Claim Health jobs

Senior Manager, Project Program Management (Claim Operations) Location not specified posted: Posted 4 Days Ago

Manager, Claim Processing 13 Locations posted: Posted 28 Days Ago

Claim Benefit Specialist 43 Locations posted: Posted 2 Days Ago

Lead Director - Claim Automation Product Manager Location not specified posted: Posted 7 Days Ago

Medical Claims Analyst - OPS - ACAS PA - Work from home posted: Posted 16 Days Ago

Senior Software Development Engineer (IBMi Claims Adjudication) TX - Dallas posted: Posted 3 Days Ago

Lead Director - Software Development Engineering (Claims Adjudication) TX - Richardson posted: Posted 25 Days Ago

Senior Claims Benefit Specialist 50 Locations posted: Posted Today

Manager, Patient Claims United States - Minnesota - Plymouth posted: Posted 10 Days Ago

Senior Claims Specialist (Construction Liability Claims) Plano, TX, US; Suwanee, GA, US; Hoffman Estates, IL, US; Westborough, MA, US; Remote, UNAVAILABLE, US Description If you're looking for a claims role where you can make a real impact-not just manage a desk-this is it. Our Construction Liability team handles moderate to high-exposure claims for some of the largest owner/developers, general contractors, and subcontractors across the country. From NY Labor Law and OCIP/CCIP programs to road construction losses, underground utility strikes, and major liability exposures tied to active job sites across the Country, the work is challenging, fast-moving, and meaningful. The Senior Claims Specialist works within a Claims Team navigating some of the most challenging construction claims in the industry. You will work in a team of claims professionals who may work in office or remote depending on their location. You will partner with a strong leadership team that values accountability, collaboration, and growth. If you enjoy working along top talent, making tough decisions, and being part of a team that takes pride in doing the right thing at the right time, this is a place where you can build something bigger than just your next role. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. The Senior Claims Specialist may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads. This is a remote position.

Business Analyst, Misleading Claims Bengaluru, Karnataka, IND Misleading Claims is part of the Regulatory Intelligence Safety and Compliance (RISC) organization. We are on a mission to protect customers from false and deceptive claims on products, enabling trustworthy shopping experiences at Amazon. We are seeking an experienced Business Analyst to drive the metrics strategy and data infrastructure for Amazon's Misleading Claims program. This role will define, build, and own the key performance metrics that measure program effectiveness in protecting customers from deceptive product claims across our marketplace. The ideal candidate will independently identify underlying data sources, design new metrics frameworks where none exist, and deliver actionable insights that shape program direction. You will partner with Risk Management, Tech, Science, and Ops teams to translate complex enforcement outcomes into measurable business indicators. Strong analytical judgment, deep SQL proficiency, and experience working with trust and safety or compliance programs are essential. This role requires the ability to operate independently in ambiguous, fast-moving environments where data definitions and measurement approaches must be built from the ground up. Key job responsibilities The successful candidate will: - Define and own the end-to-end metrics framework for the Misleading Claims program, including identifying gaps in existing measurement, creating new metrics, and establishing baselines and targets for program performance - Independently identify, evaluate, and onboard underlying data sources across enforcement, detection, and seller behavior systems to build a comprehensive data foundation for program analytics - Design and build dashboards and reporting mechanisms that provide real-time visibility into program health,

Fleet Claims Specialist, Middle Mile Property Damage Nashville, Tennessee, USA At Amazon, we're working to be the most customer-centric company on earth. To get there, we need exceptionally talented, bright, and driven people. We are seeking a highly skilled and motivated candidate to file and manage claims related to accidents and damages involving Amazon's growing transportation fleet. The Fleet Claims Specialist will be focusing on filing, managing and resolving claims related to damaged ATS assets in addition to program and process improvement. This is an hourly position sitting in Nashville, TN. Responsibilities will include reviewing assigned claims, contacting the insured and other affected individuals, initiating documentation in the claim handling system, and resolving claims. An ideal candidate brings a background in fleet maintenance and automotive claims handling, with experience managing professional relationships with multiple stakeholders, holding responsible individuals accountable for asset damages and repair costs, and achieving organizational targets. This job will require exceptional communication, interpersonal, and negotiating skills with the ability to work independently. Benefits include health care (medical, dental, vision) coverage starting on day 1 as well as 401(k) with company match, holiday/overtime pay. Amazon offers a range of fully paid Maternity and Parental Leave options for parents prior to, and following, the birth or adoption of a child. Key job responsibilities - Interact with carriers and customers to obtain facts, explain claims processes, and provide high quality service to achieve a positive customer experience - Plan and conduct investigation to determine liability, bodily injury, and damages -

Senior Claims Specialist - WA and OR Jurisdiction Experience Lake Oswego, OR, US; Las Vegas, NV, US; Rocklin, CA, US; Orange, CA, US; Chandler, AZ, US; Meridian, ID, US; Honolulu, HI, US; Anchorage, AK, US Description The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. The Senior Claims Specialist may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads. Responsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. Refers to claim to subrogation group or Special Investigations Unit as appropriate. Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim. Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims. Coordinates t

Supervisor, Billing Downers Grove, IL At Accendra Health, we understand that healthcare is complex, and we're here to make it easier. We help deliver care beyond traditional settings, making essential products and services more accessible through every stage of life. As part of the care team, our teammates play a critical role in delivering personalized, long-term care for the patients we serve. With deep expertise promoting health outside the hospital and a presence in communities nationwide through our Apria and Byram Healthcare brands, Accendra Health does more than just deliver the essentials. If you're interested in meaningful work with impact, explore our career opportunities and join us in our purpose of Bringing Care To Life™. The anticipated range for this position is $65-75k annually The role is Hybrid, attending to the office 1-2 times at a week and the schedule required is M-F from 8.30 to 4 pm Qualifications EDUCATION & EXPERIENCE REQUIRED: High School Diploma 1 year of experience as a supervisor or related Excel skills KNOWLEDGE SKILLS & ABILITIES: Strong leadership and team management skills. Excellent attention to detail and organizational skills. Ability to analyze reports and identify root causes of billing issues. Effective communication and problem‑solving skills. Ability to manage multiple priorities in a fast‑paced environment. Proficiency with Microsoft Office applications, particularly Excel. Supervise daily billing workflows, including electronic and paper claim submission. Ensure claims are billed accurately and in compliance with payer, CMS, and internal billing requirements. Monitor unbilled, held, or rejected claims and ensure appropriate

Health Representative (Central) Malaysia - Kuala Lumpur posted: Posted 30+ Days Ago

Community Health Advocate PA - Philadelphia posted: Posted 10 Days Ago

Health Representative Malaysia - Penang posted: Posted 30+ Days Ago

Technical Claims Specialist, Workers Compensation ${34271}-Remote), UNAVAILABLE, Hidden (${12781}; Carson City, NV, US; Las Vegas, NV, US; Reno, NV, US; Crystal Bay, NV, US Description ************* NV Workers' Compensation Claims Experience required. NV residence is also preferred, but not required. ******************* Under limited supervision and established practices, responsible for the investigation, evaluation, and disposition of Complex Workers Compensation cases of high exposure and severity. Applies established medical management strategies on high dollar complex claims. Has developed high level knowledge of Workers Compensation claims handling techniques, a full knowledge of LMG claims procedures and is cognizant of new industry trends and claim handling techniques Uses available data to track claims trends and other claim related metrics. Responsibilities Investigates claims to determine whether coverage is provided, establish compensability and verify exposure. Resolves claims within authority and makes recommendations regarding case value and resolution strategy to Branch Office Management and HO Examining on cases which exceed authority. Participates in pricing, reserving and strategy discussions with HO Examining and Examining Management. Works closely with staff and outside defense counsel in managing litigated files according to established litigation management protocols. Identifies and appropriately handles suspicious claims and claims with the potential to develop adversely. Identifies and appropriately handles claims with third party subrogation potential, SIF and MSA exposure. Establishes and maintains accurate reserves on

Health Representative - Rare Disease Malaysia - Kuala Lumpur posted: Posted 30+ Days Ago

Community Health Worker AZ - Tucson posted: Posted 30+ Days Ago

Health Representative - IM (GP) Malaysia - Johor posted: Posted 30+ Days Ago

Health Representative - Karachi Pakistan - Remote posted: Posted Today

Medical Representative - Nutrition - Binh Duong Vietnam - Bien Hoa posted: Posted 3 Days Ago

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