Claim Health jobs

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

Senior Claims Adjuster POST-LON-London, UNAVAILABLE, UK Company Details Responsibilities The Senior Adjuster is responsible for managing claims arising from the Property and Transportation binders portfolio. The role requires proactive, efficient claims handling in line with the company's philosophy, service standards, and reserving protocols. Manage an allocated caseload, adjusting claims within delegated authority and in accordance with company claims philosophy and reserving guidelines. Triage, investigate, and progress claims through to final resolution. Deliver a high standard of professional service to clients, brokers, and other stakeholders. Ensure performance meets internal KPIs and service-level expectations. Assist in managing Third-Party Administrator (TPA) relationships, including undertaking targeted visits where required. Collaborate with the underwriting team to support risk management initiatives and related activities. Contribute to the analysis of claims performance, identifying trends, anomalies, and opportunities for improvement. Support miscellaneous claims-related projects as required. Liaise effectively with internal functions-including Underwriting, Actuarial, Risk Management, Finance, and Compliance-to ensure cohesive claims management. Participate in relevant professional, technical, and career development training, both internally and externally Qualifications Minimum 5 years' experience in insurance, with strong knowledge of the London Market and specific exposure to Transportation claims. Proficiency

Health Distribution Specialist Singapore posted: Posted 7 Days Ago

RN MedSurg PRN Page Hosp (501 N Navajo Drive) posted: Posted 30+ Days Ago

Claims Specialist- Financial & Professional Lines London, United Kingdom Are you an experienced Claims professional with an interest in London Market claims processes and procedures ? Are you excited to join a claims team that handles Financial Lines claims on behalf of some of the world's most recognised organisations ? If so, we have a fantastic hybrid role with flexibility to work both virtually and from our London office. 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 organisation, we are united through trust as one inclusive team and we are passionate about helping our colleagues and clients succeed. What the day will look like In this exciting role, you will be primarily responsible for the management, strategy and process for the notification, agreement, collection and successful settlement of a portfolio of Financial Lines claims. Your key responsibilities will include: First notification of loss for Professional and Financial Lines losses, including D&O, PI and Crime claims Negotiation and liaison with markets, clients, placement teams, specialists, network offices, underwriters and appointed authorities (loss adjusters, lawyers etc). Conduct data analysis to establish the claims history for a particular client or business portfolio, and to identify trends and patterns in claims for a client or business segment Negotiate the payment and settlement of claims with clients and underwriters Coordinate discussions and, where appropriate, meetings to ensure superior level of communication between the client,

Claims specialist with German A world leader in toys and games has trusted Infosys to transform their Finance and Accounting processes and programs to world leading standards. To be successful in this journey, we are looking for a dedicated and experienced Claims Specialist to join our team in Brno. What we want you to do: - Claims handling: independently review, process and adjudicate claims in accordance with company policies and legal requirements. - Customer Communication: Professional and empathetic communication with customers to clarify their concerns and offer solutions. - Data analysis: Analyzing claims data to identify trends, risks and potential for improvement in the processes. - Collaboration: Working closely with internal departments such as underwriting, legal and customer service to ensure smooth claims handling. - Documentation: Careful documentation of all relevant information and decisions related to claims. - Training and Support: Supporting and training new employees in claims processing and management. - Risk Management: Identify and assess risks associated with claims and develop mitigation strategies. Skills you need to be part of the team: - Speak and write German language (near native) and English - Formal education in Finance and Accounting is an added advantage - Experience in invoice handling - Good analytical skills and attention to detail - Strong communication skills, both written and verbal, with the ability to convey complex information in a simple manner - Team Player, Ability to handle and work under pressure - Confident in the use of common software applications and experience with claims

Public Benefit Specialist 2 Locations posted: Posted 14 Days Ago

Nurse Appeals RN-Quality of Care 4 Locations posted: Posted Yesterday

Complex Claims Specialist North Royalton, OH, US Company Details Carolina Casualty is a member company of W. R. Berkley Corporation , an insurance holding company that is among the largest commercial lines insurance writers in the United States. We specialize in liability, physical damage, cargo and other insurance solutions for the commercial auto markets including trucking, public transportation and others. The company is an equal employment opportunity employer. Responsibilities The primary role of a Complex Claims Bodily Injury Specialist is to promptly and professionally ensure high quality claim handling by analyzing BI / liability of claim submissions while making coverage determinations, investigating losses, conducting independent assessment as to the insured's exposure and moving cases towards timely resolution. You will be an effective source for help and support because of your deep knowledge and liability claim expertise. Key Functions will include but not be limited to: The Complex Bodily Injury Claims Specialist is a high-level adjuster role that adjudicates assigned claims within given authority and provides operational support to the claims team. This person also: Adjusts and resolves complex to severe commercial trucking bodily injury claims that may also include all phases of litigation. Plans and conducts investigations of high severity bodily injury claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing eviden

Software Development Director United States, US At Oracle Health, we're transforming healthcare administration through Oracle Health Insurance (OHI), a cloud-native payer platform supporting enrollment, billing, benefits administration, provider payments, and claims adjudication. As Oracle expands Oracle Health Insurance capabilities globally, including support for U.S. Medicare, Medicaid, commercial insurance programs, and AI-enabled claims processing, we're investing in engineers who are passionate about building the next generation of healthcare payer solutions. We are seeking an engineering leader to drive execution across multiple development teams and help shape the future of Oracle's payer platform strategy. As Director Software Development, you will lead teams responsible for delivering critical OHI capabilities while partnering closely with Product, Architecture, Customer Success, and Executive Leadership. You will manage software development teams responsible for building and operating mission-critical healthcare payer solutions. You will drive execution, organizational growth, technical excellence, and delivery predictability across multiple product areas. Key Responsibilities Engineering Leadership Lead multiple software engineering teams delivering OHI platform capabilities. Drive execution of strategic investments across Medicare, Medicaid, claims, provider payments, and AI initiatives. Establish engineering goals, delivery plans, and success metrics. Build high-performing teams through hiring, coaching, and career development. Technical Leadership Partner with architects and senior engineers to define platform strategy. Ensure scalable, secure, and reliable cloud-native architectures. Drive adoption of modern engineering practices, automation, and AI-assisted development. Guide technical decision-making for large-scale healthcare systems. Business Partnership Collaborate with Product Management on roadmap execution and prioritization. Partner with customer-facing teams to understand market requirements. Align engineering investments with

Utilization Management Nurse Consultant 32 Locations posted: Posted Yesterday

Medical Social Worker IN - Gary posted: Posted 30+ Days Ago

Claims Loss Adjuster Monterrey, NLE, Mexico Claims Loss Adjuster

Specialist, Customer Quality Claims Specialist, Customer Quality Claims

Specialist, Quality Assurance 2 Locations posted: Posted 2 Days Ago

Claims Resolution Specialist VA Corporate The Claims Resolution Specialist is responsible for supporting the evaluation and resolution of homeowner and channel partner claims in alignment with Trex product warranties, policies, and customer service standards. This role focuses on accurate claim processing, consistent documentation, and timely communication to ensure fair outcomes while protecting company assets and maintaining strong customer relationships.

Medical Representative Asia Pacific, China, Shanghai, Shanghai posted: Posted 30+ Days Ago

Health Partner Boston - High St posted: Posted 30+ Days Ago

Authorization Coordinator I Goleta, California, United States of America Embrace the opportunity to become an Authorization Coordinator I and play a vital role in ensuring timely and accurate referral processing for patients. Utilize your expertise in medical coding, claims, and healthcare systems to support providers and patients. Grow your career in a collaborative environment focused on process improvement and operational excellence.

Director Quality Improvement Behavioral Health Behav Health Hosp (7575 E Earll Dr) posted: Posted 22 Days Ago

Intake RN - Full Time Highland Hospital posted: Posted 24 Days Ago