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Claims examiner Jobs in Portland, OR

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Claims examiner • portland or

Last updated: 12 hours ago

Claims Examiner - Workers Compensation | Jurisdiction: WA | Licensing: WA (Hybrid - Portland, OR)

SedgwickPortland, OR, United States
Full-time

Claims Examiner - Workers Compensation.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the ... Show more

Claims Associate - Workers' Comp.

AvenicaPortland, OR, United States
$25.94 hourly
Full-time

Are you a detail-oriented, analytical professional looking to launch a meaningful career in insurance and claims management?.Avenica has partnered with our customer—an industry-leading insura... Show more

Claims Examiner-Portland, OR

StaffingPortland, OR, United States
Full-time

Location: Portland, OR Duration: 3 months CTH full time in office, then hybrid 3 days in office, 2 days work from home.In office Tues-Thurs, WFH Monday/Friday Work schedule-8:00am-4:30pm PCT--1/2 h... Show more

Medical Examiner/Coroner Liaison

SolvitaPortland, OR, United States
Full-time

Medical Examiner/Coroner Liaison.Solvita comes from "sol" meaning sun and "vita" meaning life.As sunlight nurtures new life, we take the donor gift and transform it into new hope, bringing the ligh... Show more

Senior Field Property Claims Adjuster - Greater Portland OR

Phenom PeoplePortland, OR, United States
$59,000.00 yearly
Full-time

Senior Field Property Claims Adjuster.We are Farmers! We are more than just your favorite commercials.We are a passionate, award winning, equal opportunity employer, committed to the strength of a ... Show more

Rep, Mobile Examiner - (P/T) - ExamOne/Beaverton, OR area

Quest DiagnosticsBeaverton, OR, United States
Full-time

Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and o... Show more

Senior Workers Compensation Claims Adjuster - OR/WA

Arthur J Gallagher & CoPortland, OR, United States
Full-time

At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose.Every day, we help clients navigate complexity,... Show more

Claims Examiner-4

Sunrise SystemsPortland, OR, United States
Full-time

Location: 12909 SW 68th Parkway, Tigard, OR 97223 (Hybrid).Duration: 2 Months (Possibility of Extension).Job Schedule: 3 days in office, 2 days work from home.In office Tues-Thurs, WFH Monday/Frida... Show more

Complex Claims Consultant - EPL, Private & NFP D&O

CNAPortland, OR, United States
Full-time

You have a clear vision of where your career can go.And we have the leadership to help you get there.At CNA, we strive to create a culture in which people know they matter and are part of something... Show more

Claims Examiner - 4

Comptech AssociatesPortland, OR, United States
Full-time

Location: 12909 SW 68th Parkway Ste.Portland, OR (Near Tigard more than Portland).Job Schedule: Full time in office, then hybrid 3 days in office, 2 days work from home.In office Tues-Thurs, WFH Mo... Show more

 • New!

Supervisor, Medical Claims

Moda HealthMilwaukie, OR, US
$59,922.05 yearly
Full-time

Let’s do great things, together!.Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality.Today, like then, we’re focused on building a better future for healthc... Show more

ESIS Claims Representative, WC

ChubbPortland, OR, United States
$62,700.00 yearly
Full-time

The ESIS Claim Representative, reporting to the Claims Team Leader, is responsible for investigating and resolving claims promptly, equitably, and in accordance with established best practices.Clai... Show more

Pharmacy Claims Review Manager

Marquis CompaniesPortland, OR, United States
Full-time

If your answer is "all of the above," consider joining our team at Consonus Pharmacy.It's a perfect opportunity for compassionate people dedicated to people's health and well-being.Consonus Pharmac... Show more

Property Claims Adjuster Specialist - Field

USAAPortland, OR, United States
$69,920.00 yearly
Full-time

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice.We seek to be the #1 choice for the military... Show more

Senior Workers Compensation Claims Adjuster - OR

GallagherPortland, Oregon
Full-time

This role is eligible for fully remote work.Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve cla... Show more

Complex Claims Consultant - EPL, Private & NFP D&O

CNAPortland, OR, USA
Remote
Full-time

Essential Duties & Responsibilities.Performs a combination of duties in accordance with departmental guidelines:.Manages an inventory of highly complex Financial Lines claims, with large exposures ... Show more

Claims Examiner/Member Services Representative

United Employers Association and its AffiliatesPortland, OR, USA
$25.00 hourly
Full-time
Quick Apply

Small Health and Welfare Claims Administrator seeks full-time Claims Examiner/Member Services Representative to process claims and provide outstanding customer service to external and internal clie... Show more

Claims Supervisor

CorVel CorporationPortland, OR, USA
$73,345.00 yearly
Full-time

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 compa... Show more

Casualty Senior Claims Manager Casualty Specialized Claims

Liberty Mutual Insurance GroupLake Oswego, OR, United States
Full-time

Casualty Senior Claims Manager Casualty Specialized Claims.We are seeking a Senior Claims Manager with at least 10+ years of relevant experience to join our Casualty Specialized Claims team.This l... Show more

 • New!

Claims Specialist

CorVelPortland, OR, United States
$52,999.00 yearly
Full-time

Workers' Compensation Claims Specialist.The Workers' Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims w... Show more

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The cities near Portland, OR that boast the highest number of claims examiner jobs are:
Claims Examiner - Workers Compensation | Jurisdiction: WA | Licensing: WA (Hybrid - Portland, OR)

Claims Examiner - Workers Compensation | Jurisdiction: WA | Licensing: WA (Hybrid - Portland, OR)

SedgwickPortland, OR, United States
3 days ago
Job type
  • Full-time
Job description

Claims Examiner - Workers Compensation

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

  • Apply your Claims Examiner, WC knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
  • Enjoy flexibility and autonomy in your daily work, your location, and your career path.
  • Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

WORK LOCATIONS: Hybrid work schedule, 2 days in office 3 days working from home.

PRIMARY PURPOSE OF THE ROLE To analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

ESSENTIAL RESPONSIBILITIES MAY INCLUDE

  • Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
  • Negotiating settlement of claims within designated authority.
  • Communicating claim activity and processing with the claimant and the client.
  • Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

QUALIFICATIONS

Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

Experience: 5 years of claims management experience or equivalent combination of education and experience required.

Licensing / Jurisdiction Knowledge: WA

TAKING CARE OF YOU

  • Flexible work schedule.
  • Referral incentive program.
  • Opportunity to work in an agile environment.
  • Career development and promotional growth opportunities.
  • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

WORK ENVIRONMENT REQUIREMENTS INCLUDE When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.