services​ Health Benefits Artificial Intelligence Pharmacy Services​ How We Do It Careers Careers UnitedHealth Group is a health care and well-being company dedicated to improving health outcomes for millions of people around the world. We comprise two distinct but complementary businesses, UnitedHealthcare and Optum, working together to build a better health system for all. Find your next job Join our talent community --> Work Here Clinical Professionals Corporate & Business Operations Customer Service & Support Early Careers Sales & Account Management Technology & Data Life Here Culture of Belonging Employee Benefits Military Fellowship Program Job Seeker Resources Blog Events Newsroom Insights, Stories & News Explore our stories to see our mission at work, find recent news releases, and read research offering solutions for addressing health care challenges and opportunities. Newsroom Media Resources Latest Updates Insights & Research Center for Health Care Research A Path Forward Featured Story UnitedHealth Group releases 2023 Sustainability Report Read Full Article Investor Relations Investor Relations We are dedicated to continuously improving the quality of our performance for consumers, customers, care providers

Claims Supervisor - NY Syracuse, NY The Workers' Compensation Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The WC 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.

Healthcare Executive India - Delhi posted: Posted Today

Insurance Claims Specialist - Insurance Dept. New York, NY, USA Insurance Claims Specialist - Insurance Dept. New York, NY, USA Posted Tuesday, September 30, 2025 POSITION SUMMARY: We are seeking an experienced and independent Insurance Claims Specialist with 7+ years of multi-line claims experience to manage and resolve claims across Marine Cargo, Property & Casualty, Automobile, Workers' Compensation, and Liability/Litigation. The role also supports contract reviews by assessing insurance-related provisions to ensure alignment with policy coverage and claims protocols. The ideal candidate will also provide support to the Insurance Manager and General Manager on special insurance projects as needed, contributing to broader departmental goals and demonstrating flexibility beyond core claims duties. ESSENTIAL JOB DUTIES: Manage the end-to-end claims process for: Marine cargo/inland transit Commercial property and general liability Automobile (fleet and HNOA) Workers' Compensation (“WC”) Litigated liability claims, including bodily injury and third-party property damage Handle end-to-end claims for marine, property, liability, auto (fleet/HNOA), WC, and litigated matters including bodily injury and third-party property damage. Review policies to assess coverage, exclusions, deductibles, and retentions Coordinate with brokers, carriers, adjusters, and Internal legal counsel Support contract review by evaluating insurance clauses (limits, AI, Waiver of Subrogation) and identifying potential risk/coverage gaps Draft claim notifications and ensure compliance with policy timelines Provide loss history, reserve, and claim summaries to assist with renewal preparation Collaborate with Legal, MGC, and MAC BU Operations to resolve claims Participate in claim reviews and strategic discussions in recovery efforts Support the GM and Insurance Manager with special

Senior Technical Claims Specialist, Rideshare Account ${34271}-Remote), UNAVAILABLE, Hidden (${12781}; Boston, MA, US; Suwanee, GA, US; Plano, TX, US; Hoffman Estates, IL, US Description The Senior Technical Claims Specialist determines coverage, investigates complex and highly complex Commercial Casualty claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and resolves the claim. In this role, you will demonstrate a high level of expertise and sound judgment in complex matters; may act as a subject matter expert. You will be required to go into the office twice a month if you reside within 50 miles of one of the following offices: Boston, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Chandler, AZ; or Weatogue, CT. Please note this policy is subject to change. Responsibilities: As the claim's owner, determines coverage, investigates the claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and pays the claim; may deny claims. Reviews lawsuit documentation and supporting documents, claims file, investigation, etc. Establish actions to be taken to resolve lawsuit. Includes determining loss coverage, amounts owed, discovery plans, setting reserves and negotiations. Establishes appropriate working team (Home Office Legal, Defense Counsel and Home Office Claims) based on allegations established in suit. Responsible for managing the practices and billing activities of outside counsel. Accountable for security of financial processing of claims, as well as security information contain

Certified Medical Assistant BHS Physician Services (625 Albany Ave) posted: Posted 30+ Days Ago

In-Home Health - Physician (Part Time) - Manhattan, New York NY - Manhattan posted: Posted Yesterday

Senior Claims Specialist, Financial Lines Professional Liability ${34271}-Remote), UNAVAILABLE, Hidden (${12781}; New York, NY, US Description Liberty Mutual has an immediate opening for a Senior Claims Specialist, Financial Lines Management Liability position. In this role, with minimal supervision, the Senior Claims Specialist, Financial Lines Management Liability handles a book of Private Company and Not-For-Profit Directors & Officers Professional Liability Claims and Employment Practices liability claims throughout the entire claim's life cycle. The selected person will be responsible for conducting investigations, recommending adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical manner within prescribed authority limits for the line of business. Please note you will be required to go into one of the following claims offices at least twice a month if you reside within a 50-mile radius: Westborough, MA; Boston, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Chandler, AZ; Plano, TX; Suwanee, GA; or Weatogue, CT. This requirement is subject to change. Responsibilities Analyzes, investigates, and evaluates the loss to determine coverage and claim disposition. Utilizes Liberty's claim system to document claims and to diary future events or follow-up. Within prescribed settlement authority for the line of business, establishes appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Makes recommendations to set reserves at appropriate level for claims outside of authority level. Pr

Property Adjuster Specialist Field Fort Collins, Colorado As a dedicated Field Property Adjuster Specialist, you will: • Work within defined guidelines to investigate, evaluate, negotiate, and settle complex property insurance claims. • Confirm/analyze coverage, recognize liability exposure, and negotiate equitable settlements in compliance with state regulations. • Use technology and desk adjusting for a virtual-first approach to inspections and claims handling. • Be provided a company vehicle for physical inspections within your local territory and may travel outside the area when needed. Key Responsibilities: • Manage a caseload of complex claims, requiring knowledge of claims coverage and potential legal liability. • Collaborate with vendors, internal partners, and external regulators for claims resolution and compliance. • Investigate claim damages using various sources and identify subrogation potential. • Identify coverage concerns, review prior loss history, and create Special Investigation Unit (SIU) referrals as needed. • Determine and negotiate claims settlements within authority limits; coordinate with management for settlements beyond limits. • Maintain accurate and current claim file documentation. • Utilize estimating technology and virtual inspection tools for complex claims. • Support workload surges and catastrophe response operations, including on-call duties and potential travel. • Handle various claims, including high complexity, and independently solve complex problems. • Adjust claims involving attorneys and address jurisdictional challenges. • Travel as needed for claims resolution, training, and inspections. • Identify and manage risks per company policies. Must Have Qualifications: • High School Diploma or equivalent. • Minimum 2 years experience in property claims adjusting of moderate

Paramedic PRN Wyoming Medical Center Central (1233 E Second St) posted: Posted 30+ Days Ago

Claims Corporate Representative 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 a Claims Corporate Representative , you'll serve as Slide's trusted representative in legal proceedings while driving the effective resolution of litigated property claims. You'll partner closely with defense counsel, claims leadership, and internal teams to protect Slide's interests and ensure timely, compliant outcomes. What You'll Do Litigation Representation & Strategy Represent Slide as the corporate representative in depositions, mediations, arbitrations, pre‑trials, and trials Defend, negotiate, and settle litigated claims Sign interrogatory responses on behalf of the company Work closely with defense counsel, litigation examiners, and leadership on claim strategy Claims Oversight & Analysis Monitor assigned lawsuits and oversee timely disposition of litigated claims Conduct coverage analysis based on policy language, facts, and allegations Review records and documentation to verify property damage and claim exposure Identify risks, develop resolution strategies, and negotiate successful outcomes Documentation, Compliance & Collaboration Document all relevant activity in the claims management system Maintain effective diary management to ensure deadlines are met Communicate clearly with internal and external stakeholders throughout the claim lifecycle Support additional initiatives and duties as assigned What You Bring Bachelor's degree preferred; high school diploma required Active Florida 6‑20 Insurance License required 5+ years of first‑party property claims adjusting experience 3+ years

Behavioral Health Specialist Resource Float BUMC Tucson (1625 N Campbell Ave) posted: Posted Today

Liability Claims Supervisor Downers Grove, IL The Liability Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The Liability Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of claims department and of CorVel.

Patient Health Benefits Counselor UNAVAILABLE, UNAVAILABLE, UNAVAILABLE Where You'll Work With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities You have a purpose, unique talents and NOW is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater cause is something we value even more. This HBA/Financial Counselor position is accountable for making decisions supported by policy based on confidential financial information both from the facility and from patients to determine qualification for CICP (as applicable), Charity programs, or payment arrangements. You will utilizes scheduling and registration information to verify coverage and authorization for all scheduled procedures. After the verification of benefits and authorization, HBA/FC populates price estimate tool to decide patient portion. This role makes calls to patients, doctor's offices, and hospital departments to gather sufficient information to obtain authorization and benefits Collection of patient por

Head of Claims London | OnSite | New York A Company That Matters Insurance exists to support people at their most vulnerable, after an accident, illness, theft, fire, or crisis. Claims are the moment of truth. That's why we're passionate about making every claim more empathetic, more efficient, and more human. ClaimSorted is an AI-native Third Party Administrator that manages claims operations for insurers across auto, property, travel, gadget, pet, renters, and liability. We combine world-class claims talent with proprietary AI systems to deliver dramatically faster resolutions, lower leakage, and a fundamentally better customer experience We're backed by some of the largest funds in the world Y Combinator, Atomico, and Eurazeo, and already manage claims for MGAs and insurers across the US, UK, and Europe, including publicly traded companies and some of the most well-known household names. Now we're looking for a Head of Claims to help redefine how claims should operate in the modern world. Not optimize around the edges. Not maintain legacy processes. Rebuild the function entirely. The Role This role requires 5 days a week in-person at our London, New York or future Dallas office This is not a traditional insurance leadership role. We are looking for someone who sees claims as an operational, technical, and product problem - not just a people-management problem. Your mission will be to redesign how claims handling works across products, regions, workflows, escalation management, QA, fraud prevention, recoveries, litigation handling, and customer communication. You will own claims standards across the company

Occupational Therapist PRN Wyoming Medical Center Central (1233 E Second St) posted: Posted 30+ Days Ago

Client Services Department - Claims Jakarta, Indonesia Support Claims matters Input all Notification/PLA/DLA into system Data migration from legacy system to GRU Indonesia Communication and management of internal and external collaborators' expectations Build client relationship in tandem with Client Relationship Manager, working as a Client Team Support carrier meeting for specific claims Support claims data analysis and reporting. Monitor claims SLAs and take accountability for performances. Issue claims/cash calls in accordance with contract terms and SLA Submission of claims supporting documents within 1 working day of receipt from the clients to the reinsurers Adhoc Matters Actively engage with Finance colleagues for the efficient collection of balances Actively engage with Regional Client Services team to ensure alignment to Global Standardization and Best Practice Any other duties as required by the management. We're hiring! We are looking for a Client Services Department - Claims to join our Reinsurance team in Indonesia. Aon is in the business of better decisions At Aon, we shape decisions for the better to protect and enrich the lives of people around the world. As an organization, we are united through trust as one inclusive, diverse team, and we are passionate about helping our colleagues and clients succeed. Role & Responsibilities: Support Claims matters Communication and management of internal and external collaborators' expectations. Build client relationship in tandem with Client Relationship Manager, working as a Client Team. Support carrier meeting for specific claims Support claims data analysis and reporting. Monitor claims SLAs and ensure performance standards are met.

P2D - Freight Claim Analyst Queretaro At Ball, integrity and trust are the foundation of who we are. Guided by our core values-"We Care. We Work. We Win.”-we create a culture where every voice matters and every idea drives progress. Further your career at Ball, a world leader in manufacturing sustainable aluminium packaging. Achieve extraordinary things when you join our team, and make a difference in your professional development, the community, and around the globe! Create a new future. Apply Today. Job Description Responsible for supporting freight claims processing, carrier invoice validation, and financial controls within the North America region. This role ensures accurate claim calculation, timely follow-up with carriers and warehouses, and effective resolution of discrepancies related to freight and invoice activities. Key Responsibilities: Freight Claims Management Consolidate and standardize freight claim information from multiple sources (carriers, warehouses, internal systems) Calculate claim values based on contractual terms, damages, shortages, service failures, etc. Register, track, and manage freight claim cases in ServiceNow (SNOW), ensuring accurate and complete documentation Actively follow up with internal teams (Logistics, Warehousing, Procurement) and external partners (carriers, warehouses, insurance companies) to drive timely claim resolution Submit, monitor, and follow up on freight claims with carriers and warehouses until resolution and payment are completed Maintain accurate claim docu

Account Manager (Meritain Health) PA - Pittsburgh posted: Posted Today